Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 Just out of curiosity, why did you remove them from protocol? Gene Gandy > > > > We have removed the Laryngeal Mask Airway (LMA) from our protocols. Does > anyone use these and would you be willing to trade something like IV > catheters, etc for them? > > We have the following sizes we need to get rid of: > > Quantity - Size > > X4 -#2 > > X5 -#3 > > X4- #4 > > X4- #5 > > Thanks. > > Steve > > Lt. Steve Lemming, A.A.S., L.P. > > C-Shift > > EMS Administration Officer > > Azle, Texas Fire Department > > This e-mail is confidential and intended solely for the use of the > individual (s) to whom it is addressed. Any views or opinions presented > are solely those of the author and do not necessarily represent those of > The City of Azle or its policies. If you have received this e-mail > message in error, please phone Steve Lemming (817)444-7108. Please also > destroy and delete the message from your computer. > > For more information on The City of Azle, visit our web site at: > http://www.cityofazhttp:/ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 Just out of curiosity, why did you remove them from protocol? Gene Gandy > > > > We have removed the Laryngeal Mask Airway (LMA) from our protocols. Does > anyone use these and would you be willing to trade something like IV > catheters, etc for them? > > We have the following sizes we need to get rid of: > > Quantity - Size > > X4 -#2 > > X5 -#3 > > X4- #4 > > X4- #5 > > Thanks. > > Steve > > Lt. Steve Lemming, A.A.S., L.P. > > C-Shift > > EMS Administration Officer > > Azle, Texas Fire Department > > This e-mail is confidential and intended solely for the use of the > individual (s) to whom it is addressed. Any views or opinions presented > are solely those of the author and do not necessarily represent those of > The City of Azle or its policies. If you have received this e-mail > message in error, please phone Steve Lemming (817)444-7108. Please also > destroy and delete the message from your computer. > > For more information on The City of Azle, visit our web site at: > http://www.cityofazhttp:/ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 Steve - Can't do any trading but if you don't mind - please relate what your field experience was/is with them. Thanks, Don >>> " Lemming, Steve " slemming@...> 6/4/2009 3:33 PM >>> We have removed the Laryngeal Mask Airway (LMA) from our protocols. Does anyone use these and would you be willing to trade something like IV catheters, etc for them? We have the following sizes we need to get rid of: Quantity - Size X4 -#2 X5 -#3 X4- #4 X4- #5 Thanks. Steve Lt. Steve Lemming, A.A.S., L.P. C-Shift EMS Administration Officer Azle, Texas Fire Department This e-mail is confidential and intended solely for the use of the individual (s) to whom it is addressed. Any views or opinions presented are solely those of the author and do not necessarily represent those of The City of Azle or its policies. If you have received this e-mail message in error, please phone Steve Lemming (817)444-7108. Please also destroy and delete the message from your computer. For more information on The City of Azle, visit our web site at: http://www.cityofazle.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 Steve - Can't do any trading but if you don't mind - please relate what your field experience was/is with them. Thanks, Don >>> " Lemming, Steve " slemming@...> 6/4/2009 3:33 PM >>> We have removed the Laryngeal Mask Airway (LMA) from our protocols. Does anyone use these and would you be willing to trade something like IV catheters, etc for them? We have the following sizes we need to get rid of: Quantity - Size X4 -#2 X5 -#3 X4- #4 X4- #5 Thanks. Steve Lt. Steve Lemming, A.A.S., L.P. C-Shift EMS Administration Officer Azle, Texas Fire Department This e-mail is confidential and intended solely for the use of the individual (s) to whom it is addressed. Any views or opinions presented are solely those of the author and do not necessarily represent those of The City of Azle or its policies. If you have received this e-mail message in error, please phone Steve Lemming (817)444-7108. Please also destroy and delete the message from your computer. For more information on The City of Azle, visit our web site at: http://www.cityofazle.