How do you know when to use this device? Our Medical Director, Dr. C., refuses to even have these as part of the supplies. The combitube anyway. He said they don't work very well unless the patient is larger.
In our area, two patients died directly resulting from a combitube insertion, even though they initially accepted the airway w little to no difficulty.
when he checks the equipment he should just leave the inflation syringes on.. cuts the time down, also he didnt fold over the tube 1 while checking tube 2 and vice versa for neg epi sounds and pos lung..this shits old or something..like the other guy said he also lets go of it also..they shouldnt pout these videos on here if their not going ot do it correctly
National Registry should be dis-continued, it's only getting those is Columbus richer by taking money out of the pockets of EMT's & Medics with their goofy registry!
Is he supposed to ventilate that quickly? I thought it was 1 breath every 5-6 secs? Also does anyone know if you actually have to hook up oxygen to the BVM in Oregon during this test? This guy totally failed cause he let go of the combitube at4:26.
@TNFlightNurse I worked in health care 2 years ago, and the doctor teaching us intubation said you can take up to 45 seconds for each insertion attempt.
I'm really tired of each doctor having slightly different rules for every procedure they teach us.
On cricothyrotomy insertion, these 2 doctors had a heated argument about whether to make a vertical vs. horizontal incision-and I thought you always made a horizontal one.
youre insane, never do we ever hyperventilate at 24 breaths per minute. Not even a head injury gets more than 16 breaths. We cause more problems than we solve by your numbers.
Ideally you want to hyperventilate/Oxygenate for at least 1 minute at 24 breaths per minute and of course limit your insertion time to less than 30 seconds(You should only need one attempt as far as sticking). VOLS - Ventilate. Oxygenate. Lube. Stick.
Yea I did my practical skills tests yesterday and I wish I had watched these beforehand lol. I still passed them but still would have been helpful in studying. We were taught to hyperventilate/oxygenate before administering the 100% oxygen and before inserting the combitube.
He is way over hyperventilation patient. he should be doing 1 breath every 5 sec. They only should hyperventilate before he inserts the combitube. I know at our national registry we would fail by doing that.
Most recent report I had read, and the way I was tested for the NREMT was that we were to assist ventilation with a BVM for two full minutes before insertion of the ETDLA. We were not to hyperventilate the patient.
Dont let go of the tube!
dixonj87 10 months ago 3
he never checked gag reflex and never informed his proctor to auscultate breath sounds. FAIL!
MisterGorefest 1 year ago
How do you know when to use this device? Our Medical Director, Dr. C., refuses to even have these as part of the supplies. The combitube anyway. He said they don't work very well unless the patient is larger.
In our area, two patients died directly resulting from a combitube insertion, even though they initially accepted the airway w little to no difficulty.
vickiormindyb 1 year ago
Our Chief Medical Director won't let us use Combitube.
Someone in our area died due to Combitube complications, and now Dr. C. doesn't want us to use it.
He likes either EOA or LMA insertion.
vickiormindyb 2 years ago
when he checks the equipment he should just leave the inflation syringes on.. cuts the time down, also he didnt fold over the tube 1 while checking tube 2 and vice versa for neg epi sounds and pos lung..this shits old or something..like the other guy said he also lets go of it also..they shouldnt pout these videos on here if their not going ot do it correctly
vision57 2 years ago
National Registry should be dis-continued, it's only getting those is Columbus richer by taking money out of the pockets of EMT's & Medics with their goofy registry!
wnaburgencesante 2 years ago
holy crap...your absolutely right!!..we need a new system
boombastic627 2 years ago
Is he supposed to ventilate that quickly? I thought it was 1 breath every 5-6 secs? Also does anyone know if you actually have to hook up oxygen to the BVM in Oregon during this test? This guy totally failed cause he let go of the combitube at4:26.
notaprincess26 2 years ago
hes hyperventilating
gibsongod123 2 years ago
@notaprincess26 24 breaths per minute for 1 minute with no more than 30 seconds for each insertion attempt.
TNFlightNurse 1 year ago
@TNFlightNurse I worked in health care 2 years ago, and the doctor teaching us intubation said you can take up to 45 seconds for each insertion attempt.
I'm really tired of each doctor having slightly different rules for every procedure they teach us.
On cricothyrotomy insertion, these 2 doctors had a heated argument about whether to make a vertical vs. horizontal incision-and I thought you always made a horizontal one.
vickiormindyb 1 year ago
In the first part of the video she asks if he has any questions his response should be "no, Ma'am." Use your manners.
mgfire2008 2 years ago
how about tape the combitube in place... and the patient ready for transport...(atleast in oregon)
jands8186 2 years ago
yea but this is just the test but he at least should of secured the combitube
jorgereviews 2 years ago
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SableTabetha 2 years ago
Could you tell the viewer how much air in each balloon?
lmiddlet17 2 years ago
15cc and 100cc i believe
kornizzkool 2 years ago
it varies cause not all combitubes are the same
jorgereviews 2 years ago
it is 100ccs and 15ccs
atraybrown 2 years ago
it depends on the manufacturer some times
noahno1988 2 years ago
This has been flagged as spam show
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crazlil8on 3 years ago
J'aime la médecine
Sasuke02288 3 years ago
I hope this isn't the official "NREMT" video, you'd think this guy would practice a few times before performing the skill in front of the camera.
"I'm gonna ventilate the patient....um, after I measure and insert an OPA of course..." haha.
jordania30111 3 years ago
True. thank you :D
shadowheliantus 3 years ago
aaaa....what happened with the blade? what if you can't see the vocal chords or there is some sort of complication? wouldn't you need the blade then?
shadowheliantus 3 years ago
This is an airway isolation device, not an endotracheal device.
leviathan85 3 years ago
We don't use a blade with combitubes. They are a blind insertion device.
coxcomputer 3 years ago
thats y. i dont like them
carazo321 3 years ago
i dont like the fact that they dont provide great ventilation, and it doesnt protect the airway
JesusHChrist 2 years ago
youre insane, never do we ever hyperventilate at 24 breaths per minute. Not even a head injury gets more than 16 breaths. We cause more problems than we solve by your numbers.
hybridracers 3 years ago
Ideally you want to hyperventilate/Oxygenate for at least 1 minute at 24 breaths per minute and of course limit your insertion time to less than 30 seconds(You should only need one attempt as far as sticking). VOLS - Ventilate. Oxygenate. Lube. Stick.
JohnnyFlightMedic 3 years ago
Yea I did my practical skills tests yesterday and I wish I had watched these beforehand lol. I still passed them but still would have been helpful in studying. We were taught to hyperventilate/oxygenate before administering the 100% oxygen and before inserting the combitube.
Amill63 3 years ago
bueno el video para el personal paramedico
gracias
ziraguza 4 years ago
He is way over hyperventilation patient. he should be doing 1 breath every 5 sec. They only should hyperventilate before he inserts the combitube. I know at our national registry we would fail by doing that.
EmSstudent 4 years ago
Most recent report I had read, and the way I was tested for the NREMT was that we were to assist ventilation with a BVM for two full minutes before insertion of the ETDLA. We were not to hyperventilate the patient.
buzz762 3 years ago
And he released the combitube as well when he was inflating the little ballons. good vid anyway.
jmcastaman 3 years ago
These vids are great prep. It's hard to just "study the sheets."
paramagic85 4 years ago 5