After watching how they do an open cricothyrotomy, which I needed to learn before working in OR, I was GLAD the paramedics did a needle insertion for mine.
@heroftoday Those standards are newer than the video. I'm a first semester paramedic student and we're just now switching to the 10 second rule as opposed to the 15 I was taught in B school.
I'd like to know what they did to me after I lost consciousness. I never remembered having one of those things in my mouth.
The doctor didn't make much sense; he used too many big words. All I remember of it is when he said my throat closed off the ET tube, and they had to put a needle in my throat. The very thought of a needle in my throat made me shiver.
I'm glad I wasn't awake to see it, but now I'd like to see a video of how they did it.
your allergic reaction made the tissues of your throat swell closed the trachea stopped your breathing ,made it impossible to put the ET tube in. The way to open a hole from the outside air into your lungs is to use a Quicktrach in a prceedure called a cricothyrotomy. Locating the cricothyroid membrane (below the adams apple) the quicktrach is a large needle that pierces the membrane and had a port to which is attached various devices to ventilate (breath) for you.
Are you a doctor? You use the same big words, like the one who talked to me in the ER did.
I couldn't swallow without extreme pain in my throat for 18 hours. It felt like my throat opening was the size of a straw's hole. It took 3 days for my throat to feel like it was open again. By then, I was trembling b/c of Prednisone. That's what my doctor told me. He had me stop taking it and the shaking disappeared.
@skibumstoo This almost never happens, Also I/O's never happen, it's like a cop. Most cops never shoot there guns at a perp in there career. A few months ago a girl medic popped in an I/O, she has been a medic for about 20 years, that was her first, she was so happy it worked. Sadly the PT died, oh well, at least she got in a line.
They saved my life in 2002, and they probably had different rules then.
I don't understand why they change things so often when the original way has saved lives, but I'm speaking from the patient's viewpoint.
If I could find the paramedic who saved my life during a severe allergic reaction, I'd thank him. Unfortunately, I have no memory of anything other than his blond hair. The last thing I saw before everything turned black. My next memory is of the ER 30 min. later.
@vickiormindyb If you want to find the paramedics, there names are on the run report that is in your hospital health documents. They by law have to due a run report.
Measure your suction catheter from the sternal notch (the outer anatomical location of the bifurcation of the trachea into the left and right primary bronchus - the carina), to the ear lobe, and then to the corner of the mouth. Mark this point with a Sharpie, tape, etc. and then insert to that depth down the tube. Suction while pulling out of the tube. As you do, make a slight twisting motion with the suction catheter, so you will cover more of the ETT diameter area.
Examiner "There are secretions" NOT "condensation" for the suctioning. Also, the candidate did not measure correct distance for suctioning. Just FYI these ARE on the NREMT skills sheet.
No lubrication. Say what you will. In the skills they will fail you. Also did anyone dare to measure the suction tube? You no longer just push till till you fell pressure. You can measure the suction tube by the length of stylis or the crina sp to ear to mouth..I find it easier to use the stylis..
When she said that the oximeter reading was 95% I didn't see a pulse oximeter.
Was she just saying that?
I mean in the CARDIAC DYNAMIC section I didn't see a BVM BAG VALVE MASK when he told the other guy to PERFORM CPR while he was getting the ECG electrodes ready.
Now do you know where I can find a video of a code going on in the ER or something?
I've been into pulse oximetry since I was about 4.
LOL
I just want to see a good video.
I REALLY DO.
They are so cool.
Especially the continuous monitoring ones with all the alarms and the settings and the lights and the beeps and the lines. My favorite thing about pulse oximeters are the way they can monitor you continuously
there is nothing much to know about it. it will give you two reading... SpO2 and pulse. If the SpO2 is about 95% it is good. and of course the pulse 60-100. there is nothing to set on pulse oximeter itself.
Well I just like the machine it'self. Could you please do a video on the machine?
Just for me?
Please?
I just like to see the machine and I like to hear the alarms.
Could you just like do a vid whereya put the monitor on and you aim the camera at the machine so I can see your oxygen levels and you could show me all the other buttons.
I always lube the ET tube, and have never heard of not needing to lubricate it. The lube makes insertion easier and safer- there are very delicate tissues down there.
