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Old 02-14-2011, 03:06 PM   #21
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Originally Posted by bluefinmedic View Post
If you don't think every patient that you are bagging requires an OPA you might need to go back to EMT-basic school. That is the most basic skill, and can make a different between a adequate and inadequate ventilation.


First...if I can maintain an airway without an OPA, so be it. It's an adjunct to help, not a necessity.


Second... Being closed minded and saying "OPA OPA OPA" and ignoring other tools such as NPAs, Kings, ETTs, NTTs, surgical and needle crics, shows that you still have a ways to go in education.



Honestly, if given the choice between an OPA and NPA, I'd choose the NPA. I've placed more NPAs than OPAs in my career.


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Old 02-14-2011, 03:19 PM   #22
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Ditto. Can't even remember the last time I used an OPA. Use NPAs all the time. Get past the basic school mentality.
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Old 02-14-2011, 03:26 PM   #23
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Originally Posted by bluefinmedic View Post
If you don't think every patient that you are bagging requires an OPA you might need to go back to EMT-basic school. That is the most basic skill, and can make a different between a adequate and inadequate ventilation.
You fail to understand TRUE airway management. I suggest reading Dr. Walls book. That is all.
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Old 02-14-2011, 03:27 PM   #24
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Originally Posted by bluefinmedic View Post
If you don't think every patient that you are bagging requires an OPA you might need to go back to EMT-basic school. That is the most basic skill, and can make a different between a adequate and inadequate ventilation.
Lol ok. Thats why everybody agrees with me.
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Old 02-14-2011, 03:39 PM   #25
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Originally Posted by Anjel1030 View Post
You keep saying EVERY pt. That's where I disagree.

Contraindications?

Better choices?

Patient unconscious but throwing up or having a lot of salivation u need to keep suctioning.

There could be better choices esp if you are a medic like your sn implies.
I was referring to bagging an unconscious patient. It seemed like from the original posters question they were referring to npa vs. opa in these types of patients. Obviously there are better methods to secure an airway, but when it comes to basics there is no better option.
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Old 02-14-2011, 03:41 PM   #26
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I was referring to bagging an unconscious patient. It seemed like from the original posters question they were referring to npa vs. opa in these types of patients. Obviously there are better methods to secure an airway, but when it comes to basics there is no better option.
What if you unconscious patient still retains a gag reflex? Or is clenched? Or is doing a bang up job of maintaining airway tone but yet requires some ventilatory assistance (massively unlikely I know)?
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Old 02-14-2011, 03:44 PM   #27
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Originally Posted by bluefinmedic View Post
I was referring to bagging an unconscious patient. It seemed like from the original posters question they were referring to npa vs. opa in these types of patients. Obviously there are better methods to secure an airway, but when it comes to basics there is no better option.
I think a lot of the debate is coming from the fact that the tone of your original post seemed to say that an OPA is a universal tool for airway management. It kind of failed to recognize that it's not just an adjunct that can cover the basis of all situations in which in unresponsive patient needs to be bagged.
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Old 02-14-2011, 03:45 PM   #28
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I think a lot of the debate is coming from the fact that the tone of your original post seemed to say that an OPA is a universal tool for airway management. It kind of failed to recognize that it's not just an adjunct that can cover the basis of all situations in which in unresponsive patient needs to be bagged.
Someone close this post before it gets stupid in here.
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Old 02-14-2011, 03:49 PM   #29
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New basics come here to learn. You cannot make a blanket statement and then when everyone challenges your answer, you don't like it.

An OPA is not needed in every unresponsive pt that needs ventilation assistance. You need to assess your pt and use what is needed.
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Old 02-14-2011, 03:57 PM   #30
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Someone close this post before it gets stupid in here.
Now was that really necessary? I made a non-confrontational statement about the possible cause of debate and you come back with that kind of a response. You might want to take a look in the mirror before you say something like that again, because it is a post such as that that really shows you lack the intellect to make an intelligent, PRODUCTIVE post.

EDIT: sticking to my advice about a productive post I will reiterate, what reaper said. Don't throw an OPA in every patient, take the time to assess their need for such a device.
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