Before giving ventilation on the blue, you need to see if the test was negative or positive, in order to use the right tube to ventilate, that will prevent gastric distension in the stomach..
RUFFIAN SAID: "if lung sounds are not heard when ventilating though the longer Blue tube then it´s in the esophagus.." Wrong.... Usually the combitube´s tip will go into the esophagus so, in almost all insertions U will be able to ventilate though the longer, blue tube (marked # 1). Now, if U get really lucky, the tube´s tip will go into the trachea (really rare to happen), so U will be able to ventilate though the clear, short tube (marked # 2).
You only take your hand off the tube once you have it properly secured with a tube holder. Even then, just as with an ET tube, you need to verify proper tube placement every time the patient is moved and any time there's a sudden change in vitals.
Ruffian is correct. Here in Virginia, the EMT-B can use the Combitube aslong as they are signed off by the OMD in which agency they are working/volunteering for. There are only a handfull that are able to use the combitube at the EMT-B level. I was able to when I was just a basic. Much more toys to play with now since I became a Medic.
well...you re suppost to apply a generous amount of water soluble lubricant... here in TN there are only EMT-IV's and EMT-P but the EMT-P are the only ones that can RSI, EMT-IV's can insert Combitube and PTL which both isolate the trachea from aspiration and are blind insertions.
There are two Tubes to attach the BVM to. If lung sounds are not heard when ventilating through the longer Blue tube then it's in the esophagus & you switch the BVM to the shorter Clear tube which should result in lung sounds. Combitube is a "lesser" alternative to the preferred ET Tube. Here in Georgia, USA the Combitube is an EMT-I skill/tool. The EMT-P is the only EMS provider allowed to use the ET Tube. The EMT-B here is not allowed to use either, they are limited to the OPA/NPA with BVM.
There are two Tubes to attach the BVM to. If lung sounds are not heard when ventilating through the longer Blue tube then it's in the esophagus & you switch the BVM to the shorter Clear tube which should result in lung sounds. Combitube is a "lesser" alternative to the preferred ET Tube. Here in Georgia, USA the Combitube is an EMT-I skill/tool. The EMT-P is the only EMS provider allowed to use the ET Tube. Here the EMT-B is not allowed to use either, they are limited to the OPA/NPA w/ BVM.
Very good demonstration, thank you!
bluenite80 1 month ago in playlist Combitube insertion
I can drop a Combitube, inflate both cuffs, and ventilate in 11 seconds flat.
VoodooVicarious 11 months ago
Before giving ventilation on the blue, you need to see if the test was negative or positive, in order to use the right tube to ventilate, that will prevent gastric distension in the stomach..
PompierManuel43 1 year ago
@Jrobertsmusickid Twisting OPA on the way out is not necessary. It can slide out in the position it is in.
eps411 1 year ago
Our Medical Director won't let us use those, b/c two patients died even after proper insertion of the tube.
Their deaths were directly related to complication with the tube, so Dr. C won't let us use them.
vickiormindyb 1 year ago
You Need To have some one ventilating the patient while you set up the combi tube
gpghosts 1 year ago
RUFFIAN SAID: "if lung sounds are not heard when ventilating though the longer Blue tube then it´s in the esophagus.." Wrong.... Usually the combitube´s tip will go into the esophagus so, in almost all insertions U will be able to ventilate though the longer, blue tube (marked # 1). Now, if U get really lucky, the tube´s tip will go into the trachea (really rare to happen), so U will be able to ventilate though the clear, short tube (marked # 2).
DrSkawman 2 years ago
until when does it matter to keep you non-dominant hand on the tube?
artc27 2 years ago
You only take your hand off the tube once you have it properly secured with a tube holder. Even then, just as with an ET tube, you need to verify proper tube placement every time the patient is moved and any time there's a sudden change in vitals.
hibob841 1 year ago
Ruffian is correct. Here in Virginia, the EMT-B can use the Combitube aslong as they are signed off by the OMD in which agency they are working/volunteering for. There are only a handfull that are able to use the combitube at the EMT-B level. I was able to when I was just a basic. Much more toys to play with now since I became a Medic.
amullins05 2 years ago
well...you re suppost to apply a generous amount of water soluble lubricant... here in TN there are only EMT-IV's and EMT-P but the EMT-P are the only ones that can RSI, EMT-IV's can insert Combitube and PTL which both isolate the trachea from aspiration and are blind insertions.
italyencracka 3 years ago
whats preventing the tube from entering the esophogus? How does this work compared to a regular ET tube?
canadianboy40 3 years ago
Its just setup to provide air even if it does, as long as its in the trachea. I think.
SpecialBlendShredz 3 years ago
There are two Tubes to attach the BVM to. If lung sounds are not heard when ventilating through the longer Blue tube then it's in the esophagus & you switch the BVM to the shorter Clear tube which should result in lung sounds. Combitube is a "lesser" alternative to the preferred ET Tube. Here in Georgia, USA the Combitube is an EMT-I skill/tool. The EMT-P is the only EMS provider allowed to use the ET Tube. The EMT-B here is not allowed to use either, they are limited to the OPA/NPA with BVM.
RuffianSoundSystem 3 years ago
There are two Tubes to attach the BVM to. If lung sounds are not heard when ventilating through the longer Blue tube then it's in the esophagus & you switch the BVM to the shorter Clear tube which should result in lung sounds. Combitube is a "lesser" alternative to the preferred ET Tube. Here in Georgia, USA the Combitube is an EMT-I skill/tool. The EMT-P is the only EMS provider allowed to use the ET Tube. Here the EMT-B is not allowed to use either, they are limited to the OPA/NPA w/ BVM.
RuffianSoundSystem 3 years ago