Old Guys and Ladies: "Mother's Milk"?!?!

mycrofft

mycrofft

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Disgraced Protocols: "Mother's Milk"?!?!

Over the decades we have seen heard or read articles, studies protocols and texts blithely describing and prescribing meds, maneuvers, and machines which have turned out to be, er, disappointing....or downright lethal. "They're practically harmless" someone crowed.

Share a few? (Pictures invited, but keep sizes down to keep speed up).

Here's one: Near-universal spine board/spinal immobilization.

EDIT: CHANGED THE THREAD TITLE THANKS TO THE PREMIUM TITANIUM MEMBERSHIP!

EDIT: No, I COLDN'T CHANGE THE THREAD TITLE THANKS TO PREMIUM.
 
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could you name a procedure, device, or medication that was not called this at one point or another?

It is my opinion nothing is really "harmless" or universally "ok" we just get better at narrowing the patient populations that get such treatments.
 
I can think of some that turned out to be well-nigh useless
 
Veneficus said:
could you name a procedure, device, or medication that was not called this at one point or another?
Click to expand...

Sure. Field. Pericardiocentesis by basic techs (EMT-Basic). Never described as mother's milk except maybe on EMTLIFE.:lol:

Those darned surgeons are so field-possessive!
 
Four stairstep breaths with CPR. Recording CPR Annie with the bright lights for too much or too little breaths.
 
Escalating doses of 1:1000 Epi in cardiac arrest. 1mg, 2mg, 3mg, 5mg, then keep repeating 2mg.
 
How about Trendelenburg, MAST, or the presence or absence of certain pulses indicate a minimum SBP?
 
Does anybody still use Trendelenburg for hypovolemic shock etc.? It's in my protocols, but I've never actually used it because it's a myth (viz.: http://www.cjem-online.ca/v6/n1/p48)
 
Trendelenburg is known as the "king county fluid bolus". When you're turfed a hypotensive patient by medics, they say, "just raise his feet" haha.

How about the routine administration of 100 mEq of bicarb in an arrest?
 
Oxygen.
 
The MAST suit (or PASG pants as we called them)! That is a good one. WOW! I recall the countless hours spent going over that thing and how pissed off the Supply guy would get when the ED cut them off the patient.
 
supraglottic airways of various flavor.
 
Valium.
 
Dual large bore IVs while emptying two 1 liter bags of NS into Trauma Patients with significant Blood loss. All the while these NS bags had been sitting in the back of a non temp controlled Ambulance that had the AC running and are probably 60 degrees.

Hey! we got their pressure back up to 140/80, hmmmmmmmm why is their blood pinkish clear?

Patient "I am cold, can I have a blanket?" Paramedic "ssssssssshhhhhhh, shh shhh shhyyy"
 
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