IO's, ad nauseum

[bensonblues at comcast.net]

Matt from the UK:

Do you really think cut downs should not be taught in ATLS?  In selected patients, I still believe that there is a role for the (saphenous v.) cut down, especially kids. It is unsusal for the Seldinger method to fail us in our trauma bay, except in IVDA patients. But if it does, venous cut down remains a good option: less trauma, more reliable/definitive, and less pain if infiltrative anesthesia is used. If I am wrong here, I now know I am getting old.

DB from the US