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.


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...