List Archives

Tue Apr 18 13:38:00 BST 2006

I agree that Midazolam is not a drug of choice for RSI 

Eran Tal-Or M.D. M.H.A

www.airdoc.co.il

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of paul.middleton
Sent: Tuesday, April 18, 2006 3:04 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: just BLS them....

If they do they are flirting with disaster. If their medical direction or
their protocols tell them to use this drug then some literature should be
read urgently. Midazolam is not a drug to be used in the field for RSI in
trauma patients, and especially in hypotensive ones.

Dr Paul M Middleton

RGN MBBS FRCS(Eng) DipIMCRCS(Ed) FFAEM FACEM

Emergency Medicine

Sydney

Australia

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of oded private
Sent: Tuesday, 18 April 2006 8:10 PM
To: trauma-list at trauma.org
Subject: RE: just BLS them....

They also use midazolam(midolam/dormicum) , don't they?

>From: "Eran Tal-or" <e_talor at rambam.health.gov.il>

>Reply-To: "Trauma &amp; Critical Care mailing list" 

><trauma-list at trauma.org>

>To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>

>Subject: RE: just BLS them....

>Date: Tue, 18 Apr 2006 09:25:02 +0200

> 

>Depends on the training of the paramedics and the drugs that they are

>using.

>(In our EMS service the paramedic allowed to use Kettamine for

>intubations) I think the average is lower then 3 attempts. The

>capability of opening airway and getting a definitive airway, is one of

>the important thing that ALS bring to the field

> 

> 

>Eran Tal-Or M.D. M.H.A.

>Trauma Unit

>Rambam Mediacl Center

> 

>|-----Original Message-----

>|From: trauma-list-bounces at trauma.org [mailto:trauma-list-

>|bounces at trauma.org] On Behalf Of joe.nemeth at staff.mcgill.ca

>|Sent: Tuesday, April 18, 2006 3:43 AM

>|To: trauma-list at trauma.org

>|Subject: just BLS them....

>|

>|To our prehospital providers...

>|

>|

>|How Many Attempts Are Required to Accomplish Out-of-hospital

>|Endotracheal Intubation?

>|

>|Ac EM MEd april 2006

>|

>|probably grossly over rate 3rd attempt...

>|

>|joe

>|

>|--

>|Dr. Joe Nemeth

>|Assistant Professor

>|Emergency Medicine

>|Montreal General Hospital

>|Montreal Children's Hospital

>|McGill University Health Center

>|

>|

>|

>|

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just BLS them....