You know, the City has hired a lot of new and by new I mean NEW Paramedics recently, and I’ve been seeing some really glaring gaps in their knowledge base.
Used to be only a select few candidates made the cut. Now, if you have a paramedic patch and proof of City residency you are half way home. Put those folks out on an ALS ambulance with another inexperienced Medic and the crazy good times roll.
I don’t want to get into the Medic who desperately wanted to give his bradycardic inferior wall MI patient Atropine, the numerous knuckleheads who give walking/ talking dopers Narcan, the idiots who treat, then assess, or the crew that does absolutely nuttin’- except scream and hop- in order to expedite transport.
No- let’s back way up and talk about pre-hospital airways and oxygen administration.
Very simply folks- if there is a mechanical impediment to your patients respiratory function, throwing oxygen at the problem will not help.
So, that guy with the half pound of Christmas candy stuck in his trach- the non rebreather won’t help. Oh, I know he’s purple- everyone was hoping you’d maybe do something about that…and the lady who can’t (and proves it) breathe laying flat? Yeah, a cannula at 2 liters will not change things at all.
Nope. Fix the problem- this is EMT class stuff. We shouldn’t have to give this little lecture to Paramedics.
But we do. We do.