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I totally agree.  I was just answering the question.  I do not set the  
policy.
On Feb 16, 2008, at 6:33 AM, Gill Winnik wrote:

> The question is how often that fifth vital sign (pulse oximetery)  
> really helps in clinical management and or changes management in  
> children without any respiratory complaint or sign.
> Getting a pulse oximetry adds time to the triage process and a cost  
> (those disposable sensors are not cheap, even if we use them for  
> more than one patient).
> My experience is that getting a pulse oximeter reading on a child  
> who does not have any cardiovascular or respiratory complaints or  
> signs is almost always "not helpful' and therefore a waste.
>
> Giora (Gill) Winnik MD
> Maimonides Medical Center
> Brooklyn NY
> 718-283-6021
>
> ________________________________
>
> From: Pediatric Emergency Medicine Discussion List on behalf of Don  
> Zweig
> Sent: Fri 2/15/2008 10:09 AM
> To: [log in to unmask]
> Subject: Re: triage pulse ox
>
>
>
> Us too.  Although we are not a ped's er but see 65 k pts (lots of kids
> obviously)/.
>
> don
> On Feb 15, 2008, at 2:16 AM, james reingold wrote:
>
>> Pulse ox is the 5th vital sign for us, done on every pt.
>>
>> James Reingold, MD
>> Phoenix> Date: Thu, 14 Feb 2008 17:10:51 -0800> From: [log in to unmask]
>>> Subject: triage pulse ox> To: [log in to unmask]> > What
>> criteria are you using to do pulse oximetry on patients in triage?
>> All patients, all urgent and emergent, based on symptoms? Thanks for
>> your help.> > > Jay D. Fisher MD FAAP> Director of Pediatric
>> Emergency Services> Emergency Physicians Medical Group> University
>> Medical Center, Las Vegas NV> St. Rose Sienna Hospital, Henderson
>> NV> > For more information, send mail to [log in to unmask]
>> with the message: info PED-EM-L> The URL for the PED-EM-L Web Page
>> is:> http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html
>> _________________________________________________________________
>> Shed those extra pounds with MSN and The Biggest Loser!
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>> For more information, send mail to [log in to unmask] with
>> the message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
>> http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html
>
> Donald Zweig MD
> [log in to unmask]
>
> For more information, send mail to [log in to unmask] with  
> the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
>  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html
>
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Donald Zweig MD
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For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html