🚀 go-pugleaf

Rob Theriault wrote:

> Hi:

> "In the instance when the Flight Paramedic determines that sedation is required
> to facilitate intubation, the Flight Paramedic will attempt contact with the
> Base Hospital Physician. If the Patch is impossible or cannot be obtained
> quickly, the Flight Patramedic may administer Midazolam 1-2 mg IV and/or
> Fentanyl prior to intubation and re-attempt the patch."
> 
> When intubation is indicated for the patient with a suspected or confirmed brain
> injury, a bolus of Lidocaine 1-1.5 mg/kg may be administered prior to intuation
> to blunt the effect of raised intracranial pressure."

Correction, should read:

"In the instance when the Flight Paramedic determines that sedation is required
to facilitate intubation, the Flight Paramedic will attempt contact with the
Base Hospital Physician. If the Patch is impossible or cannot be obtained
quickly, the Flight Patramedic may administer Midazolam 1-2 mg IV and/or
Fentanyl 25-50 mcg prior to intubation and re-attempt the patch."
 
When intubation is indicated for the patient with a suspected or confirmed brain
injury, a bolus of Lidocaine 1-1.5 mg/kg may be administered prior to intuation
to blunt the effect of raised intracranial pressure."

Thanks

Rob Theriault  EMCA, RCT (Adv., EMA III,
               Critical Care Flight Paramedic
Bandage 1, Dedicated Air Ambulance
Toronto, Ontario, Canada
E-Mail: rob.t@sympatico.ca
---------------------------------------------
Director of Education and Research
Ontario Paramedic Association