Guest guest Posted May 7, 2010 Report Share Posted May 7, 2010 So, Wikipedia isn't a reference? -Wes Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 Not necessarily true. Much of what we've been taught were risks with NTI in head injury patients are mythical, and those that *are* true risks apply equally to orotracheal intubation.. > > You should never perform nasal intubation with any head injuries it is > contraidicated especially with suspected skull fractures. > > ________________________________ > From: " krin135@... " krin135@... > > > To: texasems-l > Sent: Thu, May 6, 2010 4:09:07 PM > Subject: Re: Re: Airway Question > > > 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino (AT) aol (DOT) com) > > (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) med_ (mailto:medic0946 (AT) yahoo (DOT) com) 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 7, 2010 Report Share Posted May 7, 2010 Not necessarily true. Much of what we've been taught were risks with NTI in head injury patients are mythical, and those that *are* true risks apply equally to orotracheal intubation.. > > You should never perform nasal intubation with any head injuries it is > contraidicated especially with suspected skull fractures. > > ________________________________ > From: " krin135@... " krin135@... > > > To: texasems-l > Sent: Thu, May 6, 2010 4:09:07 PM > Subject: Re: Re: Airway Question > > > 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino (AT) aol (DOT) com) > > (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) med_ (mailto:medic0946 (AT) yahoo (DOT) com) 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 7, 2010 Report Share Posted May 7, 2010 Not necessarily true. Much of what we've been taught were risks with NTI in head injury patients are mythical, and those that *are* true risks apply equally to orotracheal intubation.. > > You should never perform nasal intubation with any head injuries it is > contraidicated especially with suspected skull fractures. > > ________________________________ > From: " krin135@... " krin135@... > > > To: texasems-l > Sent: Thu, May 6, 2010 4:09:07 PM > Subject: Re: Re: Airway Question > > > 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino (AT) aol (DOT) com) > > (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) med_ (mailto:medic0946 (AT) yahoo (DOT) com) 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 7, 2010 Report Share Posted May 7, 2010 Exactly. Usually when there is a risk of intracranial intubation, there are obvious signs that intubation shouldn't be performed... .... like the patient's mouth full of brains, for example. > > Listening to a neurosurgeon in Toronto - head of neurosurgery at huge > level I & med school - at a trauma conference a few years ago called > the worry about a tube being placed into the brain " BS " (but of course > not abbreviated). The point being that if the patient has a hole in > their cribiform plate so large that an ETT would pass through > it.....they were dead anyway. > > Makes sense. > > >>> " Jane Dinsmore " texas.paramedic@... > > 5/6/2010 5:06 PM >>> > > 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 7, 2010 Report Share Posted May 7, 2010 Exactly. Usually when there is a risk of intracranial intubation, there are obvious signs that intubation shouldn't be performed... .... like the patient's mouth full of brains, for example. > > Listening to a neurosurgeon in Toronto - head of neurosurgery at huge > level I & med school - at a trauma conference a few years ago called > the worry about a tube being placed into the brain " BS " (but of course > not abbreviated). The point being that if the patient has a hole in > their cribiform plate so large that an ETT would pass through > it.....they were dead anyway. > > Makes sense. > > >>> " Jane Dinsmore " texas.paramedic@... > > 5/6/2010 5:06 PM >>> > > 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 7, 2010 Report Share Posted May 7, 2010 Exactly. Usually when there is a risk of intracranial intubation, there are obvious signs that intubation shouldn't be performed... .... like the patient's mouth full of brains, for example. > > Listening to a neurosurgeon in Toronto - head of neurosurgery at huge > level I & med school - at a trauma conference a few years ago called > the worry about a tube being placed into the brain " BS " (but of course > not abbreviated). The point being that if the patient has a hole in > their cribiform plate so large that an ETT would pass through > it.....they were dead anyway. > > Makes sense. > > >>> " Jane Dinsmore " texas.paramedic@... > > 5/6/2010 5:06 PM >>> > > 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 7, 2010 Report Share Posted May 7, 2010 considering that I have edited a fair number of articles on Wiki, including updating links to 'real' medical information. I would accept a wiki reference as long as you *also* followed the links to the references and cited them. ck Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 considering that I have edited a fair number of