How do you intubate someone?

Is this book (Emergency Care and Transport of the Sick and Injured) an alternative or competitor to the Emergency Care by Limmer, O'Keefe, et. al, published by Brady Books/Prentice Hall, or is this book a step past that book--higher-level/more in-depth than Emergency Care?

I ask because I was going to buy a new copy of Emergency Care because my original was lost, and I want it (now more than ever) to refer to when I realize I don't know something as well as I should. But if this other book, Emergency Care of the Sick and Injured, is an alternative to it, then I'll just get that instead, and get basically another take on the same thing. But if it's a higher level book, then I still may need to buy both.
 
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This book is by Jones and Bartlett, and I personally think it is more thorough than Brady. However, others might differ in opinion.

In TN, as I have said before--we do not have EMT-B. We have EMT-IV; our providers can do more techniques including initiating IV therapy and using certain meds and fluids. The typical EMT-IV class here in TN uses:

Emergency Care & Transport of the Sick and Injured
(http://emszone.com/catalog/0763744050/)

Companion Site: http://emtb.com
------------------------------------------------------------
IV Therapy for the Prehospital Provider
(http://www.jbpub.com/catalog/0763715794/)

Companion Site: http://ivprehospital.com
------------------------------------------------------------
Also, for the EMT-B looking to learn more about assisting in ACLS and other
ALS level interventions:

ACLS for EMT-BASICS
(http://www.jbpub.com/catalog/9780763743956/)

Companion Site: http://acls.emszone.com/

Note: I have not reviewed this book
 
I think you will really enjoy this job. It would be nice if they provided a job outline with a detailed checkoff sheet. Our drivers for the NICU/PICU specialty teams know exactly from a written job description and a detailed list of expected responsibilities what they can do. The list and job description are made carefully within the quidelines of the state scope of practice for the EMT-B. There are some things that are allowed to be expanded and some things that they must be careful not to cross the line of what only certain licensed persons can do. Our specialty teams must keep accurate records of training/competencies on each team member in accordance to their job description for the various inspections hospitals based teams must endure. The same goes for the CCT RNs in the adult world.

It doesn't really matter for us how much experience the EMT-B has because a NICU/PICU specialty team operates with a very different set of protocols and with very specialized equipment. Safe transport is key and they rarely if ever run L/S. We do want them to meet the minimum safe driving requirements to satisfy the insurance company. The interview will give us a clue if you are motivated to learn the other responsibilities. The specialty teams don't have paramedics and if they are hired as a driver, they function with the same job description as the EMT-B/EVO.

The EMT-B can assemble all equipment such as the isolette, intubation equipment, ventilator and arrange the IV pumps. But, they can not touch any meds or do the actual settings on the ventilator or IVs pumps. They are trained on how the pumps and ventilator function for cleaning. They also can run through the tightness check sequence on the ventilator as part of their job description requires when it is not on a patient. They are then trained to anticipate every move the team makes. Since these teams are very experienced and have been established for well over 3 decades, they will train their EMT-B driver to the responsibilities of the check off sheet in a few days of orientation both inhouse and with another driver.

As for you, JJR512, learning more about different processes, procedures and whatever else, that is excellent as long as it doesn't interfere with the flow of the team work or you try to change their ways. You will find from observing and learning from each team member that they all may have been taught something slightly different in the way to do things especially if the paramedics are working in a 911 service also. You may notice the biggest difference between the Paramedics and RNs in the infection control practices since the RNs are hospital trained. Those issues have been stressed to us in our specialty team training since the beginning of time and have been revamped to a new level again in recent times.

One of the reasons the EVO position is so appealing to some EMTs is the hospital will work with their scheduling for college classes. We don't expect our drivers to make it a career of just driving for us and prefer those who have some motivation for education to continue on to some other position within the hospital. You have the opportunity to be exposed to many occupations and not just nursing or paramedic which seems to be tunnel visioned as the "next" career move for the EMT-B. Many of our "drivers" have gone on to be RNs, RRTs, PAs, Surgical Assistants, HBO technicians, MBAs or CPAs in the offices, and MDs.

Check the bulletin boards at the teaching hospital and slide into any lecture that catches your eye. Even if you don't understand all of it, it will give you an opportunity to see have much there is to the world of medicine and the people involved. That is truly the greatest advantage of working for a large teaching facility. I'm sure they also have an excellent medical library on the campus. Usually the computers in the teaching hospitals are linked to the library. I considered our medical library my temple during college and went there to worship the knowledge frequently. I now utilize its resources by the internet but still feel more inspired when I am actually in the library building.
 
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Check out S.L.A.M Street Level Airway Management. Not as cheesy as it sounds, an entire book (and course) dedicated to airway management.

Egg
 
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Im only paramedic student, so please don't take my words to close to heart. I would say based on my expierience, talk to a medic your close to, or friends with. Your gonna get the best instruction from someone you have already connected to on a personal level. Just keep you mind open and always be willing to learn, thats the way I always am, and so far its worked to my advantage.

...and by the way, props on working the CCT truck, I always thought that was a pretty damn cool gig, good lookin out.
 
How do you intubate someone

Are your EMT-B protocols along the same lines as our BAA's (Basic Amulance Attendants)protocols?? If so, then, our BAAs, are not allowed to intubate patients for various reasons. Although, as per your post, it is extrmely helpfull to have a pair of well trained hands around during intubation and thereafter.

With intubation comes a whole lot more then just pasing a plastic tube between the vocal cords. These include troubleshooting (DOPES), alternatve airway procedures should you fail when you have already commited and pharmacology amongst others.Remeber, anyone can be touhgt how to intubate, as it is a pshyco-motor skill, but not everyone knows when to intubate...
 
lots of great advice, the most i've learned about airway believe it or not has come from CRNA's, not class, but as being the "extra set of hands" talk with the medic, have him take you through your intubation/airway kit, if you do RSI or PAI chances are he/she'll have to draw up the meds necessary, but still doesn't hurt to ask them about it. kinda the big thing is to see how they like to do it, cuz the one big thing i've learned so far through school is everyone has their own way of doing things, so talk to them about it.
 
Not much to add from the other excellant ideas except to be sure the basics are covered such as having a working suction with Yankuer suction tip, BVM is attached to oxygen, tube holder, etc.. Little things like that sure helps.

R/r 911

I agree completely, also like everyone else said, sit down with the medic(s) you ride with all the time and ask them what their procedure is and remember it.
 
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