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As RichL025 Appropriately stated, not every study fits your patient. Very elegant mathematical studies have shown that no one devised protocol or evidenced based medicine study can apply to 100%of a study population. The best that has been achieved is around 85%. Therefore, all modern studied are good for the majority but not the entire population, so for ~15%c you have to "think" and not just follow a protocol. As far as oxygen, some of us don't and can't carry it on deployment, it's back in a warm/cold zone, And there is 21% in the air so plenty for what I need it for. Remember, the only reason for supplemental oxygen In a shock state, the tissues are not meeting their metabolic demands and hypoxia is a factor, so to improve this we provide supplemental O2. When in a hot zone not one person I know worries about supplemental O2, there are far greater concerns.
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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