Nonrebreather with an Oral Airway?

arsenicbassist said:
I've seen guys load a pt with Narcan and it's NOT a good sight. If you use it blind, go low....around 0.4mg....and
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I can top that. I've heard first person accounts of medics pushing the max amount of narcan just prior to entering the hospital to 'punish' the patient and 'get back' at specific RNs. Yea. My view of this person changed greatly after hearing that story.
 
There's basically a reason why said person was working essentially as a basic at a pure IFT company (extermely small company) and has sense essentially left EMS completely.
 
JPINFV said:
I can top that. I've heard first person accounts of medics pushing the max amount of narcan just prior to entering the hospital to 'punish' the patient and 'get back' at specific RNs. Yea. My view of this person changed greatly after hearing that story.
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That's just wrong...
 
arsenicbassist said:
So was there a magical adjunct, or just skipping a step? If you're using an NRB, you should at least use some time of adjunct.
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So... are you advocating using some sort of airway adjunct when providing high-flow O2 even with a conscious, alert patient that has a patent airway and is able to maintain their airway?
 
Lifeguards For Life said:
no you shouldnt. loads of situations where high flow 02 could be indicated and an airway adjunct contraindicated
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If not contraindicated... certainly inappropriate...
 
Lifeguards For Life said:
ughh im confused now
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It's not that difficult...
Lifeguards For Life said:
no you shouldnt. loads of situations where high flow 02 could be indicated and an airway adjunct contraindicated
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Just look below... that's an excellent example when using an airway adjunct is inappropriate...
Akulahawk said:
So... are you advocating using some sort of airway adjunct when providing high-flow O2 even with a conscious, alert patient that has a patent airway and is able to maintain their airway?
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Akulahawk said:
It's not that difficult...

Just look below... that's an excellent example when using an airway adjunct is inappropriate...
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right so my post was not wrong. in your scenario o2 may of been indicated, while an airway would of not been indicated
 
Lifeguards For Life said:
right so my post was not wrong. in your scenario o2 may of been indicated, while an airway would of not been indicated
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Exactly. It's not that the O2 isn't indicated, it's the use of an airway adjunct that would be inappropriate... Now use of high flow O2 may, for certain patients, be contraindicated for longer term care... It's for those patients that when we do provide higher O2 concentrations, that we must be vigilant about being ready to assist the patient's breathing... but chances are that we might not see their O2 respiratory drive shut down completely...
 
Akulahawk said:
Exactly. It's not that the O2 isn't indicated, it's the use of an airway adjunct that would be inappropriate... Now use of high flow O2 may, for certain patients, be contraindicated for longer term care... It's for those patients that when we do provide higher O2 concentrations, that we must be vigilant about being ready to assist the patient's breathing... but chances are that we might not see their O2 respiratory drive shut down completely...
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haha understood. miscommunication earlier on my part, by "If not contraindicated... certainly inappropriate...". thought you were saying my post was innapropriate.
Too much studying not enough sleep... i apologize
 
my apologies, I thought we were talking about an unconcious patient...very hard to keep up with the postings at times.
 
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