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 We are extremely fortunate in that respect. That's about the only thing we're fortunate in, though. Arizona EMS is a joke. We have state mandated protocols that are hopelessly archaic and restrictive. It takes an act of the legislature almost to get anything changed. For example, in the state of Arizona, paramedics cannot give fentanyl. Period. Only NURSES can. We have no critical care paramedics here. They have " Critical Care Nurse Units " that do the critical care transports, or else they send them by helo. They LOVE helos here. Few services have capnography, even fewer CPAP. Chest pain protocols make no mention of right sided MIs, and MONA is prescribed for ALL chest pain with a BP of >90. We all know what can happen if you give a slug of NTG to a patient with RVI and a BP of 90. Sigh. None of the services here have their medics do a right sided ECG; the medics don't know what you're talking about. Folks, don't EVER EVEN THINK about allowing Texas to go to a system of state mandated protocols and scope of practice. Gene G. Still a Texas at Heart > > > > Yes Sir. The LTS and LTD. Proficiency leads to confidence and less > likelihood of errors. We have been using waveform capnography for several years to > back up our insertions. > > > > You have a good program. It’s a shame that there are less OR rotations and > fewer required field intubations for initial certifications. It makes me > glad that I went through school in years past, at least we were required to > put hands on a real, live patient. With the exception of your students, > that it becoming more rare. > > > > > > > > From: texasems-l@yahoogrotexasem [mailto:texasems-l@yahoogrotexasem] On > Behalf Of wegandy1938@wegandy > Sent: Thursday, June 04, 2009 9:05 PM > To: texasems-l@yahoogrotexasem > Subject: Re: LMA Trade > > > > > > > > > Thanks Steve. I like the Kings also. Are you buying the S models with > the port for gastric tube? > > My students are getting lots of LMA insertions in the OR. We require them > to have at least 25 and at least 15 ET tubes. We're lucky that we have an > anesthesia group that's willing to give our students a good experience. > > With the LMA, they're learning all sorts of tricks for insertion that are > a > little different from what the books say--different ways to insert them, > and so forth. > > We also require them to bag patients for a minimum of 5 minutes on 25 > different patients. The anesthesiologists love us for that and they're > thrilled > that we make that requirement. Our students are gaining a lot from this. > I can see their confidence level growing. > > GG > > In a message dated 6/4/09 6:50:16 PM, slemming@...@c < > mailto:slemming%mailto:slemailt> writes: > > > > > > > > > We changed over to the King Airway, mostly out of physician and medic > > preference. Some had some difficulty getting good seals, especially on > larger > > patients. These were probably difficult to start with, however. > > > > > > > > I don’t think there is anything wrong with them. The O.R. uses them > > extensively. > > > > > > > > > > > > From: texasems-l@yahoogro From: texasems-l@yahoogr From: texasems- From: > > Behalf Of wegandy1938@ Behalf > > Sent: Thursday, June 04, 2009 5:48 PM > > To: texasems-l@yahoogro To: tex > > Subject: Re: LMA Trade > > > > > > > > > > > > > > > > > > Just out of curiosity, why did you remove them from protocol? > > > > Gene Gandy > > In a message dated 6/4/09 1:34:16 PM, slemming@... < > mailto:slemming%mailto:slemmi> @c < > > mailto:slemming% mailto:slemmin> writes: > > > > > > > > > > > > > > We have removed the Laryngeal Mask Airway (LMA) from our protocols. > Does > > > anyone use these and would you be willing to trade something like IV > > > catheters, etc for them? > > > > > > We have the following sizes we need to get rid of: > > > > > > Quantity - Size > > > > > > X4 -#2 > > > > > > X5 -#3 > > > > > > X4- #4 > > > > > > X4- #5 > > > > > > Thanks. > > > > > > Steve > > > > > > Lt. Steve Lemming, A.A.S., L.P. > > > > > > C-Shift > > > > > > EMS Administration Officer > > > > > > Azle, Texas Fire Department > > > > > > This e-mail is confidential and intended solely for the use of the > > > individual (s) to whom it is addressed. Any views or opinions > presented > > > are solely those of the author and do not necessarily represent those > of > > > The City of Azle or its policies. If you have received this e-mail > > > message in error, please phone Steve Lemming (817)444-7108. Please > also > > > destroy and delete the message from your computer. > > > > > > For more information on The City of Azle, visit our web site at: > > > http://www.cityofazhttp:/ > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 We are extremely fortunate in that respect. That's about the only thing we're fortunate in, though. Arizona EMS is a joke. We have state mandated protocols that are hopelessly archaic and restrictive. It takes an act of the legislature almost to get anything changed. For example, in the state of Arizona, paramedics cannot give fentanyl. Period. Only NURSES can. We have no critical care paramedics here. They have " Critical Care Nurse Units " that do the critical care transports, or else they send them by helo. They LOVE helos here. Few services have capnography, even fewer CPAP. Chest pain protocols make no mention of right sided MIs, and MONA is prescribed for ALL chest pain with a BP of >90. We all know what can happen if you give a slug of NTG to a patient with RVI and a BP of 90. Sigh. None of the services here have their medics do a right sided ECG; the medics don't know what you're talking about. Folks, don't EVER EVEN THINK about allowing Texas to go to a system of state mandated protocols and scope of practice. Gene G. Still a