RE: JEMS -The Disappearing Endotracheal Tube article by Bledsoe and Gandy

[Guest guest]

Local ORs are very reluctant to allow any EMT-P students into the operating

rooms because of legal liability to the hospitals and doctors.

When I was instructing for an EMT-P program at a community college, we had a

difficult time finding hospitals that would allow our students to come in

and intubate.

B. mood

Marketing and Business Development Manager

AEMSTAR EMS

13003 Road Suite F-1

Stafford, Texas 77477

Office:

Cell:

Fax:

E-mail: mlindamood@...

From: texasems-l [mailto:texasems-l ] On

Behalf Of spenair

Sent: Tuesday, March 10, 2009 2:28 PM

To: texasems-l

Subject: JEMS -The Disappearing Endotracheal Tube article by

Bledsoe and Gandy

Very good article by members of this group. I enjoyed the information and

research cited.

http://www.jems.com/news_and_articles/articles/jems/3403/the_disappearing_en

dotracheal_tube.html

Now I do disagree with removing this skill. I would say its better to have

it available, but increase the education levels. A service could work out

clinical opportunitys with the local OR to allow Paramedics to do multiple

intubations each quarter. This should erase the problems with the success

rates thus improving patient outcomes.

I do agree though that more focus needs to be placed on proper ventilation.

Well congrats on a good article.

Renny Spencer

[Guest guest]

Local ORs are very reluctant to allow any EMT-P students into the operating

rooms because of legal liability to the hospitals and doctors.

When I was instructing for an EMT-P program at a community college, we had a

difficult time finding hospitals that would allow our students to come in

and intubate.

B. mood

Marketing and Business Development Manager

AEMSTAR EMS

13003 Road Suite F-1

Stafford, Texas 77477

Office:

Cell:

Fax:

E-mail: mlindamood@...

From: texasems-l [mailto:texasems-l ] On

Behalf Of spenair

Sent: Tuesday, March 10, 2009 2:28 PM

To: texasems-l

Subject: JEMS -The Disappearing Endotracheal Tube article by

Bledsoe and Gandy

Very good article by members of this group. I enjoyed the information and

research cited.

http://www.jems.com/news_and_articles/articles/jems/3403/the_disappearing_en

dotracheal_tube.html

Now I do disagree with removing this skill. I would say its better to have

it available, but increase the education levels. A service could work out

clinical opportunitys with the local OR to allow Paramedics to do multiple

intubations each quarter. This should erase the problems with the success

rates thus improving patient outcomes.

I do agree though that more focus needs to be placed on proper ventilation.

Well congrats on a good article.

Renny Spencer

[Guest guest]

And this isn't a new problem. Even back in the 1980s when I taught for

a university program, we had a hard time getting students into ORs.

mood wrote:

> Local ORs are very reluctant to allow any EMT-P students into the operating

> rooms because of legal liability to the hospitals and doctors.

>

> When I was instructing for an EMT-P program at a community college, we had a

> difficult time finding hospitals that would allow our students to come in

> and intubate.

>

>

>

> B. mood

>

> Marketing and Business Development Manager

>

> AEMSTAR EMS

>

> 13003 Road Suite F-1

>

> Stafford, Texas 77477

>

> Office:

>

> Cell:

>

> Fax:

>

> E-mail: mlindamood@...

>

>

>

>

> From: texasems-l [mailto:texasems-l ] On

> Behalf Of spenair

> Sent: Tuesday, March 10, 2009 2:28 PM

> To: texasems-l

> Subject: JEMS -The Disappearing Endotracheal Tube article by

> Bledsoe and Gandy

>

>

>

> Very good article by members of this group. I enjoyed the information and

> research cited.

>

> http://www.jems.com/news_and_articles/articles/jems/3403/the_disappearing_en

> dotracheal_tube.html

>

> Now I do disagree with removing this skill. I would say its better to have

> it available, but increase the education levels. A service could work out

> clinical opportunitys with the local OR to allow Paramedics to do multiple

> intubations each quarter. This should erase the problems with the success

> rates thus improving patient outcomes.

>

> I do agree though that more focus needs to be placed on proper ventilation.

>

> Well congrats on a good article.

>

> Renny Spencer

>

>

>

--

Steve LP RIT

AlertCPR Emergency Training Center

1400 Moccassin Trl, Suite 12

ville, TX 75077

[Guest guest]

And this isn't a new problem. Even back in the 1980s when I taught for

a university program, we had a hard time getting students into ORs.

mood wrote:

> Local ORs are very reluctant to allow any EMT-P students into the operating

> rooms because of legal liability to the hospitals and doctors.

