Modern Miracle or Luxury?


 
 

From the August 2010 Issue | Saturday, July 31, 2010


Miracle or Luxury?
Is continuous positive airway pressure (CPAP) a modern miracle or a luxury? This month, readers respond to JEMS.com columnist Guy Haskell’s article, “CPAP Works Wonders: The best thing since sliced bread … with peanut butter.” One agrees, but another wonders if it’s a necessity. Also this month, Keith Wesley and Marshall J. Washick’s JEMS.com review of a recent study generates a discussion on proper pain management protocol.

Before sliced bread, people just sliced it themselves. Likewise, before CPAP, a bag-valve mask was used to provide positive pressure ventilation assistance. At least, I hope it was. I agree that CPAP is fantastic, but I consider it a luxury and hope we haven’t forgotten the art of bagging patients. After all, it’s how we teach airway management. Shouldn’t it be how we practice as well?
D. Klein
Via jems.com

CPAP has made a real difference in the rural setting as well. Out here in the boondocks, we’re farther away from everything. Having CPAP has improved our patient outcomes and reduced the amount of time they stay in the hospital. The type of CPAP we use allows us to start treating our patients in their homes, if needed. I agree; CPAP is the greatest thing for EMS since the pocket on a shirt.
Michael J. Mallo, EMT-P
Spencer, Indiana

Pain Protocols
Kudos to the study authors and to Dr. Wesley and Paramedic Washick for reviewing [“Are Fentanyl and Morphine Equals?”]. I agree with Washick that both agents are appropriate for EMS use, but as others have also said, one must know which to use when. It’s imperative that medics have a thorough knowledge of any drug used. Although there’s no excuse for failing to manage pain adequately, there’s also no excuse for medical directors and state EMS systems restricting their medics from adequately managing pain by limiting protocols. If the fear is inadequate education in pain management, then educate your medics.
Gene Gandy, JD, LP, NREMT-P
Via jems.com


CORRECTIONS
The formula for ethanol is incorrect in Steve Berry’s article, “Duh: Don’t underestimate human stupidity” (June 2010 JEMS). The correct formula is C2H5OH.

The article, “New CCR Technique Proves Successful,” (June 2010 JEMS) incorrectly reported the cooling temperature for normal saline solution. The temperature should be 40° F.
We regret the errors. JEMS

This article originally appeared in August 2010 JEMS as “Letters: In Your Words.”

 




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Patient Care, Airway and Respiratory, ” “morphine, ” “Marshall Washick”, ” “Keith Wesley, ” “Guy Haskell, ” “fentanyl, ” “BVM, “CPAP, Jems Letters

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Mechanical CPR is Producing Resuscitation Results Beyond Expectations

Discover why clinical studies are finding mechanical CPR just as effective as optimally-performed CPR.
More >

Multimedia Thumb

New Technology Helps Missouri Ambulances

Strategic GPS tracking helps in Springfield.
Watch It >


Multimedia Thumb

Profile: Hospital Wing Air Ambulance

Take a look inside this Memphis service.
Watch It >


Multimedia Thumb

New Monitors for Wyoming EMS

Grant helps Torrington EMS get new equipment.
Watch It >


Multimedia Thumb

London Medics Increasingly Attacked

One medic describes her violent confrontation.
Watch It >


Multimedia Thumb

Violence, Arson in Ferguson

Crowds in Ferguson and elsewhere react to decision.
More >


Multimedia Thumb

California Bus Rollover

One killed and dozens injured.
More >


Multimedia Thumb

Buffalo Residents Dig Out and Prepare for Flooding

Flooding expected as heavy snow melts.
More >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


More Product Videos >