I was just wondering, since your a professional and since your willing to accept responsibility for the proper function and maintenance of the NO equipment, and since your an expert on the administration and problem/troubleshooting as such, can you please tell me what formal training an EMT-P has in the correct administration and titration of this therapeutic modality?
I know most EMT-P's have some vent training, as an EMT-P myself, I recall my vent training was enough to get us from A-B on a single circuit basic "Impact" vent. The very same that I use in the international transport of critical care patients now. Alas, time and time again we are all being asked to cross train, I have no issue with that except when I or a loved one needs a transport, I want a fully credentialed therapist running my vent, not a someone who has been trained for an A-B trip.
"Actually, if I am not mistaken, you are limited to using the INOvent by FDA regulations. Currently this is all we use accept when we transport with manual ventilation at which time we simply have a bleed in port (but I am not convinced that this is kosher, personally)." There is just no way for a seasoned therapist to accurately monitor the (PPM) and the patient for adverse changes except for direct assessment, how would an EMT-P monitor the patient and what would you do if it become necessary to discontinue the NO and what would you change on the vent to correct for the new changes, what are you protocols?
