Same Tool, Enhanced Use: Nasal Cannula Apneic Oxygenation
April 27, 2015 - 18 minutes and 45 seconds
Guest: Dr. Mark Westfall, Medical Director for Gold Cross Ambulance - Fox Valley and the Professional Ambulance Association of Wisconsin
It’s not uncommon for an ambulance crew or medical first responder to treat patients with low or falling O2 sats, or have to insert or manage the airway devise in an unconscious patient. Then there’s that challenge of getting a good face to mask seal with the bag valve mask.
Managing or achieving sufficient oxygen levels can be tricky, especially when the heart monitor or pulse ox is alerting you to low oxygen saturation levels, the patient’s skin or lip color isn’t good, or you are preparing to insert an advanced airway and need to preoxygenate the patient. These and other situations can be a stressful time for any patient care giver.
If you’ve been around EMS long enough, you know there are tricks of the trade. I came across a new one the other day, so I wanted to learn more about it and I’m sure you will too. The approach is so simple, and the tools required are inexpensive and already at your finger tips.
The procedure is called nasal cannula apneic oxygenation. With medical director approval, first responders to paramedics can perform this simple procedure – and it can make all the different to your low sating patient. The procedure is being done at Gold Cross Ambulance in the Fox Valley. Their medical director, Dr. Mark Westfall, brought to my attention this simple, but effective procedure. Listen to this episode of EMS to the Point.
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EMS to the Point is an audio interview program dedicated to the most current and emerging EMS topics in Wisconsin.
This brief interview program comes to the point talking with those at the top or with the answers. PAAW began producing the program in 2010. Since its inception over 50 interviews have been completed totaling more than 30,000 downloads.
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About Your Webcast Host
Joe is executive director at the Professional Ambulance Association of Wisconsin. He joined PAAW in January 2010 as director of business and development.
His professional and volunteer ambulance and emergency medical service work began in 1988 at Fitch-Rona EMS in Fitchburg, Wisconsin. He's held national, regional and state EMS leadership positions, to include: director of sales and public relations at the Wisconsin EMS Association, EMS EXPO (now EMS World) and Firehouse EMS national conference show manager at Cygnus Business Media, and regional manager and director of strategic initiatives at Life Link III, an air medical and ground ambulance provider in Minneapolis.
In addition, Joe was appointed by Governor Jim Doyle to the Wisconsin EMS Advisory Board and served a four year term from 2004 to 2008. He's held committee positions with the National Association of EMTs (NAEMT) and Los Angeles County Fire Museum's Pioneers of Paramedicine Project.
Joe earned a master's degree in business administration from the University of Wisconsin – River Falls, and bachelor's degree in radio/TV broadcast management from the University of Wisconsin – Platteville.
You may reach him directly at 414-236-4192 or by email.
Wisconsin Critical Care Paramedic and Nationally Featured Writer
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