Re: NG in little ones
[quote=NREMT-P/RN;2529836]Congrats! on the first mission.
Are you rotor or fixed and what kind of transport times do you guys have? Flying a month old (hopefully, term) with a (presumed) intestinal (?) obstruction can make air transport an interesting transport choice. Any airway considerations? The little ones can be pretty sick, so...
****I'm rotor. I am base up North of Alberta. We do get strange call cause something we are the only ALS crew availabl;e or ground is way to long. We did a transport last month I think of 7.5 hours!!! These big debate right now in the area that we deserve about who should transport who. W e use to have an peditric transport team in the south but the are no longer.
If I had a controlled airway (or needed to) I'd place an OG - but, the transport fairies rarely bless us (and these blessed patients) with easy choices.
No real secret for NG placement in wee ones - lots of risks in these populations though.
** that's what I thought!!
Lots of help, small flexible NG tube, analgesia/lubricant and a confirmation x-ray when placed as a standard for NG (you can check pH - but, why are we transporting and other considerations may demand the confirmation x-ray).
**** thanks for all the info!!!
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