Artifical Airways

[307]

ANy way of getting your size of the plastic airways medics carry through the system or just gotta proff one off of a medic?

 

[307]

Just what I was looking for I reckon that walker thing is just about the right size for my gob

 

[chokinthechicken]

307, It's not the size of your gob that matters, it's the lenth of the trachea.It seems like you don't have a clue what is needed, you sound like a walt to me.!!!!!.

CTC

 

[spoomo]

You mean like OP or NP airway adjuncts?

Your asking for trouble carrying one of those with your FFD, when you take a knock and some keen bean goes and rams it up your arrse... Or down your throat incorrectly when its not needed, or the wrong way up.

Leave that to the medics.

 

[jase2472]

307, It's not the size of your gob that matters, it's the lenth of the trachea.It seems like you don't have a clue what is needed, you sound like a walt to me.!!!!!.

CTC

with you on that one, he will be after a DROPS to transport himself around next

 

[Gazareth]

Med centre, they should give you evrything if you suck up. Also if you're gonna carry them don't just get your size. What if you need to treat someone else??

 

[press_it]

artificial airways should be fitted ONLY by medics/trained persons. as has been said, by carrying one you are asking for trouble if first aid is given by some keen f#ckwit.
if you need one, call a medic. they should be carrying them & will know how to use.

 

[The_Cheat]

A tip I was given as a Medic is to go round your trp/Sqn and measure the lads (hello hello!)

Then stick the colour of it on their kit with heir zap number. Ie

Cheat007
UK
O Pos
Green/Blue/1/2 etc

You can do the same thing with Stiff neck colars.

And worry about carrying your own, because your RMA/CMT will have oodles of airways.


T C

 

[Goose_Rider]

artificial airways should be fitted ONLY by medics/trained persons. as has been said, by carrying one you are asking for trouble if first aid is given by some keen f#ckwit.
if you need one, call a medic. they should be carrying them & will know how to use.

If he's talking about a Guerdel (spelling ?) airway anyone can carry one, the medics are trained to intubate with ET tubes.

I wouldn't want my oppo trying to ram an ET down my trachea but I'd be grateful for a Guerdel from anyone if I was unconsious.

Obviously I'm willing to be corrected by someone who knows the score, but what The Cheat says sounds about right.

 

[chokinthechicken]

I take it then GR, all pers are taught how to size (the word is Guedel by the way) and when and how to use them.????
The Cheat is right in what he says, but being a trained medic, he knew what he was doing.

You'll all want to be carrying defibs soon.!!!!!!!!!!!!!!!!!!

 

[The_Cheat]

artificial airways should be fitted ONLY by medics/trained persons. as has been said, by carrying one you are asking for trouble if first aid is given by some keen f#ckwit.
if you need one, call a medic. they should be carrying them & will know how to use.

If he's talking about a Guerdel (spelling ?) airway anyone can carry one, the medics are trained to intubate with ET tubes.

I wouldn't want my oppo trying to ram an ET down my trachea but I'd be grateful for a Guerdel from anyone if I was unconsious.

Obviously I'm willing to be corrected by someone who knows the score, but what The Cheat says sounds about right.

Are you mad!

Most CMTs wont know how to use an ET tube properly! They may know how to actually shove one down a Sim-Man well enough, but we are taught nothing about the correct drugs that you need to use to keep the PT sedated.

They let us mess about with them on my Class 2 course, but there were RGN's on my course and having spoken to them, theres a lot more to an ET tube than just getting it down their throat in under 6 seconds.

If you come across a CMT that thinks they can do it, try and have a word with your MO about it. The CMT may be legit, but more often than not they've spent an afternoon with Sim-Man so they think they can do it.

{Rant Mode off}

T C

 

[spoomo]

artificial airways should be fitted ONLY by medics/trained persons. as has been said, by carrying one you are asking for trouble if first aid is given by some keen f#ckwit.
if you need one, call a medic. they should be carrying them & will know how to use.

If he can call for one, I'd argue he does not need one. Or at least wont be able to tolerate one...

