Re: RN to Paramedic Bridge Course Originally Posted by hherrn
All great points.
I have logged a bit of time as a basic EMT. I also ski patrol at a busy mountain. I have boarded and collared people out of MVC's and various wilderness conditions- including our of streams in the winters. I teach pre-hospital assesment and packaging.
The intimidating part is advanced airway management.
hherrn
Like vamedic and medic09 have said, doing advanced airway techniques over and over again is essential, both with mannikins, in the OR and in the field. The more you do it, the more practice you have under your belt when the next time occurs (and it will happen).
Keeping their sats up with a BVM is the most important and often most-overlooked skill in airway management. I used to always attempt to place an OPA, if the patient tolerated it, then chances are likely they'd tolerate a laryngoscope so I'd intubate them. I'm a little different now and usually don't intubate unless they're a) going to die without being tubed in the next few minutes or b) going to be put on a ventilator.
You can teach a monkey to intubate someone, but you can't teach a monkey to know WHEN to intubate someone. I can't recall any time wishing that I
had intubated a patient, but there are a few times when I wish that I
hadn't. Take that for what it's worth.
There are some great responses in this thread and I've enjoyed reading all of them. Thanks!
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