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- Published on: 29 April 2016
- Published on: 29 April 2016
- Published on: 29 April 2016
- Published on: 29 April 2016
- Published on: 29 April 2016
- Published on: 29 April 2016
- Published on: 29 April 2016Best Bets. A call for scrutiny.Show More
Dear Editors,
Best BETS are based on specific clinical scenarios and aim to provide a clinical bottom line which should indicate, in the light of the evidence, what the clinician would do if faced with the same scenario again.[1] The article by Sen and Nechani (EMJ 2005;22:887-889) serves to remind us that unless Best BETS are rigorously conducted their conclusions may be inappropriate.
Sen and Nechani wond...
Conflict of Interest:
None declared. - Published on: 29 April 2016Association does not prove causalityShow More
Dear Editor,
I would like to briefly comment on the article entitled "Prehospital endotracheal intubation in adult major trauma patients with head injury" by Ayan Sen and Raj Nichani. In this excellent review, the authors point out that there are no prospective trials that have investigated the prehospital use of endotracheal intubation in adults. I believe it should be stressed that it is very difficult to accou...
Conflict of Interest:
None declared. - Published on: 29 April 2016Author's replyShow More
Dear Editor,
We would like to thank the respondents for expressing their strong views regarding our review. Many thanks to Mason for highlighting the core issue at stake and to Dawes for informing us about the proceedings of the EMS physicians meeting in 2004.We made a sincere endeavour to present the current evidence in the few epidemiological studies which attempted to investigate use of pre-hospital airway ma...
Conflict of Interest:
None declared. - Published on: 29 April 2016Two wrongs don’t make a rightShow More
Dear Editors,
To “shoot the messenger” is to reply to an argument by attacking the person presenting the argument rather than the argument itself. It is a time-honoured way of dealing with unpleasant messages. The underlying sentiment is perhaps best expressed by Sophocles: “How dreadful knowledge of the truth can be when there is no help in the truth” (1).
Dr Mason suggests that the criticism of Sen...
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None declared. - Published on: 29 April 2016Please don't shoot the messengers!Show More
Dear Editors,
Sen and Nichani[1] should be congratulated for drawing our attention to one of the ongoing absurdities in emergency medicine; namely, that UK paramedics are provided with tracheal tubes, but are not given the drugs or monitoring equipment which enable their safe and effective use in salvageable trauma patients. The ability to intubate a trauma patient without the benefit of drugs is known to be an e...
Conflict of Interest:
None declared. - Published on: 29 April 2016Prehospital Intubation – Delving deeper into the evidenceShow More
Dear Editors,
May I thank Ayan Sen and Raj Nichani for their recent “Best Bet” on prehospital intubation in head injury. It was a pity however, that they neglected to look deeper into the reasons why their conclusion, at least at this point in time, was that there is insufficient evidence to support its use. The very topic of prehospital rapid sequence induction (RSI), was the subject of a panel discussion and p...
Conflict of Interest:
None declared.