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  1. jkmerrill

    OPA by EMR?

    Given the number of times which I've seen EMS practitioners at all levels use an improperly sized and inserted OPA to jam the tongue into the back of an airway which might have otherwise been patent on its own or with simple airway manoeuvres, I tend to agree with you. In my ideal world every...
  2. jkmerrill

    OPA by EMR?

    If you took that argument to its logical conclusion, we should all switch to the Franco-German model of EMS where ambulances are staffed by physicians and our profession more-or-less exists to drive them around. Ultimately, the risk of harm by letting lower-level personnel use this particular...
  3. jkmerrill

    Oxygen

    If I had a choice, no. There was a review article on prehospital oxygen therapy published in Respiratory Care earlier this year, and to quote the authors of that: "The only evidence-based indication for oxygen therapy is hypoxemia confirmed by oximetry, blood gas analysis, or physical...
  4. jkmerrill

    OPA by EMR?

    There was a study published in the European Journal of Emergency Medicine recently where they took lay visitors at a hospital, handed them a King LT and an instruction card, and asked them to insert the airway device in a dummy. More than half of them did so correctly. After that, a researcher...
  5. jkmerrill

    Wanting to leave US

    TransportJockey's right in that it can be difficult to get US paramedic education recognized abroad, as many anglo-american model countries (i.e. countries that use paramedics in their ambulances as opposed to physicians) are starting to move towards requiring a bachelor's degree. It is...
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