Texas at Heart > > > > Yes Sir. The LTS and LTD. Proficiency leads to confidence and less > likelihood of errors. We have been using waveform capnography for several years to > back up our insertions. > > > > You have a good program. It’s a shame that there are less OR rotations and > fewer required field intubations for initial certifications. It makes me > glad that I went through school in years past, at least we were required to > put hands on a real, live patient. With the exception of your students, > that it becoming more rare. > > > > > > > > From: texasems-l@yahoogrotexasem [mailto:texasems-l@yahoogrotexasem] On > Behalf Of wegandy1938@wegandy > Sent: Thursday, June 04, 2009 9:05 PM > To: texasems-l@yahoogrotexasem > Subject: Re: LMA Trade > > > > > > > > > Thanks Steve. I like the Kings also. Are you buying the S models with > the port for gastric tube? > > My students are getting lots of LMA insertions in the OR. We require them > to have at least 25 and at least 15 ET tubes. We're lucky that we have an > anesthesia group that's willing to give our students a good experience. > > With the LMA, they're learning all sorts of tricks for insertion that are > a > little different from what the books say--different ways to insert them, > and so forth. > > We also require them to bag patients for a minimum of 5 minutes on 25 > different patients. The anesthesiologists love us for that and they're > thrilled > that we make that requirement. Our students are gaining a lot from this. > I can see their confidence level growing. > > GG > > In a message dated 6/4/09 6:50:16 PM, slemming@...@c < > mailto:slemming%mailto:slemailt> writes: > > > > > > > > > We changed over to the King Airway, mostly out of physician and medic > > preference. Some had some difficulty getting good seals, especially on > larger > > patients. These were probably difficult to start with, however. > > > > > > > > I don’t think there is anything wrong with them. The O.R. uses them > > extensively. > > > > > > > > > > > > From: texasems-l@yahoogro From: texasems-l@yahoogr From: texasems- From: > > Behalf Of wegandy1938@ Behalf > > Sent: Thursday, June 04, 2009 5:48 PM > > To: texasems-l@yahoogro To: tex > > Subject: Re: LMA Trade > > > > > > > > > > > > > > > > > > Just out of curiosity, why did you remove them from protocol? > > > > Gene Gandy > > In a message dated 6/4/09 1:34:16 PM, slemming@... < > mailto:slemming%mailto:slemmi> @c < > > mailto:slemming% mailto:slemmin> writes: > > > > > > > > > > > > > > We have removed the Laryngeal Mask Airway (LMA) from our protocols. > Does > > > anyone use these and would you be willing to trade something like IV > > > catheters, etc for them? > > > > > > We have the following sizes we need to get rid of: > > > > > > Quantity - Size > > > > > > X4 -#2 > > > > > > X5 -#3 > > > > > > X4- #4 > > > > > > X4- #5 > > > > > > Thanks. > > > > > > Steve > > > > > > Lt. Steve Lemming, A.A.S., L.P. > > > > > > C-Shift > > > > > > EMS Administration Officer > > > > > > Azle, Texas Fire Department > > > > > > This e-mail is confidential and intended solely for the use of the > > > individual (s) to whom it is addressed. Any views or opinions > presented > > > are solely those of the author and do not necessarily represent those > of > > > The City of Azle or its policies. If you have received this e-mail > > > message in error, please phone Steve Lemming (817)444-7108. Please > also > > > destroy and delete the message from your computer. > > > > > > For more information on The City of Azle, visit our web site at: > > > http://www.cityofazhttp:/ > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 We changed over to the King Airway, mostly out of physician and medic preference. Some had some difficulty getting good seals, especially on larger patients. These were probably difficult to start with, however. I don’t think there is anything wrong with them. The O.R. uses them extensively. From: texasems-l [mailto:texasems-l ] On Behalf Of wegandy1938@... Sent: Thursday, June 04, 2009 5:48 PM To: texasems-l Subject: Re: LMA Trade Just out of curiosity, why did you remove them from protocol? Gene Gandy In a message dated 6/4/09 1:34:16 PM, slemming@... writes: > > > > We have removed the Laryngeal Mask Airway (LMA) from our protocols. Does > anyone use these and would you be willing to trade something like IV > catheters, etc for them? > > We have the following sizes we need to get rid of: > > Quantity - Size > > X4 -#2 > > X5 -#3 > > X4- #4 > > X4- #5 > > Thanks. > > Steve > > Lt. Steve Lemming, A.A.S., L.P. > > C-Shift > > EMS Administration Officer > > Azle, Texas Fire Department > > This e-mail is confidential and intended solely for the use of the > individual (s) to whom it is addressed. Any views or opinions presented > are solely those of the author and do not necessarily represent those of > The City of Azle or its policies. If you have received this e-mail > message in error, please phone Steve Lemming (817)444-7108. Please also > destroy and delete the message from your computer. > > For