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/

If One IV Is Good, Two Is Better, Right?

In a recent EMS1.com article it was asked if trauma patients really need that second IV line. Large bore catheter or not, should we be following this often written trauma patient rule or should we be treating the patient according to our assessment? The answer seems obvious. So, why is this even an issue? Go read the article and then give your latest bilat IV story.



 

Show links:

EMS1.com article – click here

Tim Noonan – Rogue Medic

Medical Math Webinar for 8/25

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When Do You Ask For Allergies and Medical History?

ems patient assessmentWhen doing your patient assessment do you ask for known allergies and past medical history before you do simple things like a blood pressure or IV stick? It can make a difference. Take a quick listen to this weeks Monday Minutes and leave your tips below.

Paramedic IV Start Pack Tips

As a paramedic, do you keep an IV start pack with you for quick IV access? Jim gives his IV start pack layout along with a few other tips that may help when beginning an IV in the back of a moving ambulance. What does your start pack contain?


More IV Help at EMS Boot Camp – Click here.