Next time intubate then Narcan, very important. Watching someone remove a cuffed ET tube by themselves is priceless not to mention behavior modifying. If you've really got a winner sometimes you'll get a second and even third shot at them depending on the opiate they used. I loved working County. Was it just after the full moon?
I personally prefer to restrain them before we push the narcan, as I've been punched in the face as it kicks in. But I was busy doing compressions, and either way, the attending calls the shots.
Pt had a nasal trumpet in place and they opted to continue to ventilate via bag valve mask as opposed to intubating while CPR was in progress.
Narcan kicked in and he began to be responsive, they wanted to see if he'd protect his airway before they tubed him. He came to pretty quickly, and decided he wasn't staying for "any of this bullshit" and promptly excused himself.
I haven't been keeping up with the waxing and waning of the moon, our ER has been busy since November. Overworked and understaffed without sufficient equipment. Every day has been nuts, pero la vida sigue.
Anyways, we've missed you around these parts Annie! Good to see you back!
Much love