more information on The City of Azle, visit our web site at: > http://www.cityofazhttp:/ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 We changed over to the King Airway, mostly out of physician and medic preference. Some had some difficulty getting good seals, especially on larger patients. These were probably difficult to start with, however. I don’t think there is anything wrong with them. The O.R. uses them extensively. From: texasems-l [mailto:texasems-l ] On Behalf Of wegandy1938@... Sent: Thursday, June 04, 2009 5:48 PM To: texasems-l Subject: Re: LMA Trade Just out of curiosity, why did you remove them from protocol? Gene Gandy In a message dated 6/4/09 1:34:16 PM, slemming@... writes: > > > > We have removed the Laryngeal Mask Airway (LMA) from our protocols. Does > anyone use these and would you be willing to trade something like IV > catheters, etc for them? > > We have the following sizes we need to get rid of: > > Quantity - Size > > X4 -#2 > > X5 -#3 > > X4- #4 > > X4- #5 > > Thanks. > > Steve > > Lt. Steve Lemming, A.A.S., L.P. > > C-Shift > > EMS Administration Officer > > Azle, Texas Fire Department > > This e-mail is confidential and intended solely for the use of the > individual (s) to whom it is addressed. Any views or opinions presented > are solely those of the author and do not necessarily represent those of > The City of Azle or its policies. If you have received this e-mail > message in error, please phone Steve Lemming (817)444-7108. Please also > destroy and delete the message from your computer. > > For more information on The City of Azle, visit our web site at: > http://www.cityofazhttp:/ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2009 Report Share Posted June 4, 2009 Yes Sir. The LTS and LTD. Proficiency leads to confidence and less likelihood of errors. We have been using waveform capnography for several years to back up our insertions. You have a good program. It’s a shame that there are less OR rotations and fewer required field intubations for initial certifications. It makes me glad that I went through school in years past, at least we were required to put hands on a real, live patient. With the exception of your students, that it becoming more rare. From: texasems-l [mailto:texasems-l ] On Behalf Of wegandy1938@... Sent: Thursday, June 04, 2009 9:05 PM To: texasems-l Subject: Re: LMA Trade Thanks Steve. I like the Kings also. Are you buying the S models with the port for gastric tube? My students are getting lots of LMA insertions in the OR. We require them to have at least 25 and at least 15 ET tubes. We're lucky that we have an anesthesia group that's willing to give our students a good experience. With the LMA, they're learning all sorts of tricks for insertion that are a little different from what the books say--different ways to insert them, and so forth. We also require them to bag patients for a minimum of 5 minutes on 25 different patients. The anesthesiologists love us for that and they're thrilled that we make that requirement. Our students are gaining a lot from this. I can see their confidence level growing. GG In a message dated 6/4/09 6:50:16 PM, slemming@... writes: > > > > We changed over to the King Airway, mostly out of physician and medic > preference. Some had some difficulty getting good seals, especially on larger > patients. These were probably difficult to start with, however. > > > > I don’t think there is anything wrong with them. The O.R. uses them > extensively. > > > > > > From: texasems-l@yahoogrotexasem [mailto:texasems-l@yahoogrotexasem] On > Behalf Of wegandy1938@wegandy > Sent: Thursday, June 04, 2009 5:48 PM > To: texasems-l@yahoogrotexasem > Subject: Re: LMA Trade > > > > > > > > > Just out of curiosity, why did you remove them from protocol? > > Gene Gandy > In a message dated 6/4/09 1:34:16 PM, slemming@... @c < > mailto:slemming%mailto:slemailt> writes: > > > > > > > > > We have removed the Laryngeal Mask Airway (LMA) from our protocols. Does > > anyone use these and would you be willing to trade something like IV > > catheters, etc for them? > > > > We have the following sizes we need to get rid of: > > > > Quantity - Size > > > > X4 -#2 > > > > X5 -#3 > > > > X4- #4 > > > > X4- #5 > > > > Thanks. > > > > Steve > > > > Lt. Steve Lemming, A.A.S., L.P. > > > > C-Shift > > > > EMS Administration Officer > > > > Azle, Texas Fire Department > > > > This e-mail is confidential and intended solely for the use of the > > individual (s) to whom it is addressed. Any views or opinions presented > > are solely those of the author and do not necessarily represent those of > > The City of Azle or its policies. If you have received this e-mail > > message in error, please phone Steve Lemming (817)444-7108. Please also > > destroy and delete the message from your computer. > > > > For more information on The City of Azle, visit our web site at: > > http://www.cityofazhttp:/ > > > > Quote Link to comment Share on other sites More sharing options...
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