Just to let ya know, I completed the practical today,I passed ,and I would have failed if I would have neglected to lube the tube. 2 other examiners failed for that reason. So you are correct. You DON'T have to lube the tube, but you will fail horribly and be very sad. Apparently the absence of lube, regardless of the situation, makes ya shed many tears. HeHe!
Evaluator/assistant was ventilating way too much after intubation. 6-8x per minute max once pt. is intubated.
76nagle 2 months ago
5 Stars Short Video
likayouful 10 months ago
Sterile as possible in an unsterile environment. What if they were at a landfill?
needlehater 1 year ago
After watching how they do an open cricothyrotomy, which I needed to learn before working in OR, I was GLAD the paramedics did a needle insertion for mine.
vickiormindyb 2 years ago
FAIL..........you don't suction ET tube more than 10 seconds
heroftoday 2 years ago
@heroftoday Those standards are newer than the video. I'm a first semester paramedic student and we're just now switching to the 10 second rule as opposed to the 15 I was taught in B school.
blackhawkstu 2 years ago
Comment removed
sanjocal 2 years ago
I'd like to know what they did to me after I lost consciousness. I never remembered having one of those things in my mouth.
The doctor didn't make much sense; he used too many big words. All I remember of it is when he said my throat closed off the ET tube, and they had to put a needle in my throat. The very thought of a needle in my throat made me shiver.
I'm glad I wasn't awake to see it, but now I'd like to see a video of how they did it.
I had a severe allergic reaction to something.
vickiormindyb 2 years ago
your allergic reaction made the tissues of your throat swell closed the trachea stopped your breathing ,made it impossible to put the ET tube in. The way to open a hole from the outside air into your lungs is to use a Quicktrach in a prceedure called a cricothyrotomy. Locating the cricothyroid membrane (below the adams apple) the quicktrach is a large needle that pierces the membrane and had a port to which is attached various devices to ventilate (breath) for you.
skibumstoo 2 years ago
Are you a doctor? You use the same big words, like the one who talked to me in the ER did.
I couldn't swallow without extreme pain in my throat for 18 hours. It felt like my throat opening was the size of a straw's hole. It took 3 days for my throat to feel like it was open again. By then, I was trembling b/c of Prednisone. That's what my doctor told me. He had me stop taking it and the shaking disappeared.
vickiormindyb 2 years ago
@skibumstoo This almost never happens, Also I/O's never happen, it's like a cop. Most cops never shoot there guns at a perp in there career. A few months ago a girl medic popped in an I/O, she has been a medic for about 20 years, that was her first, she was so happy it worked. Sadly the PT died, oh well, at least she got in a line.
moelink 2 years ago
They saved my life in 2002, and they probably had different rules then.
I don't understand why they change things so often when the original way has saved lives, but I'm speaking from the patient's viewpoint.
If I could find the paramedic who saved my life during a severe allergic reaction, I'd thank him. Unfortunately, I have no memory of anything other than his blond hair. The last thing I saw before everything turned black. My next memory is of the ER 30 min. later.
vickiormindyb 2 years ago
@vickiormindyb If you want to find the paramedics, there names are on the run report that is in your hospital health documents. They by law have to due a run report.
egomike88 1 year ago
This has been flagged as spam show
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crazlil8on 3 years ago
Just a few tips:
Check with your instructor(s) but I am pretty sure that hyperventilation is no longer recommended across the board.
Use a C-Collar on the patient who has been intubated to prevent movement of the neck and, thus, dislodgement of the ETT.
continued...
FirstResponder911 3 years ago
Measure your suction catheter from the sternal notch (the outer anatomical location of the bifurcation of the trachea into the left and right primary bronchus - the carina), to the ear lobe, and then to the corner of the mouth. Mark this point with a Sharpie, tape, etc. and then insert to that depth down the tube. Suction while pulling out of the tube. As you do, make a slight twisting motion with the suction catheter, so you will cover more of the ETT diameter area.
FirstResponder911 3 years ago
Examiner "There are secretions" NOT "condensation" for the suctioning. Also, the candidate did not measure correct distance for suctioning. Just FYI these ARE on the NREMT skills sheet.
