just curious what you guys and gals that RSI use in the field. I carry mivacron, etomidate & pancuronium and ativan/morphine for additional sedation if needed. I have access to Rocuronium, but I don't carry that on my body, I gotta go into the drug cabinet on the rig, so it's easier to use the first 2 drugs listed.
RSI
- Thread starter medic03
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PArescueEMT
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when I worked on a CCT unit, we used Vec, and Versed. worked like a charm. Especially on the burn vics
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you carry your narcs and other pharm. on your person?
Jon
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you carry your narcs and other pharm. on your person?
Jon [/b][/quote]
My county keeps all drugs in a drug box locked in the rig, but I heard of some that have medics keep the drugs in pouches they carry. I don't see that happening, but I guess "to each their own".
you carry your narcs and other pharm. on your person?
Jon [/b][/quote]
yep, all narcs go in my shirt pocket (the pack is the size of an altoid case) and I have an RSI kit in my BDU pants. THe narcs are signed out to us in the beginning of the shift and we sign them back in at the end. I would never put them in my truck or my tech bag because we are always jumping from one truck to another or switching off equipment from the 3 helicopters, so I prefer to keep my stuff on me. It's my *** on the line if I lose them, so I like to know they re always on me. The RSI kits are not accounted for, so those we toss around. as long as there is one with the airway bag, that's fine.
Firechic
Forum Lieutenant
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Vecuronium & Versed & Ativan - love them!!
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Some depts started having the medics carry the drugs on them cause their rigs were getting broken into while they were out attending to a patient or grabbing a bite to eat.
rescuecpt
Community Leader Emeritus
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We don't carry regular drugs with us, but once we open the safe with the narcs, they're in a fanny pack that we have to wear until we do our inventory update and re-lock the remaining inventory in the safe.
rescuecpt
Community Leader Emeritus
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Originally posted by medic03@Feb 3 2005, 01:53 AM
nobody asked you Erika, so sit down and be quiet
You're still mad that when I hit you in high school you started crying in the middle of the Commons and everyone saw you cry like a little girly man.
Margaritaville
Forum Lieutenant
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We are taking a serious look at RSI. Does everyone like it? Has it proven to be a useful enough tool to justify the training and costs?
PArescueEMT
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don't forget that we can gang up on her...
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i've done a little research, and sevral local areomedical services have both medic and nurse carry the narcs on their person, usually a fanny-pack arrangement. sevral medics carry versed and sux, too...just prefrence...
Jon
Merck
Forum Lieutenant
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You guys are making me jealous. RSI has been a long standing argument for us. To date, we haven't been licensed to use it it in the field (save for the airevac qualified folks). Sadly, we usually just overdose people on midaz and possibly morphine if we need to knock them down. Interestingly enough, while this seems a little basic, I haven't found a lot of good research on the efficacy of prehospital RSI and what I have found doesn't seem to really support it. Do you guys have specific scenarios or protocols, or does it just fall to sound judgement and experience.
Phew. That's a lot of typing......where's me beer, eh?
Merck
Phew. That's a lot of typing......where's me beer, eh?
Merck
Ridryder911
EMS Guru
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Currently writing new policy for ground truck. A a flight nurse/paramedic, we carry Entomidate,Fentyl, Pavulon, Suchs., Fentyl, Diprivan & the old usual Ativan (w/nasal atomizer if needed, M.S.) etc
Be safe,
Ridryder 911
Be safe,
Ridryder 911
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How does that work for you folks - I've seen the ads in JEMS, but never seen it in person.
Jon
Ridryder911
EMS Guru
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had a seizing patient w/head bleed, clamped down , ... you know the type. sprayed & in about < 10 seconds seizure stopped. Love it ! researh shows, just as fast as IV route. I really recommend it.
Be safe,
]
Ridryder 911
Be safe,
]
Ridryder 911