Melclin
Forum Deputy Chief
- 1,796
- 4
- 0
If I could just offer some advice BEMS, it seems like there is a lot of confusion and argument being caused by an apparent lack of clarity in some of your posts. I assume you are not actually stupid enough to think any of the several odd things you have posted eg that any paralytic is a "non-polarising agent", "half life of etomidate is night" etc. So if I may, I'd suggest that you take just a fraction more time to proof read your posts and add a bit more context and detail (just a little) to more clearly state your argument and avoid unnecessary misunderstandings. Everybody makes a few mistakes here and there but mate, most of your posts are utterly confusing and its a little hard to tell whether or not they are typos or if you actually think some of the things you are saying.
Also, you've been asked several questions that you've completely failed to address or answered in a way whereby you state the obvious and fail to really address the point of the question ("etomiate is a short acting anaesthetic"..well yeah, but it doesn't really address the issue of analgesia or adrenal suppression or any of the other issues being discussed). I'm really not having a go at you mate but in the interests of avoiding a thread that descends into argument based on misunderstandings and typos, there isn't much point in continuing with the discussion until you clear up a few of the details and give a little more context to some of your replies.
Sepsis: Its not that rare for septic patients to have a respiratory status or conscious state that leads to their being intubated. I wouldn't have thought the idea was that foreign. My point though was along the lines of the adrenal suppression issue addressed by halothane and aidey.
Gotcha. Cheers mate![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
The first time I heard about vortex, I thought, "What a silly idea. Really if this is news to you, then maybe you shouldn't be intubating". But the more I think about it, the more I think its a brilliant conceptual tool to capture and frame an idea that, like most good ideas, seems obvious once thought of.
Also, you've been asked several questions that you've completely failed to address or answered in a way whereby you state the obvious and fail to really address the point of the question ("etomiate is a short acting anaesthetic"..well yeah, but it doesn't really address the issue of analgesia or adrenal suppression or any of the other issues being discussed). I'm really not having a go at you mate but in the interests of avoiding a thread that descends into argument based on misunderstandings and typos, there isn't much point in continuing with the discussion until you clear up a few of the details and give a little more context to some of your replies.
Sepsis: Its not that rare for septic patients to have a respiratory status or conscious state that leads to their being intubated. I wouldn't have thought the idea was that foreign. My point though was along the lines of the adrenal suppression issue addressed by halothane and aidey.
Etomidate is fine in sepsis if its all you have.
Probably not the best choice if you have options, but the cortisol suppression from a single dose is transient and has never been shown to negatively affect outcomes.
Gotcha. Cheers mate
The first time I heard about vortex, I thought, "What a silly idea. Really if this is news to you, then maybe you shouldn't be intubating". But the more I think about it, the more I think its a brilliant conceptual tool to capture and frame an idea that, like most good ideas, seems obvious once thought of.