OK, you had your fun. I was going to get on and post my appology until I spoke to a nunber of other EMS types. Thus far not a single person has heard of not velitlating a pt for such extended periods of time. If anythign BeriBeri has proved that the pt in question did not have the type of 7.5 minutes as he/she posted. How many of you read the first post? I am not sure you read the part about the NEED to intubate this pt. If the pt needed to be intubated then they did not have the advantage of a controlled hyperoxygenation as you keep reffering to. One of you mentioned preoxigenation with a NRB. If the pt is in dire need of intubation then a NRB is not going to work as the pt does not have either the ability to manage thier airway or they are not ventilating themselves appropriatly. Either way, the pt described is in the post is not going to be able to withstand the aforementioned 5-8 minute no ventilation time.
The only reason I even attempted to make the post was that the case appeared to be an EMS type incident as far as airway management. This is something I do know about. No, I am not a paragod. Never have been and never will be. As a medic though I do have the benefit of doing intubation with pts whom are VERY sick, all the time. If we are refering to god complexes it would appear that the only peron who posts riticule without basis is that of "blotto geltaco".
As to the issues of the resident and the attending I am surprised that nobody else thought to comment. How can anyone feel it is appropriate to allow someone, an M3 in this instance, to be allowed to intubate, the gold standard of airway management, without any education about rescue devices. This is covered in basic First Aid, why not in medical school? I am glad that the M3 was able to make the post he did, this is why this forum is here. He should not have been put in this position by the medical school.
Next let us look at the attending at a teaching facility. How can this obvious expert in thier field not know about alternate intubatiuon techniques. Again, an infatructure issue. How can this attending teach if they are not current on what is going on in the emergency medicine community in the harmark of care, airway management.
In conclusion I am NOT a physician. I AM starting medical school. What I have posted is mostly based upon the last decate I have spent in EMS, most as a paramedic. What you have posted has been extremly educational and I appriciate the knowege. I thank those who have been helpful and am glad that the forum still brings you out. As for those who feel that they have put me in my place, you are mistaken and correct. You have not put me in my place, those whom have offered information have. Again, thank you for setting me strait, but I am still not sure that the pt in the initial post is an example of this long time withuot ventilation.
