Quote from heinz57
Did you read the original post?
Oxygen is not required to run a nebulizer. An MDI given correctly is also very effective. Many children's hospitals do not do nebulizer treatments even in their ER.
Emergency oxygen does not require a prescription to which I responded. It is comforting to have oxygen available. But, not all asthmatics need oxygen for their breathing treatments.
The literature over the past many years have shown the downside to just randomly giving oxygen.
I did read it, but you keep referring back to hospital settings - which a non-health camp does not resemble by any means.
At camp, I may or may not have another provider to help me cover 4,900 acres and up to 1,000 campers and staff spread out over multiple sites. I don't pass meds; when I'm not pushing paper I'm responding to actual problems, and I don't have a rig to bring half the contents of my Health Lodge with me. I have a jump bag and an oxygen bag that I throw in a pickup truck or my personal vehicle, with AEDs spread throughout the property. That's it. I'm not lugging a compressor to some random site on the property - and where would I plug it in, the nearest tree?
Also, I'm well aware of oxygen toxicity: I have my PALS card, and am the first to jump down anyone's throat who puts O2 on someone with with 100% SpO2 that wasn't exposed to carbon monoxide or cyanide. That said, I'm not lugging a separate canister of compressed medical air in my oxygen bag; it's heavy enough as it is. Just like any EMS provider, I'm hooking a nebulizer up to oxygen.
Before you get on a high horse, consider the operating constraints of the practice setting.