>

> When I was instructing for an EMT-P program at a community college, we had a

> difficult time finding hospitals that would allow our students to come in

> and intubate.

>

>

>

> B. mood

>

> Marketing and Business Development Manager

>

> AEMSTAR EMS

>

> 13003 Road Suite F-1

>

> Stafford, Texas 77477

>

> Office:

>

> Cell:

>

> Fax:

>

> E-mail: mlindamood@...

>

>

>

>

> From: texasems-l [mailto:texasems-l ] On

> Behalf Of spenair

> Sent: Tuesday, March 10, 2009 2:28 PM

> To: texasems-l

> Subject: JEMS -The Disappearing Endotracheal Tube article by

> Bledsoe and Gandy

>

>

>

> Very good article by members of this group. I enjoyed the information and

> research cited.

>

> http://www.jems.com/news_and_articles/articles/jems/3403/the_disappearing_en

> dotracheal_tube.html

>

> Now I do disagree with removing this skill. I would say its better to have

> it available, but increase the education levels. A service could work out

> clinical opportunitys with the local OR to allow Paramedics to do multiple

> intubations each quarter. This should erase the problems with the success

> rates thus improving patient outcomes.

>

> I do agree though that more focus needs to be placed on proper ventilation.

>

> Well congrats on a good article.

>

> Renny Spencer

>

>

>

--

Steve LP RIT

AlertCPR Emergency Training Center

1400 Moccassin Trl, Suite 12

ville, TX 75077

[Guest guest]

On Tuesday, March 10, 2009 15:05, " Steve " paramedic1@...> said:

> And this isn't a new problem. Even back in the 1980s when I taught for

> a university program, we had a hard time getting students into ORs.

The problem has compounded significantly with so many surgeries being done with

only an LMA. Even if you have a cooperative hospital and staff, the

opportunities for ETI have drastically decreased.

Rob

[Guest guest]

On Tuesday, March 10, 2009 15:05, " Steve " paramedic1@...> said:

> And this isn't a new problem. Even back in the 1980s when I taught for

> a university program, we had a hard time getting students into ORs.

The problem has compounded significantly with so many surgeries being done with

only an LMA. Even if you have a cooperative hospital and staff, the

opportunities for ETI have drastically decreased.

Rob

[Guest guest]

I find the research and the article both informative and probably

correct. While there is no bandwagon of protest from this end, there

is the fact that most of the numbers do not correspond with the numbers

in my department. I feel that because of this and the positive

outcomes of our patients, there is no reason for my department to quit

doing it. My main concern is that it is somehow taken out of my hands

by legislature or general consensus. I hope that is not the case

anytime soon.

I have a very responsible belief that there are many services that

should not be attempting this procedure. Mine is not one of them. I

see a growing number of missed ETI's in the field that are not even

noticed prior to arriving at the hospital. This scares me greatly.

Without having to rewrite the world of paramedics, I hope there is

still some consideration for those that do save lives while using it.

Andy Foote

JEMS -The Disappearing Endotracheal Tube article

by Bledsoe and Gandy

Very good article by members of this group. I enjoyed the information

and research cited.

http://www.jems.com/news_and_articles/articles/jems/3403/the_disappearing_endotr\

acheal_tube.html

Now I do disagree with removing this skill. I would say its better to

have it available, but increase the education levels. A service could

work out clinical opportunitys with the local OR to allow Paramedics to

do multiple intubations each quarter. This should erase the problems

with the success rates thus improving patient outcomes.

I do agree though that more focus needs to be placed on proper

ventilation.

Well congrats on a good article.

Renny Spencer

------------------------------------

[Guest guest]

I find the research and the article both informative and probably

correct. While there is no bandwagon of protest from this end, there

is the fact that most of the numbers do not correspond with the numbers

in my department. I feel that because of this and the positive

outcomes of our patients, there is no reason for my department to quit

doing it. My main concern is that it is somehow taken out of my hands

by legislature or general consensus. I hope that is not the case

anytime soon.

I have a very responsible belief that there are many services that

should not be attempting this procedure. Mine is not one of them. I

see a growing number of missed ETI's in the field that are not even

noticed prior to arriving at the hospital. This scares me greatly.

Without having to rewrite the world of paramedics, I hope there is

still some consideration for those that do save lives while using it.

