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Would you stick that laryngoscope blade in your mouth ????


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Kindly respond to my previous requests in this thread for stats and verifiable information to back up your points and standards, as well as other information.

Thank You,

ACE844

Someone re-editied their post from the quote above... But still no adequate response or facts to back up the propagandists soapbox positions... :roll: Come GA... PROVE IT.. instead of diverting attention form your post with a mis-direction about potential MRSA and HEP. Miscellaneous letters...

Out Here,

ACE844

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Its common sense ACE -- are you actually going to defend your right to put dirty equipment in your patient's mouth ?

ANSWER THE QUESTIONS.... MISDIRECTION IS WHAT POLITICIANS AND MAGICIANS DO TO DISTRACT YOU FROM EITHER INADEQUACY, LIES AND MISSTATEMENTS OR WHAT'S REALLY HAPPENING...BACK UP YOUR STATEMENTS AND ANSWER THE QUESTIONS POZED AND USE VERIFIABLE NON-ANECDOTAL INFORMATION TO DO SO.. d17e32c3d4.jpgOh, and now that you've added AVIAN FLU to your mix of miscellaneous bugs, kindly include evidence of transmission of THAT via laryngoscope blades...

Thank You,

ACE844

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http://www.cja-jca.org/cgi/content/full/50/10/989

But like I said, its common sense.

www.blackwell-synergy.com/doi/abs/10.1046/j.1365-2044.1999.01178.x -

Most units autoclave laryngoscope blades at some time, but less than one-quarter ... Another study revealed that in two units in which only obviously dirty ...

www.blackwell-synergy.com/doi/full/10.1046/j.1365-2044.1999.00755.x -

File Format: PDF/Adobe Acrobat - View as HTML

failing to maintain separate clean and dirty work spaces; ... In one anesthesia equipment study, sixty-five laryngoscope blades and handles that were ...

www.dolphinmedical.com/brochures/Disinfection_Abstract1_Full.pdf - Similar pages

Brindley M. Dirty ambulances endanger health. Western Mail. ... Disposable covers are provided for laryngoscope blades and single use bougies for intubation ...

emj.bmjjournals.com/cgi/content/full/21/5/647-a - Similar pages

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GA,

Take my advice... *climbs up on soapbox*

Stop trolling.

EMS is hardly a perfect profession. This is hardly a perfect world. Get over it.

Here's the "15 rules of EMS" as my basic instructor taught them:

1. Skin signs tell all

2. Sick people don't bitch

3. Air goes in and out, blood goes round and round, any variation on this is a bad thing... FIX IT!

4. About 70% of the battery patients more than likely deserved it.

5. The more equipment you see on a EMTs belt, the newer they are. The more patches someone has on their jacket, the fewer actual patients they have ever seen. If they have instructor rockers, they have NEVER seen a real patient.

6. When dealing with patients, supervisors, or citizens, if it felt good saying it, it was the wrong thing to say.

7. All bleeding stops....eventually.

8. All people will eventually die, no matter what you do

9. If the child is quiet, be scared.

10. Never trust (fill in the blank) to be fully stocked. If you don't have it, improvise (improvisation is the mother of invention)

11. Newbies always look for large things in the smallest compartments and vice versa

12. If the Pt is going to vomit aim them on the person you like least (it will usually be the newbie)

13. Sick people only call because they couldn't get into their car. They apologize for bothering you when you have sick people to see. Be scared when you see these people.

14. When a pregnant woman says "The baby is coming", you damn well better believe her.

15. These 15 rules will NEVER cover all situations.

Would it be nice if everything we did was sanitary? Yes. Will it ever be? Probably not. We work in the field, GA. We can't control everything - see rule 15.

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I would counter that misdirection is what you are using to ignore an obvious fact: Dirty laryngoscopes dont belong in patient's mouths, I dont care if you find 100 scientific studies that allow you to do it, my personal ethics will not allow it. There was a time in the US when the vast majority of people thought:

That slavery was OK,

That women shouldnt vote,

That airplane flight was impossible,

That space exploration was impossible,

That curing Cancer and Polio was impossible,

That Paramedics shouldnt be allowed to intubate patients,

And they all had experts to back their "facts" -- it didnt make it right. Just because it is today's norm, doesnt mean that it will be heralded as a best practice in the future. There was a time when the best scientist of the day thought that leaches and lobotomies were good cures.

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http://www.cja-jca.org/cgi/content/full/50/10/989

But like I said, its common sense.

This study on SARS showed no evidence of transmittable infection via laryngoscope blades... The nosocomial and pre-hospital infections were attributed to either inadequate or improrper use of PPE and lack of initial 'education' or knowledge of how SARS was transmitted...TRY AGAIN...THIS STUDY DOESN'T SUPPORT YOUR POINT!!

www.blackwell-synergy.com/doi/abs/10.1046/j.1365-2044.1999.01178.x -

Most units autoclave laryngoscope blades at some time, but less than one-quarter ... Another study revealed that in two units in which only obviously dirty ...

www.blackwell-synergy.com/doi/full/10.1046/j.1365-2044.1999.00755.x -

LINKS DON'T WORK FOR ABOVE STUDIES, CAN'T COMMENT...

File Format: PDF/Adobe Acrobat - View as HTML

failing to maintain separate clean and dirty work spaces; ... In one anesthesia equipment study, sixty-five laryngoscope blades and handles that were ...

www.dolphinmedical.com/brochures/Disinfection_Abstract1_Full.pdf - Similar pages

SPO[sub:d8a1e29d49]2[/sub:d8a1e29d49] SENSOR CLEANING HAS TO DO WITH LARYNGOSCOPE BLADES HOW?!?!?!?

Brindley M. Dirty ambulances endanger health. Western Mail. ... Disposable covers are provided for laryngoscope blades and single use bougies for intubation ...

emj.bmjjournals.com/cgi/content/full/21/5/647-a - Similar pages

AGAIN, HAD NOTHING TO DO WITH LARYNGOSCOPE TRANSMITTAL OF INFECTIONS AND ...WENT ON FURTHER TO SAY

We fully accept that the methods used were not rigorous enough to accurately quantify numbers of bacteria for any given measured area. Most organisms identified in the study were unlikely to pose any threat of infection to patients or ambulance personnel. This was clearly stated in our article, but sadly was often ignored in the subsequent press reports, resulting in public concern.

TRY AGAIN...

ACE844

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Ok, so the moral of the story is...

MAKE SURE YOUR EQUIPMENT IS CLEAN AND SANITARY!

That's great, it sounds like we all do that and have been doing that for some time...

What's next??

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And for the record, Avian flu will be the most infectious pandemic we will ever see, if it occurs. And it is a solely respiratory based disease, spread through droplet form, that will kill 30-50% of people infected. This pandemic is expected to far exceed the death toll from the early 1900s that killed 600 million world wide. Since nothing can be stated in here without a scientific study, please go to www.pandemicflu.gov

But lets not worry about future boogey-men germs -- lets just deal with the ones we have now.

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