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A combitube is a duel cuffed endotracheal airway used for blind endotracheal intubation. This item is usually used in the prehospital setting. The simplicity of placement is the main advantage of the combitube over endotracheal intubation. When intubating with a traditional endotracheal tube, care must be taken to ensure that the tube has been placed in the trachea, and not the esophagus. The dual-lumen design of the combitube allows for ventilation to proceed regardless of where the tube ends up. If the tube is placed into the esophagus, ventilation is provided through one tube, and if it winds up in the trachea, ventilation is provided through the other tube.
What else can I help you with?
How many lumens make up the Combitube?
The Combitube from Rusch Medical contains a light output of 158 lumens.
How do you determine the size of combitube according to patient?
The size of a combitube is typically determined based on the patient's weight or height. In general, a larger combitube size is used for adult patients, while a smaller size is used for pediatric patients. Healthcare providers may also consider factors such as the patient's anatomy and medical condition when selecting the appropriate size of combitube.
Stomach pump and respiratory arrest if someone was intubated because they had stopped breathing could you also put a tube down them to pump their stomach at same time meaning TWO tubes at same time?
Yes this is an option that is available. When using an airway device referred to as a Combitube you can provide airway management, artificial breathing, and access to the stomach.(for pumping it) The combitube is simply two tubes glued together that gets stuffed down the throat. The only caveat for pumping the stomach is that the holes in the combitube are somewhat small and no chunks bigger than about half a green pea would fit. This is all assuming that you purposely placed the combitube into the esophagus instead of the trachea.
How does an esophageal tracheal combitube work?
An Esophageal Tracheal Combitube (ETC) is a dual-lumen airway device used for emergency airway management. It has two tubes; one goes into the trachea and the other into the esophagus, allowing ventilation even if the tracheal tube is misplaced. The ETC can be used in situations where intubation is difficult or when a standard endotracheal tube is not suitable.
How many times are you allowed to attempt intubation with the the combitube?
The Combitube is generally designed for use as a rescue airway device, and there is no strict limit on the number of intubation attempts. However, clinical guidelines often recommend that if successful intubation is not achieved within two attempts, the practitioner should consider alternative airway management strategies. It's crucial to prioritize patient safety and follow the specific protocols of the medical facility. Always refer to local guidelines and training for the best practices.
How do you intubate a child how has stopped breathing due to an asthma attack?
There are lots of tools in a difficult intubation kit, one being somthing called a combitube. A combitube is a tube with two cuffs so that if the tube is not placed into the treachea the distal cuff can be inflated to seal off the easophagus and all positive pressure can be directed to the lungs. The main thing to remember in a crisis like this is the emergency drugs. Another option is a laryngeal mask air way which is just a mask on the end of a tube that is placed over the epiglottis and can be left for a longer period of time to facilitate ventilation. When all else fails consider a tracheostomy tube.
What is the Scope of practice for an EMT?
The scope of practice includes but is not limited to patient transfers, vitals, ABC's, Medical/Trauma assesments, transport to hospitals. EMT's combitube, can administer a limited amount of drugs upon approval from Medical Control, and basic life support. That is most of it in shortened length.
Reflux of gastric contents into the esophagus occurs because of?
When you do ventilations during CPR some of the air that you're blowing in not only goes into the trachea and lungs but into the esophagus and stomach. When air goes into the stomach the patient will vomit. It can also happen when youre ventilating through the combitube and the air goes into the stomach.
Why does the stomach increase in size when performing CPR?
If the stomach is increasing in size, you are likely using an advanced airway such as an EMT or Paramedic uses.This should not be happening. It means your airway leads into the stomach, not the lungs. If you're using a Combitube, switch from your current tube to your secondary. If you're using a King or other airway, you may need to remove the tube and try again.Beware, the victim may vomit.
When performing CPR the casualty's stomach increases in size with each rescue breath what may this indicate?
If the stomach is increasing in size, you are likely using an advanced airway such as an EMT or Paramedic uses.This should not be happening. It means your airway leads into the stomach, not the lungs. If you're using a Combitube, switch from your current tube to your secondary. If you're using a King or other airway, you may need to remove the tube and try again.Beware, the victim may vomit.
How many paramedics are in an ambulance?
Depends on the location of the company. Most of the bigger cities have one Paramedic and one Basic on each truck. Some of the smaller cities cant afford to hire Paramedics so they just have a pair of basics on each truck.Also, each state has their own rules, and some states let each county make their own rules. If the ambulance says either ALS, Advanced Life Support, or Paramedic anywhere on it, there is at least 1 paramedic on board, anywhere in the US. In some Michigan counties, you can staff an ALS Unit with 1 Paramedic and 1 EMT-Basic, in others you must have 2 Paramedics on board. Occasionally, there will be a 3rd rider on board too, and he or she might be a student, Basic, or 3rd Paramedic. If the ambulance does not say ALS, Advanced Life Support, or the word Paramedic on it, it is likely a Basic unit, with 2 or 3 EMT-Bs on board. They can do most of the things Paramedics do, excluding most drug administrations, IVs, EKGs, and complex Endotracheal intubations. The advantage of FD Basic Ambulances is usually response time. In a heart attack situation, for instance, a Basic unit arriving 5 minutes before an ALS unit can aid in aspirin and Nitroglycerin administration (In most counties/states), intubate an unconscious patient with a Combitube or King Airway, apply high flow Oxygen and breathe for the patient, apply AED pads, perform effective chest compressions, and shock a fibrilating heart into a rhythm, all before the paramedics arrive. I know, because we have done it, and the medics then infused the PT with cardiac drugs and I drove while the medics monitored the PT en route to the hospital (I am a Basic with 4 additional months of Paramedic training). The PT survived because of the EMTs actions. Don't get me wrong, the best case scenario for a serious medical emergency is an ALS unit on scene within 5 minutes, whether it is an FD ALS Unit or a Private Ambulance Company ALS Unit. Unfortunately, this isn't always feasible. But EMTs are trained and equipped to stabilize almost any medical situation until either an ALS Unit arrives, or the PT is transported to a Hospital. We can, for instance, administer Epinepherine to an anaphylactic PT if their airway is swelling shut, and administer oral glucose to a conscious hypoglycemic PT, buying time until either the Paramedic or ER can infuse with dextrose when we get them together with the PT. Again, a Paramedic Unit is best, but don't assume a basic Unit cannot mitigate and save lives. It happens every day.In short, if the truck says Paramedic, ALS, or Advanced Life Support on it, you either have 1, 2, or 2 Paramedics on board. If it does not, you might not have anyparamedics on board, but 2 EMTs on scene is WAY better than 5 Paramedic Units 20 minutes away.
