HDTenEightyP/NetNews huggingface dataset:
From: jpp@philabs.philips.com (Joseph Page)
Subject: NFPA1500
Organization: Philips Laboratories, Briarcliff Manor, NY.
Distribution: usa
Date: Tue, 25 Aug 1992 20:23:13 GMT


I haven't seen much traffic about the new version of NFPA 1500. I just called
the NFPA and they are hoping to have them available some time in September.

My department is in the process of putting together some SOPs.
Yes...that's right, we don't have anything written now. I can't complain too
much because I've had quite a bit of input.

One of the areas where we had a lot of discussions was minimum staffing to
start an attack. We are a small all volunteer fire department in New York. Day
time is tuff because most members work out of town so the response can be very
small, you just don't know.

Do you start the attack with two members on the attack line and one at the
pump panel or do you wait? 
How many more members do you wait for?
If you wait, how long?

Anybody have copies of their SOPs that I can have? If so give me a call or
Email me...

office phone (914)945-6548

Thanks

Capt. Joe Page /EMT-D
Vista Fire Department
RR2 Box 73, Route 123
South Salem, NY 10590
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Date:         Thu, 3 Sep 1992 11:19:23 -0400
From:         TRAUMA JUNKIE <JAT8419@RITVAX.BITNET>
Subject:      MD & Rn want to run it all.....

I was at the ER after delivering a COPD pt. with head trauma to the ER...
they blasted me for giving the pt 15LPM of O2.  they said no matter what
always give the COPD pt 2 lpm via nasal cannula.  They said even with
child birth, avulsions...etc.. the only time they said full flow was during
a full arrest.
        well, no when they want to know how much O2 I'm giving the Pt over the
ambulance - hosp. radio... I suddenly develop radio problems...its the
strangest thing.

-------------------------------------------------------------------------------
John A. Ternay
Emergency Medical Services Certified First Responder
Pre-Medical Studies                             R.I.T. Ambulance
MD2B                                    Cornwall Volunteer Ambulance Corps.
                        "Trauma Junkie"
            "We make house-calls....all night long"
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Newsgroups: misc.emerg-services
Date:         Tue, 25 Aug 1992 23:45:34 EDT
From:         Kirk.Smith@LAMBADA.OIT.UNC.EDU
Subject:      Re: Our solution to the frustrating patient
X-To:         EMERG-L%MARIST.BITNET@gwuvm.gwu.edu
              Aug 20, 92 4:04 am

Now let's not get snippy.  After all, I like Guiness too.  We have to
stick together.  :-)

I see a lot of unnecessary IVs started in the field.  It happens all
the time.  A TKO IV isn't going to save me in most cases.  I've got shitty
veins (I don't think I could start one on myself) as proven by last weeks
physical w/ blood draw in which it took 5 sticks by 3 people to get a few CCs
(had to use Pedi tubes..maybe I'm a turnip).  If I had CP/SOB/Major trauma,
I'd go with the IV (if they could get it), otherwise, it isn't worth the
increased infection risk of a prehospital IV.

As far as treatment goes, if you refuse someone transportation because
they won't do things your way, an attorney will likely remind you of
the patients rights in a much crueler way than I did.  If a patient
with severe chest pain refused an IV from "You ambulance driver!  Get
me a doctor, damnit!", would you refuse him/her transport?

-Kirk J. Smith
Don't get me wrong.  I know how frustrating it is to know how to help
a patient only to have them refuse care.
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Newsgroups: misc.emerg-services
Date:         Sun, 23 Aug 1992 14:39:18 -0400
From:         "Michael P. Rolfes" <usr2879a@TSO.UC.EDU>
Subject:      Re: Amusing true story

> Rescue - 1 responded to a MVA with my captain and I on board.
> During the initial patient assessment he told an older-middle-
> age woman that he'd be putting this cervical collar on her,
> and held it for her to see. Before he could tell her what it
> was for, she tells him, "That's okay, my cervix has been bad
> for years!!"
> True!! I swear!!
> Ask anyone at the Boardman (Ohio) Fire Department!


I'd say that that is pretty good!


MEike
From: af905@yfn.ysu.edu (Ed Shanks)
Newsgroups: misc.emerg-services
Subject: Re: 18 year olds
Date: 28 Aug 92 20:33:18 GMT
Organization: Youngstown State University/Youngstown Free-Net


Let an 'old' hosedragger get his 2 cents' worth in! To take the
Civil Service exam for the full-time position of Firefighter in
Boardman, OH as well as all neighboring communities that have
full-time FDs, you have to be 18. If you pass the written exam
you can take extra credit for military time and college time,
at least in Boardman. Credit is not given for 240 - hr basic
firefighter training or EMT certification, although IMHO it
should be. These certs do help greatly if you make it to the
interview stage of the hiring process, though.

I referred to myself as 'old' because I'll be 36 in 1 1/2 months
but I'm still 18 on the inside! Our 30 - man professional 
firefighter complement is augmented by about 12 or 15 "call men"
who only need 36 hours of training, make interior attacks when
necessary but do not drive our apparatus (apparati?) (trucks!).

