Casualty extrication from a fire risk area

Anthony Caruso Medic541 at hotmail.com
Fri Aug 10 23:51:37 BST 2007


I'm thinking though, once these patients are intubated with what ever you 
chose, what are you going to use to  oxygenate the patient?  We all know 
that oxygen vigorously supports combustion.  And I would be hard pressed to 
ventilate the patient using the air, that's left with all of the hazardous 
materials that burn in a hose fire.
    Your best bet would be move the patient out of the "hot zone" and do 
everything that you need to outside in a clean environment.  Besides if 
there is shallow to no breathing, they in my opinion have a better outcome. 
Because you didn't put all of that crap back into there lungs by intubating 
them and mechanically ventilating them using room air.
 Original Message ----- 
From: "Pond Life" <pondlife at emergency-care-practitioner.com>
To: "'Trauma &amp; Critical Care mailing list'" <trauma-list at trauma.org>
Sent: Friday, August 10, 2007 5:01 PM
Subject: RE: Casualty extrication from a fire risk area


> Nothing would be my preferred option. Just get em out.
> Hadnt considered combitube but yep, makes sense.
> King Airway ! ? ... I'm looking that one up :)
>
> regards
> Mike
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org 
> [mailto:trauma-list-bounces at trauma.org]
> On Behalf Of Charles Brault
> Sent: 09 August 2007 10:25
> To: Trauma &amp; Critical Care mailing list
> Subject: Re: Casualty extrication from a fire risk area
>
> ----- Original Message ----
> From: Pond Life <pondlife at emergency-care-practitioner.com>
> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Sent: Thursday, August 9, 2007 2:16:46 PM
> Subject: RE: Casualty extrication from a fire risk area
>
>
> Hi Ian,
> Just gee m out is the correct option for H&S reasons. If you are having to
> wear full PPE then you are in the wrong place to perform ALS 
> interventions.
> LMA may be a compromise but I would opt for BVM until in a cold zone.
>
> **********************************
> Nope !
>
> Combitube or King Airway or nothing
>
> Charles
>
>
> AirTraq ! ? ... looking it up
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