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Fri, 5 Apr 2002 10:39:48 -0900

So my question is why not give a class and do extra training for those who
show apttude and willingness to learn these advanced skills. much like some
nurses, who can do swans or central line because they've had extra training.
do quarterly skills checks or other QA follow-up I know in the service I
run, the volume is adequet to maintain proficency. 

> -----Original Message-----
> From:	Owens, Patricia [SMTP:POWENS@PARTNERS.ORG]
> Sent:	Thursday, April 04, 2002 12:46 AM
> To:	'trauma-list@trauma.org'
> Subject:	RE: paralytics vs. surgical cricothorotomy in the field
> 
> Since I don't work in the field, I am not familiar with what you deal with
> on a day to day basis.  Keep in mind that unless you are properly trained
> (extensively) to administer medications, many lawsuits will be coming your
> way.   However, I stand behind what your sponsoring physician says about
> the
> abuse issue.   You may be more experienced that some other EMT III but if
> you are allowing to administer paralytics, they can also.   His/her advice
> is right on the money.  PO
> 
> Patricia J. Owens, RN,BSN
> Trauma Team Leader - MOR
> 6-8910
> 
> > -----Original Message-----
> > From:	James A. Johnson [SMTP:J.Johnson@Valley-hosp.com]
> > Sent:	Tuesday, April 02, 2002 7:25 PM
> > To:	'trauma-list@trauma.org'
> > Subject:	paralytics vs. surgical cricothorotomy in the field
> > 
> > I had a trauma pt with a closed head injury secondary to snowmachine
> > accident. pt was unconscious/unresponsive, no other trauma noted pt
> resp.
> > rate 32-34 irreg. pt jaw clamped. unable to call life flight due to
> > weather.
> > ground transport time code red 20-25 min. to a non trauma E.D. 5 mins.
> > into
> > transport pt began to show signs of posturing and started vomiting, pt
> had
> > to be rolled and suctioned but was unable to clear airway effectively.
> Pt
> > then started to brady down to the 30 despite bvm assist. in our service
> as
> > an  EMTIII we are able to provide many advanced skills and we have
> > progressive standing orders, however it's been a fight to get the
> > sponsoring
> > physician to allow paralytics in the field. stating he feels it may be
> > misused in the out lying areas who have lower run volumes and weaker
> > skills.
> > My thoughts are if they lack the skills don't let them use it, other
> > thoughts from the paramedics I have spoken to feel a cric is preferred.
> I
> > would rather use a short acting drug to allow me to tube than cut
> > someone's
> > throat, because I feel if the attempt is missed I can go back to the
> BVM,
> > and oral airway. comments please.
> > 
> > Jim Johnson EMT III 
> > 
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paralytics vs. surgical cricothorotomy in the field