NoahG

Thank you for the positive feedback everyone. Thank you for helping clear up the "high flow" clarification zippy, chbare and Dwayne! NoahG

Hey all, What is your thoughts on cardioversion or defibrillation with high fly O2 and ventilating the pt? I really never raised an eyebrow until another medic student who works full time for several years with a local county states each time they shock they remove the O2 from the pt and away from the cot until the shock is delivered in case a loose patch causes a spark which could cause combustion with the O2. Is this likely to happen or a good habit to get into or just plain non sense? Another note for having an advanced airway in place I could see removing the BVM between shocks could cause a displaced tube which would not be a good thing I'm thinking. Thanks again.

Very good feed back! Thank you Herbie, Dwayne and others for your feed back. I know how important BSI is and is drilled into us, but after we began learning our intubation methods and speaking to local surrounding area students and some of there experiences with the Paramedics they work with in the rural Iowa area counties and some cities even old instructors from my basic class 8 years back when I ask them about his/her BSI use while preforming invasive procedures I kept getting a lot of negative feedback and at which point made me not really question but poke at this to find out why? A few of these particular paramedics are even instructors so teach one thing , do another?! I spoke with a long time friend after posting this he is a RTT who gave me some valuable feed back and very interesting story about an arrogant Dr. trying to tube a pt in the ER one night of a pt who had fell out of a pickup going 60mph while fully intoxicated, when the so said Dr. introduced the laryngoscope the pt projectile vomited all over this Dr's face. Later on in the night they found out he had hepatitis...scary stuff. Great feed back again, I'm going to purchase a pair to carry with me and worry about what I think and the safety for myself and what I'd be bringing home to my wife and kids as Dwayne puts it well. Your 1st reply was very valuable feed back much appreciated I just wish more people seen it that way. Thank you for the warm welcomes as well

Hey all I'm currently about to being my "live intubations" and clinical internship as a medic student and have received several mixed stories regarding proper BSI and Intubation. My question is for you ALS providers when you intubate are you gloving only or using the glasses / masking? Please be honest and if you do intubate with gloves only what is your reasoning for it? I'm hearing that several 10-20 yrd medics never use anything BSI wise other than gloves in the field. It sounds like 3 out of 5 I've spoken to say either no time to properly BSI or really no need. Yes I know someone coding does not have a gag reflex but an stomach full of air just could go wrong with as close as you have to get to preform the procedure (or at least as a student). I'm not a big fan of vomit let alone in my face so I'm curious as to what answers and why I'll receive. Is it that taking an extra 30 seconds to grab the glasses or disposal mask would make you look like an idiot while everyone is waiting / expecting you to be on top of the tubing regardless , I mean personnel safety does come first am I right? Anyways thank you in advance.