Bicycles, business travel and out-of-hospital intubation
During a discussion of out-of-hospital intubation practice, Scott Bourn shared his agency's experience with paramedic skill proficiency. Bourn, PhD, RN, EMT-P, is the Vice President of Clinical Affairs for American Medical Response. 17,000 ALS providers working for 88 local medical directors. He noted that proficiency drops off when a skill is not used for more than 90 days.
It was 98 days since my last airline trip. The longest business travel interruption in a decade.
Scheduling my flight at the last minute meant I had a middle seat in the back of the plane. Planned to ugrade when I checked in at the self-serve kiosk.
Where is my?
The first stumble was looking for the carry-on toiletries. The collection of TSA appropriate liquids in the correctly sized zip-loc bag was missing.
Oh yeah, left that in the office after the January blizzard DHS Threat Level White
Aisle Seat upgrade
Some airlines have a menu-syle system for various upgrades and services. For $30 bucks I can get out of the middle seat and get an aisle seat with incrementally better legroom.
Not completely thinking this through, selected a bulkhead seat. Maximum legroom but no way to place a carry-on under the seat in front of you.
When Group 1 means middle of the pack
The upgrade also placed me in Group 1 for boarding. For this carrier, "Group 1" on the ticket means you are in the fourth or fifth group (of eight) boarding the plane.
The stratification of various frequent flyer/bonus programs is amazing. By time Group 1 was boarding, most of the overhead bins were taken around Seat 7D.
But wait, there is one more thing …
The McDonnell Douglas MD-80 has a 2 seat/3 seat configuration in coach.
Seat 7D functions as a jersey barrier to the balance of the passengers boarding the flight.
Not a comfortable place to sit.
Should of stayed in the middle seat in the rear of the plane.
It is not like riding a bicycle.
Part of the intubation discussion was that, once you learned the skill you would retain the capability to perform the skill months or years later.
Not sure that you can be competent in using a critical but infrequently used skill. Surprised at the fumbling and stumbing with business travel tasks that are "easy."
In many systems, paramedics may have an opportunity to intubate once or twice a year.
How many critical skills are you responsible for that are infrequently used?
Mike "FossilMedic" Ward