"Agreed, but if it takes 3 or more attempts to intubate a patient they should be documented along with the factors that lead to prolonged intubation, ie anterior airway, ambiguous anatomy, facial trauma and interventions used to prevent hypoxia…"
Social and Professional Network
-
EMS_Fanatic
- Male
- Milan, Italy
- Italy
- Nurse
Last On: 5:31PM, 16 Aug 12
- Blog Posts
- Discussions (15)
- Events
- Groups
- Photos (4)
- Photo Albums
- Videos
EMS_Fanatic's Discussions
Paramedics: too many esophageal intubation...
38 Replies
In Italy we are trying to introduce the Paramedic figure into the EMS in order to reduce the presence (and the costs!!!!) of the emergency phisicians and nurses in the EMS veichles. This is a long…Continue
Started this discussion. Last reply by Justin P Sep 8, 2012.
Types of veichles in the italian EMS
FAST RESPONSE VEICHLE (FRV): two tipes on FRV:1) medical car: a critical care nurse (from ICU or ER) and an emergency doctor (from ICU or ER).2) nurse car: two critical care nurses (from ICU or…Continue
Started Aug 10, 2012
Which are the differences between a paramedic and a critical care nurse?
10 Replies
Which are the differences between a paramedic (in general, accross the USA) and a critical care nurse in terms of: education and skills?There are competences or skills that belong only to nurses and…Continue
Started this discussion. Last reply by EMS_Fanatic Aug 10, 2012.
How you become a paramedic in FDNY?
Hi, I'm Dave, I'm an italian intensive care nurse and EMT. I'd like to know how you become a paramedic in FDNY. There's a degree course? How long is the course to get the certification in New York…Continue
Started Aug 9, 2012
EMS_Fanatic's Page
Latest Activity
dr-exmedic replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Which is interesting, because I always dictate how many attempts, and don't know anyone who doesn't. I'm pretty sure that when I was a resident, the pre-printed "T-sheet" charts we used had a space for attempts, though I…"
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."I agree with your assessment Rob, I think that that type of mentality (recognizing esophageal intubation and correcting it on the second try and counting it as a 50% success rate) is part of the problem in EMS not the solution. When you have that…"
"Missed intubations is an issue of education, adequate training and experience or exposure in the field. Failed intubations and unrecognized esophageal intubations has nothing to do with the prehospital setting or paramedicine in…"
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."I agree, but tings need to be addressed, I have filed a complaint about her with the JEMS connect web chief I encourage the rest of you all to do the same
"
Scott Lancaster replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Joe, et al.
I wouldn't continue in a back and forth with Geri. I did that a couple of months ago and there is no end to it and it only distracts from the OP's original question. I left jemsconnect for a little bit, even shut down my…"
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."So Geri, the 80% of HEMS programs (Helicopter EMS) that run Medic RN don't track a Medics competency? Are you stating that one has to be an RN to be competent at critical care? The fact is most HEMS programs (except yours) run Medic/RN because…"
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Right Skip, 'another one bites the dust...another one bites the dust....' "
Skip Kirkwood replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Another wasted thread.
And people wonder why the originators choose to close down their threads run amok!
"
Paula Miller replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Oh--I am not bitter. I actually have advanced my education beyond the level of a diploma, and left the field of nursing mainly due to my frustration with the narrow minded defensive attitudes perpetuated…"
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Great points Joe, I like how they said that paramedics were equipped with "A new, life saving device that only paramedics are capable of utilizing", hilarious that airway is a BLS skill in most of the US and has been for almost 10 years; I…"
Joe Smith replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Geri,
Really, enough already. I haven't nursed bashed at all. If I have, please point it out. You are obviously an insecure person who can not hold a civil conversation with anyone who may not fully agree with everything you have to say. Every…"
Geri Jacobson replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."I can't see having that many students in one ICU. We only allow one school at a time in each area. Sounds like some poor planning on everyone's part.
Nurses at least should understand the importance of training for a…"
Paula Miller replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Probably a bad time to mention that in the (gasp) nursing diploma program I attended, we spent several months, 3 days a week, in ICU! And worked with lines quite a bit. However, this clearly did not qualify us…"
Paula Miller replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation..."Can't we all just get along and respect one another for what we bring to the table, rather than being defensive and downright nasty at times?
"
Profile Information
- Primary Role in EMS
- Nurse
- Primary Agency/Department Type
- Hospital
- Primary Department/Agency Name
- Department of Intensive Care
- Years in EMS/Public Safety
- 5
- Other Past or Current Departments
- 5 years in the EMS as EMT-B before becoming an intensive care nurse.
- I Love Being in Fire/EMS Because
- I'm a part of something greater than me and this accelerate my life.
- Relationship Status
- Married
EMS_Fanatic's Photos
JEMS Connect is the social and professional network for emergency medical services, EMS, paramedics, EMT, rescue squad, BLS, ALS and more.
© 2013 Created by JEMS Web Chief.
