ATLS changes

[=?ISO-2022-JP?B?GyRCMiNFRCEhPWcwbE8vGyhK?=]

Dear Trauma-list Colleagues,

Thank you for your responses to my questions, Ian, Paul, and Aviel.
Your mails mostly satisfied me.
Especially, I agree with Paul' sugestions ; "The ATLS course is trying to
teach you to think about and emphasis certain processes, not always the
precise sequence - so you should have some latitude about when to actually
perform the neck assessment."
But, the content of lecture "clearing the spine can be done without x rays
on  some patients (Awake and alert, no distracting injuries)" causes
misanderstanding.   It seems,that is, that in these patients c-spine
examination should be doneas adjuncts to first survey.   I think that ATLS
program empasize a necessity of C-spine protection during resuscitation.

Time is now 11:00 AM, January 1, in JAPAN.  We did not have ary problem with
Y2K.

Thank you agian,
A Happy New year
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Junichiro Yokota,MD
Senshu Critical Care Medical Center
Osaka, JAPAN
jyokota@sccmc.izumisano.osaka.jp
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