Guest guest Posted February 13, 2007 Report Share Posted February 13, 2007 Working on protocols that utilize MAD, anyone have one/some they can share with me? What drugs you are utilizing intranasal? Has anyone ever considered a central website to upload protocols to? I know many of us here often request other protocols to work off of, and we (or at least I) always get the help I needed, but wouldn't it be simpler to have one link, one site, one place to go to and be able to review hundreds of sets of protocols? Just food for thought Hatfield FF/EMT-P www.canyonlakefire-ems.org ________________________________________________________________ Sent via the WebMail system at Neopolis.net Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2007 Report Share Posted February 13, 2007 > > Working on protocols that utilize MAD, anyone have one/some they can share with me? What drugs you are utilizing intranasal? > > Has anyone ever considered a central website to upload protocols to? > > I know many of us here often request other protocols to work off of, and we (or at least I) always get the help I needed, but wouldn't it be simpler to have one link, one site, one place to go to and be able to review hundreds of sets of protocols? > > Just food for thought > Hatfield FF/EMT-P > www.canyonlakefire-ems.org > > >. Here in the Panhandle under the PEMSS system Protocols we give intranasal drugs via the MAD. They are Versed for seizures or sedation, Narcan for Opiate OD, Glucagon for HYPOglyc, and topical anesthetics and vasoconstrictors for nasal intubation, or tx of epistaxis. These are really cool because you dont have to worry about needle sticks to you. You have to atomize the IN meds across the nasal mucosa though. Take a look at our PEMSS website for further info. I think these are really cool,and easy to use.. Pat Dunaway EMT-P 441 Fritch EMS > > > > ________________________________________________________________ > Sent via the WebMail system at Neopolis.net > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2007 Report Share Posted February 13, 2007 FYI From Orange County Ambulance Service . Perhaps they will be of benefit to you. Claybar M.A.D.® Medication Administration Indications: Lidocaine 4%: To reduce pain and gagging in patients requiring nasogastric tubes or nasal intubations Midazolam: For treatment of persistent seizure activity Naloxone: For use on patients suspected of opiate overdose Procedure: · Assess ABC’s – Airway, Breathing, Circulation · For pulseless patients, proceed to ACLS guidelines · Apply 100% oxygen NRB mask to seizing patient · Apnea with pulse – Establish oral airway and begin bag ventilation with 100% oxygen · Assess weight: children weight in kg = 10+2(Age in years) · Calculate appropriate medication dose (use dose from corresponding protocol) · Load syring with appropriate milliliter volume of medication and attach MAD nasal atomizer · Place atomizer 1.5 cm within the nostril, aiming at top of the ipsilateral ear (slightly up and lateral) · Briskly compress syringe to administer ½ of the volume as atomized spray · Remove and repeat in the other nostril, so all of the medication is administered · Continue ventilating patient as needed Advantages of MAD · The rich vascular plexus of the nasal cavity provides a direct route into the blood stream for medication that easily cross mucous membranes. · Due to direct absorption into the blood stream, gastrointestinal destruction and hepatic first pass metabolism (destruction of drugs by the liver enzymes) are avoided, allowing more drug to be bioavailable that if it were administered orally. · For many medications the rates of absorption and plasma concentration are relatively comparable to that obtained by intravenous administration. · Ease and convenience: This method of drug administration is essentially painless, does not require sterile technique, intravenous catheters or other invasive devices and is immediately and readily available in all patients. · Due to the close proximity of the olfactory nasal mucousa to the central nervous system, CSF drug concentrations may exceed plasma concentrations, making this an attractive method of rapidly achieving adequate CSF drug concentrations for centrally acting medications. Hatfield wrote: Working on protocols that utilize MAD, anyone have one/some they can share with me? What drugs you are utilizing intranasal? Has anyone ever considered a central website to upload protocols to? I know many of us here often request other protocols to work off of, and we (or at least I) always get the help I needed, but wouldn't it be simpler to have one link, one site, one place to go to and be able to review hundreds of sets of protocols? Just food for thought Hatfield FF/EMT-P www.canyonlakefire-ems.org __________________________________________________________ Sent via the WebMail system at Neopolis.net --------------------------------- Want to start your own business? Learn how on Yahoo! Small Business. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2007 Report Share Posted February 14, 2007 > > Has anyone ever considered a central website to upload protocols to? > I owuld be happy to host something like this on my site if people are interested. Let me know and I will set something up. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2007 Report Share Posted February 14, 2007 -that would be great to have an area just to go and check protocols or policies -- In texasems-l , " mayfieldr " wrote: > > > > > > > Has anyone ever considered a central website to upload protocols to? > > > > I owuld be happy to host something like this on my site if people are > interested. Let me know and I will set something up. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2007 Report Share Posted February 14, 2007 It's already made. It's called Google. Mike > , > > I can host it, the question is, how many people would contribute, and > how often would it be utilized? > > Mike > > > > Re: MAD > > > >> >> Has anyone ever considered a central website to upload protocols to? >> > > I owuld be happy to host something like this on my site if people are > interested. Let me know and I will set something up. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2007 Report Share Posted February 14, 2007 MADD devices are an excellent tool to use when an IV can not be established. There are 3 meds that I know of that can be given intranasally. Versed, Narcan, and Glucagon. Our company only uses it for versed and narcan and the normal dose you give IV you would give IN. I was told that you had to use 2-3 mg of glucagon. I'm not real sure.... Hatfield wrote: Verg on protocols that utilize MAD, anyone have one/some they can share with me? What drugs you are utilizing intranasal? Has anyone ever considered a central website to upload protocols to? I know many of us here often request other protocols to work off of, and we (or at least I) always get the help I needed, but wouldn't it be simpler to have one link, one site, one place to go to and be able to review hundreds of sets of protocols? Just food for thought Hatfield FF/EMT-P www.canyonlakefire-ems.org __________________________________________________________ Sent via the WebMail system at Neopolis.net --------------------------------- We won't tell. Get more on shows you hate to love (and love to hate): Yahoo! TV's Guilty Pleasures list. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2007 Report Share Posted February 14, 2007 , I can host it, the question is, how many people would contribute, and how often would it be utilized? Mike Re: MAD > > Has anyone ever considered a central website to upload protocols to? > I owuld be happy to host something like this on my site if people are interested. Let me know and I will set something up. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2007 Report Share Posted February 14, 2007 Mike, That's what I am trying to avoid. I wear a multitude of hats at my job, and don't necessarily want to spend an inordinate amount of time sifting through sites, and digging through crap to find what I need, and I certainly don't want to reinvent the wheel. One site, nothing but protocols from a variety of services, BLS, ALS, MICU, transport and FR. One stop shopping. Besides, I don't like Google, Yahoo for me.:-) Mike Re: MAD > > > >> >> Has anyone ever considered a central website to upload protocols to? >> > > I owuld be happy to host something like this on my site if people are > interested. Let me know and I will set something up. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 15, 2007 Report Share Posted February 15, 2007 In a message dated 2/14/2007 10:33:00 P.M. Central Standard Time, medic2562@... writes: Our company only uses it for versed and narcan and the normal dose you give IV you would give IN. I was told that you had to use 2-3 mg of glucagon. I'm not real sure.... Fentanyl is also readily absorbed mucosally. Grayson, CCEMT-P, etc. _www.medictrainingsolutions.com_ (http://www.medictrainingsolutions.com/) MEDIC Training Solutions Quote Link to comment Share on other sites More sharing options...
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