63 More Birth’n Babies

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(41:29) We’re talking birthing babies, vomit and poop this week. Ever seen a breech deliver? Heard the term “Macro peds”? The changing rules of suctioning meconium babies. Projectile vomiting and being covered in vomit. Kelly discusses laryngo-spasm.

Mentions:

Episode 10 – Don’t Know Nothing About Birth’n No Babies
Black Box warning from FDA on Terbutaline Sulfate for tocolysis.

Listener Questions

Hey Kelly and Ron. I’m a Paramedic Student and I was wondering what were your fears as you were going through paramedic school and even starting out as a newly minted paramedic? The biggest fear of mine is having an EMT partner look up to me asking me what to do next and me not knowing what to do for the patient. – Andrew
O2 ain’t what it used to be.
We’re hearing heaps of studies come out relating to O2 therapy for cardiac issues, and increasingly for the treatment of stroke as well. What’s the deal with post-ictal patients, haven’t been able to find anything – any clues?
Cheers,
Flo
Transport Jockey asked about going from a Rural to Urban service.

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  • Timothy Campbell

    “Party on” is definitely from Wayne’s World.  Kelly had it right. 🙂  Love the podcast by the way guys.  Im starting EMT/EMT soon and planning to jump right into Paramedic afterwards.

  • usalsfyre

    Succinylcholine DOES relieve laryengospasm. Looking at anesthsiea text the standard treatment for severe laryengospasm is succinylcholine. One of the reasons for RSI is prevention of both active regurgitation and laryengospasm.

    That said, my understanding is your typically looking at a longer onset than for skeletal muscle relaxation.

    Placing the patient on the stretcher not only allows the patient to be placed at a more comfortable height for the provider, it often allows for more optimal positioning of the airway via raising the head of the stretcher. Although not policy, it’s something I’ve started doing when able on my intubations.

  • Christine

    At Cypress Creek EMS, we definitely position the patient on the stretcher for optimal intubation height.  I have even seen medics go as far as to increase the height of the stretcher while inside  the ambulance (while parked), and if that did not work, pull the stretcher out of the truck entirely.  We have also moved toward progressive laryngoscopy, which HCEC also uses, meaning making the initial attempt with a gum bougie.  The intent is to use the smaller diameter tool which increases the odds of being successful on the first attempt.