What are the reasons that Rapid Sequence Intubation is used?
105284
In recent years, rapid sequence intubation (ie, rapid sequence induction [RSI]) has become the technique of choice for emergent airway management and is a skill that all emergency physicians must master. Indications for intubation are discussed in other articles but include respiratory failure, altered mental status, cardiopulmonary arrest, and significant trauma.
470551
Pressure changes cause the diaphragm to contract quickly causing hick ups - more air is needed to balance the pressure - hence hold your breathe to stop hick ups
78738
The potential complications associated with general endotracheal anesthesia administration are familiar to most perioperative nurses and other OR personnel. Throughout their professional careers, perioperative nurses can expect to witness and provide assistance with the resolution of a variety of anesthetic complications. This case study provides an account of a patient who experienced a single anesthetic complication that triggered a cascade of related complications and resulted in a resuscitative event.\n\nPerioperative nurses must become familiar with alternative means of airway management and the associated hazards and complications. This case study profiles an incident in which respiratory complications evolved in a predictable fashion after the use of high-frequency jet ventilation, and it delineates the actions instituted to manage the patient's intraoperative care.
470335
There are several surgical procedures, some on an outpatient basis that can increase the diameter of the airway which can help.  Check with a good ENT doctor if you are interested.  The CPAP is the cheapest option and a trial is usually required by insurance companies before they will pay for any surgical procedure.
528197
is this for holding your breath?? \n\nThe technique used by the record deep divers is to bring their heart rate down to 10 beats per min, by meditating and relaxing all their muscles\n\nHow you do it? it takes a looot of practice.. I have done relaxation exercises and have gotten my heart rate to under 30.. but those guys are crazy
753321
I am an MD by profession and happen to come across your question. I would caution you against any form of rapid weight reduction. In the past, many cases of pulmonary hypertension as well as a host of other complications were reported with the use of "fen fen". \n\nAlthough my research on rapid slim did not produce any major problems, I am still concerned. Here is some info about it.\n\nThe clinically prov en key ingredient in RapidSlim SX, Cissus quadrangularis, is a scientifically validated extract from a medicinal plant found in India. Cissus quadrangularis is used regularly as a critical part of traditional Ayurvedic medicine. \n......................................................................................................\n\nHere is another piece of info about the acive ingredient:\n\nCissus quadrangularis contains high amount of vitamin C, carotene A, anabolic steroidal substances and calcium.\n......................................................................................................\nIf you take any vitamin at a high dose, you can have many side effects including liver failure. Anobolic steroids can do a lot of harm too.\n\nI would let you decide. Personally I would ask you not to use it. Keep exercising on a regular basis, have your doctor check the thyroid functions and control the saturated fat in your diet. Slowly but steadily, you will see the results.\n\nJose
298123
Why don't you want to use the device?  Was it prescribed for you or just you supposing that you may possibly need it?\n\nThis makes a difference.  MY SPECIFICATIONS I AM 61 YEARS OLD HARD HEADED FOOL BACK TO THE SUBJECT...\n\nFirst if you have been diagnosed with sleep apnea did you go to a sleep lab? Usually if you did the technician would tell you about it. And all of the options available I will eventually answer your question.\n\nSleep apnea simply means stopping breathing more than so many times, for a specific length of time, during a given period of time.\n\nWe go to sleep but never really go into what is called REM sleep where our brain really gets its rest! REM means rapid eye movement - don't be freaked out by phrased and initials, your eyes "dart" about when your brain is in a very specific state of sleep, a very desirable state! For probably the past 40+ years, I really was not truly sleeping! I denied that I had a problem, I really wasn't all that tired. But, my wife finally convinced me. She deserves a gold Star, Probably a Congressional Medal of Honor! I am a Hard Headed 61 year-old I'm afraid that I was extremely hard on her! She no doubt has saved my life and no words will ever be able to thank her enough. After all I WAS ASLEEP. ALL WAS OK AS FAR AS I WAS CONCERNED!!! How do I know what quality sleep I encounter, when I am asleep!