Maybe our systems are different. We have 5 level 1 trauma centers less then 10 minutes from away. Our longest transport time is 15 min and 90-95% of the time we are less then 5.
Not worried about post intubation during the pre intubating a pt. I am worried about saving thier lives. You guys had me questioning myself but I don't see anything about analgesics in any rsi protocols involving parlytics.
The etomidate is a powerful short acting anesthetic and must be pushed prior to the succynocoline which is a non polorizing paralytic. These are the two most common drugs used in a hospital setting for rsi. And I'm not sure I understand your reference to sepsis. Allthough sepsis does have a high...
Iwe also have a polarizing paralytic..(vec). But I think the profalaytic use of analgesics and benzos is unneccisarry considering the half life of the etomidate is night then that of say 50mcg of feynt. (Which is our big boy for pain) why waste time and money on something that the pt doesn't...
If your reading this then maybe you can help. I'm an experienced urban medic, working for Boston Ems for 10 years. I am very interested in your system and would love to hear from someone who knows the ins and outs.
Thanks,
Mike
If you want to be the best you have to know your district. Every street. Seems less time on couch and more driving around familiarizing ones self to the areas we are responsible for is a lost art now with GPS. Seems tome there is Much higher instance of lodd secondary to Mva since these...