bassnmedic

I heard yesterday that both Orange County and Orlando FD is hiring. Take care, Todd

When I saw the info on this site and the difference in education and CE requirements, I was astounded. http://www.fapaonline.org/pdf/COMPARISON_OF_PA_NP.pdf Take care, Todd

Trousseau's Sign

Kudos to you Cookie!!!...That's the type of responses to these words that we need. Also, FYI this is the human form of Mad Cow Disease. Take care, Todd

Creutzfeldt-Jakob Disease

You are joking yourself, aren't you? I don't know a medical control or medical director for that matter that wouldn't care if you took 2 hrs to transport your patient because they needed certain interventions performed, especially if you're 5 minutes from the ED. So, basically you would stay on scene with an acute pulmonary edema patient, establishing IV's and CPAP and RXs for 20-30 minutes when you are 3 blocks from definitive care? I don't think so. Take care, Todd

I know it's nothing concrete, but I did find this regarding the BSA. One report suggests that the term SJS be limited to cases in which less than 10% of the total body surface area is involved. The authors suggest that the term TEN be limited to cases in which 30% or more of the total body surface area is involved. The term SJS/TEN Overlap is used to describe patients in whom between 10-30% of the total body surface area involved. Resources NIH/National Eye Institute Building 31 Rm 6A32 31 Center Dr MSC 2510 Bethesda, MD 20892-2510 United States Tel: 3014965248 Fax: 3014021065 Email: 2020@nei.nih.gov Internet: http://www.nei.nih.gov/ NIH/National Institute of Allergy and Infectious Diseases 9000 Rockville Pike Building 31A Bethesda, MD 20892 Tel: (301)496-5717 Fax: (301)402-0120 Internet: http://www.niaid.nih.gov/ NIH/National Institute of Arthritis and Musculoskeletal and Skin Diseases 1 AMS Circle Bethesda, MD 20892-3675 Tel: (301)496-8188 Fax: (301)718-6366 Tel: (877)226-4267 TDD: (301)565-2966 Email: NAMSIC@mail.nih.gov Internet: http://www.nih.gov/niams/ Stevens Johnson Syndrome Foundation and Support Group PO Box 350333 Westminster, CO 80035-0333 Tel: (303)635-1241 Fax: (303)635-1241 Email: sjsupport@aol.com Internet: http://www.sjsupport.org For a Complete Report This is an abstract of a report from the National Organization for Rare Disorders, Inc. ® (NORD). A copy of the complete report can be obtained for a small fee by visiting the NORD website. The complete report contains additional information including symptoms, causes, affected population, related disorders, standard and investigational treatments (if available), and references from medical literature. For a full-text version of this topic, see http://www.rarediseases.org/search/rdblist.html

I stand corrected. The true way of diagnosing this is as ERdoc stated the skin biopsy. I apologize for any misinformation I posted, I received that info from a 1st yr PA student who had just had a Dermatology lecture earlier that day.My bad. Take care, Todd

So, we identify a major problem that we cannot fix? Is this something that CAPEM is or could work on? Todd

I definitely agree we need our educational requirements raised to a degree status, my question is...how do we do this nationwide? It obviously cannot be done overnight but I'm all for doing whatever I can do to help. Take care, Todd

Lake -Sumter EMS is hiring right now, pretty good pay for single cert service and excellent benefits, progressive standing orders. www.lakesumterems.org Take care, Todd edited for spelling

