Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 I've seen projection lamps in odd places, and I also recall seeing a film with an NG tube coiled in the base of the brain back 'when I was a student' sometime in the 1970s... despite 35 plus years in the business, I don't recall seeing one in real life...or death... That being said, remember the old saying: " If you haven't yet seen a particular documented bad result from a given procedure, then you just have not done enough of those procedures! " ck In a message dated 02/07/11 21:53:10 Central Standard Time, Grayson902@... writes: I've seen an x-ray from years back of a nasogastric tube coiled inside someone's cranial vault, but darned if I can find it online. I respectfully submit that the story is pretty much EMS urban legend, and that if the patient's cribriform plate were fractured to the degree that it would allow the passage of a nasopharyngeal airway or ETT, there will be ample clinical evidence that the procedure is too risky to attempt. Like a mouth full of brains, for example. > > I am working on an airway lecture, and one of the topics is > nasopharyngeal airways. Has anyone seen an xray or image that shows > the NPA going through the skull? This is something everyone seems to > warn of, but I've never actually seen an image of it. Has anyone on > this list? > Thanks in advance for your help > > -- > Kimberley Decker, BS LP > Fightin' Texas Aggie Class of 2004 > > The comments contained in this E-mail are the opinions of the author > and the author alone. I in no way ever intend to speak for any person > or organization that I am in any way whatsoever involved or associated > with unless I specifically state that I am doing so. Further this > E-mail is intended only for its stated recipient and may contain > private and or confidential materials. Retransmission is strictly > prohibited unless placed in the public domain by the original author. > > -- Grayson, CCEMT-P www.kellygrayson.com [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 I have heard of NG tubes entering the skull via fractures but not NPA's. I have never seen a confirmed image of an NG in the brain, possibly because it's urban legend. Rick Sent via Blackberry From: Kimberley Decker Sent: Monday, February 07, 2011 05:48 PM To: texasems-l texasems-l > Subject: Has anyone seen this? I am working on an airway lecture, and one of the topics is nasopharyngeal airways. Has anyone seen an xray or image that shows the NPA going through the skull? This is something everyone seems to warn of, but I've never actually seen an image of it. Has anyone on this list? Thanks in advance for your help -- Kimberley Decker, BS LP Fightin' Texas Aggie Class of 2004 The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials. Retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 This was a topic that piqued my interest as I remember vividly in EMT-P school the " warnings " of inadvertantly inducing an NG in the cranial cavity. I did a little research after the previous post and came across this article: http://www.japi.org/april2004/CR-322.pdf And here is a CT image: Just thought it was interesting. Good luck w/ your research! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 I've seen an x-ray from years back of a nasogastric tube coiled inside someone's cranial vault, but darned if I can find it online. I respectfully submit that the story is pretty much EMS urban legend, and that if the patient's cribriform plate were fractured to the degree that it would allow the passage of a nasopharyngeal airway or ETT, there will be ample clinical evidence that the procedure is too risky to attempt. Like a mouth full of brains, for example. > > I am working on an airway lecture, and one of the topics is > nasopharyngeal airways. Has anyone seen an xray or image that shows > the NPA going through the skull? This is something everyone seems to > warn of, but I've never actually seen an image of it. Has anyone on > this list? > Thanks in advance for your help > > -- > Kimberley Decker, BS LP > Fightin' Texas Aggie Class of 2004 > > The comments contained in this E-mail are the opinions of the author > and the author alone. I in no way ever intend to speak for any person > or organization that I am in any way whatsoever involved or associated > with unless I specifically state that I am doing so. Further this > E-mail is intended only for its stated recipient and may contain > private and or confidential materials. Retransmission is strictly > prohibited unless placed in the public domain by the original author. > > -- Grayson, CCEMT-P www.kellygrayson.