Oxygen rate for Chest Pain?

[steph1030]

i always apply what i know and i always make sure that the patient is taken care of no matter what

critical thinkin is always part of ensuring good patient care and patient care should be a priority

[tniuqs]

Having providers and instructors buy into the dogma without critically thinking about the situation is just a part of the problem.

[align=center:4df1fd5903] :brave: [/align:4df1fd5903]

[katbemeEMT-B]

i always apply what i know and i always make sure that the patient is taken care of no matter what

critical thinkin is always part of ensuring good patient care and patient care should be a priority

I will pose this to you steph....if the opportunity arises, speak with a heart specialist and ask him/her their opinion on whether ALL cardiac patients should receive 15LPM NRB right off the bat.

I too was taught this and practiced it in the field. I also found that it was overkill on some patients. I had the pleasure of talking one-on-one with a heart specialist from the Mayo Hospital & Clinic in Rochester, MN. Her advice to me was to start with a NC at about 6LPM and continually assess my patient. If more O2 was needed I could adjust it from there.

[tniuqs]

i always apply what i know and i always make sure that the patient is taken care of no matter what

critical thinkin is always part of ensuring good patient care and patient care should be a priority

Ok good, so take this just a wee step further:

Now your having chest pain, some scrambling type er FF, is ripping around in your house, ok your freaked out already...following so far ? Some chick puts a plastic smelly mask on your face, and your think this is IT ... with the noisy hiss on your face, some numbers come up on a machine. That you think is the Tricorder (on the origional Star Trek) reading 112 bpm and 100%.

Hey right now I would pick the NC wouldn't you?

So

Your last lecture included toxicity of O2... and more questions than answers, now.

Could there more to this research ?

Are YOU hurting your patient with NRB mask....hmm.

cheers

[angelbaby1414]

Hey I agree that we should be able to use intelligence and common sense to treat our patients...the only problem with that is when we get sued. If you deviate from the curriculum you make yourself open to liability.

[tniuqs]

So what if the Lawyer...@#%$&#@!

Sided with the newest reasearch, AND the expert witness MD +++++ that said you GAVe too much O2?

[Richard B the EMT]

Some years ago, there was this guy, Brian Watkins, came to New York City for the "Forest Hills Open Tennis Matches", from Utah. Travelling from the games, on the New York City subway train system, he fell victim to a stabbing during a mugging. He got a puncture wound to the chest.

NYC (Health and Hospitals Corporation) EMS responded, and using the protocols then in place, the crews applied Medical Anti Shock Trousers to Mr. Watkins. The device worked just as it was supposed to do, keeping blood from going down to the abdomen and lower extremities, and keeping it in the upper body for the Heart/Lung/Brain circuits.

However, this had a very negative secondary effect too. All that available blood ended up being pumped out of the man's body, and, while EMS did all they could, he bled out.

Death would be, in part, blamed on the MAST. For months, the newspapers lambasted EMS, Mayor Ed Koch, and the protocols.

Understandably, the protocols, although reactive instead of proactive, got revised.

However, until I am told to do otherwise by the proper medical authorities, as I already stated, I will do as trained, until they retrain me in the newer and improved method(s). That will keep me out of the offices of the inspectors from Bureau of Investigations and Trial Services.

PS: Mr. Watkins' family got a big piece of NYC Money in the settlement

[Dustdevil]

I don't know how I could have put more sarcasm into my post if I wanted to

Well, Al, you screwed up by not finishing the protocol.

You forgot to mention the "b/l 14g w/o and haul ass to the LZ" part.

[akroeze]

Well, Al, you screwed up by not finishing the protocol.

You forgot to mention the "b/l 14g w/o and haul ass to the LZ" part.

Come on Dust, anyone who knows anything knows that you go right for the EJ stick. :roll:

[tniuqs]

Some years ago, there was this guy, Brian Watkins, He got a puncture wound to the chest.

Death would be, in part, blamed on the MAST. For months, the newspapers lambasted EMS, Mayor Ed Koch, and the protocols.

Understandably, the protocols, although reactive instead of proactive, got revised.

However, until I am told to do otherwise by the proper medical authorities, as I already stated, I will do as trained, until they retrain me in the newer and improved method(s). That will keep me out of the offices of the inspectors from Bureau of Investigations and Trial Services.

PS: Mr. Watkins' family got a big piece of NYC Money in the settlement

OK nice story, but its apples vs orange's.

Point being if Sao2 monitor clearly indicated NO hypoxia, and the paient is more comfortable and research indicates improved out (s) Come then don't live in fear, I thought this was the Land of the free and Home of the Brave?

Do you know how hard this could be to prove in court ... that the practitioner was negligent?

Nay... "trained" is to deliver O2 not the exact rate and method, your telling me no wiggle room at all....

Funny My patients are nauseated.....

On to akroeze....WHAT a woosie ! GO for the Central Line and Crank up the Dopamine!

cheers