Crics

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Interesting.  I have actually done 3 crics in-house in the last 8 months!  Our medics have done an equal number in 18 months.  I guess the northeast has really bad disease, or clinicians with either bad technique, bad judgment or both.....

Things that make you go Hmmmmmmm................

Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Ian Seppelt
Sent: Wednesday, March 17, 2010 3:24 AM
To: Trauma-List [TRAUMA.ORG]
Cc: trauma-list at trauma.org
Subject: Re: Crics

I have to weigh in on the UK / Aust / Kiwi side of this debate. I have  
inserted many thousands of ETTs (including prehospital), done over 500  
tracheostomies and ZERO emergency cricothyrotomies. Admittedly I don't  
see South African style facial trauma but that really is the main  
indication. In any other setting more than the very rare surgical  
airway should prompt immediate review of the individual's airway  
skills. I of course still teach cricothyrotomy and have good surgical  
airway kit immediately available.

Ian Seppelt, Sydney

On 16/03/2010, at 11:32 PM, John.E.Sutton.Jr at Hitchcock.ORG (John E.  
Sutton Jr.) wrote:

> I would be interested in the list's opinion...
>
> Because of the invasive nature of the procedure, infrequency of use,  
> maintenance of skills, and other newer adjunctive ways to establish  
> and maintain an airway, the medical directors group in New Hampshire  
> is considering removing emergency cricothyroidotomy in the pre  
> hospital setting from the paramedic options.
>
> What do others do with their pre hospital providers?
>
> Thanks
> JES
>
> John E. Sutton, Jr., M.D. , F.A.C.S
> Professor of Surgery,  Dartmouth Medical School
> Division Chief, Trauma and Acute Surgical Care
> phone: 603-650-8022
> fax :     603-650-8030
> --
> trauma-list : TRAUMA.ORG
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