EMT typically can only do basic stabilization and transport. They can do basic life support and run and AED in this situation. Paramedics can intubate, prescribe and push cardiac drugs, sedatives, and run an actual defibrillator.
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$2.8M now
Dude seems like an awesome dude
“Did you stay at a Holiday Inn Express last night?”
“No, but I am a chiropractor.”
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https://twitter.com/BrettKollmann/status/1610155490788671489
https://twitter.com/rocketcheddar/status/1610156243129171969
https://twitter.com/mattiasthepoet/status/1610155903407333376
https://twitter.com/KieranHorneCFB/status/1610157471212920832
https://twitter.com/bubbaprog/status/1610157380267917313
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The chiropractors are a part of the team. I found this site for NFL chiros Chiropractic Roster By Team - Professional Football Chiropractic. If I’ve learned anything from H&F, there is nothing to worry because the Bills chiro is Certified ART® and Graston Technique® Certified.
It appears as though this is, in fact, the Chris Jericho, and that he actually did spell his name wrong the first time so donated another $5k to spell it correctly.
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Click a mouse, lose a house.
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All ER docs are “airway management physicians”. Paramedics manage airways too.
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Intubating immediately for an arrest, especially a vfib arrest, is wrong in the field. All focus should be on delivering a shock, compressions, and meds like epinephrine and amio, in that order. Airway management is a much lower priority. This is different than in a hospital, where there’s an abundance of resources. Even in an ER resuscitation, I would ignore the airway beyond bagging for the first 5 minutes or so and then go to an LMA maybe if I was riding solo. Once you get ROSC, intubating is a really bad idea in the field most of the time. Intubating can cause a lot of hemodynamic instability, and should be avoided in the field unless there’s a compelling reason to do so. This changes if it’s a respiratory arrest or some sort of PEA arrest, which is far more common in the hospital setting.
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I think there’s very likely a miscommunication by the media members who don’t know what an AED vs defib are.
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Even if it was an EMT/EMT crew, which would shock me, supraglottic airways are a basic skill and you can drop one in 30 seconds. It’d really surprising if they didn’t have his airway controlled by the time he was loaded, and hopefully much earlier than that
I’m thinking and hoping these things were just reported in confusion. I can’t imagine they’d send a BLS ambulance to an NFL game
EMS systems are highly variable in what they can do and even what they’re called, but I’ve never seen one where an EMT can do airway management. That’s typically a paramedic or an EMT-P depending on the state. EMT takes a few weeks of training only in some states.
Does it really matter who is in the “EMT/Paramedic crew” if there is an ER doc and a separate “airway management physician” already there?
It’s pretty common, but less than universal which surprised me
I guess the problem would be a basic crew couldn’t use capnography, but if I’m the dead guy on the floor I’ll take the LMA. They’re pretty tough to fuck up
It depends on how they have it setup but unless the doctor in question is an anesthesiologist or has a previous agreement with the ambulance system I would say the medic is almost definitely doing the field intubation
Hopefully all these details come out
Edit: missed that they have an [strike]anesthesiologist[/strike] airway management physician on the team. He’d be the tube guy or gal for sure
Let’s just say i’ve seen it fucked up a few times. tbf i’ve seen a lot more tubes in the goose from medics though.
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I think we’ll lose tubes from our scope during my career, and that it wouldn’t be a bad thing. It’s almost impossible to find an OR that’ll allow students to practice, let alone everyone else. Although we just got video scopes last year and they’re really sweet
Yeah I was thinking about what I’d do in this situation. I’ve done video tubes only since covid hit. It’s so much easier with VL.
Could I do DL? Yeah and I’ve done enough to be sure of it, but first pass success is so much higher than VL that it’s a disservice to my patients if I’m not using it. Shitty thing now is where I practice we only have the hyperangulated glidescope so I can’t do DL with VL as immediate backup.
Honestly, I’d slap a supraglottic with etco2 as a first option in the field. They can RSI in a resuscitation room with all the support and tools they’d need. Especially in a large metro area with short transport times. I’m obviously not EMS though.