Posted: Wed Nov 29, 2006 8:08 am Post subject: -------------------------------------------------------------------------------- 1. Yourself: Dedicated 2. Your boyfriend/girlfriend?: neither 3. Your hair: short 4. Your mother? best 5. Your Father? grounded 6. Your Favorite Item:boat 7. Your dream last night: terri 8. Your favorite drink: pepper 9. Your dream car: shelby 10. The room you are in: dark 11. Your Ex:psychotic 12. Your Fears: heights 13. What do you want to be in 10 years:boss 14. Who you hung out with tonight?dog 15. What You're Not? rich 16. Muffins: blueberry 17: One of Your Wish List Items: fortune 18. Time: 0849est 19. Last thing you did? typed 20. What You Are Wearing? skivies 21. Your Favorite Weather: 75 22. Your Favorite Book:history 23. The last thing you ate: chicken 24. Your Life: unhealthy 25. Your Mood: blah 26. Your friends: few 27. What are you thinking about right now? fever 28. Your car: truck 29. What are you doing at the moment?: survey 30. Your summer: hot 31. Your relationship status: none 32. What is on your tv? CMT 33. When is the last time you laughed? yesterday 34. last time you cried? never 35. School? hopeful

SJS and TEN are generally differentiated by the BSA covered, TEN is more than 10% BSA and SJS is less than 10%, but as ErDoc stated, these are some pretty sick patients and need volume replacement and tx in a burn unit. Take care, Todd

oh yeah, I forgot to mention that TEN has more BSA covered than SJS. Take care, Todd

Both SJS and TEN are types of Erthema Mutliforme, which is divided into 2 clinical types major and minor. Both SJS and TEN fall under the major category and are marked by toxicity and involvement of 2 or more mucosal surfaces, and both are better treated in a burn unit with discontinuation of the inciting Rx. take care, Todd

I'm probably would say that the patient is having severe side effects from the Bactrim and could be leading to Erythema Multiforme which could lead to Toxic Epidermal Necrolysis. Sounds like he is having Stevens- Johnson Syndrome right now. Take care, Todd

Ak, right now we are so short handed that LSEMS is paying OT plus 100.00 per shift if someone will work in the open positions. It's gonna be a goooooooooood Christmas at my house.......LOL Take care, Todd

Does the patient have any of these blisters on his head?

The longer you spend in EMS, the more you will understand that NOTHING should be left to the "discretion" of 18 year olds with 120 hours of night school.

At my service, we have some very liberal and aggressive practice parameters to include valium up to 30mg, Morphine up to 10mg Versed and Etomdateall without orders to name a few. My question herein lies, we must do a physcian consult if we want or need to give Phenergan and then the dose is only 12.5mgIV/IM. I know that Phenergan has some dystonic effects on a few patients, I guess I'm wondering if there is something i'm missing. that would make it more controlled than our narcs. I am trying to get a meeting with our medical director this week for an answer. What do you guys think? Take care; Todd

ladybug, the following link will take you an EMS service in Jax. I'd give them a call and maybe talk to their Human Resources staff. http://jacksonville.citysearch.com/profile...corporated.html Take care, Todd

Maybe it's just me, but it seems to me that if a suspect is acting in a manner that the LEO needs to use a Taser, then so be it. The suspect shouldn't been a bad boy or girl, medical hx can come second in that case. Take care, Todd

My personal belief is that only a M.D./D.O. should be Medical control. PAs and NPs are physician extenders and should not be allowed to handle Med Control duties. I think that the different experiences have with PAs may depend on where they might have gotten their degree from, for instance some Universities have other PAs teaching the PA curriculum where as others such as the University of Florida utilize MDs to teach the students, that could be a difference. I can't speak on NPs as I have not much experience with them, but where I'm at PAs generally are making upwards of 125k to start. Take care, Todd

My thoughts exactly, somedic's post may be perhaps the most assanine post I've read on here. AK stay safe over there man and thanks for what your doing . Take care, Todd

I have to agree with most of the posters so far as to the boredom that these NIMS classes induce either online or in the classroom. To answer part of the original poster's question as to what NIMS is, NIMS began with wildland fire service way prior to 9/11 as a type of incident management. 9/11 has caused compliance as one of the other posters as already mentioned. Personally, I think it is a huge waste of time and is extremely boring, however on the flip side I also believe that it is a step in the right direction in attempting to put all agencies on the same page so to speak when on large scale incidents. Just my thoughts. take care, Todd