HDTenEightyP/NetNews huggingface dataset:
From: rousseau@osf.org (John Rousseau)
Subject: Re: Wilderness EMT
Organization: Open Software Foundation
Date: Tue, 15 Sep 1992 15:01:42 GMT

In article <3@kb2ear.ampr.org>, kb2ear@kb2ear.ampr.org (Scott R. Weis KB2EAR) writes:
|> 
|> Where can someone in the NJ area get trained in this.  I go on quite a
|> few campouts etc in the back country with no way of getting help fast so
|> having this training would be very useful. 

Call:
     Wilderness Medical Associates
     RFD 2
     PO Box 890
     Bryant Pone, ME 04219
     (207) 665-2707

  They teach classes all over the place (I actually drove to North Carolina
to take my WEMT course 'cause I wanted to get it done ASAP). I just received
their latest schedule yesterday. They offer wilderness EMT, wilderness FR 
and wilderness rescue courses.

  My schedule shows that WMA is teaching WFR courses in West Milford, NJ
in February and June next year. They do not offer WEMT courses there.

  The WMA courses are certified by NASAR (National Association for Search
and Rescue), whereas Solo's courses are not. This may be enitrely political,
but there have been some questions as to the quailty and consistency of Solo's
courses.
  
Disclaimer: I am in no way associated with WMA, I just took their WEMT upgrade
course, and was very happy with it.

-- 

John Rousseau              rousseau@osf.org  
Systems Administrator      uunet!osf.org!rousseau
Open Software Foundation   (617) 621-8719
MA EMT / NASAR Cert. WEMT / Medic in training
Mass Bay Rescue Dogs
-----------------------------------------------------------
Newsgroups: misc.emerg-services
From: chinatti@phoenix.Princeton.EDU (Stephen A. Chinatti)
Subject: Re: Pager net
Originator: news@nimaster
Organization: Princeton University
Date: Tue, 15 Sep 1992 20:12:56 GMT

In article <12498.2AB34EC4@stjhmc.fidonet.org> James.Richardson@p0.f66.n104.z1.fidonet.org (James Richardson) writes:
>Attention all: We're beginning a statewide emergency notification net, 
>utilizing alpha-numeric pagers to broadcast all major multi-alarm fire etc. 
>This is similiar to the already active net in Boston, Connecticut (Hartford 
>Citywide), New York, New England Fire & News Network  to name just a few.

Along these lines, does anybody have information on and especially contacts
for these or any other fire-notification systems?  Perhaps a list could be 
compiled and posted/updated every so often.  If people with information would
either post or e-mail me, I will make a list and maintain it to the best of
my ability.

	Steve
-- 
Steve Chinatti, EMTA, EECS student, Princeton University, Princeton, NJ
internet:chinatti@phoenix.Princeton.EDU     bitnet:chinatti@pucc.bitnet
From: macridis_g@kosmos.wcc.govt.nz (Gerry Macridis)
Newsgroups: misc.emerg-services
Subject: Antipsychotic drugs in EMS (WAS: Re: *Short* Paramedic Survey)
Date: 16 Sep 92 06:06:55 NZST
Organization: Welligton City Council, Public Access.
NNTP-Posting-Host: kosmos.wcc.govt.nz
Summary: Interaction with anticholinergics; complication of overdosage
Keywords: anticholinergic psychosis, cardiovascular effects, diazepam

In article <12497.2AB34EC2@stjhmc.fidonet.org>,
Kurt.Ullman@p0.f290.n231.z1.fidonet.org (Kurt Ullman) writes:

>         Thorazine "zombies", are due to LONG-TERM medicating and would
> not get tthem from short term use in Prehospital. The emergent problems
> MIGHT be a transient drop in BP, but this is usually postural
> hypotension.  I suggested Thorazine specifically because of sedating
> characteristics and it much more EMT friendly side effect profile (less
> EPS, stiffness, etc. as opposed to Haldol, Navane or some of the other
> meds.)
>         Wrestling with a crazed patient is one of the main reasons for
> using an antipsychotic in the field. Even if the psychosis is drug
> induced, it would do no harm and the sedating effects might be helpful.

