Monitor. If acute respiratory arrest occurs, not just labored breathing, perform an emergency tracheotomy. Never administering anything by mouth in the event of a respiratory crisis. From the (outdated?) AHA CPR handbook.Your 6 miles in the woods hiking with some buddies with no cell signal when one of your buddies gets stung by a bee, tells you he is deathly allergic and isn't carrying epi. Your other friends leave to go get help while you stay with your buddy who is showing signs of anaphylaxis. You have a basic first aid kit with a few medications that includes antihistamine pills. What do you do?
If my buddy can talk, he's getting some of the oral antihistamine mentioned earlier. That might delay or prevent anaphylaxis, and I'm pretty sure the onset of action PO is at least as quick as IM.Monitor. If acute respiratory arrest occurs, not just labored breathing, perform an emergency tracheotomy. Never administering anything by mouth in the event of a respiratory crisis. From the (outdated?) AHA CPR handbook.
Grabbing the books...yet.
Talking does not preclude the presence of respiratory/ventilatory/airway crisis.It's not a respiratory crisis
The etymology of the word tracheotomy comes from two Greek words: the root tom- (from Greek τομή tomḗ) meaning "to cut", and the word trachea (from Greek τραχεία tracheía). The word tracheostomy, including the root stom- (from Greek στόμα stóma) meaning "mouth," refers to the making of a semi-permanent or permanent opening, and to the opening itself. Some sources offer different definitions of the above terms. Part of the ambiguity is due to the uncertainty of the intended permanence of the stoma (hole) at the time it is created.
(I have done tracheotomys by the book. I leave tracheostomys to physicians. )
Dead is dead. Do something or stick your thumb up your wazoo and watch bio death resolve the issue for you.As for a tracheostomy, I usually leave my kit at home right next to the umbrella, but I'm thinking I could use a tire iron and a screwdriver. The tire iron would be for sedation.
Are you seriously advocating for a first responder to operate outside their scope practice and training?So what I've done was actually a crico....... Live and learn.
But really the whole point here should be you, the first responder, should not view that procedure as some esoteric surgery:
Dead is dead. Do something or stick your thumb up your wazoo and watch bio death resolve the issue for you.
ABSOLUTELY! When the alternative is death. But when I was teaching CPR we were teaching airway management inclusive of trach/circ to lay persons. Hand the responsibility over to the Reasonable Person Doctrine taking circumstances into account. And please don't get me started on how CPR has been dumbed down into idiot proof little nibbles.Are you seriously advocating for a first responder to operate outside their scope practice and training?