PRIMARY SURVEY
Primary survey
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Commentary: all that glistens is not gold
The authors of this commentary suggest that prehospital and emergency medicine practitioners are too eager to "trial" new devices and to "have a go". They suggest that this approach does not make financial sense and quote as an example of this the early adoption in many hospital emergency departments and prehospital care of mechanical chest compression devices. This has led to the directors of clinical care of ambulance services and the joint Royal Colleges Ambulance Liaison Committee taking the unprecedented step of writing a brief note which identified the need for further research and consequently recommended that no further devices were purchased, unless it was to support an appropriately designed and approved clinical trial, and that currently available devices should only be used in the context of approved research. The authors suggest we are a gift to industry representatives seeking opportunities (see page 251).
Best BETS: use of IV on aminophylline in addition to beta-2 agonists and steroids in acute asthma
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