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 I've seen an x-ray from years back of a nasogastric tube coiled inside someone's cranial vault, but darned if I can find it online. I respectfully submit that the story is pretty much EMS urban legend, and that if the patient's cribriform plate were fractured to the degree that it would allow the passage of a nasopharyngeal airway or ETT, there will be ample clinical evidence that the procedure is too risky to attempt. Like a mouth full of brains, for example. > > I am working on an airway lecture, and one of the topics is > nasopharyngeal airways. Has anyone seen an xray or image that shows > the NPA going through the skull? This is something everyone seems to > warn of, but I've never actually seen an image of it. Has anyone on > this list? > Thanks in advance for your help > > -- > Kimberley Decker, BS LP > Fightin' Texas Aggie Class of 2004 > > The comments contained in this E-mail are the opinions of the author > and the author alone. I in no way ever intend to speak for any person > or organization that I am in any way whatsoever involved or associated > with unless I specifically state that I am doing so. Further this > E-mail is intended only for its stated recipient and may contain > private and or confidential materials. Retransmission is strictly > prohibited unless placed in the public domain by the original author. > > -- Grayson, CCEMT-P www.kellygrayson.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 Maybe I'm dense or dumb (queue sound of doors opening at both ends of the Bay). But while I know stranger stuff has happened a mouth full of brain is very much an indicator of an injury incompatible with life or at least a decent life. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Training Program Manager Fire & Safety Specialists, Inc. Typed by my fingers on my iPhone. Please excuse any typos. (Cell) (Office) (Office Fax) LNMolino@... Lou@... > I've seen an x-ray from years back of a nasogastric tube coiled inside > someone's cranial vault, but darned if I can find it online. > > I respectfully submit that the story is pretty much EMS urban legend, > and that if the patient's cribriform plate were fractured to the degree > that it would allow the passage of a nasopharyngeal airway or ETT, there > will be ample clinical evidence that the procedure is too risky to attempt. > > Like a mouth full of brains, for example. > > >> >> I am working on an airway lecture, and one of the topics is >> nasopharyngeal airways. Has anyone seen an xray or image that shows >> the NPA going through the skull? This is something everyone seems to >> warn of, but I've never actually seen an image of it. Has anyone on >> this list? >> Thanks in advance for your help >> >> -- >> Kimberley Decker, BS LP >> Fightin' Texas Aggie Class of 2004 >> >> The comments contained in this E-mail are the opinions of the author >> and the author alone. I in no way ever intend to speak for any person >> or organization that I am in any way whatsoever involved or associated >> with unless I specifically state that I am doing so. Further this >> E-mail is intended only for its stated recipient and may contain >> private and or confidential materials. Retransmission is strictly >> prohibited unless placed in the public domain by the original author. >> >> > > > -- > Grayson, CCEMT-P www.kellygrayson.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2011 Report Share Posted February 7, 2011 Maybe I'm dense or dumb (queue sound of doors opening at both ends of the Bay). But while I know stranger stuff has happened a mouth full of brain is very much an indicator of an injury incompatible with life or at least a decent life. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Training Program Manager Fire & Safety Specialists, Inc. Typed by my fingers on my iPhone. Please excuse any typos. (Cell) (Office) (Office Fax) LNMolino@... Lou@... > I've seen an x-ray from years back of a nasogastric tube coiled inside > someone's cranial vault, but darned if I can find it online. > > I respectfully submit that the story is pretty much EMS urban legend, > and that if the patient's cribriform plate were fractured to the degree > that it would allow the passage of a nasopharyngeal airway or ETT, there > will be ample clinical evidence that the procedure is too risky to attempt. > > Like a mouth full of brains, for example. > > >> >> I am working on an airway lecture, and one of the topics is >> nasopharyngeal airways. Has anyone seen an xray or image that shows >> the NPA going through the skull? This is something everyone seems to >> warn of, but I've never actually seen an image of it. Has anyone on >> this list? >> Thanks in advance for your help >> >> -- >> Kimberley Decker, BS LP >> Fightin' Texas Aggie Class of 2004 >> >> The comments contained in this E-mail are the opinions of the author >> and the author alone. I in no way ever intend to speak for any person >> or organization that I am in any way whatsoever involved or associated >> with unless I specifically state that I am doing so. Further this >> E-mail is intended only for its stated recipient and may contain >> private and or confidential materials. Retransmission is strictly >> prohibited unless placed in the public domain by the original author. >> >> > > > -- > Grayson, CCEMT-P www.kellygrayson.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 2011 Report Share Posted February 8, 2011 Not a NPA but a NG yes. Like everyone else many years ago. Jon Puryear Typed by my thumbs on my iPhone so please forgive the typos. Quote Link to comment Share on other sites More sharing options...
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