Perhaps prevent the paramedic from not doing the same thing that they normally would.Even if we feel like the info helps us formulate a more accurate diagnosis, what value does it really bring, if we are just going to do the same thing for the patient with or without the information?
Waiver: I have not used the in-line NC prongs in well over a year, and IIRC, Jarvis mentioned in a podcast he’d done with Tyler Christifulli how they can actually be an ineffective HFNC option.
In perhaps a more progressively perfect world (cue sappy music) it would entice the EM doc to trust the field folks’ “educated guesses” more than is the standard or norm now. Clearly, this still needs to be earned.
Will things still need to be redone, revisited, and reassessed? Absolutely, but I don’t know that I’m ready to write the device off completely quite yet.
Sure, I may not be giving Insulin to a DKA patient with an unconfirmed BGL through the roof, and an ETCO2 in the teens, or a suspected polypharm OD with an ETCO2 the same.
Is it more of a nice-to-know? At this point absolutely. Do I think it will fall by the wayside? Perhaps. Will it have any major effects on ones treatment or diagnosis? Nope, probably not.
I think the bigger problem is the tool at hand (like many, or most) falling into the average undereducated providers hands, and being frivolously employed.
Knowing that I can implement said tool, and explain why or where it helped my idex of suspicion, and treatments rendered—or not—still carries value in my opinion. I speak in general, on the whole, for the field paramedic d’jour who knows enough to know better.