Robbyemtp

My first field intubation was nasal/oral intubation and was successfully done and confirmed by xray. It was the first and last time ever found it neccessary to do. We don't carry RSI drugs but they are in our protocols. I run a squad and could purchase/carry them but the times we would actually use them are slim to none. Secondly, if it is indicated, we have a helicopter on the way and they carry the drugs. Nasal intubation is contraindicated with skull and facial trauma in our protocols. I have to agree, it does seem outdated but nonetheless, not put my card in jeopardy for a dead patient. BVM with oral airway and get up and go. Rob I tried to edit that but something happened. I didn't mean to say oral airway because that is why we are using nasal. BVM with nasal airway is better than nothing. GET'EM moving. Rob

I have used Medical Wizards (.com) for software called "paramedics toolbox". This, by far, is the most used software I have found. it uhas everything from ACLS to basic CPR. The most impressive secton is the pediatric protocols. It automatically adjusts dosages for the given weight. This has proven to be invaluable during pediatric cardiac arrests. Trust me, you won't be dissappointed. NO, this is not free but what I have learned in life is, you get what you pay for. Good luck. rob

The fact of the matter is, you don't need to know anything in the prehospital setting, other than the fact that the person is having a STEM I or not. Don't try to misinterpret me, follow your protocols for MONA and don't waste any time. There is no pt care that is more important than getting this pt to a cath lab. Additionally, even if the pt has no STEMI and s till having chest discomfort, they still may require intervention such as angiogram. I teach all EMTs how to recognize a STEMI and the reason why it is so important to get this pt to a cath lab. There is something seriously wrong with this web page. Nothing personel but type doesn't stay in lines > ????