Is it just me or is this Paramedic over the top? Basically they are going to an elderly chap whose chief complaint is CHF/LVF. He is nasally intubated. What I was concerned about was the fact that the Paramedic said that there was no time for drug therapy so he just went straight to the top of the tree, INTUBATION! Now don't get me wrong if someone needs an airway I wont shy away from it but this guy is fully conscious! Sure, he's struggling for breath but surely trying nitrates, diuretics etc first should have been first line treatment. I've been to a lot worse than this patient and treated them with drugs and by the time they've arrived at hospital they are a completely different person, quite often with the A/E staff looking blankly at me asking why I rushed a relatively well looking patient in! What about assisting his breathing with a BVM, supplementing each breath increasing his SPo2 then trying drugs? I don't know perhaps I'm doing something wrong.
Having said all that the patient supposedly said thank you to the Paramedic for saving his life. All I'm saying is that I would of resorted to a more stepwise approach.