mycrofft
Still crazy but elsewhere
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We've discussed the drawbacks of cookbook care, how the magic juju of "LSB/ C Collar" or "IV NS bolus" or "NRB everyone" are actually just tools in the kit, neither explicitly harmful nor harmless, depending upon their use.
How about totally "baring the patient"? I understand why a surgeon does, or an obstetrician, but why in the field?
The majority of cases are not a "whole body" incident, most traumas are extremities, most torso complaints are above or below the belt (not both), head injuries have no relation per se to the rest of the body. Now how about cases where pt is unable to give a hx or coherent complaint BUT it is very cold outside (other than emergent rewarming)? Cases where the definitive treatment facility is closer in response time than time needed to SAFELY strip the pt? And what are you going to to with all that goosefleshed territory either in assessment or treatment?*
I think that wholesale stripping of patients, as some people here have cited are their protocols, is, like any wholesale practice, often a time-wasting, undignified and unnecessary procedure.
*aka "The Dog Caught The Car Conundrum": OK, Ben, you caught it. Now what?".
How about totally "baring the patient"? I understand why a surgeon does, or an obstetrician, but why in the field?
The majority of cases are not a "whole body" incident, most traumas are extremities, most torso complaints are above or below the belt (not both), head injuries have no relation per se to the rest of the body. Now how about cases where pt is unable to give a hx or coherent complaint BUT it is very cold outside (other than emergent rewarming)? Cases where the definitive treatment facility is closer in response time than time needed to SAFELY strip the pt? And what are you going to to with all that goosefleshed territory either in assessment or treatment?*
I think that wholesale stripping of patients, as some people here have cited are their protocols, is, like any wholesale practice, often a time-wasting, undignified and unnecessary procedure.
*aka "The Dog Caught The Car Conundrum": OK, Ben, you caught it. Now what?".
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