What do you think of Etomidate?

[Guest guest]

Hello Group. I would like to know from those of you that use

Etomidate, how you feel about it. I am researching it for use in our

system and am currently looking at the benefits and complications of

this drug. Yes, I have researched it in studies, pharm books,

physician drug and emergency books but...I would like to hear from

paramedics and EMS physicians concerning their thoughts and experiences

from its application. I also would like to know all applications that

you have utilized it besides the obvious pharm assisted intubation. Do

you utilize it in other applications? Thanks for your help.

[Guest guest]

Mike, what do you mean by " stun " ?

Jane Hill

--------- What do you think of Etomidate?

Hello Group. I would like to know from those of you that use

Etomidate, how you feel about it. I am researching it for use in our

system and am currently looking at the benefits and complications of

this drug. Yes, I have researched it in studies, pharm books,

physician drug and emergency books but...I would like to hear from

paramedics and EMS physicians concerning their thoughts and experiences

from its application. I also would like to know all applications that

you have utilized it besides the obvious pharm assisted intubation. Do

you utilize it in other applications? Thanks for your help.

[Guest guest]

We have it in more protocols than our intubation sequence. We also use

it to 'stun', for lack of a better term, some patients for certain

procedures such as extrication. I have also used it in combative

patients as well. I have yet to have an issue with it, never had it fail

me (knock on wood). Our stun dose is 0.3mg/kg, and 0.5-0.6mg/kg for

intubation.

No amnesic properties though, so even if we utilize it for intubation,

we try to follow it up with Versed or Fentanyl.

I can send you our protocol, if you need it, shoot me an email off list.

Mike

What do you think of Etomidate?

Hello Group. I would like to know from those of you that use

Etomidate, how you feel about it. I am researching it for use in our

system and am currently looking at the benefits and complications of

this drug. Yes, I have researched it in studies, pharm books,

physician drug and emergency books but...I would like to hear from

paramedics and EMS physicians concerning their thoughts and experiences

from its application. I also would like to know all applications that

you have utilized it besides the obvious pharm assisted intubation. Do

you utilize it in other applications? Thanks for your help.

[Guest guest]

Because of its short life, we will often use it for it's abilities to

create a hypnotic effect, albeit a temporary effect. Then extricate,

and maintain the airway non invasively until it wears off enough that

they are able to maintain it on their own. Hopefully, during that time,

it gives you the opportunity to accomplish the extrication, packaging

etc with less (known) discomfort to the patient. If for some reason they

remain unable to maintain the airway, we simply move lateral in our

protocol and intubate, then move on..

Mike

RE: What do you think of Etomidate?

Mike, what do you mean by " stun " ?

Jane Hill

--------- What do you think of Etomidate?

Hello Group. I would like to know from those of you that use

Etomidate, how you feel about it. I am researching it for use in our

system and am currently looking at the benefits and complications of

this drug. Yes, I have researched it in studies, pharm books,

physician drug and emergency books but...I would like to hear from

paramedics and EMS physicians concerning their thoughts and experiences

from its application. I also would like to know all applications that

you have utilized it besides the obvious pharm assisted intubation. Do

you utilize it in other applications? Thanks for your help.

[Guest guest]

We have it as well for the same reasons that Mike listed. Aid in

intubations, extricate and combative patients. The initial use was for

combative patients when manual restraints were not enough or not practical.

The problem that I have experienced with it was the fact that if the patient

is that combative and you are thinking about using the drug, chances are you

do not have an IV established anyway. Would work a lot better if you could

use it IM but because of the volume given that is not practical. It is

still good for extrication though, when establishing an IV is not a problem.

It can be used for intubations but I think personally vec is still my first

drug of choice for that.

Quinten

Firefighter/NREMT-P

What do you think of Etomidate?

Hello Group. I would like to know from those of you that use

Etomidate, how you feel about it. I am researching it for use in our

system and am currently looking at the benefits and complications of

this drug. Yes, I have researched it in studies, pharm books,

physician drug and emergency books but...I would like to hear from

paramedics and EMS physicians concerning their thoughts and experiences

from its application. I also would like to know all applications that

you have utilized it besides the obvious pharm assisted intubation. Do

you utilize it in other applications? Thanks for your help.