articles on Wiki, including updating links to 'real' medical information. I would accept a wiki reference as long as you *also* followed the links to the references and cited them. ck Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 considering that I have edited a fair number of articles on Wiki, including updating links to 'real' medical information. I would accept a wiki reference as long as you *also* followed the links to the references and cited them. ck Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 I'm just curious how many paramedics know who/what on, Rosen, and Tintinalli are. Nope, not a law firm. -Wes Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 I'm just curious how many paramedics know who/what on, Rosen, and Tintinalli are. Nope, not a law firm. -Wes Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 I'm just curious how many paramedics know who/what on, Rosen, and Tintinalli are. Nope, not a law firm. -Wes Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 Mike, I purposely didn't include physician EMS mentors. I was talking about leaders from rank and file paramedics. I recognize that Pete is progressive, but I'm not aware of how active a player he is in state EMS affairs. I don't know Mark so can't comment. I'm way too far over the hill to become an active leader these days. We need energetic young blood. Pete may be one of those who can become a leader, but we need many more. What I can do is keep the pot boiling and make sure that folks don't forget how much needs to be done. G RE: Re: Airway Question Hi Gene, I just had to comment on a few of your statements re: Arizona and the EMS education practices. First, I agree that Az is behind most of the nation re: change. Unfortunately, much of the resistance comes from the Bureau-crapsy at the state level. Dr. Ben Bobrow, the state medical director, is trying his best to change that - but it does take time. I also agree that two large fire departments - Tucson and Phoenix - have a powerful hold on how EMS operates statewide. Many of us have argued this for years. And, we have done all we can to convince the powers to be that this is the case. I disagree with your statement, however, that there are no paramedic leaders within Arizona. Dr. Ron Salik certainly is a paramedic leader. Pete Bidon is a paramedic leader. Mark Venuti is a paramedic leader. You're a paramedic and I certainly consider you a leader - that's why I asked you to be part of our program when I was the Assistant Director of Allied Health at Cochise College. So, here's your challenge, Gene - if you agree to accept it J: Create, nurture, and expand the future leaders of Arizona's EMS community. Create a list-serv on this topic. Attend the meetings regularly in Phoenix (which you have in the past). A few of us fought for years to affect change. Some of us have left. But ALL of us collectively can help bring Arizona out of the dark ages. We just have to remember that it is our light that will remove the darkness and help others see what needs to change. Respectfully, Mike Grill, MS; NREMT-P and Arizona Certified Paramedic EMS Educator Porter, Littleton and EMS Adventist Hospital EMS Team Littleton, CO. Email edited removal of previous emails on topic. Thanks Moderator Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2010 Report Share Posted May 7, 2010 Mike, I purposely didn't include physician EMS mentors. I was talking about leaders from rank and file paramedics. I recognize that Pete is progressive, but I'm not aware of how active a player he is in state EMS affairs. I don't know Mark so can't comment. I'm way too far over the hill to become an active leader these days. We need energetic young blood. Pete may be one of those who can become a leader, but we need many more. What I can do is keep the pot boiling and make sure that folks don't forget how much needs to be done. G RE: Re: Airway Question Hi Gene, I just had to comment on a few of your statements re: Arizona and the EMS education practices. First, I agree that Az is behind most of the nation re: change. Unfortunately, much of the resistance comes from the Bureau-crapsy at the state level. Dr. Ben Bobrow, the state medical director, is trying his best to change that - but it does take time. I also agree that two large fire departments - Tucson and Phoenix - have a powerful hold on how EMS operates statewide. Many of us have argued this for years. And, we have done all we can to convince the powers to be that this is the case. I disagree with your statement, however, that there are no paramedic leaders within Arizona. Dr. Ron Salik certainly is a paramedic leader. Pete Bidon is a paramedic leader. Mark Venuti is a paramedic leader. You're a paramedic and I certainly consider you a leader - that's why I asked you to be part of our program when I was the Assistant Director of Allied Health at Cochise College. So, here's your challenge, Gene - if you agree to accept it J: Create, nurture, and expand the future leaders of Arizona's EMS community. Create a list-serv on this