If the psychosis is drug-induced, chlorpromazine (Thorazine), with its
anticholinergic side-effects, can be harmful if an anticholinergic drug
is involved.  The use of chlorpromazine in the management of
psychotomimetic drug effects has subsided over the years for this reason
- in these cases, diazepam, with its anxiolytic effects, given orally,
is a safer agent to use.  Anticholinergic drugs (e.g., benzhexol
(trihexyphenidyl), benztropine, some antihistamines) are commonly
misused in high doses for hallucinogenic effects (anticholinergic
psychosis).  Chlorpromazine's anticholinergic effects, as well as its
cardiovascular (including hypotensive and tachycardic) and hypothermic
effects and its tendency to lower the seizure threshold, can seriously
complicate the clinical picture in cases of drug overdosage.

-- 
Gerry Macridis,      /\/\     .... Email: macridis_g@kosmos.wcc.govt.nz
Private Box 3929,   ( oo )    :... Voice: +64 4 3899444
Wellington,           \/......:
New Zealand.                       Learn first aid; it saves lives.
From: 0001964967@MCIMAIL.COM (Daniel Burstein)
Newsgroups: misc.emerg-services
Subject: Re: MD & Rn want to run it all.....
Date: 5 Sep 92 03:39:00 GMT
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU

regarding head trauma and hyper-ventilation...

There are two reasons for this treatment protocol.  First is the
general concept of increasing oxygen supply (hence the o2 mask, etc.)

In head trauma - esprcially closed injuries- we also want to reduce
brain swelling.  Carbon dioxide in the blood stream encourages dilation,
which expands the vessels.  (take this on faith for now).

Since the brain is inside a fixed size container (skull), trauma and
swelling cause all sorts of problems.  hence, the hyperventilaaion
tx to blow off CO2 and shrink the tissue.

<dburstein@mcimail.com>
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
Subject: (no subject given)
Newsgroups: misc.emerg-services
Date:         Mon, 14 Sep 1992 08:39:23 EDT
Comments:     Converted from PROFS to RFC822 format by PUMP V2.2X
From:         MEG04@ALBNYDH2.BITNET

The folks at Wilderness Medical Associates over in New Hampshire are pretty
good.  They offer an original basic EMT course with the wilderness stuff
added in.  As Ken Lager noted, the idea is to give skills to folks who
will be away from modern medical facilities for hours or possibly days
instead of minutes.  They WMA folks give courses in NY once to twice a
year.  The graduates are eligible for the NYS EMS exam and many become
state certified, making them no different than people who take a "regular"
EMT course as far as job prospects go.

                           Mike Gilbertson
                           (meg04@albnydh2.bitnet)
Newsgroups: misc.emerg-services
From: Kirk.Smith@bbs.oit.unc.edu (Kirk Smith)
Subject: Re: MD & Rn want to run it all.....
Organization: Extended Bulletin Board Service
Date: Sat, 5 Sep 1992 16:17:31 GMT

SOB= shortness of breath

--
   The opinions expressed are not necessarily those of the University of
     North Carolina at Chapel Hill, the Campus Office for Information
        Technology, or the Experimental Bulletin Board Service.
           internet:  bbs.oit.unc.edu or 152.2.22.80
Newsgroups: misc.emerg-services
From: jpp@philabs.philips.com (Joseph Page)
Subject: live-in-members
Organization: Philips Laboratories, Briarcliff Manor, NY.
Distribution: usa
Date: Wed, 9 Sep 1992 12:13:28 GMT

A few months back I posted a question about volunteer fire departments that
provide some living space in or near the fire house inorder to provide 
better emergency service to their community.

Our long range planning committee is just at the early stages of investigating
expanding our building and during our "brain storming" session one of the items
I brought up was live-in-members until such time as the space is needed to
house the carrier firefighters.

