EMT Basic Skills - Airway Management 2

buttcole Says:

Jun 27, 2008 - does it matter if i speak another language frequently or not? no it doesnt. what im saying is ventilation a patient in a matter that is faster then the normal limit for lets say an adult which is 12-20 breaths per minute can be harmful to a patient especially TBI patients. now how can you deny that? i will try and find the article that was in a iemsa news letter i got that is titled "death by hyperventilation" and then maybe you can see my point. HYPERVENTILATION CAN KILL!

DrSkawman Says:

Jun 27, 2008 - hyperventilating a patient with TBI can kill due to it´s effect on brain blood flow (BBF), thats for sure; in other hand, hyperventilation does not increase ICP as you said erlyer.Now, we are not talking about hyperventilating for long periods, only prior to ETI (30 to 45 sec): if U hyperventilate for les than one minute you won´t put down BBF enough, and if U R carefull with the presure used, U won´t cause a pneumothorax either. Hyperventilation is a safe way to hyperoxigenate before RSETI

DrSkawman Says:

Jun 27, 2008 - RSETI = Rapid Sequence Endo Traqueal IntubationAnd i know it doesn´t matter if you are not bilingual... but also know that you shouldn´t say "i find it hard to believe that you study medicine, you cant even spell hyperventilation or frequence right". Just because i have trouble with some words in your languaje it doesn´t mean that i didn´t study medicine and a madical speciality.Greetings.

buttcole Says:

Jun 29, 2008 - i still do find it hard to believe you can go through school especially med school and mispell every other word.

buttcole Says:

Jun 29, 2008 - i dont care what you say, hyperventilation is bad in patients plain and simple you can try and persuade me but its not going to work, i know hyperventilation can affect CPP or cerebral perfusion pressure, and how generic does BBF sound, it sounds like you made that up, i agree with HYPEROXYGENATION patiens but not hyperventilating before RSI

DrSkawman Says:

Jun 29, 2008 - 1 BBF and CPP are related; when P fals so does F. Have U studied phisics?2 Hypvent doesn't increase ICP. as U said3 Me gustaría ver que escribas en español sin un solo error

DrSkawman Says:

Jun 29, 2008 - Bueno ¿qué te parece si escribimos los dos en español? A ver cuantos errores cometes tú... ;)(Well, how about if both write in spanish? Let's see how many mistakes you have... ;)

DrSkawman Says:

Jun 29, 2008 - 1.- BBF and CPP are related; when CPP fals so does BBF (BBF, aka CBF, Cerebral Blood Flow). Haven't U studied phisics? It's hard to understand that an EMT doesn't know this. ¿are U sure U passed all UR exams?2.- Hypvent doesn't increase ICP. as U said in UR first messages... Every body knows this.3.- If U want to discuss medicine, please, go to College first.

DrSkawman Says:

Jun 29, 2008 - Misspell... Misspell... I'm Mexican, I can have mistakes when using english... but U? Writing wrong when U R trying to criticize my writing?

DrSkawman Says:

Jun 29, 2008 - And I didn´t "made it up". BBF (or CBF; Cerebral Blood Flow) was described ages ago. Maybe is´s useless to discuss medicine with U.

dani5104 Says:

Jul 13, 2008 - DL and ET tube skills are listed under the NREMT-B Skills. Your state or local protocols may not allow you to practice these skills, but they ARE BASIC NREMT SKILLS! Most EMT-B text Books even dedicate a chapter or appendix to advanced airway management, but still students say, "Intubation is not in my scope of practice". You are welcome to argue with the NREMT about this.P.S. Dr.S /buttcole, If I said the air is a solid...I am sure someone will take me seriously and start youtube fights..lol

lespaulgunit111 Says:

Oct 15, 2008 - dani5104..i don't have any idea what country your national registry in is, but intubation is NOT EMT-B. Check your source. Only allowed by paramedics in all states.

soccom8341576 Says:

Oct 20, 2008 - So this is EMT only and first responders can't do this?

mountshasta2002 Says:

Oct 23, 2008 - correct.

mountshasta2002 Says:

Oct 23, 2008 - we dont have that laryngoscope thing in my class. We use a adjunct to hold the tongue out of the way.

subroc12 Says:

Oct 27, 2008 - Not an EMT-Basic skill. Only a Paramedic skill.

beloitfirefighter133 Says:

Nov 5, 2008 - subroc- i kno for a fact that in my state, it is a skill, BUT!!, my medical director does NOT allow for basics to intubate. We do learn it in class, we do it for our practical exam.

jessemedic Says:

Nov 9, 2008 - Endotracheal intubation is a paramedic skill only (in EMS). National Registry EMT textbooks talk about it for two reasons. One, so the EMT working on an ALS ambulance will be able to effectively assist the paramedic, and two, because in most states, intermediates can also intubate. So the EMT text book would be used as an introduction. But Basics can not intubate in any state legally.

jessemedic Says:

Nov 9, 2008 - EMT's can not intubate. First responders certainly can not intubate. In many states, the EMT-Intermediate can intubate. And in all state, Paramedics can intubate. EMT's are taught blind insertion airways, like combitubes, EOA's, and King LT devise. Not endotracheal intubation.

FinalFantasy9449 Says:

Nov 30, 2008 - In Ohio we can preform an intubation on dead people :D

sajjuonutube Says:

Dec 10, 2008 - u ve made it complicated

smithzach89 Says:

Dec 28, 2008 - Paul, Check your facts. Some states allow EMT-I's to intubate. Not just paramedics.

lespaulgunit111 Says:

Dec 28, 2008 - My name is not paul. A les paul is a guitar. Check your facts.And an EMT-I is not an EMT-B. Out here in California, they're trying to completely get rid of the EMT-I program because it is useless to create a next level after Basic and before Medic. But that might just be a west coast thing.The reason my comment was made was simply because the title of this vid is EMT Basic skills. Intubation is not a basic skill. True, EMT I's may be allowed to intubate, but the title is misleading.

lespaulgunit111 Says:

Dec 28, 2008 - Read RudyDMY's explanation.

tems2a3 Says:

Jan 6, 2009 - hey great tube you twit!! now you have an obstructed airway as the Pt has no teeth left!! Paramedic or not, if your going to tube...do it right