 |
 |
----- Original Message ----- From: "Beth Christian" Subject: Re: Advanced Air Way in Prehospital > > In Australia it is deemed to be a reasonable standard of care to have a > minimum of 4 months in anaesthetics and 12 months in ICU ( where lots of > arrests and crash intubations are required). A small point Beth, but I've done quite a lot of ITU, and I found that arrests and crash intubations were quite rare in this setting. Most of the patients are already tubed (from elsewhere) and if extubated correctly most will not require re-tubing. Crash intubations should really be considered a critical incident in a modern ITU setting. Arrests too should rarely happen; the patients might have multiorgan failure but they have relatively stable myocardiums. Some patients do arrest at end-stage but they are not then usually resuscitated. In short, what I'm trying to say is that ITU is not a good place to gain airway experience. Straight anaesthetics is much more beneficial, but if you really want crash intubations and arrests then go to your local A&E department!! Adrian Fogarty