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bassnmedic

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Posts posted by bassnmedic

    Rural County EMS System--Scares me

    in General EMS Discussion

    Posted

    The hospital does not care if your transport time was 2 hours or 10 minutes if the situation warrants the treatment, they are going to expect it to be performed.

    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

    Help my hubby had a SZ

    in Education and Training

    Posted

    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

    ONE WORD SURVEY

    in Funny Stuff

    Posted

    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

    Help my hubby had a SZ

    in Education and Training

    Posted

    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

    Phenergan....good or bad?

    in Patient Care

    Posted

    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

    PAs and Nurse Practicioners as medical control?

    in General EMS Discussion

    Posted

    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

    Recipe for Love and AK bashing/Please join in

    in Funny Stuff

    Posted

    AK, why are you responding to this bonehead? Your credibility is not in question here. Nor is the respect that many people on this forum hold for you.

    For some unknown reason, this guy has a bone to pick and he chose you as the subject of his insecurities.

    The thoughts and opinions of those who really matter here, which is basically everyone other than this guy, will not be changed by his admittedly uninformed and ignorant position of who you are and what you do.

    Just my humble opinion.

    Be safe over there.

    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

    NIMS 100, 200, 700

    in Education and Training

    Posted

    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

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