Californian, Lost in Texas
I am happy for 3/6/15, but dread today.
We have the same nasal ETI protocol up here, no paralytics.We don't have paralytics. It's first line for intubation when you don't have oral access (trismus,etc). It can also be done in people with intact gag reflexes. It can be done in patients with a CHF exacterbation while sitting, since they won't tolerate laying flat. obviously contraindicated in facial trauma (same contraindications as an NPA). They do need to have spontaneous respirations to nasally intubate. So its not used in codes. But in codes oral intubation usually works fine ( no gag reflex, etc). If not, supraglottic. But in living people, nasal typically works fine if you had a failed oral intubation attempt. If that makes sense.
Soooo close to it snowing here. I just wanna see the white stuff once a winter. The iPhone literally shows "32 degrees. Freezing rain". The fudge is freezing rain???.
No, send it to our aquifers, I just love how we're in a record drought while the rest of the country has too much water...if they can build transcontinental oil pipelines, why can't they build something where excess water/snow from the east coast can be pumped to the west? If someone could figure out a way to make money off that I bet it'd be done in a heartbeat lolSend it to my neck of the woods!
I've actually said it before to my partners (usually just after witnessing someone doing something incredibly stupid while we're responding) that just like our certs, a drivers license renewal needs to have CE's and a refresher course requirement lolEveryone on the road took their stupid pill this morning. Every call multiple different times people lose their brain when they see an ambulance coming their way. They should add lights and sirens behind people in driving tests to get their license.