Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Ok group, I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. Under the " Airway Management & Ventilation " chapter the question states, You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, A. Blind nasotracheal intubation as the preferred technique. B. Tracheal intubation as the preferred technique. C. Cricothyrotomy as the preferred technique. I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? Everyones input will be greatly appreciated, because I really need to pass my test. Thanks, R. Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. Jefferson Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, lnmolino@... writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance CoFreelance Consultant/Trainer _LNMolino@..._ (mailto:LNMolino@...) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, _medic0946@..._ (mailto:medic0946@...) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, lnmolino@... writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance CoFreelance Consultant/Trainer _LNMolino@..._ (mailto:LNMolino@...) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, _medic0946@..._ (mailto:medic0946@...) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, lnmolino@... writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance CoFreelance Consultant/Trainer _LNMolino@..._ (mailto:LNMolino@...) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, _medic0946@..._ (mailto:medic0946@...) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 I do not recall any ET tubes through the base of the skull, but I do recall a couple of NGs that showed up as coiled in the cranium when I was in medical school years ago. ck In a message dated 5/6/2010 17:06:34 Central Daylight Time, texas.paramedic@... writes: My understanding is that nasal intubation in head injuries has become a general consensus " moot point " as there have been no documented cases of nasally intubating the brain in these situations. Has there been some documented evidence that it actually DOES and HAS happened that I missed in the last few years? If so, someone please share it with us. Jane Dinsmore To: texasems-l From: lnmolino@... Date: Thu, 6 May 2010 17:31:30 -0400 Subject: Re: Re: Airway Question So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] _________________________________________________________________ The New Busy think 9 to 5 is a cute idea. Combine multiple calendars with Hotmail. http://www.windowslive.com/campaign/thenewbusy?tile=multicalendar&ocid=PID28 326::T:WLMTAGL:ON:WL:en-US:WM_HMP:042010_5 [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 I do not recall any ET tubes through the base of the skull, but I do recall a couple of NGs that showed up as coiled in the cranium when I was in medical school years ago. ck In a message dated 5/6/2010 17:06:34 Central Daylight Time, texas.paramedic@... writes: My understanding is that nasal intubation in head injuries has become a general consensus " moot point " as there have been no documented cases of nasally intubating the brain in these situations. Has there been some documented evidence that it actually DOES and HAS happened that I missed in the last few years? If so, someone please share it with us. Jane Dinsmore To: texasems-l From: lnmolino@... Date: Thu, 6 May 2010 17:31:30 -0400 Subject: Re: Re: Airway Question So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] _________________________________________________________________ The New Busy think 9 to 5 is a cute idea. Combine multiple calendars with Hotmail. http://www.windowslive.com/campaign/thenewbusy?tile=multicalendar&ocid=PID28 326::T:WLMTAGL:ON:WL:en-US:WM_HMP:042010_5 [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Yeah, I had already been in the field a few years by the time the 2nd Edition came out, and remember being disappointed that the pictures weren't as gory. That's also when I decided that the Star Of Life was the ugliest thing I had ever seen. Rob On Thursday, May 6, 2010 16:09, krin135@... said: > pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years > old by the time you took your -A course. > > I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, > we were the second or third class at that training center to use it (St > ph's Hospital Medical Center, Bloomington, IL). > > ck Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Yeah, I had already been in the field a few years by the time the 2nd Edition came out, and remember being disappointed that the pictures weren't as gory. That's also when I decided that the Star Of Life was the ugliest thing I had ever seen. Rob On Thursday, May 6, 2010 16:09, krin135@... said: > pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years > old by the time you took your -A course. > > I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, > we were the second or third class at that training center to use it (St > ph's Hospital Medical Center, Bloomington, IL). > > ck Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Yeah, I had already been in the field a few years by the time the 2nd Edition came out, and remember being disappointed that the pictures weren't as gory. That's also when I decided that the Star Of Life was the ugliest thing I had ever seen. Rob On Thursday, May 6, 2010 16:09, krin135@... said: > pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years > old by the time you took your -A course. > > I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, > we were the second or third class at that training center to use it (St > ph's Hospital Medical Center, Bloomington, IL). > > ck Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 My understanding is that nasal intubation in head injuries has become a general consensus " moot point " as there have been no documented cases of nasally intubating the brain in these situations. Has there been some documented evidence that it actually DOES and HAS happened that I missed in the last few years? If so, someone please share it with us. Jane Dinsmore To: texasems-l From: lnmolino@... Date: Thu, 6 May 2010 17:31:30 -0400 Subject: Re: Re: Airway Question So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 My understanding is that nasal intubation in head injuries has become a general consensus " moot point " as there have been no documented cases of nasally intubating the brain in these situations. Has there been some documented evidence that it actually DOES and HAS happened that I missed in the last few years? If so, someone please share it with us. Jane Dinsmore To: texasems-l From: lnmolino@... Date: Thu, 6 May 2010 17:31:30 -0400 Subject: Re: Re: Airway Question So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 My understanding is that nasal intubation in head injuries has become a general consensus " moot point " as there have been no documented cases of nasally intubating the brain in these situations. Has there been some documented evidence that it actually DOES and HAS happened that I missed in the last few years? If so, someone please share it with us. Jane Dinsmore To: texasems-l From: lnmolino@... Date: Thu, 6 May 2010 17:31:30 -0400 Subject: Re: Re: Airway Question So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Having recently graduated, I was taught facial fractures and apnea were the contraindications for nasal intubations. Toni Re: Re: Airway Question So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2010 Report Share Posted May 6, 2010 Having recently graduated, I was taught facial fractures and apnea were the contraindications for nasal intubations. Toni Re: Re: Airway Question So you're older are Ya bragging or complaining. Brand new as in NJ went to the 2nd Ed in mid 1981 so it could have been 20 years old it was new to us Also I think it was Brady or maybe a pre-Brady Publisher that in the same year as that did a Basic book with a set of color plates that were piloted in some places in NJ same time. we got a look at that and were all a gast at the color, it was so novel. Again new to NJ in 1981. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 4:09:26 P.M. Central Daylight Time, krin135@... writes: pardon, Sir, but the " Orange Book, Second Edition " was *at least* 6 years old by the time you took your -A course. I took my 81 hour -A course in 1976-7 with the Second Edition... and, IIRC, we were the second or third class at that training center to use it (St ph's Hospital Medical Center, Bloomington, IL). ck In a message dated 5/6/2010 16:03:43 Central Daylight Time, _lnmolino@..._ (mailto:lnmolino@...) writes: Part of the issue here is the 6th edition is a full 4 editions ago. Granted even me a Basic knew that nasal intubation was a NO NO in the case of a skull fracture. Oh my EMT-A course in 1981 was with the brand new AAOS 2nd Ed. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/FF/N Freelance Consultant/Trainer/Freelance Consultant/Trainer/ Freelance __LNMolino (AT) aol (DOT) _LN_ (mailto:_LNMolino@...) _ (mailto:_LNMolino@..._ (mailto:LNMolino@...) ) (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 5/6/2010 3:28:09 P.M. Central Daylight Time, __medic0946 (AT) yahoo (DOT) _me_ (mailto:_medic0946@...) _ (mailto:_medic0946@..._ (mailto:medic0946@...) ) writes: Rick, you were correct. Nasal intubation should be avoided in the possibility of basal skull fx. > > Ok group, > I normally do more reading than talking on here, but I have a question that is killing my brain, LoL. I'm studying for my NREMTP using the " Caroline's Emergency Care in the Streets 6th Edition " student workbook. > > Under the " Airway Management & Ventilation " chapter the question states, > > You have a 42 y/o female extricated from a wrecked vehicle; she is unconscious and has a depressed skull fracture at the back of her head. To secure an airway would you choose, > > A. Blind nasotracheal intubation as the preferred technique. > B. Tracheal intubation as the preferred technique. > C. Cricothyrotomy as the preferred technique. > > I chose " B' as my answer, and was told (by the answers in the back of the book) that the correct answer was " A " . Please correct me if I'm wrong as I am still learning, but have we not always been taught NOT to use nasotracheal intubation if the pt has a skull fracture of any kind? > > Everyones input will be greatly appreciated, because I really need to pass my test. > > Thanks, > R. > > Democracy will cease to exist when you take away from those who are willing to work and give to those who are not. > Jefferson > > > > > > Quote Link to comment Share on other sites More sharing options...
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