I agree with DR. Terndrup. Questions I'd also like to see addressed,
In trauma patients, many of us feel that time spent on the scene is time wasted
in the ED/OR. Would not RSI not increase scene time, IV access, the procedure
In medical patients, seems most of the indications for intubation can be
succesfully managed temporarily, at least, with medical management, and often
inital urges to intudabe can be circumvented. Eg. seizures, hypoglycemia.
We don't see as much eppiglotitis these days, but when we do, should we risk
field RSI assisted intubation for what most ED physicians would prefer happen in
the OR, or at least with surgery ready to respond at the bedside?
I could go on, but the gist is I see lots of problems.
David G. Ward, M.D.
Le Bonheur Children's Medical Center
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