Pacing Vs. Airway Management

[Bjorn, Pret]

I'm not seeing the confusion.  Bag him with a MASK and apply your pacer.

Do you guys have ACLS?

Pret Bjorn, RN
Bangor, ME USA


-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Gavin SUTTON
Sent: Friday, May 16, 2008 5:22 PM
To: trauma-list at trauma.org
Subject: Pacing Vs. Airway Management


Just a question if I may... 

Pre-hospital case, 55 year-old male patient with Hx of IHD and
hypertension. He is on pharmapress and Isordil. He has defaulted for 6
months. His EKG shows a sinus rhythm of 110 with ischemia. While the
paramedics are treating the patient, he becomes unresponsive, the ECG
shows 3rd degree HB and he has a BP of 80 systolic. He has very poor
tidal volume.

What would you do?

1. Begin external pacing immediately
2. Sort out the patient's airway first (intubation) and ventilate with a
bag-valve-mask resuscitator - 100% O2, and then begin external pacing if
no improvement
3. Transport to hospital while maintaining basic airway techniques and
ventilation- 45 minutes away

Many thanks

Gavin 

Gavin Sutton
Head: Department of Training
Emergency Medical Services
Western Cape Department of Health
South Africa

Tel. +27 21 938-4118
Fax.+27 21 938-4269

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