open access
Emergency replacement of an obstructed tracheotomy tube in patients receiving palliative or ventilatory care by paramedics — a proper conduct or overstepping of competencies?
Affiliations- Uniwersytet M.Kopernika w Toruniu, Collegium Medicum w Bydgoszczy, ul. Jagiellońska 13/15, 85-067 Bydgoszcz, Poland
- Wojewódzka Stacja Pogotowia Ratunkowego, Księdza Ryszarda Markwarta 7, 85-015 Bydgoszcz, Poland
open access
Abstract
This article describes the consequences of a situation when paramedics did not attempt to replace an
obstructed tracheotomy tube in a patient with respiratory failure treated at home. It also indicates the
possible reasons for paramedics’ misconduct and actions that should be taken to ensure that paramedics
know the scope of their competencies and are capable of replacing a tracheotomy tube at a patient’s
home. If no adequate action is taken, it may result in additional suffering stemming from the necessity to
transport the patient to the hospital.
Abstract
This article describes the consequences of a situation when paramedics did not attempt to replace an
obstructed tracheotomy tube in a patient with respiratory failure treated at home. It also indicates the
possible reasons for paramedics’ misconduct and actions that should be taken to ensure that paramedics
know the scope of their competencies and are capable of replacing a tracheotomy tube at a patient’s
home. If no adequate action is taken, it may result in additional suffering stemming from the necessity to
transport the patient to the hospital.
Keywords
invasive ventilation, tracheotomy tube replacement, paramedic, palliative care, amyotrophic lateral sclerosis
About this articleTitle
Emergency replacement of an obstructed tracheotomy tube in patients receiving palliative or ventilatory care by paramedics — a proper conduct or overstepping of competencies?
Journal
Palliative Medicine in Practice
Issue
Article type
Case report
Pages
263-266
Published online
2021-06-15
Page views
6117
Article views/downloads
311
DOI
10.5603/PMPI.2021.0018
Bibliographic record
Palliat Med Pract 2021;15(3):263-266.
Keywords
invasive ventilation
tracheotomy tube replacement
paramedic
palliative care
amyotrophic lateral sclerosis
Authors
Katarzyna Butna
Krzysztof Wiśniewski
Małgorzata Krajnik
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