Comments on: The Art of The Nasopharyngeal Airway http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/ Medicine Moves Fast ... Keep Up. Mon, 21 May 2012 12:34:56 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: The Blood Stain / Peroxide Trick http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-6146 The Blood Stain / Peroxide Trick Wed, 07 Mar 2012 21:05:11 +0000 http://theemtspot.com/?p=2059#comment-6146 [...] The Art of The Nasopharyngeal Airway [...] [...] The Art of The Nasopharyngeal Airway [...]

]]> By: You can judge a book by its cover? – JEMS.com | Rogue Medic http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-4105 You can judge a book by its cover? – JEMS.com | Rogue Medic Mon, 04 Oct 2010 22:45:07 +0000 http://theemtspot.com/?p=2059#comment-4105 [...] [1] The Art of The Nasopharyngeal Airway The EMT Spot by Steve Whitehead Article [...] [...] [1] The Art of The Nasopharyngeal Airway The EMT Spot by Steve Whitehead Article [...]

]]> By: Heather http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-3225 Heather Wed, 03 Mar 2010 04:01:05 +0000 http://theemtspot.com/?p=2059#comment-3225 As a EMT and Seizure Patient I have had a NPA put in by emts a few times, and I myself have found in alot of cases around here the "fakers" or polite term attention secures--- when they pretend to be unconcious or being ill and some people have actually mastered this to the point it can be hard to tell, I give them a nice but fair warning if they don't wake up or come around by the time we reach the er they are going to have more tubes sticking out of them then they know what to do with, staring with a Npa (as soon as i mention putting a tube down a "Patients" nose I suspect of "pretending" its amazing how fast some of them come around....:) not a a nice trick but it works and Don't get me wrong I have had some people that "Fake" being ill , I will put NPA down and they tolerate it...!!! Somtimes a small Grimac from them but its amazing how much people will take when they have mental problems, When asked in the ER by the DR why my Patient has a NPA I just respond, I needed to secure the airway they have been having "Pseudo-seizures " (even thought these are not fake seizures, it is still a mental thing), but I'm taling about the people who actually do... fake being sick breath holding etc..... As a EMT and Seizure Patient I have had a NPA put in by emts a few times, and I myself have found in alot of cases around here the “fakers” or polite term attention secures— when they pretend to be unconcious or being ill and some people have actually mastered this to the point it can be hard to tell, I give them a nice but fair warning if they don’t wake up or come around by the time we reach the er they are going to have more tubes sticking out of them then they know what to do with, staring with a Npa (as soon as i mention putting a tube down a “Patients” nose I suspect of “pretending” its amazing how fast some of them come around….:) not a a nice trick but it works and Don’t get me wrong I have had some people that “Fake” being ill , I will put NPA down and they tolerate it…!!! Somtimes a small Grimac from them but its amazing how much people will take when they have mental problems, When asked in the ER by the DR why my Patient has a NPA I just respond, I needed to secure the airway they have been having “Pseudo-seizures ” (even thought these are not fake seizures, it is still a mental thing), but I’m taling about the people who actually do… fake being sick breath holding etc…..

]]> By: emtJack http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-3089 emtJack Wed, 03 Feb 2010 07:03:59 +0000 http://theemtspot.com/?p=2059#comment-3089 We do a lot of narcotic ODs and I always drop an NPA in before ventilating. With opiate ODs, if the EMT can manage the airway, the medic can focus on getting a line to give narcan and avoid having to use an advanced airway at all. We do a lot of narcotic ODs and I always drop an NPA in before ventilating. With opiate ODs, if the EMT can manage the airway, the medic can focus on getting a line to give narcan and avoid having to use an advanced airway at all.

]]> By: JP http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-3067 JP Fri, 29 Jan 2010 22:15:59 +0000 http://theemtspot.com/?p=2059#comment-3067 Loved the article. It is true that people are so hesitant about putting in an NPA due to the perceived pain, etc. Many of these misconceptions are made worse by providers that have never even put one in. I personally love them. You can still place an ALS or BLS airway (ET, King, CombiTube, LMA) with it in place without removal and it is there as a nice backup. I carry a few in my kit and have used them numerous times. I start our EMT-B airway class by putting an NPA in myself for the class to see. I then allow the students to try one on themselves or on each other under supervision to learn the right way to do it. That alone has made them more comfortable putting them in on real patients. Loved the article. It is true that people are so hesitant about putting in an NPA due to the perceived pain, etc. Many of these misconceptions are made worse by providers that have never even put one in.
I personally love them. You can still place an ALS or BLS airway (ET, King, CombiTube, LMA) with it in place without removal and it is there as a nice backup. I carry a few in my kit and have used them numerous times.
I start our EMT-B airway class by putting an NPA in myself for the class to see. I then allow the students to try one on themselves or on each other under supervision to learn the right way to do it.
That alone has made them more comfortable putting them in on real patients.

]]> By: The EMT Spot » Medicine Between The Frames http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-3055 The EMT Spot » Medicine Between The Frames Thu, 28 Jan 2010 12:52:38 +0000 http://theemtspot.com/?p=2059#comment-3055 [...] The Art of The Nasopharyngeal Airway [...] [...] The Art of The Nasopharyngeal Airway [...]

]]> By: The EMT Spot » CPR Right Now http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-3012 The EMT Spot » CPR Right Now Fri, 22 Jan 2010 21:41:35 +0000 http://theemtspot.com/?p=2059#comment-3012 [...] The Art of The Nasopharyngeal Airway [...] [...] The Art of The Nasopharyngeal Airway [...]

]]> By: The EMT Spot » The Best of The EMT Spot 2009 http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-3001 The EMT Spot » The Best of The EMT Spot 2009 Fri, 22 Jan 2010 21:38:28 +0000 http://theemtspot.com/?p=2059#comment-3001 [...] The Art of The Nasopharangeal Airway. I was initially reluctant to put a skills category on the site. I thought skills would be a [...] [...] The Art of The Nasopharangeal Airway. I was initially reluctant to put a skills category on the site. I thought skills would be a [...]

]]> By: The EMT Spot » The Art of The Pulse Check http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-2773 The EMT Spot » The Art of The Pulse Check Sat, 19 Dec 2009 12:04:50 +0000 http://theemtspot.com/?p=2059#comment-2773 [...] Here When You're Ready To Head Back To The Home Page Previous Post: The Art of The Nasopharyngeal Airway [...] [...] Here When You’re Ready To Head Back To The Home Page Previous Post: The Art of The Nasopharyngeal Airway [...]

]]> By: Steve Whitehead http://theemtspot.com/2009/12/08/the-art-of-the-nasopharyngeal-airway/comment-page-1/#comment-2673 Steve Whitehead Fri, 11 Dec 2009 04:14:10 +0000 http://theemtspot.com/?p=2059#comment-2673 Glad to hear you found a work-around solution Rob but it sounds like there may be some operational issues at your service that would be worth addressing. If you meet resistance you might start by telling everyone about the dead AED battery that cost the Chicago Fire Department 3.2 million dollars. http://thinksafe.wordpress.com/2009/10/13/didnt-change-your-aeds-batteries-that-will-be-3-2-million-death-settlement-please/ Let us know how it goes. Glad to hear you found a work-around solution Rob but it sounds like there may be some operational issues at your service that would be worth addressing.

If you meet resistance you might start by telling everyone about the dead AED battery that cost the Chicago Fire Department 3.2 million dollars.

http://thinksafe.wordpress.com/2009/10/13/didnt-change-your-aeds-batteries-that-will-be-3-2-million-death-settlement-please/

Let us know how it goes.

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