This idea went over better than I had hoped so now I'm looking to collect a
list of fire departments that do have live-in-members. The information I'd
like is:

Department Name:
Town, State:
Who owns the building:
How many live in members:
What hours do they cover:
Rent paid or free:
Families or just singles:
Duties other than responding:

Please, even if it's not your department, if you know of a department that has
live-in-members  let me know

Thank-you,

Captain Joe Page /EMT-D
 Vista Fire Department
 South Salem, New York

Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
X-Envelope-to: EMERG-L@MARIST.BITNET
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Newsgroups: misc.emerg-services
Date:         Tue, 15 Sep 1992 04:24:59 -0400
From:         S72UMIL@TOWSONVX.BITNET
Subject:      Re: Air Scent Search Dogs

Can anyone comment on what training is available for civilian S&R handlers and
their dogs?

A TV news item on the S&R effort in Florida after Andrew featured a civilian
volunteering with her dog.  She said they had done S&R many times before as a
private team.

Ian Millett, N3CVA
American Red Cross,
Central Maryland D.A.T.
From: Brian.Carney@f702.n278.z1.fidonet.org (Brian Carney)
Newsgroups: misc.emerg-services
Subject: EMS DISPATCH QUALITY ASSURANCE
Date: 13 Sep 92 14:15:25 GMT
Organization: FidoNet node 1:278/702 - NYC Fire Dept., New York NY

Does anybody use or know who has a quality assurance progrma devoted to EMS
dispatching. I'm currently looking for new ideas in regards to updating my
departments QA policy for dispatchers. In particular I'm interested in systems
 
that have EMD programs in conjunction with E-9-1-1. Any comments or directions 
to further information would be appreciated. Thanks in advance.



 

--  
Internet: Brian.Carney@f702.n278.z1.fidonet.org
Newsgroups: misc.emerg-services
From: rousseau@osf.org (John Rousseau)
Subject: Re: Wilderness EMT
Organization: Open Software Foundation
Date: Mon, 14 Sep 1992 13:32:35 GMT

In article <1685F14C0D.REBECCA@YaleVM.YCC.Yale.Edu>, REBECCA@YaleVM.YCC.Yale.Edu (Rebecca Drayer) writes:
|> A friend of mine just came back from a semester off and told me that she had
|> taken a wilderness EMT course.  She's curious if wilderness EMT's would have
|> a harder time getting jobs than normally trained ones.  Anyone have any ideas?

  Well, there are two ways that I know of to become a Wilderness EMT. First
is to be a "regular" EMT somewhere, and then take an "upgrade" course. The
upgrade course is usually about a week long (mine was 56 hours).
  The other track is to take the full WEMT course. This is usually takes a month
out of your life. 

  If your friend took option 2 (the WEMT course only), she may have a very
difficult time getting a job depending on where she wants to work. In MA,
we have NO areas designated as "wilderness", and therefore MA OEMS does not
recognize any Wilderness training or Wilderness protocols even though we have
many areas of the state that are far and above the 2 hour line to definitve 
care.
  If she wants to work in Northern NH, ME etc. she may do much better.
  For my own info, who was she taught by? Solo? Wilderness Medical Assoc.? 
Somebode else?

-John

-- 

John Rousseau              rousseau@osf.org  
Systems Administrator      uunet!osf.org!rousseau
Open Software Foundation   (617) 621-8719
MA-EMT / NASAR Cert. WEMT / Medic in training
Mass Bay Rescue Dogs
-------------------------------------------------
From: jung@base.bellcore.com (Eric Jung)
Newsgroups: misc.emerg-services
Subject: COPD patients and oxygen
Date: 9 Sep 92 21:24:30 GMT
Organization: Bellcore, Livingston, NJ


The recent item about administering O2 to COPD patients has aroused a
lot of interest.  After I posted my interpretation of the EMT guidelines,
I received the following response in e-mail:

