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NPA usage


mobey

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Just wondering how common NPA's are in other areas. I have never used one, never seen one used, and in fact we don't even carry them.

I know when and how to use them.

I am thinking they may be a thing of the past?

Or maybe the underdog of airway management that should be used more often?

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Been awhile since I worked civilian street EMS, so I can't really say what is the norm around my area anymore. But, in the Dallas area, I've only worked with one agency that carried NPAs. Personally, I love them. They are used more than OPAs in the military system.

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wow, the concept of not having an NPA just didn't honestly occur to me.

In my experience they are one of the most under-utilized basic airway devices (right after proper positioning!). Any seizing/post-ictal/semiconscious/unconscious patient I'll use an NPA on. I pretty much personally restrict the OPA to people who are in arrest. Everyone else gets an NPA (obviously this is a guideline, not a hard fast rule).

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Overall, it's my favorite tool.. Even more than the chest full of splints. One of the services I run with, it's a fairly secluded area, and most calls are emergencies. Granted they still have their fair share of BS runs. Anyhoo.. I'd say one, or two a month is a fair estimate, at least one.

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Required equipment, and they are in the first-in bags of both of my services as well as more of them in the airway compartment inside the truck. I too can't imagine not having them. Only had to use it once, probably could've justified it a few other times but decided not to take that step.

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