WiFi_Cowgirl
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Anyone every have to use one of these? I've accidentally broken someones false teeth, because I couldn't pry their jaw open to insert an OPA.
Oral Screw
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BLSBoy
makes good girls go bad
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This thread's title is completely misleading.
Sasha
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I know! I was like WOW!!! Paging FFEMT! Paging FFEMT!
EMTinNEPA
Guess who's back...
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Good to see I'm not alone lmao
Sasha
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Anyone every have to use one of these? I've accidentally broken someones false teeth, because I couldn't pry their jaw open to insert an OPA.
Why, if you couldn't get their jaw open, did you not go for the NPA?
Isn't that a sign of rigor, anyway?
Sometimes, but its also a common sign of hypoxia.
Haven't seen one of those on a truck...just in the back of the supply room.
NP is the way to go, or a nasal intubation if you have a medic handy.
Absolutely, there's no way I couldn't click on it
BLSBoy
makes good girls go bad
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Not always. Seizure pts will clench, and I have seen Etomidate do it when we had to MFI a guy.
Yeah, seizures too...forgot about that.
I can go with an NP but for nasal intubation you still have to get your hand in their mouth.
At any rate I concur with the masses about the title and no we don't carry them.
reaper
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Why do you need your hands in their mouth?
WiFi_Cowgirl
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It was a seizure when we arrived, upon it ceasing, it became a cardiopulmonary arrest. Likely, a clot, lack of blood to the brain triggered the seizure and respiratory arrest; and finally cardiac arrest. He died.. After I had the OPA in for a few minutes, we were able to get his dentures out and he was intubated.
Misleading title, not really.. Because the product is called the Jaw Screw and you can find it by Googling. The title.
Misleading title, not really.. Because the product is called the Jaw Screw and you can find it by Googling. The title.
Guide the tube from where it comes out of the nasal passage into the trachea. Unless there's some special trick to make it magically fall in the proper hole that they didn't teach us in school.
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Yep...got me to look in a big hurry...
reaper
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Nasal tubes will have a wire attached that lifts the end of the tube, when pulled. You throw a BAM on it and guide with the inspiration.
I have done hundreds and never had to guide through the mouth.
I have done hundreds and never had to guide through the mouth.
JPINFV
Gadfly
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I just did a google image search for "oral screw" and did not leave disappointed.
I don't think we carry different tubes for nasal intubation. I'm not positive but I'd assume we are allowed to do it. In class we always used a standard ETT for nasal.
Edit: reaper do you have a pic handy of those nasal tubes? Never seen one but would like to see if I can wrap my head around what they are a little more.
Edit: reaper do you have a pic handy of those nasal tubes? Never seen one but would like to see if I can wrap my head around what they are a little more.
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reaper
Working Bum
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These are the tubes we use, http://www.nellcor.com/prod/Product.aspx?S1=AIR&S2=&id=133
I have used ETI tubes without a problem.
The Endotrol is expensive at about $11.50/tube vs $2.00 per regular ETT.
Quote from OP
If the patient aspirates the teeth, that may hamper the resuscitative efforts a little also. If the pt lives, the retrieval of the broken teeth may lead to more complications and possibly death.
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medic417
The Truth Provider
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I think if I searched that at work would get fired.
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