They too need be only 18. Personally, I believe it depends
on the individual. I work with guys who are 60, and 20. I got
no problems with any of 'em!

-- 
When all is said and done, I'd                          Ed
rather be remembered for what
I've done than what I've said. - - - {Said by Ed!}
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Date:         Wed, 2 Sep 1992 09:31:41 -0700
From:         BOB STRINGFIELD <bstring@MAINZ-EMH2.ARMY.MIL>
Subject: Re: Organizing for Somalia
X-To:         hazards@COLORADO.BITNET
X-cc:         hazards-list@COLORADO.BITNET, jcipp@MCIMAIL.COM

Addendum Seth.  Your message has been posted to all...
--bob
From: tj32633@uxa.cso.uiuc.edu (Ronin)
Subject: Question
Organization: University of Illinois at Urbana
Date: Tue, 1 Sep 1992 21:48:37 GMT

Hi, I have a question.  Does anyone know what the qualifications are in order
to become a EMT-Instructor?  

Thanks in advance

-- 
Ted Jan                                       EMT-A
tj32633@uxa.cso.uiuc.edu                      Basic Life Support Certified
University of Illinois                        First Aid Instructor
					      Community CPR Instructor
Newsgroups: misc.emerg-services
Subject: *short* paramedic survey
From: Merle.Berry@f1047.n261.z1.fidonet.org (Merle Berry)
Date: 23 Aug 92 15:19:25 GMT
Organization: FidoNet node 1:261/1047 - MD State Fireman's , Catonsville MD


    I'm a Cardiac Rescue Technician here in Baltimore County Maryland.  
I'm told our CRT certification is somewhere between EMT-I and EMT-P.  
Md. doesn't use the EMT-I certification for some reason.  The only 
skills I can't do that an EMT-P can are; ET intubation, larngoscopic 
removal of objects, jugular IV's, push Dopamine HCl and Adenosine.

DA>1. What was your motivation to become a paramedic?
    Death of my father due to an AMI and the fact that I live in the 1st 
due district of a volunteer fire/ambulance company.  The closest paid 
station is 12-15 miles away.

DA>2. Is being a paramedic all you expected it to be?
    Yes and no.  I like the chance to help others but the low call 
volume at my station doesn't help advance my skills.

DA>3. Do you enjoy what you do?
    Yes, except for the pure taxi/B.S. runs.

DA>4. What do you like most about what you do?
    Being able to save someone from going through the pain of loosing a 
loved one.

DA>5. What do you dislike most about what you do?
    Blood Bourn Pathogens

DA>6. Do you consider yourself to be in a high-stress position?
    Medimum to high.  I am one of two ALS providers available during the 
day for my company.

DA>7. How do you deal (or have you dealt) with the stresses?
    Reading publications on the subject, studying and improving my skill 
level and reading what others have to say on the echo.  Sounds like most 
people are dealing with the same problems as I am and raise the same 
questions I would ask.  Birds of a feather kind of thinking.

DA>8. What would you say to someone wanting to be a paramedic?
    It's a job that's 99% B.S. and 1% glory and the 1% glory is 
worth putting up with the 99% B.S. 

DA>9. What has been your most rewarding experience(s)?
    Saving a 55YWF who had a textbook NSR ECG in lead II, mild shortness 
of breath, chest pain of 6 on a scale of 1-10.  All other signs were 
normal.  The doctor showed me her 12 lead ECG which had an ST segment 
elevation of 1.2 cm. or more.  He said she had a MAJOR SILENT AMI and we 
got to her just in time.  O2 & Nitro didn't do much to relieve her pain 
but the 2mg. MS did the trick.  She was treated and released 2 days 
later and came by to thank us.  BTW this was my 1st ALS call after 
certification.

     ---------                       Merle E. Berry, CRT
    |AMBULANCE|_o_            Emergency Services Administrator
    |   475   |---\_        Jacksonville Volunteer Fire Company
    =(*)-------(*)-'       Baltimore County, Maryland - Station 47

    WinQwk 1.30 #0


 

--  
Internet: Merle.Berry@f1047.n261.z1.fidonet.org
From: Kurt.Ullman@p0.f290.n231.z1.fidonet.org (Kurt Ullman)
Newsgroups: misc.emerg-services
Subject: *Short* Paramedic Survey
Date: 1 Sep 92 04:54:31 GMT
Organization: FidoNet node 1:231/290.0 - The RoadHouse BBS (, Indianapolis IN

RC> DA> From: daldridg@magnus.acs.ohio-state.edu (David A Aldridge)

RC>My name is Rob Carr, and I am currently a crew cheif/paramedic for the
RC>City of Pittsburgh EMS.  I also am an associate instructor for the
RC>Center for Emergency Medicine, where I specialize in Stress Management
RC>and Psychological Emergencies, as well as ACLS.

        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.
        Kurt Ullman, R.N.,C.