\n\nIn the "usual" cases apnea is caused by blockage of the airway. This blockage is caused frequently by the collapse of the airway thus a positive air pressure is applied to "inflate" this airway. A Constant Pressure Air device CPAP is usually prescribed as the least intrusive measure, but, sometimes minor surgery is required. The device will furnish air at a specific pressure measured in inches of water that will be / or has been prescribed from the sleep lab session. The pressure in inches of water, where your brain goes into REM pattern on the EEG. This is the ideal pressure!\n\nThey will set up the machine for you. Don't worry it will all go smooth. I promise that soon you will get use to the CPAP machine maybe even love it! If you live up North, you can always bundle yourself underneath tons of blankets and breath. Kinda like breathing underwater!\n\nThis will be a good adventure for you, although the machine at first feels anything but teriffic at first, nothing like comfortable!  WITH EVERY OUNCE OF TRUTH IN ME ===>>> You will feel better overall I promise regardless of any other conditions!\n\nIF YOU HAVE SLEEP APNEA, IT CAN CAUSE DEATH, WHICH KINDA LIKE TERMINATES POSSIBILITIES OF FUTURE ALTERNATIVES !\n\nBUT ON THE OTHER HAND TREATED I PROMISE YOUR YOU WILL BE A NEW YOU! YOU WILL BE WON OVER TO THE SAVED, IF YOU FOLLOW THE DOCTORS ORDERS!! NOT MY ORDERS.. EXCEPT TO SEE A SLEEP DOCTOR AND SUBJECT YOURSELF TO A COUPLE OF NIGHTS OF MONITORED "NOT SO RESTFUL" SLEEP CLINIC VISITS (IF YOU HAVENT ALREADY DONE SO). IT IS TRULY WORTH IT. IF THE DOCTOR SAYS GET A PILLOW GET A PILLOW! IF HE SAYS GET A CPAP GET A CPAP! DO WHAT HE SAYS! THEY KNOW WHAT THEY ARE DOING.  BUT IT HAS TO BE THE "SLEEP" DOCTOR!\n\nTHE BEST OF LUCK AND ALWAYS ENCOURAGE OTHERS TO SEEK HELP IF THEY NEED IT. THERE ARE TIMES WHEN EVEN THE BEST OF US NEED HELP.\n\nWHATEVER IS PRESCRIBED IN A SLEEP CLINIC, IS WHAT EXACTLY YOU SHOULD DO, FOR ME NOTHING ON THE FACE OF THE EARTH IS BETTER THAN A CPAP!  AT FIRST I WISHED IT DID NOT WORK AT ALL, BUT IT DID, BEAUTIFULLY, AND I HAD EAT CROW AND ADMIT IT!\n\nIN THE CLINIC IT WAS DISCOVERED THAT MY RIGHT KNEE JUMPED ALSO DURING THE NIGHT!  THAT WAS FIXED WITH ONE SIMPLE PILL BEFORE BED.\n\nI SWEAR TO GOD I FEEL YOUNGER THAN 40, ASK MY WIFE!!!\n\nHAVE A GOOD DAY, I GOTTA GET BACK TO HURRICANE KATRINA RECOVERY!\n\n\n\nAPS \nSource(s):\nMY LIFE
384968
I think you are talking about the relax-and-then-tight transitional release of power that many martial arts styles preach. It has its merits. The sudden muscle contraction allows you to squeeze a little more force into your hits upon impact, not to mention staying in a loose state before impact will spend your energy more efficiently. Moving from a loose and static state to full power, full speed creates a faster acceleration rate than from keeping tight and high-strung state to full power, full speed. All other factors, timing, distance, final speed, mass, being equal; the hit with more acceleration delivers more force upon impact (F=ma). Good martial artists, boxers, and many other athletes stay loose before impact to produce the greatest amount of force possible. Basically, there’s more potential stored power in a relaxed state than a tense state.\n\nOf course, if you are talking about the soft power of internal martial arts like Taichi, Bagua, Aikido, Hapkido, etc., that’s about power awareness, the redirection of existing power and efficient use of generated power. These are manifestations of the martial arts power usage at its highest level. The basic principles are the same as the ones mentioned above except you are now compounding high sensitivity and strategy to reflex and conditioning. For example, in Taichi, a strike undergoes the extremely relaxed and very tight stages to release power upon impact just like any other martial art. However, the style also requires an acute awareness of what stage the opponent power is at and an understanding and application of the best methods of redirection and reuse of the opponent’s power to amplify ones own. This sensitivity and awareness can only be obtained by having a soft touch or being in a relaxed state.\n\nSo, high-strung state is good for final impact to prevent injuries at the last stage of power release. Relaxed state allows sensitivity for strategy, preserves energy, stores more potential energy for release, and allows greater acceleration and range of movement.
