Thanks Karim

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I also avoid NT. Orotracheal intubation can be accomplished in trauma with
manual in-line stabilization and with the anterior part of the c-collar
removed during the intubation. If glottic visualization is still difficult
use a bougie catheter.

Andrew


On 3/5/07, Errington Thompson <errington at erringtonthompson.com> wrote:
>
> Nasal intubations should be avoided.  If you are able to bag the patient I
> would rather have a patient that is bagged than a tube in the nose.
>
> I would add I hating Combitubes.
>
> Errington C. Thompson, MD, FACS, FCCM
> Trauma/Surgical Critical Care
> Mission Hospital
> Asheville, NC
> Author - A Letter to America
> www.whereistheoutrage.net
>
>
> Everyone deserves to make an informed decision
> - Errington Thompson, MD
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org]
> On Behalf Of Anthony Caruso
> Sent: Monday, March 05, 2007 9:12 PM
> To: trauma-list at trauma.org
> Subject: Thanks Karim
>
> Evening all. I would like to ask the group there opinion on how they feel
> about nasal intubations pre-hospital in the trauma setting?  In my region,
> in Massachusetts we are about 22 min away from a level 1 trauma center at
> almost any given time.  On board, we do carry Hurricane spray along with
> affrin to vasoconstrict the nares.  Usually a 6.0 ID or a 6.5 would do the
> job with a little more air in the cuff than normally used.  (About 12m/L
> of
> air) and liberal use of lidocane jelly.
>    I'm particularly interested in closed or open head trauma.  However if
> you have any type input on this subject then I would certainly welcome it.
> Also Dr. Gross, I believe that you flew, or still work on a medical rescue
> helicopter.  What was your experience when you encountered someone that
> was
> nasotracheal intubated?
>     Sincearly,
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