Sunday, December 27, 2009

Pre- Hospital Airways and Oxygen Made Simple

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.

3 comments:

Paramedic Program said...

Nice Post! Thanks for share your experience.

Jeanette K. said...

Are you ever coming back to blogland? You are missed!

EMT-Jay said...

The scariest part is sitting in class with them, and watching them pass (somehow), knowing full well it's gonna end miserably...