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Not sure where you are in GA, but your ER doc needs remedial education on the different levels of sedation. What he did definitely crosses way over the sedation line, which is all that is indicated for cardioversion, and into general anesthesia. I would seriously question the clinical...

Sorry - still trying to get past the BS of 470 which is "low for her".

I'm curious - what exactly do you do? Are these skills you learned as a corpsman or what? It doesn't sound like you're truly a "basic EMT".

That article is 7 years old. Atracurium, which was the worst of the NMB offenders for allergic reactions, is rarely found in clinical use any more, if at all. Rocuronium just isn't a huge problem for anaphylaxis. The worst offenders are antibiotics and latex.

You gotta source for that claim, because I couldn't disagree more.

Remi - you're right. Period. Really.

You say medic school isn't an option yet you would consider getting another Bachelor's degree? Hmmmmmm.

I was replying to your statement that "I couldn't disagree more and running through a checklist has nothing to do with how proficient at airway management a provider is.......", as well as wondering about "real airway docs". I'm not sure who a real airway doc is if it's not anesthesia folks...

Not sure what a "real airway doctor" is, but anesthesia personnel are universally recognized as the airway experts, and RSI is part of our daily routine. I anesthetize a thousand patients a year, and each one of them requires airway management of some sort. Intubation +/- RSI is an...

Voodoo boys and girls. http://www.snopes.com/medical/drugs/motrin.asp

I think you're overthinking this, making it more complicated than it is. It really is a simply physics (specific heat) concept. Nobody shuts down peripherally to the point that blood isn't circulating. If that was the case, then hypothermia should be really great for increasing the volume of...

Sorry - if it quacks like a duck...it's a duck, regardless of what you call it. After nearly 40 years, I know what a duck looks like. There are LOTS of ways to assess an adequate airway and the need (or not) for airway support - and ramming in an NPA because you can't tell whether they're...

If you think an NPA is a reasonable assessment tool, you need to work on your assessment skills. Sorry. The truth hurts.

With reasonable mask fit, you should be seeing some movement of the bag. There's no problem taping the open valve if you want. Regardless, I think you're getting a higher concentration with this than you will with a nasal cannula or simple facemask. Also - remember that lots of BVM's have a...

They're used because unless you're using a totally closed system, it's probably the best way to deliver the highest O2 concentration to the patient. It's certainly better than a nasal cannula or simple face mask. If you truly entrain as much air as oxygen (not sure I believe that, and of...

;) So then you're going to try and mask someone with an NG/OG in the way and messing up your seal?

Why? (just trying to get you to think about why you're doing something - BTW I've never dropped an NG/OG during a code)

??? I think that refers to suctioning an ETT, not the oropharynx.

So one is good, two must be better, three even better, since you don't think there's a reason not to do it? That's your idea of "evidence based medicine"?

That article was basically worthless. Pure speculation. Sorry.