Being Flexible On Your Next Intubation

I wanted to share this EMS1 video with you and talk about what I took away from it. Take look and check out these paramedic intubation tips and be sure to post your own tips or techniques below.


 

Watch the original EMS1 video here.

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Managing The Airway In CPR

Quality compression’s make the difference in CPR. Everything else like advanced airways and medications come second with more and more saying that these shouldn’t even come at all. This weeks Minutes I give a few key points to think about when using advanced airway management during CPR.

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The Protocol Effect | Airway Management

In this installment of Office Hours we revisit the series “The Protocol Effect” and discuss airway management. Should this be controlled by written guidelines, clinical impressions or current research? Anyone who has been in the field knows a GCS of less than 8 or 10 doesn’t always mean a patient requires intubation or advanced airway management. Yet many protocols say to do just that. This may just be another time when providers need to prove their understanding of these skills, their need and the patients we treat. Take a listen to this episode and tell us about your guidelines and how you interpret them.



Show notes:

Thanks to Mr. JD Graziano for joining me on the show. Check out his podcast at EMSStandingOrders.com and following on Twitter at @AJDGRAZIANO.

Listen to the Standing Orders podcast on The Future Of Airway Management here.

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Pre Hospital Intubation | That Dead Horse Needs Some Beating

OK, the argument on pre hospital intubation has been going on for some time now. Should we or shouldn’t we. How do we train, remain competent and prove that we can do it, successfully every time. Is that 100% success rate a realistic number? What have you done to improve your success? What can be done as an industry to improve and prove our success?



Show notes:

Take the ETI Skills survey click here

Thanks to Sean M. Kivlehan, MD, MPH, NREMT-P for calling in. Be sure to take advantage of Sean’s CE articles over at EMS World – Continuing Education Articles

Also thanks to Garth from the EMS blog  Drug-Induced Hallucinations for sending me some great info and feedback on this topic.

Check out RogueMedic.com for some pre hospital intubation posts that are sure to get the juices flowing.

Finally, here are some articles on the topic that are of interest.

No difference in the time needed or success rates between ETI or King airway:  http://www.ncbi.nlm.nih.gov/pubmed/21763247

Paramedic RSI improves neurologic outcomes at 6 months: http://www.ncbi.nlm.nih.gov/pubmed/21107105

Dutch paramedics have a 95% success rate at ETI, even with a low overall number of intubations. ETCO2 is strongly recommended: http://www.ncbi.nlm.nih.gov/pubmed/21612142

Policy Statement from ACEP cautiously supporting prehospital RSI: http://www.acep.org/content.aspx?id=29188

http://blog.dr-exmedic.com/2011/05/13/gcs-8-intubate/

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Laryngoscope Blade Use In ETI

This quick video gives an overview on the differences between MacIntosh and Miller laryngoscope blades, their placement and use in endotracheal intubation. Great for a quick refresher and new paramedic students.

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EMS Provider Skills | Responsible vs. Incompetence

When it comes to skills in EMS, pressure to do well especially in front of your co-workers can be stressful. Things like IV access, drug selection and clinical impressions can leave your co-workers with either a positive or negative view of you. Sometimes worrying about this perception can dictate this view more negatively than you think, IF you’re not thinking.



Get the Uncovering Difficult Airways report free by clicking here.

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