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Having a rather heated discussion with my CC about this one.. We had a 4 y/o male, pretty large for his age, with an apparent asthma attack. His SpO2 was 89%, I decided to use an Pediatric NRB on the PT. He tolerated it just fine, and his SpO2 increased. My CC got upset about that at the end of the call and said I should have used o2 blow by with a paper cup and o2 tubing. Which do you guys think is more beneficial in these situations? Blow by or NRB? It seems to me based on his presentation and response to treatment that the NRB worked just fine.

You win this round....

No, we just don't piss on the floor

I'm not sure what a cc is either... But if they really got upset in this situation then they're not terribly bright and I hope that cc doesn't imply some type of training position.. Use an intervention that requires both of my hands to be occupied, or one that leaves them free to do other stuff, like, say... Vitals, lung sounds, etc..? Yeah Brother... You were off in the ditch... Tell your cc that next time you'll be sure to prove to the world that you know the 'paper cup trick' instead of continuing to do medicine instead... Grrrr... This stuff makes me crazy... Good post man... These are important points that, truly, can't be repeated often enough... Think instead of follow... Good on you..

CC? Again, please know this is an international forum and most abbreviations are not universal. A 4 yo can tolerate a pediatric NRB, and if they do then use it. No reason not to in this case. Blow by is not as effective as a NRB and as long as you have a good fit and the kiddo tolerates it, I see no problem with it.