And I never said it was an accident that I said it.
You're doing a lot of assuming and griping over what was meant has a funny post. You know, being in "EMS humor" and all.
I'm not looking for advice from the wise sages. But enjoy your pedistal and your forum burnout, which is apparently a thing.
The reason I added my comment about rapport was to avoid the "well I'm great I know when I can get away with things. You have to gauge each patient. Blah blah blah"
Never expected it to turn into a "young providers can't do this, but old ones can". Good job.
Keep on judging.
Yes, my comment was obviously geared toward on-scene.
And the point I was making remains, this product would not replace the SGA in that scenario either.
I never said it was bad. But i can't see it as replacement to any existing device, even standard laryngoscopes, in the near future.
In my area, it all depends. SO is I can pronounce on scene after CPR if refractory asystole after 20 min, but I also need the family to be ok with that. If they want us to transport, we do.
Any other rhythm, have to call the doc, give the story. Depending on the age and hx, we may transport...
THAT i can agree with. And you may be right. My initial point remains though, while it may be cheaper than the SGA, that will still exist. It MAY be used less and therefore save money, but that's not a guarantee that will convince many companies.
35 y/o m diabetic, bgl 30. After we get him up, doing the usual "what'd you eat, how much insulin". He says "yeah I ate, I ate a lot like the fatass I am". Guy had a bit of a gut, but definitely not "fat" (not for 'murrica at least). Especially with the large patients we get... I say something...
I can not speak for what is done in hospital. My limited knowledge from clinicals was "they decide based on sedation and aftercare requirements."
When an Paramedic inserts an SGA, it is because they are unable to intubate. Some protocols call for using it right away, with no tube attempt. But...
If they can crawl they're already in Prone Position!! Mount a rifle and have at it!
In all seriousness, I agree completely with @Akulahawk.
Not only in method, but philosophy. As we know, everybody is different. Including rate of maturation.
My differential would include what E tank said, as well as (less likely because of recovery) ca return and has metastasized. Tumors are always on my list for new seizures in the elderly. Always thought they would just be tonic/clonic until a convo with a nero doc. Said it's more rare but can be...
This device is certainly NOT a replacement for an SGA. You NEED a back-up airway device. Especially in the instance of RSI.
This is not a guaranteed airway device. As superior as ETI, sometimes you can't do it. There's no such thing as "eliminating the need" for another airway device.