[EMS-L] Re: The end of intubations?

[Guest guest]

>>> Most cops I know hope never to discharge their firearm in the line

of duty, yet still train on its usage in the academy and afterwards.

<<<

Wes,

The difference is that cops don't train by shooting at real people.

Kenny

[Guest guest]

It is the same song and dance, we educate them, and literally throw them to the

wolves. The students practice on the same Ed Head, on the same table, in the

same building and room all through school. Then when they pass and get the

patch, they have the potential to get picked up by an organization who never

requires any more than you show up to work, CE is limited if offered at all, and

no " real life " scenario training ever occurs and they ride the slide for 6 -8

months before they ever get the first call requiring an intubation.

Shame on us who have been in the industry as educators and preceptors or for

that matter partners. Who knows better and knows what they need but fail to give

it to them. These new medics need realistic, Stress/Stimulus training in order

to get beyond the Catastrophic Performance Deterioration they will incur when

the real one hits. They need to be so proficient from practice with true

stressors that when they have the real deal it is a cake walk and they have

ideas and scenarios filed in the back of their mind to pull from.

At the EMS conference I had students in one of the 2 hour sessions on

Advanced Airway managment with years of EMS Experience making comments on how

good they were with intubation and how proficient they were. So, giving them the

ability to choose the tool of choice (blade and Manequen) I then added a little

challenge. By making them run steps, out one set of doors and back in and in

front of the class they had to get the intubation. This became one difficult

task and very quickly my point and the point of many others was quickly

recognized- As real as possible, with as many stressors as possible, as often as

possible will help when the real deal hits.

A side note; remeber snipers have to train to make the " shot " after a run,

climbing to a point of advantage. They must gain compsure control them selves so

they can make the critical shot from who knows how far. They cannot train them

with live kills, nor can they instil the calm necessary that is a must even

after being dropped in behind enemy lines and knowing they may die. It is only

with a " sterile " training environmetn that they are " made ready " to perform such

a serious task.....

The problem is us, and like everything else in society we are just conforming

to what everyone else says is ok.. Let's train them, and get creative with it

W

Kenny Navarro wrote:

>>> Most cops I know hope never to discharge their firearm in the line

of duty, yet still train on its usage in the academy and afterwards.

<<<

Wes,

The difference is that cops don't train by shooting at real people.

Kenny

__________________________________________________

[Guest guest]

It is the same song and dance, we educate them, and literally throw them to the

wolves. The students practice on the same Ed Head, on the same table, in the

same building and room all through school. Then when they pass and get the

patch, they have the potential to get picked up by an organization who never

requires any more than you show up to work, CE is limited if offered at all, and

no " real life " scenario training ever occurs and they ride the slide for 6 -8

months before they ever get the first call requiring an intubation.

Shame on us who have been in the industry as educators and preceptors or for

that matter partners. Who knows better and knows what they need but fail to give

it to them. These new medics need realistic, Stress/Stimulus training in order

to get beyond the Catastrophic Performance Deterioration they will incur when

the real one hits. They need to be so proficient from practice with true

stressors that when they have the real deal it is a cake walk and they have

ideas and scenarios filed in the back of their mind to pull from.

At the EMS conference I had students in one of the 2 hour sessions on

Advanced Airway managment with years of EMS Experience making comments on how

good they were with intubation and how proficient they were. So, giving them the

ability to choose the tool of choice (blade and Manequen) I then added a little

challenge. By making them run steps, out one set of doors and back in and in

front of the class they had to get the intubation. This became one difficult

task and very quickly my point and the point of many others was quickly

recognized- As real as possible, with as many stressors as possible, as often as

possible will help when the real deal hits.

A side note; remeber snipers have to train to make the " shot " after a run,

climbing to a point of advantage. They must gain compsure control them selves so

they can make the critical shot from who knows how far. They cannot train them

with live kills, nor can they instil the calm necessary that is a must even

after being dropped in behind enemy lines and knowing they may die. It is only

with a " sterile " training environment that they are " made ready " to perform such

a serious task.....

The problem is us, and like everything else in society we are just conforming

to what everyone else says is ok.. Let's train them, and get creative with it

W

Kenny Navarro wrote:

>>> Most cops I know hope never to discharge their firearm in the line

of duty, yet still train on its usage in the academy and afterwards.

<<<

Wes,

The difference is that cops don't train by shooting at real people.

Kenny

__________________________________________________