In the EMS setting, to intubate patients in the field, Paramedics have medical protocols for certain drugs to assist intubations. I would like to know how many services throughout the USA use Etomidate only for intubation over full RSI with multiple drugs to assist in intubation.
I wish there was a "medication protocol" for intubations..because I was administered 2 non-compatible meds, 2 were above the FDA guideline when co-administered, anyway, I died, it caused an anoxic brain injury, which caused an occipital lobe infarct (stroke) and I became permanently blind in one eye.I was in a coma for 8 days and a neurologist was called in due to the doctors wondering if I was brain-dead. It was a horrific life changing event. I couldnt walk,talk, write and I was confused. I've since regained my motor skills, I can walk normally, write and speak normally again, but I'm now on disability due to short-term memory loss issues, an impaired vestibular system, and damage to my pain nerve receptors.
I have worked in Emerg. Med for >30 yrs. I find Etomidate to have the least side effects, esp. hypotension. The key when giving this drug is to give suchnylcholine rapidily w/ the etomidate. That way you will not be fooled into thinking the pt. is having a seizure, when he's only having muscle fasiculations from the etomidate. I was fooled by this the 1st time I gave it. If you give the 2 drugs rapidly together that side effect will be blocked. Also,If the pt has had sig. head trauma prophylactic anticonvulsants are a rec. option.
- Etomidate Information for Consumers
- Etomidate Information for Healthcare Professionals (includes dosage details)
- Side Effects of Etomidate (detailed)
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