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PHARM Podcast 87 – PALM with Hinds & Leeuwenburg

Today on the podcast,  Dr John Hinds and Dr Tim Leeuwenburg talk to me about PALM, Pharmacologically assisted Laryngeal Mask Airway

 

SHOW NOTES:

  1. ResusMe on Guidelines on prehospital drug assisted LMA
  2. Faculty of prehospital care consensus statements

Podcast ( available here and on iTunes)


Right Click and Choose Save-as to Download the Podcast.

5 Comments Post a comment
  1. Shame Cliff Reid couldn’t join in…

    …his suggestion of For Anaesthetic-Challenged Enthusiasts doing Pharmacologically-Assisted Laryngeal Mask (or FACE-PALM for short) was gold.

    I still think getting more RSI+ve practitioners ‘out there’ is the solution to a robust prehospital system, with attendant audit & governance, skills maintenance, SOPs and of course checklists!

    December 20, 2013
  2. Thank you for this nice podcast. I like the discussion.
    PALM sounds for me like naming a child, which is already adolescent. LMA use is widespread and even in prehospital care established. German paramedics use laryngeal tubes under CPR independently and for difficult airway algorithms its in RSI second-line to establish oxygen delivery.
    important is to point it out to use second generation SAD and not to forget to insert a gastric tube via the vent.
    Level 8 practitioners could even do spontaneous assistet ventilation :) but it requieres high vigilance while monitoring…
    looking forward for 2014 and your next airway session

    December 29, 2013
  3. Thank you for this nice podcast. I like the discussion.
    PALM sounds for me like naming a child, which is already adolescent. LMA use is widespread and even in prehospital care established. German paramedics use laryngeal tubes under CPR independently and for difficult airway algorithms its in RSI second-line to establish oxygen delivery.
    important is to point it out to use second generation SAD and not to forget to insert a gastric tube via the vent.
    Level 8 practitioners could even do spontaneous assistet ventilation but it requieres high vigilance while monitoring…
    looking forward for 2014 and your next airway session

    December 29, 2013
  4. Craig #

    Great talk, in South Africa we also only have a select few paramedics that has been accredited to do RSI. The rest of the paramedics still preform sedated assisted intubation with only midaz and morphine available to them. The second group of paramedics mostly have the competency of intubation but is not allowed to carry correct pharm agents to do RSI. Would you think that PALM would be a better solution than sedative assisted intubation? And why would it make any difference in a patient with say a TBI?

    January 24, 2014
    • thanks Craig
      sedative only intubation is ok too. whats more important is the post intubation care.
      there is nothing wrong with an attempt at sedative only intubation then inserting LMA if tubing fails.

      RSI doesnt magically improve care..it doesnt improve post intubation care and in fact may make it worse!

      January 26, 2014

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