From: GDJollyGrog@aol.com
Reply-To: flightmed@flightweb.com
To: flightmed@flightweb.com
Subject: As long as you willing to bet your own life on it, thats fine.
Date: Fri, 11 Jul 2003 08:42:15 EDT
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?
Please Advise.
Gary RT/EMT (dropped the P for issues like this)