 

[DocSTAB]

Bit of jackness here lads, this is simple stuff. Yes, I wouldnt carry one around day to day, as I don't want Mr St John Ambulance trying to ram one down my japs eye, but you ought to have one in training and fekkin definately on ops and you should make sure your mates know how to use it. After all, you're not going to put it in yourself, are you!

As for getting one, just blag one off your medic, they have boatloads. You ought to be issued at least one OP and NP for your kit anyway.

It takes Feck all effort on the part of your medic to teach you how to size off NP and OP airways and how/when to use them. This ought to be done.

CTC, it's the size of the gob that matters. An OP airway shouldn't go anywhere near the effin trachea (unless you're using a boot to insert it).

OP airways (also called Guedal, or 'J' airways.....cos of the shape ) come in sizes 1-4 (ish) for adults and smaller for kiddiewinkles. Most blokes are 2 or 3. Place the airway against your cheek to size it, it should go from the angle of the jaw (the point where it turns 90 degrees below your ear) to the centre of your teeth.

NP airways are urine easy to fit and most blokes are a size 7. If you have small nostrils, or are actually female, then go for a 6.

Airways are easy-peasy to learn. It's things like medicuts that are more serious (but should also be taught/learnt).

 

[chokinthechicken]

DS,Your quite right, I should have checked what I'd written before sending.My humble apologies to all concerned.

They are easy to learn, but, how much med kit should a Tom need to carry, isn't his job to ''Win the firefight''.

CTC

 

[flamingo]

Guadel airways, pah! I always found them an over-rated tool, you still need to do a jaw-lift anyway, and if you are doing that, you don't need an airway. Still, I was only a recovery nurse for 10 years, what do I know.

 

[Accidental_discharge]

Most CMTs wont know how to use an ET tube properly! They may know how to actually shove one down a Sim-Man well enough, but we are taught nothing about the correct drugs that you need to use to keep the PT sedated.

Versed 1-2mg bolus with fentanyl 50-100ug bolus

or

snow them good with versed/fentanyl, and give them a shiite load of rocuronium or succs

 

[The_Cheat]

Of course! Because your RMA is going to have all of them on them...

You'd be lucky if they had an O2 bottle in the wagon.

T C

 

[DocSTAB]

Guadel airways, pah! I always found them an over-rated tool, you still need to do a jaw-lift anyway, and if you are doing that, you don't need an airway. Still, I was only a recovery nurse for 10 years, what do I know.

True, but anything's better than nowt.

@CTC: Of course squaddies can't carry shedloads of med kit, but simple individual items like airways, correctly sized, mean that the medic can carry more useful kit in his limited space, and doesn't have to faff on sizing people. Add to that the fact that you may not have access to a medic for some time if you are cut off or pinned down, especially nowadays.

The top three preventable combat killers now are extremity haemorrhage (~60%), Pneumothorax (~30%) and airway obstruction (~10%). Everyone should carry a tourniquet, bandage and airways and be taught haemorrhage control and airway control. Pneumos are a bit trickier, but there's no harm in each squaddie having a 'Medicut' thoracocentesis needle in his med kit. It takes bugger all space and means that a trained person can use it on him if needed. Same goes for a chest seal in my opinion.

Two dressings, a CAT, an ACS, a medicut, and OP and NP airways should be the squaddies' trauma kit. Add to that a bag of fluid and giving set stashed about him. Doesn't weigh that much.

 

[chokinthechicken]

DS see your point to a certain degree, but.........

 

[The_Cheat]

I'm not sure on the trauma pack idea. I wouldn't want to rock up and find that the young tom that's in a bad way has been messing with his "fancy new trauma pack" or lost it or its in his bergan etc....

I'd carry the same kit, whether or not the lads has Chest seals and airways on them.

And an ACS costs like £5?? Are the MOD gonna give every lad on tour one, only to find that it been sat on and crushed and is U/S after a few months?

I say show them how to use it, but don't start handing the kit around like that.


T C