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EMT347744

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Posts posted by EMT347744

  1. Another thought, and a few of us have mentioned "THE SPITTER". I have seen use of the NRB mask noted and the surgical mask, What are your thoughts on these two devices, and do you use anything else? I have heard of a pillow case being use in this situation, the trick is to keep turning it to a dry area through transport so you don't compromise the airway, Thoughts?

    By the way, sounds like most of the debate has been well stated about prone vs. supine, and honestly I will think differently about prone transport the next time I'm faced with that issue. Also let me throw out there that most of the practices (from the old days) that I and YOU all have mentioned are HUGE no no's these days like the LBB sandwich. Good debate, keep it going!!!!

    I absolutely put any SPITTER on a NRB mask at 12 lpm....whats it gona hurt?? Not a thing!!! Pillow cases not so good, and NO pt goes prone on my stretcher!

  2. When we run on psych patients, and not all psych pts are combative or wanting to harm anyone...actually let me rephrase; When we run on any pt that has the outward propensity to become or is already combative or threatening, they will be "assisted" to a backboard already placed on the stretcher with 4 point soft restraints waiting close by. At that point, the 4 straps on the backboard, additional 5 straps to secure them to the stretcher (we have 4 point shoulder straps on our stretcher as well), head blocks and then the 4 point soft restraints attached TO THE BACKBOARD so as not to hae to fight with them a 2nd time around to transfer them to the hospital bed, this pt isn't going to do much. And if that all does not work, we will have fire ride in as a "restraint" and pd to follow. we generally don't bust out the chemical restraints. In our system we have to call for orders from our doc, and since we have 12 hospitals in our county chances are we will be in the ambulance bay before the meds are drawn up. Thats how we roll...lol

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