nasal cannula debate

[VentMedic]

  On 10/8/2009 at 6:00 AM, Dustdevil said:

Hehe... except for RTs, my students are the only medics I've ever known to understand how to estimate the FiO2 delivered by an N/C. It's a crime that more don't.

And most don't understand the textbook "guessimate" values are for the 75 kg person breathing a calm 500 ml VT at a rate of 12 - 16.

2 L/M or 28% means little to someone who is tachypneic. 6 L/m means little to someone in respiratory distress and tachypneic who could seriously use a steady FiO2 of 0.40 but ain't gonna get it.

Edited October 8, 2009 by VentMedic

[Dustdevil]

Yep. Tis like the approximation of percentage of perfusion provided by CPR. It applies only to perfect, textbook CPR, not what most victims end up receiving.

[FireMedic65]

  On 10/8/2009 at 6:17 AM, Dustdevil said:

Yep. Tis like the approximation of percentage of perfusion provided by CPR. It applies only to perfect, textbook CPR, not what most victims end up receiving.

You mean to tell me what the book says, isn't what really happens? Do I need to start learning EMS from tv shows now?

[VentMedic]

I think it would be a great experience for EMT(P) students to spend a few hours in a Pulmonary lab donating their nares to research for new O2 devices and checking the FiO2 by sampling with a nasal catheter.

[tniuqs]

Agreed .... donate nares ... nah mandatory nasal catheter, I will buy.

  On 10/8/2009 at 6:34 AM, FireMedic65 said:

You mean to tell me what the book says, isn't what really happens? Do I need to start learning EMS from tv shows now?

Ok I know your making jest BUT it depends on what books you read, there is a plethora of respiratory text books out there dont restrict yourself to the dummied down EMS books ... well accept for Bledsoe's books that is.

[Dustdevil]

  On 10/8/2009 at 6:48 AM, tniuqs said:

... well accept for Bledsoe's books that is.

Especially the autographed copies!

[tniuqs]

Zactly ... I never bash free gak.

[mobey]

  On 10/8/2009 at 6:48 AM, tniuqs said:

Ok I know your making jest BUT it depends on what books you read, there is a plethora of respiratory text books out there dont restrict yourself to the dummied down EMS books ...

Any suggestions buddy?

P.S. good resp website 02demand.com for those of us who like online lectures.

[tniuqs]

Cherniack, Shapirio, Kasmerick (sp) and Oakes ... look in NAIT or SAIT required book list.

[VentMedic]

  On 10/8/2009 at 7:00 AM, mobey said:

P.S. good resp website 02demand.com for those of us who like online lectures.

Another is:

http://www.ccmtutorials.com/

All about Oxygen.

http://www.ccmtutorials.com/rs/oxygen/index.htm

Books

http://www.aarc.org/bookstore/rc.html

Respiratory Phyiology/John West

http://www.amazon.com/Respiratory-Physiology-Essentials-Lippincott-Williams/dp/0781772060/ref=sr_1_3?ie=UTF8&s=books&qid=1255008119&sr=1-3

Egan's Fundamentals of Respiratory Care (the classic)

http://www.amazon.com/Egans-Fundamentals-Respiratory-Robert-Wilkins/dp/0323036570/ref=sr_1_4?ie=UTF8&s=books&qid=1255008119&sr=1-4

Dana Oakes Series (all are great especially the hemodynamic monitoring for quick reference)

http://www.amazon.com/s/ref=nb_ss?url=search-alias%3Dstripbooks&field-keywords=dana+oakes