List Archives

Wed, 6 Feb 2002 10:45:33 +1100

Matt

I just had a chat to our Chief Pharmacist, there are no problems with supply
of Sux down here, and he has not been advised that it is no longer
available. We buy our supplies from Astra, if you need contacts e-mail me
off list.

On a more interesting note how long ago was RSI introduced for remote area
nurses? Having worked a little remote area myself (about 5 yrs ago), in both
QLD and NT, I wasn't aware that any Nurses in Australia were trained/covered
to undertake rapid sequence induction and intubation. I have known remote
area RN's to do "dry" intubations in the deeply unconscious/arrested pt, but
not actually paralyse and tube. What training are you guys undertaking to be
able to perform the procedure and what criteria are you employing to
maintain competence? What alternative airway techniques have been made
available to you for failed intubations? Is there a need for medical consult
or is it a skill you are covered to perform off your own initiative?

That's a heap of questions I know, always interested in new skills/practices

PS where is Amata clinic?

regards

Greg Benton
Nurse Unit Manager
Emergency Department

Wangaratta District Base Hospital
Green St Wangaratta 3677

E-mail 	Greg.Benton@wdbh.hume.org.au
Ph 	03 57220162
Fax 	03 57220236

	-----Original Message-----
	From:	Camiile and Matt [SMTP:camillematt@bigpond.com]
	Sent:	Tuesday, 5 February 2002 20:51
	To:	trauma-list@trauma.org
	Subject:	Replacing Sux

	Hi, 
	I am a Remote Area Nurse in Australia (600km from our regional
hospital and 1500km to the nearest Level 1 facility) We have recently been
advised the Sux is no longer being produced as the demand for it has reduced
due the the major users prefering more long acting drugs. As a remote nurse
I am often working alone or with one other (not always a nurse or doctor)
and would prefer to use sux as it is short acting in case I can't get a tube
in as atleast teh patient should start breathing by themselves in a short
time rather than me having to bag teh patient whilst trying to do dozens of
other things at teh same time. My question is does anyone know if sux is
replacable by another drug with the same quick but short action that is
stable enough to manage travel out to the clinic in varying temperatures
over two days?
	Thanks Matt Mason
	Remote Area Nurse
	Amata Clinic
	Central Australia
	  _____  

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Replacing Sux