Research on Adverse Effects of Hyperoxygenation

[cgfd37]

I'm in the process of writing a paper on the adverse effects of hyperoxygenation in the pre-hospital setting. It's something that bugs me, every patient get 15LPM NRB, regardless their respiratory condition. Not only do I think it's abusing O2 therapy, the more I have researched it, the more information there is available on how hyperoxygenating patients can be harmful. I'd like to compile any available research on this subject in to a paper (possibly publish in a variety of EMS journals) and see if we can do something about this. If anyone has any information on this subject, or would like to contribute any knowledge, that would be most helpful. Thanks guys!

[vs-eh?]

I'm in the process of writing a paper on the adverse effects of hyperoxygenation in the pre-hospital setting. It's something that bugs me, every patient get 15LPM NRB, regardless their respiratory condition. Not only do I think it's abusing O2 therapy, the more I have researched it, the more information there is available on how hyperoxygenating patients can be harmful. I'd like to compile any available research on this subject in to a paper (possibly publish in a variety of EMS journals) and see if we can do something about this. If anyone has any information on this subject, or would like to contribute any knowledge, that would be most helpful. Thanks guys!

Maybe in the US they do...But that falls back to lack of education, amoung other things...

Look up RLFP, free radicals, and hypoxic drive to help with your paper...

[RaceMedic]

Im sorry but i do disagree. Not all of my PT's get 15lpm of O2

in fact most of my cardiacs only get 4-6 by NC you have to look and assess your individual PT and how they present to you. So i guess i am wondering where you get that all PT's get 15lpm ?

[cgfd37]

I've noticed this happening on several FR Units in my tri-county area. I'm not saying it happens everywhere, but it's defiantly a problem. fireEMS did a story on it and I'm just trying to further the research and make sure everyone is on the same page.

[AZCEP]

There was an article on the EMS Network a few months ago about this. The study was being done in Toronto. Look at PubMed or Medline. Google might even be able to find something.

[cgfd37]

Thanks for the tip!

[Ridryder 911]

Here is a link to something I posted a while back.... http://www.emtcity.com/phpBB2/viewtopic.ph...329&start=0

R/r 911

[medik8]

I have seen Oxygen over, as well as under-used. Either people slap on a NRB all the time at 15L, or they are being stingy with the O2 because "the pulse ox says 98%"....blah blah blah....meanwhile...the patient is discolored and gasping for breaths... :roll:

I don't think enough people understand O2 therapy. Not long ago...I asked a (medic) partner to put my pt. on O2 because I wanted to try to eliminate some PVCs.....He told me No....and asked why... :shock: Needless to say...my patient got the O2, and the problem was corrected. An explanation fixed him...but...geez....I thought everyone knew that...? :violent1:

Once again....it strictly depends on the situation and the patient. Treat your patient!!!

xoxoxo :wink:

8

[cgfd37]

I agree totally! We need to treat our patients, not our machines!