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Wed Mar 12 23:41:34 GMT 2008

It smells better, doesn't break down the mannequin, and is easier to clean
(soap and warm water).  

If you want to teach Chemical weaponry/poisoning can be different flavors,
nothing like walking through a hallway during the chemical exposure scenario
with the aroma of warm popcorn wafting in the area.  Any one not in SCBA's
is now exposed or dead.  The second wave rescuers come in and have to
control the airway(s).  If they smell buttery PAM, they're exposed.  Makes a
big impact on scene safety and sometimes good smells are deadly.

Take care, 

Bob 

Robert K. Waddell II 
Vice President - 
Emergency Preparedness and Response 
"The Sacco Triage Methodology" 
ThinkSharp, Inc 

Wyoming Office: 
1302 East 5th Avenue 
Cheyenne, Wyoming 82001 
(307) 920 - 2020 cell 

bwaddell at sharpthinkers.com 
or bobwaddell at bresnan.net 
www.sharpthinkers.com 

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Marc Matthews - MedPro MMC X
Sent: Wednesday, March 12, 2008 4:31 PM
To: Trauma &amp; Trauma &amp; Critical Care mailing list
Subject: RE: Question?

Bob,

PAM . . . Who would have realized!

Thanks,

MRM

________________________________

From: trauma-list-bounces at trauma.org on behalf of Bob Waddell II
Sent: Wed 3/12/2008 2:19 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Question?

Dr. Matthews,

Several years ago a friend who works from one of the large mannequin makers
told me that silicon actually speeds up the deterioration of the airways;
designed obsolescence.  They recommended PAM or a PAM like kitchen spray.
I've used it for years without problems.  Maybe an urban myth that seems to
work.

Take care,

Bob

Robert K. Waddell II
Vice President -
Emergency Preparedness and Response
"The Sacco Triage Methodology"
ThinkSharp, Inc

Wyoming Office:
1302 East 5th Avenue
Cheyenne, Wyoming 82001
(307) 920 - 2020 cell

bwaddell at sharpthinkers.com
or bobwaddell at bresnan.net
www.sharpthinkers.com

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Marc Matthews - MedPro MMC X
Sent: Wednesday, March 12, 2008 12:51 PM
To: trauma-list at trauma.org
Subject: Question?

All,

We had been using a silicone based lubricant when performing bronchoscopy on
our adult ventilated patients. They eventually removed the silicone spray
from the market. I have found no other medical grade sprays that were
equivalent. ETT sizes are traditionally 7.5 to 8.0 but in adults can go down
to 7.0, and yet the bronchoscope sticks, but with the silicone spray, the
performance was much better. As we subsequently lost the ability to use the
silicone spray, we now use saline and/or Surgilube with inferior results in
regards to technical performance. The bronchoscopes are still sticking and
there is more force involved than I want, like or need. This should be an
elegant procedure done with delicate movements.

So, Have others encountered this issue? What does everyone else use for a
lubricant? Can anyone recommend something more than Saline or Surgilube? Are
there medical grade brands of silicone lubricant out there that anyone uses?
We have Googled this topic and we have had no great success with finding a
product that is safe and effective.

I appreciate your time and advice.

Sincerely,

Marc R. Matthews, MD

Arizona, USA

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