I have read all of your replies and I appreciate everyone taking the time to
do so. I think the general concensus is High Flow in an emergent situation.
Obviously if the patient starts going off reduce or cease O2 therapy as per
protocol.
I have had a quick look on OVID for evidence to support this and as yet have
not found any. In fact the last recommendation from the British Thoracic
Society was <28% until ABG result come back.
I intend to dredge medline, BMJ etc for hard evidence but at this moment in
time it only appears to be anecdotal - if this is the case is EBM failing
the patient? I shall let you know on Sunday night how I get on and will
publish references to support or dismiss High flow O2 with acute COPD
patients.
thankyou
Mike Bjarkoy
Paramedic
Sussex
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