[ccm-l] Intubation post GM seizure: when ?

[John Holmes]

Not in my ED !
 
J.
Dr John L Holmes Director Emergency Medicine TrainingAMC & OLVG, AmsterdamThe Netherlands


Date: Mon, 19 May 2008 13:08:48 +0530From: fnkapadia at gmail.comTo: ivanhronek at yahoo.comSubject: Re: [ccm-l] Intubation post GM seizure: when ?CC: trauma-list at trauma.org; Anesthideas at yahoogroups.com; ccm-l at ccm-l.org




The etiology of the coma from that viewpoint is irrelevant. The fact that everyone around the world considers the "post-ictal" state immune to aspiration and don't intubate is amazing. It is amazing how thoughtless we can be.
 
There was an amusing comment on ccm-l, I think it was Marqo, who stated that the WORST place to have a seizure is an ER. In all other places, the event would pass in a few minutes & life would go on. In an ER, in th blink of an eye, the hapless patient would be intubated, then possibly ventilated & whisked off to ICU. Would end up leaving hospital in days rather than in hours.
 
farhad
 -- Dr. Farhad Kapadia MD FRCPConsultant Physician & IntensivistMumbai, India