>From: kevin.L.Ferguson.MD@um.cc.umich.edu

>In Acute COPDer's low flow O's is the RULE.  In trauma High flow O's are
>the rule. and assist as needed.  It is not as simple as Always/Never and you
>have to be alert with either.  I refer all this to the ATLS guidelines 
>published by the Amer. Coll. of Surgeons.  Dr F

Dr. Ferguson later mentioned that he doesn't mind my repeating his comments,
and I thought others would be interested.  He also said:

>I've spoken with our EMS dir and nobody
>here understands why the MD/RN gave the advice reported, but for what it is
>worth we many transfers to us from ER's who don't know ATLS-Dr F

Thanks, Dr. Ferguson, for adding a perspective from MDs.  We have no way of
knowing if other MDs or RNs are reading this, but I'd encourage them to
participate in discussions if they are.  The O2 discussion only emphasized
the fact that the ER staff do not always understand what happens in the
field.  I'm sure it works both ways; I've never been a doctor, or even
played one on TV!

Eric    
EMT-A, Franklin-Somerset FAS

-- 
Eric C. Jung                    Bellcore
(908) 699-4684                  6 Corporate Place PYA-1D-142
jung@base.bellcore.com          Piscataway, NJ  08854
Newsgroups: misc.emerg-services
From: jpp@philabs.philips.com (Joseph Page)
Subject: NFPA 1500 - minimum staffing
Organization: Philips Laboratories, Briarcliff Manor, NY.
Distribution: na
Date: Tue, 15 Sep 1992 18:59:24 GMT

I'm an officer in a small volunteer fire department. We run a little different
than other departments in our area - all of our active firefighter have their
gear in their personnel vehicle, so we respond straight to the scene. The first
driver to the barn takes the first due rig, second driver the 2nd due etc etc.

Not all of our members are "interior firefighters" some of the older guys are
pump operators other members may not be fully trained or don't want to do that
part of the job for what ever reason. We are still happy to have them because
that less that I have to do.

Our general rule is only interior firefighters go in - they must be Scotted-up
and have a partner who is also Scotted-up with them. We also have a rule that
the person who drivers the engine to the scene stays with the engine until
relived by another qualified driver/pump operator. 

So in order for our department to start any type of interior firefighting we
require a minimum of 3 members, 2 must be interior firefighters and the 3rd a
pump operator. If after a few minutes no body else is on the scene or signed
on as responding the pump operator will call for mutual-aid.

I however do see the other side - I've been in for 10 years now and never
fought a fire with less than 10 members a location, and when we have a low
turnout I know how much work I end up doing and I'd never be able to run back
to back calls.

Also for a carrier department there is no additional man power coming unless
you make a 2nd alarm. A 2nd alarm could mean OT and I know how much heat the
management at my office get when there is OT needed.

The NFPA standards have been a big help in my department as a method to get
our fire district to obtain the best possible equipment to do the job, my area
of the country has money - we don't have a lot of volunteers with time. Other
parts of the country may have more volunteers but no money. 

I feel that the standards while very good are not achievable by everybody so
they'll lose there effectiveness.

my 2 cents

Captain Joe Page
Vista Fire Dept.
Newsgroups: misc.emerg-services
Subject: Antipsychotic drugs in EMS (WAS: Re: *Short* Paramedic Survey)
From: macridis_g@kosmos.wcc.govt.nz (Gerry Macridis)
Date: 15 Sep 92 23:05:23 NZST
Organization: Welligton City Council, Public Access.
NNTP-Posting-Host: kosmos.wcc.govt.nz

In article <11339.2AA301E3@stjhmc.fidonet.org>,
Kurt.Ullman@p0.f290.n231.z1.fidonet.org (Kurt Ullman) writes:

>         I am ex-EMT, current psych nurse. Been trying to get both local
> ambulances and local disaster teams interested in Psych Emergencies jump
> kit. Do you guys carry any anti-psychotics, anti-anxieties, etc. for the
> transport that needds it. If so, which ones. If not, would you think one
> woudl be helpful and what would it include> Thanks.

