Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

Ways Not to Fix Intubation – Part I

Make that Ways Not to Fix Intubation.

We all seem to agree that there are problems with intubation.

What we do not agree on are the ways to fix the problems with intubation.

Maybe we can agree on ways that we should not use to fix intubation. Although there are plenty of methods that will probably appeal to administrators looking for cheap, fast, and good fixes.

The Merit Badge Course is often the intended cheap, fast, and good solution to competence.

We do not need another Merit Badge. We already have people wearing National Registry patches as if the patch indicates anything other than someone ready to begin an internship as a new hire. The NR patch only indicates that you have passed the Bunny Slope of EMS tests. At least, that is the way Too Old To Work, Too Young To Retire refers to the NR test. Maybe he gives the NR test too much credit.

What does an intubation Merit Badge Course do?

We spend a day in a classroom (or lab or morgue) working with mannequins (and maybe cadavers) and we get a bunch of practice (unless we avoid getting practice) and we leave with some recognition of participation (Merit Badge).

And

then

we

ignore

intubation

until

the

next

patient

we

attempt

to

intubate.

Why do I drag that out?

Because a lot of time can pass with not even a little bit of practice.

This is not a criticism of the classes, but of our failure to follow up on what we learn.

We need continual practice, not Merit Badge Courses.

How do physicians feel about Merit Badge Courses?

Viewpoint: Merit Badge Madness
Welch, Shari MD; Taylor, Todd B. MD; Cheung, Dickson MD
Emergency Medicine News:
March 2011 – Volume XXXIII – Issue 3 – pp 5-6
doi: 10.1097/01.EEM.0000395428.63259.8f
Article

Merit Badge Courses: Who Benefits?
Emergency Physician Monthly
by Jan Shoenberger, MD
August 18, 2010
Article

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Comments

  1. What? I thought that alphabet soup was the cure for all that ails you. And, along the same lines, I thought it was also true that the more letters you have after your name, the smarter you are, the less likely you are to be successfully(or even at all) sued, and dosh garn it, you’re just better at your job. Wow, time to reevaluate my belief system I guess.

    For those that dont get it I’m still demanding a standardized sarcasm font. That, or a way to forcibly inject the ability to detect sarcasm. Boy that would save me a lot of “step into my office Mr. Clowns”.

    • Can’t say, clowns will eat me,

      What? I thought that alphabet soup was the cure for all that ails you.

      Chicken soup, not alphabet soup. Although, if we can get the chicken to form letters (maybe by using flocks of nano-chickens), we can have the best of both worlds, or is it the worst of both worlds, or is it a moderate amount of both soups? And what if we cannot teach the chickens to spell?

      And, along the same lines, I thought it was also true that the more letters you have after your name, the smarter you are, the less likely you are to be successfully(or even at all) sued, and dosh garn it, you’re just better at your job.

      No, the more letters after your name, the more likely you are to tell people that the letters after your name matter.

      This is why my full signature (short version) is Rogue Medic, SNAFU, TARFU, FUBAR, WWRMD, WMD, SWAK, . . . , and APIAPT (A Partridge In A Pear Tree).

      Wow, time to reevaluate my belief system I guess.

      It is never time to reevaluate our belief systems. Ignorance is bliss.

      For those that dont get it I’m still demanding a standardized sarcasm font. That, or a way to forcibly inject the ability to detect sarcasm. Boy that would save me a lot of “step into my office Mr. Clowns”.

      What is this sarcasm you refer to?

      I don’t believe sarcasm really exists.