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Difficult intubation of pt in vehicle-
Gavin TURNER trauma-list@trauma.orgFri, 17 May 2002 15:13:05 +0100
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This is a multi-part message in MIME format. ------=_NextPart_000_0035_01C1FDB5.582AEA80 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Dear Steve, I assume that you enquiry regarding adjuncts to aid difficult intubation = follows the theme of the RTC / MVC. The aids available are many and = include: i- A larger laryngoscope blade (4 instead of 3) ii- A McCoy Blade which has the ability (in Theory) to convert a Grade 3 = larynx into a Grade 2 etc iii- A polio blade used for pts with limited neck extension as in those = appropriately immobilised iv- Gum elastic bougie to railroad ETTube over after correct insertion = of bougie v- The Intubating LMA insert ILMA then intubate through it then remove = ILMA and hey presto intubated!!!! There I think are enough to be going on with in the Pre-Hospital Arena, = but however the more elaborate the effort to intubate the more time the = patient is kept on scene and remember "THE GOLDEN HOUR BELONGS TO THE = PATIENT " Keep it simple BVM and OPAirway and secure a definitive = airway if necessary whilst en-route. Best Wishes Gavin Turner Trainee ODP "You must have your own fun. No one can have it for you" ----- Original Message -----=20 From: Steve Bixby=20 To: trauma-list@trauma.org=20 Sent: Thursday, May 16, 2002 6:43 PM Subject: Re: intubation of pt in vehicle Is anyone aware of any devices or accessories that can be used to = assist with difficult intubations? If not, is there a need for such a = product? Thanks- Steve =20 ----- Original Message -----=20 From: BALLMEDIC@aol.com=20 To: trauma-list@trauma.org=20 Sent: Thursday, May 16, 2002 9:01 AM Subject: intubation of pt in vehicle Otaining a patent secured airway in a trauma pt whether inside a = vehicle or outside of a vehicle is paramount. I have intubated pt's = inside of vehicles with severly compramised airways. It does however = take education and practical training in some of the techniques. The = airway has to be maintained by whatever means that is required, ie = positioning or intubation ect. Should our entrapped pt's not recieve = proper airway management just because the procedure is more difficult? = Airway management is crucial wherever the pt is.=20 DONNIE MARTIN NREMTP=20 N.C=20 ------=_NextPart_000_0035_01C1FDB5.582AEA80 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <META http-equiv=3DContent-Type content=3D"text/html; = charset=3Diso-8859-1"> <META content=3D"MSHTML 6.00.2712.300" name=3DGENERATOR> <STYLE></STYLE> </HEAD> <BODY bgColor=3D#ffffff> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>Dear = Steve,</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>I assume that you enquiry = regarding=20 adjuncts to aid difficult intubation follows the theme of the RTC / MVC. = The=20 aids available are many and include:</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>i- A larger laryngoscope = blade (4=20 instead of 3)</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>ii- A McCoy Blade which has = the ability=20 (in Theory) to convert a Grade 3 larynx into a Grade 2 = etc</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>iii- A polio blade used for = pts with=20 limited neck extension as in those appropriately = immobilised</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>iv- Gum elastic bougie to = railroad=20 ETTube over after correct insertion of bougie</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>v- The Intubating LMA = insert ILMA then=20 intubate through it then remove ILMA and hey presto=20 intubated!!!!</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2></FONT></EM> </DIV> <DIV><FONT face=3D"Kristen ITC" size=3D2><EM>There I think are = enough to be=20 going on with in the Pre-Hospital Arena, but however the more elaborate = the=20 effort to intubate the more time the patient is kept on scene and = remember =20 "<STRONG>THE GOLDEN HOUR BELONGS TO THE PATIENT " = </STRONG>Keep it=20 simple BVM and OPAirway and secure a definitive airway if necessary = whilst=20 en-route.</EM></FONT></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2></FONT></EM> </DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>Best = Wishes</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>Gavin = Turner</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2>Trainee = ODP</FONT></EM></DIV> <DIV><EM><FONT face=3D"Kristen ITC" size=3D2> </FONT></EM>"You must = have your=20 own fun. No one can have it for you"</DIV> <BLOCKQUOTE dir=3Dltr=20 style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; = BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px"> <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV> <DIV=20 style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: = black"><B>From:</B>=20 <A title=3Dsbixby@montana.com href=3D"mailto:sbixby@montana.com">Steve = Bixby</A>=20 </DIV> <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A = title=3Dtrauma-list@trauma.org=20 href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> = </DIV> <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, May 16, 2002 = 6:43=20 PM</DIV> <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: intubation of pt = in=20 vehicle</DIV> <DIV><BR></DIV> <DIV><FONT face=3DArial size=3D2>Is anyone aware of any devices = or=20 accessories that can be used to assist with difficult = intubations? If=20 not, is there a need for such a = product?<BR><BR>Thanks-</FONT></DIV> <DIV><FONT face=3DArial size=3D2>Steve </FONT></DIV> <BLOCKQUOTE=20 style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; = BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px"> <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV> <DIV=20 style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: = black"><B>From:</B>=20 <A title=3DBALLMEDIC@aol.com=20 href=3D"mailto:BALLMEDIC@aol.com">BALLMEDIC@aol.com</A> </DIV> <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A = title=3Dtrauma-list@trauma.org=20 href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> = </DIV> <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, May 16, 2002 = 9:01=20 AM</DIV> <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> intubation of pt in=20 vehicle</DIV> <DIV><BR></DIV><FONT face=3Darial,helvetica><FONT size=3D2>Otaining = a patent=20 secured airway in a trauma pt whether inside a vehicle or outside of = a=20 vehicle is paramount. I have intubated pt's inside of vehicles = with=20 severly compramised airways. It does however take education = and=20 practical training in some of the techniques. The airway = has to=20 be maintained by whatever means that is required, ie positioning or=20 intubation ect. Should our entrapped pt's not recieve proper = airway=20 management just because the procedure is more difficult? Airway=20 management is crucial wherever the pt is. <BR><BR>DONNIE = MARTIN NREMTP=20 <BR> N.C</FONT> </FONT></BLOCKQUOTE></BLOCKQUOTE></BODY></HTML> ------=_NextPart_000_0035_01C1FDB5.582AEA80--
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