I could just as easily choose the EJ. That's not the point. I said if its compromising to patient care, there are a lot of what if's to be discussed but I'd rather not.
You propose I use the A/C, I say my imaginary what if patient has nothing but flat and heroin abused veins in his A/C. See how this gets us no where? So lets not do that. If it compromises patient care it goes. If it doesn't it can stay.
I've cut off teenage females "uggz" because they we're trauma patients specifically to the lower extremities, they were quite clear they didn't want them cut off, and I was quite clear I needed to check for distal perfusion, and they couldn't "slip off" the boots because of the pain it was causing.
This week a patient refused an IV because "they hurt too much" as he sits in SVT with a rate of 200. "Okay no problem pastor." Attach Defib pads on him, "whats this?" "Pastor, since you didn't want an IV I can't give you a medication to fix your heart, so I have to use these instead its going to hurt are you sure you don't want an IV?" "No IV they hurt to much" *charging* point being sometimes people refuse whats best for them because they are just set in their ways.
Wendy I'm in agreement, if there is a medical need do it, do it and that's the end of it. I personally will not go out of my way to cut along the seams I put my rescue hook or scissors at the first edge of clothing or boot etc... I can reach and go from there. Maybe I'm a jerk for it, but I don't have the frame of mind where I feel clothing takes priority over taking care of the patient.