Anyone Nasally intubate anymore?

I just started working in a rural system that includes NT intubation in the protocol. Having worked in a system that did not include it, I have learned that there is very rarely a need to use it. I could see when it may be useful in cases where positioning is a factor during extrication or when a patient has a clenched jaw...
 
Just found out my new service has ETI and NTI in protocol for EMT-Is and EMT-Ps. RSI in scope for EMT-Ps
 
THis system doesn't have a choice. Counting me as the newbie ALS provider, we have a total of 4 FT ALS
 
jtpaintball70 said:
THis system doesn't have a choice. Counting me as the newbie ALS provider, we have a total of 4 FT ALS
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Understood. I dont know what youre resources, ETAs, etc are, but I think its extremely beneficial to have EMTs that are allowed to perform a few advanced procedures in any smaller or rural system.
 
TacoMEDIC said:
Understood. I dont know what youre resources, ETAs, etc are, but I think its extremely beneficial to have EMTs that are allowed to perform a few advanced procedures in any smaller or rural system.
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3000 sq mile county :) 1 lvl 4 trauma in the county, nearest large hospital is a lvl 2 at least 75 miles away. Nearest lvl 1s are 200 miles or so. It's my idea of heaven :D
 
jtpaintball70 said:
3000 sq mile county :) 1 lvl 4 trauma in the county, nearest large hospital is a lvl 2 at least 75 miles away. Nearest lvl 1s are 200 miles or so. It's my idea of heaven :D
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Nice! Mine is 7000 sq. mile area with a small local ER that might as well be a clinic. We have a Level 1 Trauma, STEMI, etc 100 miles away in Las Vegas. Nearest additional ALS resource is 65 miles out.
 
I do some nasal intubations, but only in the op-room/hospital. I didn't like it need many experience and is difficult too
In my opinion it is not an prehospital skill for untrained medics...
Matt
 
swissmedic said:
I do some nasal intubations, but only in the op-room/hospital. I didn't like it need many experience and is difficult too
In my opinion it is not an prehospital skill for untrained medics...
Matt
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what is your definition of untrained? or did you mean, uneducated?
 
Yes, NTI is not a difficult airway. If you are trained and educated, it is an excellent pre-hospital airway.

The hesitation and uneasiness comes from lack of experience with them. Once you have done quit a few, you will see that it is an excellent alternative airway.
 
8jimi8 said:
what is your definition of untrained? or did you mean, uneducated?
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Hello
I am still working between the 911calls in our anesthetixs dept. We have not many real ALS calls in our aera. So I am untrained in outside hospital NTI :wacko:
So once a week there are dental operations and you do NTI, but i didn't like nasal intubation.
In my opinion you must train often you can ETI/NTI in OP and not only at the simulator. ETI is high risk skill, so train it in real situations...
Matt
 
My system does not have RSI, but we do have NTI as an option. Seems a little nerve-wracking, as I have yet to attempt one (or need to).
 
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