Guest guest Posted May 7, 2010 Report Share Posted May 7, 2010 Be careful using Wiki's as any source citations in any article for publication. I know of at least 3 major fire and EMS trade magazines that have an outright ban on any citation from any Wiki. They will accept any " legitimate " citation from the web if you got it from a Wiki but not the Wiki itself. 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 5/7/2010 8:46:39 A.M. Central Daylight Time, krin135@... writes: 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@_medic09 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] [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] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2010 Report Share Posted May 7, 2010 which was why I phrased my reply the way I did. That being said, I have found wiki to be generally at least as accurate as many other sources, at least partially because folks like me tend to follow links for the cross references and correct bad information. 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@_medic09 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 which was why I phrased my reply the way I did. That being said, I have found wiki to be generally at least as accurate as many other sources, at least partially because folks like me tend to follow links for the cross references and correct bad information. 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@_medic09 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 which was why I phrased my reply the way I did. That being said, I have found wiki to be generally at least as accurate as many other sources, at least partially because folks like me tend to follow links for the cross references and correct bad information. 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@_medic09 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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