MatthewQLlewellyn 3 years ago
I had SEVERAL DREAMS LAST NIGHT ABOUT THE PULSE OX.
LOL
1992peter 4 years ago
No lubrication. Say what you will. In the skills they will fail you. Also did anyone dare to measure the suction tube? You no longer just push till till you fell pressure. You can measure the suction tube by the length of stylis or the crina sp to ear to mouth..I find it easier to use the stylis..
Marinedudejoe 3 years ago
All right.
Just take your time.
Now while I'm waiting for the video, I have a quick question.
Does your pulse oximeter that you are going to do a video on have audio pulse tone?
1992peter 4 years ago
Could you post a video on how to set a pulse oximeter?
How to set the alarms?
1992peter 4 years ago
When she said that the oximeter reading was 95% I didn't see a pulse oximeter.
Was she just saying that?
I mean in the CARDIAC DYNAMIC section I didn't see a BVM BAG VALVE MASK when he told the other guy to PERFORM CPR while he was getting the ECG electrodes ready.
Now do you know where I can find a video of a code going on in the ER or something?
THANK YOU!
1992peter 4 years ago
haha, you must really be into pulse oximetry.
emt89 4 years ago
That's RIGHT.
I've been into pulse oximetry since I was about 4.
LOL
I just want to see a good video.
I REALLY DO.
They are so cool.
Especially the continuous monitoring ones with all the alarms and the settings and the lights and the beeps and the lines. My favorite thing about pulse oximeters are the way they can monitor you continuously
1992peter 4 years ago
idk if these are going through? are you thinking a ventilator?
emt89 4 years ago
No, I'm thinking every piece of equipment. Pulse oximeter, ECG machine, Blood Pressure Monitor, Ventilator, ICP if used, etc.
And in the case of a stand alone pulse ox I'm thinking that I need to know all I can know about this machine.
VERY IMPORTANT THAT I KNOW EVERYTING THERE IS TO KNOW ABOUT EVERY PART OF THE MACHINES I'M USING.
1992peter 4 years ago
there is nothing much to know about it. it will give you two reading... SpO2 and pulse. If the SpO2 is about 95% it is good. and of course the pulse 60-100. there is nothing to set on pulse oximeter itself.
emt89 4 years ago
Oh all right.
Well I just like the machine it'self. Could you please do a video on the machine?
Just for me?
Please?
I just like to see the machine and I like to hear the alarms.
Could you just like do a vid whereya put the monitor on and you aim the camera at the machine so I can see your oxygen levels and you could show me all the other buttons.
Please?
I LOVE PULSE OXIMETERS.
1992peter 4 years ago
haha, alright... i will try and make one for you tommar. at work. do you have an email address or something so i can tell ya when i get it done?
emt89 4 years ago
So what did you do when they introduced capnometry? :P
ufpd1881 3 years ago
Its a very interesting piece of information, that one day, MIGHT SAVE ANOTHER PATIENT'S LIFE.
1992peter 3 years ago
Could you post a video on how to use and set a pulse oximeter?
continuous
What kind of suction machine is that?
1992peter 4 years ago
Could you post a video on how to set the pulse oximeter? NICE!
1992peter 4 years ago
I always lube the ET tube, and have never heard of not needing to lubricate it. The lube makes insertion easier and safer- there are very delicate tissues down there.
dmedicFF 4 years ago
She is hyperventilating the patient, this prevents proper gas exchange. Patient should be ventilated about 1breath per 5sec.
jpyc5 4 years ago
The examiner didnt LUBE THE TUBE!!!!!!
PhlyEaglesPhly 4 years ago
You don't have to lube the ET tube. Just the Combitube.
paramagic85 4 years ago
Just to let ya know, I completed the practical today,I passed ,and I would have failed if I would have neglected to lube the tube. 2 other examiners failed for that reason. So you are correct. You DON'T have to lube the tube, but you will fail horribly and be very sad. Apparently the absence of lube, regardless of the situation, makes ya shed many tears. HeHe!
PhlyEaglesPhly 4 years ago
he was bagging really fast...but then again, we learn that we don't hyperventilate until we prep our equip before the intubation...
natkwib 4 years ago
She is bagging pretty hard.
seanmcni 4 years ago
good video
MrMoonlight12 4 years ago