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Thread: Pulse Oximeters

  1. #11
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    on a side note....

    what's the point of a pulse ox....in the field?

  2. #12
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    Quote Originally Posted by gan1hck View Post
    on a side note....

    what's the point of a pulse ox....in the field?
    Where do you want me to start?
    Acta Non Verba

  3. #13
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    Quote Originally Posted by lethal dose View Post
    Where do you want me to start?
    from the top?

  4. #14
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    Quote Originally Posted by gan1hck View Post
    from the top?
    just for reference...

    I'm a anesthesiologist with fellowship training in critical care medicine....and have spent time overseas in our second Gulf war.

    ...so ...kind of ...been there...done that...when it comes to taking care of really sick/traumatized people.

  5. #15
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    Wink

    Quote Originally Posted by gan1hck View Post
    just for reference...

    I'm a anesthesiologist with fellowship training in critical care medicine....and have spent time overseas in our second Gulf war.

    ...so ...kind of ...been there...done that...when it comes to taking care of really sick/traumatized people.
    What if someone has copd? Wouldn't wanna just slap a nonrebreather on 'em and blast 15l down their throat.
    Acta Non Verba

  6. #16
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    Quote Originally Posted by NinjaMedic View Post
    We utilize pulse oximetry much less than we used to. Capnography is indespensible in todays world however.
    bingo.

  7. #17
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    We utilize pulse oximetry much less than we used to. Capnography is indespensible in todays world however.

  8. #18
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    Quote Originally Posted by lethal dose View Post
    What if someone has copd? Wouldn't wanna just slap a nonrebreather on 'em and blast 15l down their throat.

    look at the last American Thoracic Society's practice guidelines for management and treatment of COPD....I think it was published in the late 90's the last time I looked...

    the hypoxic drive to breath has been debunked for over a decade.

    so 15 l/m is GOOD.

    you WANT to slap as much O2 as possible....

  9. #19
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    Quote Originally Posted by gan1hck View Post
    look at the last American Thoracic Society's practice guidelines for management and treatment of COPD....I think it was published in the late 90's the last time I looked...

    the hypoxic drive to breath has been debunked for over a decade.

    so 15 l/m is GOOD.

    you WANT to slap as much O2 as possible....
    Only as much as they can tolerate, though... no? Too much and they can de-sat.
    Acta Non Verba

  10. #20
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    Quote Originally Posted by lethal dose View Post
    Only as much as they can tolerate, though... no? Too much and they can de-sat.
    No....I don't think so....

    according to the statement from ATS...and from my own clinical experience.

    High O2 concentration may increase dead space, but won't cause problems with oxygenation in patients with COPD exacerbations........

    yes, their pCO2 may rise, but that's not the problem...the problem is hypoxia.

    So ...bottom line....give oxygen....make sure air is going into and out of the lungs......etco2

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