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Bradley Dean
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- Thomasville, NC
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Last On: 5:05AM, 9 Aug 09
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Bradley Dean's Discussions
The Disappearing Endotracheal Tube
28 Replies
Started this discussion. Last reply by Ted Rogers Mar 23.
Bradley Dean's Page
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Dr. Bledsoe, thanks for continuting to keep us on our toes with your submissions. The other issues aside, you are quite correct that an ongoing problem that only continues to get worse is access to the OR for intubation practice and/or skill refre...
Boy, someone's got a little bit of medic envy. You know, I always find it supremely amusing when EMT-B's, and EMT-I's, and EMT-Shock-trauma-rescue-technician-XYZ's complain about Medics. I mean, talk about arrogance, here you are saying, basically...
Asysin2leads, why do you feel the need to constantly bash EMT-B's and EMT-I's? It isn't their fault that medics do not keep up their skills. Are they to sit and watch pt's die while waiting for the medics to ride up on their white steeds to save t...
Asysin2leads, you certainly seem to enjoy bashing EMT-B's and EMT-I's. I suppose, in your world, it is far better for the B's and I's to be limited to just driving the ambulance so the medics can play doctor. Instead of whining about medics not ge...
Scott Lancaster-- Unfortunately, purely anecdotal. Would definitely love to see a study on prehospital application of the LMA though. with the amount of movement and flexion a pt goes through, every time the head is being flexed forward, it is lif...
This topic always spurs an emotional response. The last time it "blew up" was after the much talked about San Diego study a few years ago. I'll give my personal and professional opinions and observations. ETI is a valuable tool that when used prop...
It's a bit of semantics, but I personally feel that LMA's have no place in the discussion in replacement of ETT's. They do not belong in the pre-hospital arena, and work fine for the OR and should stay there.
The removal of ETI in the out-of hospital setting is not necessary in my opinion with advances in technology and equipment, There can be an improvement in the training overall. EMS training departments focus on the quanity of the training rather t...
Bradley,
I loudly applaud your analytical and inquiring mindset, even to the point that apparently you went and reviewed the original literature on the subject - this is more than most people will do!
I wanted to comment on your post.
Your post s...
As the EMS medicine undertakes more industry specific research many of the traditional and current practices will be naturally, and hopefully, scrutinized as to their real value in patient outcome. Since it's inception the tools and and practices ...
I'm in a pretty clinically oriented system - but our focus is not on "what procedures can we do?" it's on "what good do we do for our patients?" And our medics see quite clearly that, in codes for example, the patients do better with a very fast K...
First off I'd like to see a study of ETI efficacy in New Jersey. I was trained and work in suburban northern New Jersey and felt my training was significant. One area I take great pride in is being able to manage my patient's airway. Whether it be...
Well I will add my tuppence worth, even in a system that only allows paramedics to intubate we have so many medics in the system that a large proportion of them do NOT intubate for months, we do have capnography on our LP12's so that is a help how...
Ok here is my 2 cents worth. I myself just got my first tube in 12 months. I work for a very busy suburban service. I do approx 200 patient encounters every month. Maybe I'm not the black angel of death but I intubate maniquens all the time. There...
My response to earlier comments seems unnecessary after such a fantastic discussion about such an important subject. But yes, we are unable to secure pediatric airways based solely on the fact we had less than 10 incidents indicating it's necessit...
Bradley, one thing for sure is this topic will always get the emotions flowing. However this as you rightly point out should be about improving outcomes. Dr Bledsoe has drawn conclusions from his research and made what I consider some very sensibl...
Profile Information
- Role in EMS
- Paramedic/EMT-I/EMT-D, Instructor/Educator, Other
- Primary Agency/Department Type
- Paid Fire/EMS Department, Other EMS Agency
- Primary Department/Agency Name
- Wake Forest University Baptist Medical Center
- Years in EMS/Public Safety
- over 15
- Other Past or Current Departments
- Thomasville Rescue Squad
Davidson County Emergency Services
MedCenter Air
- Relationship Status
- In a Relationship
Comment Wall (1 comment)
- At 1:00pm on August 8, 2009,
sonia johnson said… - sonia.4u34@yahoo.com
Hello dear,
Greetings to you,My name is Sonia a young girl, i view your profile today at www.connect.jems.com and i love it. i decide to communicate with you and it will please me if you will be my friend, i wish if you will respond to my mail box so that i will give you my picture and tell you more about my self, i hope to hear from you.
soon yours Sonia.
(Email)
sonia.4u34@yahoo.com
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If you could demonstrate a cause-effect relationship, I might buy it, but you can't. There mere fact that a body politic votes one way or the other is not proof of anything (except perhaps a successful lobbying effort). It's long been a scientific...
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