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Sat, 28 Jun 2003 04:31:58 -0700

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What about just administering Lidocaine 100 mgs prior to intubation?

That would be a reasonable approach if indicated (not known from what was provided) and would not require a surgical intervention.

Cric's are saved for those who need it.

I don't know what article you are referring to, perhaps you could quote it here... but surgical cric's are reserved for CVCI patients (Can't Ventilate Can't Intubate) and not just handed out to everyone with a head injury... otherwise there would be lots of them done on a daily basis.

Nick

____________________________________________
Nick Nudell, NREMT-P, CCEMT-P
California
nudell@prehospitalperspective.net

"Perception is reality" - Wise Old Paramedic

  ----- Original Message ----- 
  From: CROWEHOME@aol.com 
  To: trauma-list@trauma.org 
  Sent: Friday, June 27, 2003 11:52 PM
  Subject: Re: Field Management of Chest Trauma....

  Question: Is it possible that his head injury was made more complicated buy ET Tube placement rather than a clean rapid large bore sugical trach being done (as was indicated could have been the case from the J Trauma articel published a few years back?

  Dennis T. (Tim) Crowe, DVM, DACVS, DACVECC, NREMT-II, CFF-I
  Veterinary Surgery, Emergency and Critical Care Consulting <><
  2621 Simons Court, Carson City, Nevada 89703
  phone-fax  775-841-6821   cell 775-720-9317  crowehome@aol.com
                     Clinical Associate Professor
  +  THE INSTITUTE OF CRITICAL CARE MEDICINE + 
  1695 North Sunrise Way, Bldg  #3, Palm Springs, CA  92262
  phone 760-778-4911   fax 760-778-3468   dtcrowe@911research.org 

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<DIV><FONT face=Tahoma size=2>What about just administering Lidocaine 100 mgs 
prior to intubation?</FONT></DIV>
<DIV><FONT face=Tahoma size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Tahoma size=2>That would be a reasonable approach if indicated 
(not known from what was provided) and would not require a surgical 
intervention.</FONT></DIV>
<DIV><FONT face=Tahoma size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Tahoma size=2>Cric's are saved for those who need 
it.</FONT></DIV>
<DIV><FONT face=Tahoma size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Tahoma size=2>I don't know what article you are referring to, 
perhaps you could quote it here... but surgical cric's are reserved for CVCI 
patients (Can't Ventilate Can't Intubate) and not just handed out to everyone 
with a head injury... otherwise there would be lots of them done on a daily 
basis.</FONT></DIV>
<DIV><FONT face=Tahoma size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Tahoma size=2>Nick</FONT></DIV>
<DIV><FONT face=Tahoma size=2></FONT>&nbsp;</DIV>
<DIV><BR><FONT face=Tahoma 
size=2>____________________________________________<BR>Nick Nudell, NREMT-P, 
CCEMT-P<BR>California<BR></FONT><A 
href="mailto:nudell@prehospitalperspective.net"><FONT face=Tahoma 
size=2>nudell@prehospitalperspective.net</FONT></A></DIV>
<DIV><FONT face=Tahoma size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Tahoma size=2>"Perception is reality" - Wise Old 
Paramedic</FONT></DIV>
<DIV><FONT face=Tahoma size=2></FONT>&nbsp;</DIV>
<DIV><FONT face=Tahoma size=2></FONT>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<DIV>&nbsp;</DIV>
<BLOCKQUOTE 
style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV 
  style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B> 
  <A title=CROWEHOME@aol.com 
  href="mailto:CROWEHOME@aol.com">CROWEHOME@aol.com</A> </DIV>
  <DIV style="FONT: 10pt arial"><B>To:</B> <A title=trauma-list@trauma.org 
  href="mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> </DIV>
  <DIV style="FONT: 10pt arial"><B>Sent:</B> Friday, June 27, 2003 11:52 
PM</DIV>
  <DIV style="FONT: 10pt arial"><B>Subject:</B> Re: Field Management of Chest 
  Trauma....</DIV>
  <DIV><BR></DIV><FONT face=arial,helvetica><FONT size=2>Question: Is it 
  possible that his head injury was made more complicated buy ET Tube placement 
  rather than a clean rapid large bore sugical trach being done (as was 
  indicated could have been the case from the J Trauma articel published a few 
  years back?<BR><BR>Dennis T. (Tim) Crowe, DVM, DACVS, DACVECC, NREMT-II, 
  CFF-I<BR><B><I>Veterinary Surgery, Emergency and Critical Care Consulting 
  &lt;&gt;&lt;</B></I><BR>2621 Simons Court, Carson City, Nevada 
  89703<BR>phone-fax&nbsp; 775-841-6821&nbsp;&nbsp; cell 775-720-9317&nbsp; 
  crowehome@aol.com<BR>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
  <B>Clinical Associate Professor</B><BR></FONT><FONT lang=0 
  style="BACKGROUND-COLOR: #ffffff" face=Arial color=#0000ff size=2 
  FAMILY="SANSSERIF"><B>+&nbsp; THE INSTITUTE OF CRITICAL CARE MEDICINE 
  +</FONT><FONT lang=0 style="BACKGROUND-COLOR: #ffffff" face=Arial 
  color=#000000 size=2 FAMILY="SANSSERIF"></B> <BR>1695 North Sunrise Way, 
  Bldg&nbsp; #3, Palm Springs, CA&nbsp; 92262<BR>phone 760-778-4911&nbsp;&nbsp; 
  fax 760-778-3468&nbsp;&nbsp; dtcrowe@911research.org</FONT> 
</FONT></BLOCKQUOTE></BODY></HTML>

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Field Management of Chest Trauma....