topic. Attend the meetings regularly in Phoenix (which you have in the past). A few of us fought for years to affect change. Some of us have left. But ALL of us collectively can help bring Arizona out of the dark ages. We just have to remember that it is our light that will remove the darkness and help others see what needs to change. Respectfully, Mike Grill, MS; NREMT-P and Arizona Certified Paramedic EMS Educator Porter, Littleton and EMS Adventist Hospital EMS Team Littleton, CO. Email edited removal of previous emails on topic. Thanks Moderator Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2010 Report Share Posted May 7, 2010 Mike, I purposely didn't include physician EMS mentors. I was talking about leaders from rank and file paramedics. I recognize that Pete is progressive, but I'm not aware of how active a player he is in state EMS affairs. I don't know Mark so can't comment. I'm way too far over the hill to become an active leader these days. We need energetic young blood. Pete may be one of those who can become a leader, but we need many more. What I can do is keep the pot boiling and make sure that folks don't forget how much needs to be done. G RE: Re: Airway Question Hi Gene, I just had to comment on a few of your statements re: Arizona and the EMS education practices. First, I agree that Az is behind most of the nation re: change. Unfortunately, much of the resistance comes from the Bureau-crapsy at the state level. Dr. Ben Bobrow, the state medical director, is trying his best to change that - but it does take time. I also agree that two large fire departments - Tucson and Phoenix - have a powerful hold on how EMS operates statewide. Many of us have argued this for years. And, we have done all we can to convince the powers to be that this is the case. I disagree with your statement, however, that there are no paramedic leaders within Arizona. Dr. Ron Salik certainly is a paramedic leader. Pete Bidon is a paramedic leader. Mark Venuti is a paramedic leader. You're a paramedic and I certainly consider you a leader - that's why I asked you to be part of our program when I was the Assistant Director of Allied Health at Cochise College. So, here's your challenge, Gene - if you agree to accept it J: Create, nurture, and expand the future leaders of Arizona's EMS community. Create a list-serv on this topic. Attend the meetings regularly in Phoenix (which you have in the past). A few of us fought for years to affect change. Some of us have left. But ALL of us collectively can help bring Arizona out of the dark ages. We just have to remember that it is our light that will remove the darkness and help others see what needs to change. Respectfully, Mike Grill, MS; NREMT-P and Arizona Certified Paramedic EMS Educator Porter, Littleton and EMS Adventist Hospital EMS Team Littleton, CO. Email edited removal of previous emails on topic. Thanks Moderator Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2010 Report Share Posted May 7, 2010 Another voice of common sense. Thanks Don. G 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 7, 2010 Report Share Posted May 7, 2010 Another voice of common sense. Thanks Don. G 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 7, 2010 Report Share Posted May 7, 2010 Another voice of common sense. Thanks Don. G 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 7, 2010 Report Share Posted May 7, 2010 Um, pass the chili, . G 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 7, 2010 Report Share Posted May 7, 2010 Um, pass the chili, . G 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 7, 2010 Report Share Posted May 7, 2010 Um, pass the chili, . G 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 7, 2010 Report Share Posted May 7, 2010 I was gonna say, it can be a quick way to a list of references to start with. It also has generally free graphics that can be lifted for PPT presentations and so forth. It's like all publications, it must be read with a critical eye. G Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 I was gonna say, it can be a quick way to a list of references to start with. It also has generally free graphics that can be lifted for PPT presentations and so forth. It's like all publications, it must be read with a critical eye. G Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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 7, 2010 Report Share Posted May 7, 2010 I was gonna say, it can be a quick way to a list of references to start with. It also has generally free graphics that can be lifted for PPT presentations and so forth. It's like all publications, it must be read with a critical eye. G Re: Re: Airway Question 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 (AT) aol (DOT) com 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 (AT) aol (DOT) LNM_ (mailto:LNMolino@_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) med_ (mailto:medic0946@_medic0946 (AT) yahoo (DOT) m 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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