Rescue Airway Techniques

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well i'm going to jump in. i don't have scientific data to support my  
opinions. my opinions come purely out of my experiences. i just don't see  what all 
the hoopla is about. if a pt is not breathing/barely breathing/ or in  
imminent resp arrest, why wait till they get to the hospital to intubate? i  honestly 
can't think of many incidences where we got a pt that was tubed in the  field 
and had to ask myself and the medics.... why did you do  that?  on the 
contrary i've probably received more  pt's by ems  that i've had to ask why didn't 
you tube? as we tare open the airway cart to do  just that.  with the golden 
ABC's being what they are i'll take a secure  airway and all the perks that come 
with it like breathing/ventilation and  circulation over just about anything 
else. 
 
ok my shield is on and armed and i'm ready for the onslaught...
 
Jan
 
 
 
In a message dated 4/6/2006 3:49:39 P.M. Eastern Daylight Time,  
xg2k2 at yahoo.com writes:

It's  difficult to not exactly know what the issues are, but if anything, we 
should  atleast try to take a stab in the dark. We may have the best trained 
EMTs in  the world, but we are still trying to get as close to 0% morbmort as 
possible.  EMTs in the field probably don't exactly have the necessary time to 
fully  assess a patient's suitability for intubation; perhaps we should focus 
more on  training EMTs on efficient techniques of ruling out red flags prior 
to  intubation so they could do their job and lose alot of time in getting the 
PT  to the rescus bay. I think the goal should be to reach the peak of the  
intubation curve; have EMTs know know where intubation is necessary to help a  
pt get to the hospital in an animate state, and others where intubation will  
do more harm than good and have the EMTs just stick the pt on the gurney and  
get them to trauma asap. It'll be heavily costly to institute such measures,  
and there may be certain errors or backtracking in the way, which is  terribly
unfortunate, but I suppose in the long run, it may be a necessary  step if we 
are constantly striving to improve our EMS.

-Mike F

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