Covers advanced airway management. Includes endotracheal intubation. Covers all the basic methods of airway management available to the EMT. Step-by-step demonstrations show how each skill is performed.
Comments
25 Responses to EMT Basic Skills – Airway Management 2
they should have preoxygenated with 100% oxygen before they inserted the ET. Plus they should specify wether using a Combitube, MultiLumen or LMA. Not the best video, but not horrible.
I agree with you on that one. In my county most of the ambulance companies staff their regular ambulances with two EMT1 or an EMT1 and EMT2 in our county all the Fire Departments staff Paramedics which respond to all EMS calls with the EMTs. One of the local Ambulance companies has a hand full of CCT ambulances which have a paramedic onboard. If all else fails there is always Mercy Air.
I agree, Levering on the teeth is not the correct way and offers no mechanical advantage.The anaesthetists (or anesthsiologists in other countries) I work with would not be impressed if I used that technique on our patients!
I’m an EMT-B, Paramedic student in Ohio. Intubation is still currently in the basics scope for the state, but is being taken out after the first of the year. Just wanted to add my two cents!
I Live in Wichita, KS and I am currently taking an EMT course. As EMTs we are absolutely allowed to perform Endotracheal intubations. I’m actually learning this right now.
Endotracheal Intubation is no longer allowed for EMT-Bs in any state that I know of. I think some states allow blind insertion devices like the King tube.
they are doing that so wrong… you dont rock back, you pull foward because otherwise you could break teeth….not mention we don’t hyperventilate anymore, you just pre-oxygenate… where i am in virginia that is an intermediate skill
Agreed. Pennsylvania just signed into legislature the EMT-A, which is basically an EMT-I. My EMT instructor, who is a medic, told me its completely necessary to have EMT-A’s
Sorry, I get a haircut every two weeks so I don’t qualify for being a guitar junkie.
It isn’t useless to have the EMT-I because it allows services to run BLS with only two EMT’s in lower call areas and counties that can’t afford to go all out ALS. We have parts of our county covered where it is BLS only because theres only several calls a day and ALS is nearby if needed badly enough, or even Life Star.
I don’t know what parts of Ohio these people, who are saying EMT-B’s can intubate, live in but you can’t do it in this city.
The Medical Directors here contraindicate intubation unless it’s going to be done by an EMT-I or EMT-P.
In general this is not a basic skill with the exception of a few states (primarily ohio). Even still it is usually only on pulseles and apneic patients. In any event, there are several quality back up airway devices such as LMA, King LT, combitube which are just as effective for someone who does not intubate on a frequent basis. To be efficient at this skill, it must be done on a frequent basis and one every couple months isn’t enough. Crunch time is not the time to stress about proficiency.
it says something about pre hypervented
Why would they say they were using a Combi, Multi or LMA if they are clearly Intubating with an ETT, and none of the devices you mentioned.
You tend to not use a Laryngescope with a blind-insertion device.
they should have preoxygenated with 100% oxygen before they inserted the ET. Plus they should specify wether using a Combitube, MultiLumen or LMA. Not the best video, but not horrible.
lol sloppy job
I agree with you on that one. In my county most of the ambulance companies staff their regular ambulances with two EMT1 or an EMT1 and EMT2 in our county all the Fire Departments staff Paramedics which respond to all EMS calls with the EMTs. One of the local Ambulance companies has a hand full of CCT ambulances which have a paramedic onboard. If all else fails there is always Mercy Air.
I agree, Levering on the teeth is not the correct way and offers no mechanical advantage.The anaesthetists (or anesthsiologists in other countries) I work with would not be impressed if I used that technique on our patients!
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Intubation by Basics was allowed here in South Carolina until January of this year.
pre-oxygenate.
I’m an EMT-B, Paramedic student in Ohio. Intubation is still currently in the basics scope for the state, but is being taken out after the first of the year. Just wanted to add my two cents!
I Live in Wichita, KS and I am currently taking an EMT course. As EMTs we are absolutely allowed to perform Endotracheal intubations. I’m actually learning this right now.
Endotracheal Intubation is no longer allowed for EMT-Bs in any state that I know of. I think some states allow blind insertion devices like the King tube.
New York allows its Intermediates to do ET.
i thought only als could do this?
this video is outdated. :p
they are doing that so wrong… you dont rock back, you pull foward because otherwise you could break teeth….not mention we don’t hyperventilate anymore, you just pre-oxygenate… where i am in virginia that is an intermediate skill
circumferential taping is incorrect
@jazelle24 don’t think so, neither does IL
california don’t allow emt-b to intubate do they?
Agreed. Pennsylvania just signed into legislature the EMT-A, which is basically an EMT-I. My EMT instructor, who is a medic, told me its completely necessary to have EMT-A’s
Methinks he’s going to have a very expensive dental bill coming his way.
Sorry, I get a haircut every two weeks so I don’t qualify for being a guitar junkie.
It isn’t useless to have the EMT-I because it allows services to run BLS with only two EMT’s in lower call areas and counties that can’t afford to go all out ALS. We have parts of our county covered where it is BLS only because theres only several calls a day and ALS is nearby if needed badly enough, or even Life Star.
Idaho does since we no longer use EOAs . Some areas are using Combitubes .
is easy
just do it
I don’t know what parts of Ohio these people, who are saying EMT-B’s can intubate, live in but you can’t do it in this city.
The Medical Directors here contraindicate intubation unless it’s going to be done by an EMT-I or EMT-P.
In general this is not a basic skill with the exception of a few states (primarily ohio). Even still it is usually only on pulseles and apneic patients. In any event, there are several quality back up airway devices such as LMA, King LT, combitube which are just as effective for someone who does not intubate on a frequent basis. To be efficient at this skill, it must be done on a frequent basis and one every couple months isn’t enough. Crunch time is not the time to stress about proficiency.