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Volume 342:1368-1370 May 4, 2000 Number 18
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Insertion of Femoral-Vein Catheters for Practice during Cardiopulmonary Resuscitation

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 by Burns, J. P.
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 by Kaldjian, L. C.
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To the Editor: Kaldjian et al. (Dec. 30 issue)1 raise a much more important question than whether residents in internal medicine should "practice" the insertion of central venous catheters without consent. Consider the training of emergency-medicine physicians in the performance of cricothyrotomy. This rarely performed, moderately difficult surgical procedure is truly lifesaving, but only if accomplished within seconds of the failure of other attempts to establish an airway.

Although there is evidence that the families of more than one third of patients who have recently died in the emergency department will consent to the performance of this procedure for practice,2 . . . [Full Text of this Article]

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