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There are already alot of protocols written for RT's that are used in hospitals throughout the country. If you are trying to implement one in your facility, you can use an existing one, or change it to fit your needs. Much easier than starting from scratch. If you are a student working on an assignment, I'd suggest the same thing. Find an existing protocol & adapt it so you don't get in trouble for plagerism.
196746
It's better to breathe through your mouth.  Your mouth is bigger allowing you to get more oxygen.
867982
This is a great medication, I was around when it was just introduced in the clinical setting and after, there are a lot of people who have regained lung volumes! Thought never to be able to happen with copd patients.\nThe answer is right about not using atrovent, what it does is because sprieva is a longer acting atrovent they compete for the same receptor and if you have too much atrovent in there the spireva is just wasted and useless.\n\nspiriva is great!
1180172
I think they are beginning to use it more.  I think one of the main reasons against using it is fear of problems caused by the vaccine versus catching a mild illness.  There was a big autism scare in regards to vaccines in England in the 70s.  It is still also relatively new.
454847
a t-tube by the way is the most cruel thing u can ever do to a patient its like breathing through a straw. But anyways, it is just a way to take a patient off of a ventilator to see if they are ready to be extubated without having to reintubate them. there are ways to do it with vent settings but some docs are just plain dumb and cruel and prefer that method. the po2 for that percent of o2 s low...
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If you already work in a lab.. especially a path lab, you already know.\n\n#1  Reduce risk of contaminants escaping their confines\n\n#2  Reduce risk of injury WHEN contaminants do escape their confines (use of vent systems, etc)\n\n#3  A clear system of expected protocols reduces risk of injury & death to humans and damage to equipment\n\n#4  Having documentation allows information to be followed up if/when injury occurs so that data can be accumulated (if it is blood (etc), did the patient have infectious disease, etc)\n\nThere are so many things to be named, I am sure you can come up with other ideas.
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First Aid is the immediate and temporary proper aid provided to a sick or injured person or animal until medical treatment can be provided. It generally consists of series of simple, life-saving medical techniques that a non-doctor or lay person can be trained to perform with minimal equipment.\n\nIn first aid, emergency action principles seek to describe what to do when encountering an emergency situation.\n\nTraditionally the method has been called ABC for "Airway", "Breathing" and "Circulation". However in the United Kingdom C has been taken out of this method. Easy to remember and in order of importance. However, in the military a "H" Hazardous situation is sometimes added, and the B stands for "Bleeding", as the military patient will probably bleed more often than not, making it HABC, or by some training organisations "Danger" and "Response" are added making DR ABC or "DR!AB". With Danger, Responce, Shout for help! Airway, Breathing.\n\nThe remainder of this article contains one such formulation.\n\nSurvey the scene What’s going on? Is it safe for me to approach? \nDo a primary survey Reswponce, Airway, Breathing \nCall for emergency services \nDo a secondary survey, and provide appropriate emergency first aid
935260
Because it puts pressure on the diaphragm, it's much the same as hiccoughs. Try an antacid tablet to relieve it.
858677
u should never perform cpr on an alert person.  it is dangerous an can cause internal damage as well as respiratory side effects