Parenteral antipsychotic drugs (e.g., IM chlorpromazine and haloperidol)
are only given as a last resort - i.e., when reassurance and other
measures fail, oral administration is not possible because it is not quick
enough or the patient refuses to take the medication, and the patient's
psychotic condition is so severe that it causes him to be a danger to
himself or to others.  In such cases, you are generally dealing with a
patient who is extremely agitated and often violent and uncooperative.
Such patients are more appropriately restrained and transported by police
than EMS providers, and the above drugs are best given after the patient
has reached the hospital and is under the supervision of medical staff
who are trained in dealing with psychiatric emergencies.  Also, the drugs
can take upto 30 minutes or longer to reach maximum effectiveness and may
even require repeated doses, making it likely that the drug will not
adequately control the patient during transport.

-- 
Gerry Macridis,      /\/\     .... Email: macridis_g@kosmos.wcc.govt.nz
Private Box 3929,   ( oo )    :... Voice: +64 4 3899444
Wellington,           \/......:
New Zealand.                       Learn first aid; it saves lives.
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
Newsgroups: misc.emerg-services
Date:         Tue, 15 Sep 1992 04:43:32 EDT
From:         WRIGHT@MOREKYPR.BITNET
Subject:      Ambulance-Coal truck crash KILLS FOUR

AMBULANCE-COAL TRUCK CRASH KILLS FOUR IN JOHNSON COUNTY KENTUCKY

At least four people were killed yesterday <9/14/92> when an ambulance slammed
head-on into a loaded 18 wheeled coal truck on US 460 between Paintsville and
Salyersville, authorities said.

The truck pushed the ambulance backward 100 feet, and both vehicles slid off the

Four hours after the 5:15 p.m. collision, rescue workers were still attempting
Sheriff Department.

At least four people were killed but there might be as many as six victims.
Officials were uncertain about the number of people in the ambulance which had

Two bodies had been recovered by 9:30 PM.  US 460 was closed. Traffic between
Paintsville and Salyersville was rerouted along KY 40.

A dispatcher with the Ambulance Service that owns the ambulance declined
comment on how many people were in the ambulance and said the victims names
would not be released until relatives were notified.

That is most of the information the News Paper had in it and I wanted to
pass it along to the other Ambulance providers and their employees that
are on the list.

Tim Wright KD4OVM
Morehead State University Police
E911 Center

WRIGHT@morekypr.BITNET
KD4OVM@N0ARY.#NOCAL.CA.USA.NA
From: Amiga@cup.portal.com (Philip Barry Kirschner)
Newsgroups: misc.emerg-services
Subject: Hurricain Andrew Corporation
Date: Wed,  9 Sep 92 02:55:11 PDT
Organization: The Portal System (TM)

                        Hurricane Andrew Corporation
                          1425 Arthur Street
                         Hollywood. Florida,33020
                            (305)920-8192
                                  &
                            (1-800-88-DONATE) in a few days!


         A 501-C3 Organization dedicated towards helping the victims of
   hurricane andrew rebuild thier lives!!!!!!!!!!!!!!
____________________________________________________________________________
 
Newsgroups: misc.emerg-services
From: REBECCA@YaleVM.YCC.Yale.Edu (Rebecca Drayer)
Subject: Re: "COPD and O2."
Organization: Yale University
Date: Tue, 08 Sep 92 17:46:39 EDT

In article <01GODYAL1SGI9N4C51@ritvax.isc.rit.edu>
KEN <KAK6279@RITVAX.BITNET> writes:
 
>
>Ok, guys.  I just finished up my NYS Basic EMT course about 15 days ago, and I
>can remember the instructor telling us that a COPD patient can go on with high
>flow oxygen for up to a "few hours" without loosing the drive.  From what we
>were told, keep them on their own oxygen settings i0f they're on O2 at home and
>there is no great distress and no need for additional O2.  But if there's any
>doubt, or if the case would normally call for extra O2, give them the high
>flow.  If anybody knows differently for NYS protocols, please tell us.  It
>seems like this is a confusing issue all-around.
>
That is exactly what they told us in my NYS EMT course when I took it.
 
