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ER Clinial Question


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hello, I'm currently doing my rotation in the ER right now, definitely somewhere I can see myself working (plus they hire a lot of new grads from my school). A PA I was working with told me one of the MDs told him he can come in on his day off to work with anesthesiology to practice intubation skills. That's something I have always wanted to learn how to do (beyond what we learned in ACLS). As students were you guys able to practice that skill or is that more learned on the job. Any thoughts would be greatly appreciated.. thanks

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http://www.theairwaysite.com/pages/page_content/Airway_home.aspx

 

HIGHLY recommend finding one of these courses and attending. If you are serious about being in a spot where you are at the airway, you need this course. There is TONS more to know about airway management far beyond tubing sedated, NPO, properly positioned patients. I can teach a primate how to tube...it is just a mechanical motion. The thinking part is where people get tripped up at. Doing a day or two in the OR once a month is great once you have demonstrated that you are thinking efficiently. Providers get into trouble with airways when gain a false sense of security by sliding a tube a couple of times and calling it "good enough".

 

When you are staring down the barrel of a 400 pounder with a gigantic overbite, full beard, who just ate their fill of noodles with cheese...the money spent on this course will be worth triple it's face value.

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I did a one month anesthesia elective during which time I did hundred of intubations and and lots of airway management. In my new job as an emerg PA I have the option of going to the OR with anesthesia once a month to keep my skills up.

 

I see you left that primary care clinic already...I'm actually kinda fascinated to see your path through a typical ER in Canada

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Still doing family med part time. Emerg is where pas in Canada are being best utilized. What would you like to know?

 

I don't even know where to start- I'm just curious how emergency departments in other countries are run, and how different (if any) from the US. The availability of diagnostic testing, the use of consultants/specialists in the ER, the admission rates, presences of observation units, fast tracks...I guess I'd just like to be a fly on the wall and see how it all flows

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I don't even know where to start- I'm just curious how emergency departments in other countries are run, and how different (if any) from the US. The availability of diagnostic testing, the use of consultants/specialists in the ER, the admission rates, presences of observation units, fast tracks...I guess I'd just like to be a fly on the wall and see how it all flows

 

Well I've done enough emerg work as a student in enough EDs that I can answer specific questions for you but having me never worked in the USA I can'take comparisons.

 

I did shadow my cousin for a week who is an emerg doc in rural Pennsylvania. This was back in August 2001. I didn't feel that his emerg was much different from the ones here.

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Going back to the OP, I graduated about 10 months ago and also practiced intubations with the anesthesiologists at my ER rotation. I'd recommend it, but as others have said, the action itself isn't nearly as difficult/important as the knowledge of when it is indicated to do so in an ER setting as well as how to manage very difficult airways.

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