[Guest guest]

Why atomized Versed instead of IM? Seems to me it might be much easier to

get an IM dose into a combative patient than an atomized dose, but I'm open to

being educated.

I would suggest Haldol 5 mg/Versed 5 mg IM for the " crazed " patient.

Gene

>

> Our newest venture for the combative patient is Versed via an atomizer,

> for the exact reasons that you mentioned. Combative patients, if they

> are that combative, then most likely, you won't have a whole lot of

> success in starting an IV. Versed to calm them down, then either

> additional chemical restraints, or physical restraints whichever is

> appropriate.

>

>

>

> What do you think of Etomidate?

>

> Hello Group. I would like to know from those of you that use

> Etomidate, how you feel about it. I am researching it for use in our

> system and am currently looking at the benefits and complications of

> this drug. Yes, I have researched it in studies, pharm books,

> physician drug and emergency books but...I would like to hear from

> paramedics and EMS physicians concerning their thoughts and experiences

> from its application. I also would like to know all applications that

> you have utilized it besides the obvious pharm assisted intubation. Do

> you utilize it in other applications? Thanks for your help.

>

>

[Guest guest]

Our newest venture for the combative patient is Versed via an atomizer,

for the exact reasons that you mentioned. Combative patients, if they

are that combative, then most likely, you won't have a whole lot of

success in starting an IV. Versed to calm them down, then either

additional chemical restraints, or physical restraints whichever is

appropriate.

What do you think of Etomidate?

Hello Group. I would like to know from those of you that use

Etomidate, how you feel about it. I am researching it for use in our

system and am currently looking at the benefits and complications of

this drug. Yes, I have researched it in studies, pharm books,

physician drug and emergency books but...I would like to hear from

paramedics and EMS physicians concerning their thoughts and experiences

from its application. I also would like to know all applications that

you have utilized it besides the obvious pharm assisted intubation. Do

you utilize it in other applications? Thanks for your help.

[Guest guest]

Gene, Here is my take on the situation. Using a MAD and administrating a dose of

atomized Versed IN to a combative patient is just plain safer. There is no stick

hazard involved.

wegandy1938@... wrote: Why atomized Versed instead of IM? Seems to

me it might be much easier to

get an IM dose into a combative patient than an atomized dose, but I'm open to

being educated.

I would suggest Haldol 5 mg/Versed 5 mg IM for the " crazed " patient.

Gene

>

> Our newest venture for the combative patient is Versed via an atomizer,

> for the exact reasons that you mentioned. Combative patients, if they

> are that combative, then most likely, you won't have a whole lot of

> success in starting an IV. Versed to calm them down, then either

> additional chemical restraints, or physical restraints whichever is

> appropriate.

>

>

>

> What do you think of Etomidate?

>

> Hello Group. I would like to know from those of you that use

> Etomidate, how you feel about it. I am researching it for use in our

> system and am currently looking at the benefits and complications of

> this drug. Yes, I have researched it in studies, pharm books,

> physician drug and emergency books but...I would like to hear from

> paramedics and EMS physicians concerning their thoughts and experiences

> from its application. I also would like to know all applications that

> you have utilized it besides the obvious pharm assisted intubation. Do

> you utilize it in other applications? Thanks for your help.

>

>

[Guest guest]

Am I the only ones getting posts late?

The benefit of the MAD, is with the flailing of arms (either in the

seizure patient, or the combative patient), if it is taking more than

one person to temporarily restrain the patient, there are no needles to

stick myself or the others.

What do you think of Etomidate?

>

> Hello Group. I would like to know from those of you that use

> Etomidate, how you feel about it. I am researching it for use in our

> system and am currently looking at the benefits and complications of

> this drug. Yes, I have researched it in studies, pharm books,

> physician drug and emergency books but...I would like to hear from

> paramedics and EMS physicians concerning their thoughts and

experiences

> from its application. I also would like to know all applications that

> you have utilized it besides the obvious pharm assisted intubation. Do

> you utilize it in other applications? Thanks for your help.

>

>