18G
Paramedic
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Based on what?
Based on the research I have done and studies on post-intubation sedation. The majority advocate strongly for analgesia and seem to recommend fentanyl as the initial drug of choice given it's good hemodynamic profile. That's not to say nothing else is superior or can work just as well. I'm definitely not saying that at all.
I posed the question about how to best manage post-intubation in an IFT environment with the drugs and scope of practice we have as Paramedics. I admit I am still new at managing these patient types which is why I am desiring the knowledge from you guys. Everything I read on the subject says very strongly analgesia is not really an option and needs to be provided, yet ED practice around here foregoes the analgesia so I am confused as to why that would be. I'm gonna have to ask next case I get.
And not much talk on use of a paralytic agent. What are common practices in the IFT world when deciding to use paralytics for intubated patients?
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