RSI Article background

[Guest guest]

Check this link out from another list. Be sure to read all the post

below it as well.

I think it really tells the story of the RSI

article.

http://originalforum.justhelicopters.com/DisplayMsgJH.asp?

ForumID=23 & Msgid=720546 & page=1

[Guest guest]

Okay...so lets say this?list of " fly-boys " is factual...and the info was fed to

the media by a flight service...so we discount it and continue to kill patients

because of our stupidity, lack of education and training, and lack of serious

medical oversight??

I personally don't care how it got out, it is finally out.? Anyone who would be

truthful with themselves would admit that we (EMS in total...FRO, Ground

Pounders and Rotor Heads) HAVE a problem with intubation.?

We aren't training people correctly if at all (intubating a manikin a couple

times every 24 hours is not training), we are not evaluating the maturity,

critical thinking ability, and skills ability of personnel that we give

permission to do such skills and procedures.?

We don't consider the ability to paralyze and take the life of another human

being in our hands as an incredible privilege and a tool we use only when we

have to,?but instead we view it as a really cool procedure we can't wait to do

the very next chance we can possibly justify using?it.?

Many of us don't believe we could possibly miss an intubation and as such we

have to almost be physically assaulted before we will pull a tube out of the

esophagus instead of pulling every questionable tube and ventilating via another

method.?

The fact of the matter is, someone has shined a very bright light into an

incredibly dark corner of our growing profession...if we can't park our egos and

attitudes, if we can't get past the fact that someone put it out there and

actually look at why we have these issues...then we are doomed to failure...no

matter the color of our uniform, the size of our ambulance of the number of

engines on our helicopter.?

Put that in your blog and post it!

Dudley

RSI Article background

Check this link out from another list. Be sure to read all the post

below it as well.

I think it really tells the story of the RSI

article.

http://originalforum.justhelicopters.com/DisplayMsgJH.asp?

ForumID=23 & Msgid=720546 & page=1

[Guest guest]

Well said Dudley!

JR

Shiplet, LP, AASP

EMS Education Coordinator

Collin County Community College

<><

" Tomorrow's Pre-Hospital Health Care Team...Learning Together Today "

[Guest guest]

I really don't want to disagree with all of this but the issue is really even

more precise and one many have for years spoken about;

I personally don't care how it got out, it is finally out.? Anyone who would

be truthful with themselves would admit that we (EMS in total...FRO, Ground

Pounders and Rotor Heads) HAVE a problem with intubation.?

I don't think we have a problem with the intubation SKILL OR " MUSCLE WORK " ;

the real deal here is the lack of " RECOGNIZING THE MISSED OR DISPLACED AIRWAY

DEVICE BE IT A ETT, KING, LMA, OR COMBI TUBE AND NOT IMMEDIATELY FINDING A MEANS

TO OXYGENATING AND VENTILATING OUR PATIENT " .

The demand for WAVEFORM confirmation as a basis to be allowed to carry the

meds and the other measures that should be supported for this advanced skill are

not being supported budgets and owners.

..........

THEDUDMAN@... wrote:

Okay...so lets say this?list of " fly-boys " is factual...and the info

was fed to the media by a flight service...so we discount it and continue to

kill patients because of our stupidity, lack of education and training, and lack

of serious medical oversight??

I personally don't care how it got out, it is finally out.? Anyone who would be

truthful with themselves would admit that we (EMS in total...FRO, Ground

Pounders and Rotor Heads) HAVE a problem with intubation.?

We aren't training people correctly if at all (intubating a manikin a couple

times every 24 hours is not training), we are not evaluating the maturity,

critical thinking ability, and skills ability of personnel that we give

permission to do such skills and procedures.?

We don't consider the ability to paralyze and take the life of another human

being in our hands as an incredible privilege and a tool we use only when we

have to,?but instead we view it as a really cool procedure we can't wait to do

the very next chance we can possibly justify using?it.?

Many of us don't believe we could possibly miss an intubation and as such we

have to almost be physically assaulted before we will pull a tube out of the

esophagus instead of pulling every questionable tube and ventilating via another

method.?

The fact of the matter is, someone has shined a very bright light into an

incredibly dark corner of our growing profession...if we can't park our egos and

attitudes, if we can't get past the fact that someone put it out there and

actually look at why we have these issues...then we are doomed to failure...no

matter the color of our uniform, the size of our ambulance of the number of

engines on our helicopter.?

Put that in your blog and post it!

Dudley

RSI Article background

Check this link out from another list. Be sure to read all the post

below it as well.

I think it really tells the story of the RSI

article.

http://originalforum.justhelicopters.com/DisplayMsgJH.asp?

ForumID=23 & Msgid=720546 & page=1

[Guest guest]

Weinzapfl wrote:

>>I don't think we have a problem with the intubation SKILL OR " MUSCLE

WORK " ;<<

I disagree. Not only have many of us not achieved mastery of the

practical skill set of endotracheal intubation, altogether too many

paramedics lack any significant background in the theory of airway

management. If you doubt me, throw out a few words among your colleagues

like " Mallampati " or " Cormack and LeHane " or " thyromental distance " or

the " 3-3-2 rule. "

I'll bet serious money those terms mean nothing to 75% of them. If

you're going to do an elective intubation - and that's what RSI is,

fundamentally - you'd damned well better know how to assess that patient

for the potential for a difficult intubation.

The bar in most services is set pretty damned low. It's easy to consider

yourself an airway samurai when the most difficult view you've ever seen

is a Cormack and LeHane Grade II on a latex airway manikin. That's the

problem with inadequate training - they don't even know how weak their

skills are.

That is, until the day they encounter the land whale with a mouth full

of blood and secretions, trismus and a swollen tongue, and they flaws in

their technique will be glaringly obvious.

Then of course, the media will have a new bad outcome to report, unless

the medic is lucky enough to be bailed out by those benevolent,

never-miss airway gods at Careflite. <g>

--

Grayson, CCEMT-P

www.kellygrayson.com