firemedic54

Most of our medics here have it, myself included. Very good class, lots of hands on experience. I highly recommend you taking the class.

It's just a commercial. Reading way too much into it, especially pointing out the races of the actors involved, which had nothing to do with anything.

We have it here in our county but it is closely monitored when it is used. There is criteria that must be met in order for RSI to be used, then there is post- care follow up. I don't think it should be the standard nationwide. Each dept. has to consider how many times it would be used based on run volume that includes the number of times where RSI would've been used. There is also the costs involved, not to mention the obvious trainings and cont ed. that goes along with RSI. As of now we use it only for trauma pt's. with a GCS <8 where we need to secure a patent airway ASAP. Bottom line...No for national standards but certainly should be looked at on an individual basis.

Priority transport in our system is closely monitored. While there are times when priority transport is deemed appropriate in some cases, being able to justify a priority trans. on a seemingly"stable" pt. then getting into an accident enroute to the hospital could be tough sledding. We are required every year to take a road course test that tests the drivers' skills in everything from parking to slalom to accident avoidance. Basically it's the drivers' that are going to have to answer up to a higher authority if they wreck a truck and are found at fault.

And we do both etomidate and succ. with versed as a maint. Seems to work well.

We do RSI here in our county (Livingston,MICH.) Our med.control removed the lido. says no real evidence about ICP. However, we can only do trauma RSI, not medical i.e. chf pt's.