 
 
 
*************************************************************************
Rebecca A. Drayer, EMT        |    Rebecca@Yalevm.Ycc.Yale.edu
P.O. Box 6349 Yale Station    |    Computing Assistant
New Haven, CT 06520           |    Silliman College, Yale University
 
"If you pick up a starving dog and make him prosperous, he will not bite
you.  This is the principle difference between a dog and a man."
                                                        -Mark Twain
*************************************************************************
 
 
 
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
Newsgroups: misc.emerg-services
Date:         Tue, 15 Sep 1992 05:10:44 EST
From:         WRIGHT@MOREKYPR.BITNET
Subject:      Re: Ambulance-Coal truck crash KILLS FOUR

>AMBULANCE-COAL TRUCK CRASH KILLS FOUR IN JOHNSON COUNTY KENTUCKY
>
>At least four people were killed yesterday <9/14/92> when an ambulance slammed
>head-on into a loaded 18 wheeled coal truck on US 460 between Paintsville and
>Salyersville, authorities said.
>
>The truck pushed the ambulance backward 100 feet, and both vehicles slid off th
the road into a ditch line.  The truck nearly flattened the smaller vehicle
against an embankment, and both exploded into flames.
'
>Four hours after the 5:15 p.m. collision, rescue workers were still attempting
to determine how many bodies were in  the mangled wreckage.
>
>At least four people were killed but there might be as many as six victims.
>Officials were uncertain about the number of people in the ambulance which had
been returning to Magoffin county from Paintsville.

>
>Two bodies had been recovered by 9:30 PM.  US 460 was closed. Traffic between
>Paintsville and Salyersville was rerouted along KY 40.
>
>A dispatcher with the Ambulance Service that owns the ambulance declined
>comment on how many people were in the ambulance and said the victims names
>would not be released until relatives were notified.
>
>That is most of the information the News Paper had in it and I wanted to
>pass it along to the other Ambulance providers and their employees that
>are on the list.
>
>Tim Wright KD4OVM
>Morehead State University Police
>E911 Center
>
>WRIGHT@morekypr.BITNET
>KD4OVM@N0ARY.#NOCAL.CA.USA.NA


Sorry for the repost but there were some line deleated either by my editor
in the transmitting the report or by one of the many mailers handling
the mail to and from Marist.

I DON"T THINK ITS MY EDITOR.  This is the only post out of 12 I had to fix
and correct........

Tim
From: yury@bknight.jpr.com (Yury German)
Newsgroups: misc.emerg-services
Subject: Re: Question
Distribution: world
X-NewsSoftware: Amiga GRn 1.16c (6/22/92) by Mike Schwartz & Michael B. Smith
Date: 5 Sep 92 11:59:26 GMT
Organization: Blue Knight Productions

In article <Btx5x2.4pu@news.cso.uiuc.edu> tj32633@uxa.cso.uiuc.edu (Ronin) writes:
>Hi, I have a question.  Does anyone know what the qualifications are in order
>to become a EMT-Instructor?  
>
>Thanks in advance
>
>-- 
	Well in NYC when I was an instructor you need a HIGH SCORE on your
EMT State test. I think it was 85 and up if I remember correctly.

-- 
    _____________________________________________________________________
   |                                                                     |
   | Yury German                  yury@bknight.jpr.com                   |
   | Blue-Knight Productions      GENIE EMAIL: Blue-Knight               |
   | (212)218-1348                                                       |
   | (718)321-0998            ** Graphic Design and Video Productions ** |
   |_____________________________________________________________________|

Newsgroups: misc.emerg-services