Andy Foote

JEMS -The Disappearing Endotracheal Tube article

by Bledsoe and Gandy

Very good article by members of this group. I enjoyed the information

and research cited.

http://www.jems.com/news_and_articles/articles/jems/3403/the_disappearing_endotr\

acheal_tube.html

Now I do disagree with removing this skill. I would say its better to

have it available, but increase the education levels. A service could

work out clinical opportunitys with the local OR to allow Paramedics to

do multiple intubations each quarter. This should erase the problems

with the success rates thus improving patient outcomes.

I do agree though that more focus needs to be placed on proper

ventilation.

Well congrats on a good article.

Renny Spencer

------------------------------------

[Guest guest]

I find the research and the article both informative and probably

correct. While there is no bandwagon of protest from this end, there

is the fact that most of the numbers do not correspond with the numbers

in my department. I feel that because of this and the positive

outcomes of our patients, there is no reason for my department to quit

doing it. My main concern is that it is somehow taken out of my hands

by legislature or general consensus. I hope that is not the case

anytime soon.

I have a very responsible belief that there are many services that

should not be attempting this procedure. Mine is not one of them. I

see a growing number of missed ETI's in the field that are not even

noticed prior to arriving at the hospital. This scares me greatly.

Without having to rewrite the world of paramedics, I hope there is

still some consideration for those that do save lives while using it.

Andy Foote

JEMS -The Disappearing Endotracheal Tube article

by Bledsoe and Gandy

Very good article by members of this group. I enjoyed the information

and research cited.

http://www.jems.com/news_and_articles/articles/jems/3403/the_disappearing_endotr\

acheal_tube.html

Now I do disagree with removing this skill. I would say its better to

have it available, but increase the education levels. A service could

work out clinical opportunitys with the local OR to allow Paramedics to

do multiple intubations each quarter. This should erase the problems

with the success rates thus improving patient outcomes.

I do agree though that more focus needs to be placed on proper

ventilation.

Well congrats on a good article.

Renny Spencer

------------------------------------

[Guest guest]

We are a fire based 911 provider running MICUs. We have been following the

issues regarding intubation and RSI in the field and if paramedics should

be the ones doing these skills. As with all EMS providers are our medics

getting enough training and how are we able to insure their competency with

airway management. It is not only if they can or cannot intubate but if

they recognize when, how to manage the airway, manage the airway, and

properly ventilate the patient and recognize when they are not, etc.

We have established with our local hospital the ability to have all of our

medics go thru a rotation with an anesthesiologist starting from basic

airway management up to intubation and proper ventilation of the patient.

Each medics is assigned to the anesthesiologist for two 4 hour rotations in

the OR and the medics skills are checked off by the anesthesiologist. The

medics are assigned the OR rotation at the start of their shift and report

directly to the hospital.

We also have our EMS skills and education other than the OR rotation. The

OR rotations allows our medics to work with real patients in a controlled

environment with a proper trained physician specializing in airway

management.

It is at least a good start and a great opportunity for our department.

To: texasems-l >

Date: 03/10/2009 15:04

Subject: RE: JEMS -The Disappearing Endotracheal Tube article

by Bledsoe and Gandy

Sent by: texasems-l

Local ORs are very reluctant to allow any EMT-P students into the operating

rooms because of legal liability to the hospitals and doctors.

When I was instructing for an EMT-P program at a community college, we had a

difficult time finding hospitals that would allow our students to come in

and intubate.

B. mood

Marketing and Business Development Manager

AEMSTAR EMS

13003 Road Suite F-1

Stafford, Texas 77477

Office:

Cell:

Fax:

E-mail: mlindamood@...

From: texasems-l [mailto:texasems-l ] On

Behalf Of spenair

Sent: Tuesday, March 10, 2009 2:28 PM

To: texasems-l

Subject: JEMS -The Disappearing Endotracheal Tube article by

Bledsoe and Gandy

Very good article by members of this group. I enjoyed the information and

research cited.

http://www.jems.com/news_and_articles/articles/jems/3403/the_disappearing_en

dotracheal_tube.html

Now I do disagree with removing this skill. I would say its better to have

it available, but increase the education levels. A service could work out

clinical opportunitys with the local OR to allow Paramedics to do multiple

intubations each quarter. This should erase the problems with the success

rates thus improving patient outcomes.

I do agree though that more focus needs to be placed on proper ventilation.

Well congrats on a good article.

Renny Spencer