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In regards to EMS intubation issues

Jeffrey Leach jleach at triad.rr.com
Tue Apr 11 13:04:40 BST 2006

According to the JEMS article, Etomidate is described as a paralytic, when in fact it is an induction agent. While etomidate would be appropriate to administer in this case, it may or may not relax the Pt. enough to accomplish intubation. A true paralytic would have solved the problem of a " clinched jaw ". If the Paramedics in this case did not have a paralytic per protocol, one must wonder if the Urgent Care Facility Physician could have facilitated intubation with a paralytic drug. In regards to the documentation issue, we should all remember that if it is not documented, then it was not done...

                  Jeffrey P. Leach, EMT-P

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