 
 

--  
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Newsgroups: misc.emerg-services
From: denning@chirpa.enet.dec.com (My name is...)
Subject: Re: 18 Year Olds
Organization: Digital Equipment Corporation
Date: Mon, 31 Aug 1992 15:03:39 GMT


What is the minimum age in your state to work as a full time civil service 
firefighter?? How about for working for a private ambulance firm? How
about being a police office??

If the minimum age is 18 then why in the world would a volunteer organization
want to restrict its minimum age anything older that. 

Don Denning
From: Scott.Dunstan@f374.n142.z1.fidonet.org (Scott Dunstan)
Newsgroups: misc.emerg-services
Subject: Entry Level Fire Service Jobs
Date: 30 Aug 92 01:01:10 GMT
Organization: FidoNet node 1:142/374 - The University BBS, Storrs CT

Just wondering if anyone out there could give a high school senior a hand in 
figuring out what he wants after HS.  I've always wanted to join a "Big City" 
FD.  But what do you have to do to get in, would any prior training or 
experience be advised?  (Military Perhaps??)
Any feedback would be most welcome.
Scott Dunstan
FF/EMT
Eagleville Fire Department
Storrs, Connecticut


 

--  
Internet: Scott.Dunstan@f374.n142.z1.fidonet.org
From: bguest@ateam.ems.cdc.com (Brandon Guest)
Newsgroups: misc.emerg-services
Subject: Re: 18 Year Olds
Date: 31 Aug 92 18:52:33 GMT
Organization: Empros Systems International, a division of Control Data

In article <1992Aug31.140324.20461@nntpd.lkg.dec.com> denning@chirpa.enet.dec.com (My name is...) writes:
>
>What is the minimum age in your state to work as a full time civil service 
>firefighter?? How about for working for a private ambulance firm? How
>about being a police office??
>
>If the minimum age is 18 then why in the world would a volunteer organization
>want to restrict its minimum age anything older that. 
>
>Don Denning

You assume that all organizations operate in a rational and logical
manner.  My favorite saying about the fire service goes something like
this:

     The Fire Service-  100 years of tradition unimpeded by progress.

At some point in time there was probably some rationale as to why they
should not accept members under 21 years of age.  I'm sure that many
members continue to believe that this is good for the department.
These members are also probably very threatened by the prospect of
young, energetic and highly educated college students coming in and
'taking over' THEIR department. ;-)


Brandon
-- 
H. Brandon Guest                | bguest@ems.cdc.com
Empros Systems International    | (A division of Something)
2300 Berkshire Lane North       | Voice (612) 553-4529
Plymouth, MN 55441-3694         | Fax   (612) 553-4018
From: JX655C@GWUVM.BITNET (PJ Geraghty)
Newsgroups: misc.emerg-services
Subject: Re: *Short* Paramedic Survey
Date: 4 Sep 92 12:25:44 GMT
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X-Acknowledge-To: <JX655C@GWUVM>
              1 Sep 1992 04:54:31 GMT from
              <Kurt.Ullman@P0.F290.N231.Z1.FIDONET.ORG>

On Tue, 1 Sep 1992 04:54:31 GMT Kurt Ullman said:
>        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.
>        Kurt Ullman, R.N.,C.

Presumably you're thinking along the lines of Thorazine or something similar.
The answer is no, at least not in MD and I doubt anywhere else.  Thorazine
is not one of the drugs covered in the NREMT-P curriculum.  The only one I
can think of might be valium or a similar sedative, but those are not usually
used on psychotic patients; rather, usually on seizing ones.

I am not convinced that anti-psychotic drugs would be a good idea for
pre-hospital use.  Having seen quite a few "Thorazine zombies" over the years
I think the dosage for that particular drug is something that should be
closely monitored, which is not something we usually have time for when
dealing with a crazed patient.

_________________________________________________________________________
|PJ Geraghty, FF2/NREMT-P             | (insert opinion disclaimer here)|
|5020 Battery Lane                    |**********CUBS in '92!!**********|
|Bethesda, MD 20814        (SnailMail)|                                 |
|301-652-0077/301-409-0648 (Telephone)|                    Tube 'em all;|
|JX655C@GWUVM                 (BitNet)|            let God sort 'em out!|
|JX655C@GWUVM.GWU.EDU       (InterNet)|        Guinness is GOOD For You!|
-------------------------------------------------------------------------
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From: thurmag@mist.CS.ORST.EDU (Gary Thurman)
Newsgroups: misc.emerg-services
Subject: Re: Upcoming Events in Oregon
Date: 1 Sep 92 04:28:13 GMT
Article-I.D.: CS.1992Sep01.042813.3334
Organization: Oregon State University, Computer Science Dept.

>>        vvvvvvvvvvvvvvvv- Check this Date.  This is the correct one! 
>>        October 28, 1992 - Firefighters as Mentors: A Partnership 
>>        Program for Kids at Risk with Fire.  Full day conference 
>>        sponsored by the Corvallis Fire Department and the Office of 
>>        State Fire Marshal.  Cost is $25.  Contact Randy Bredehl, 
>>        (503) 757-6984.                            ^^^^^^^^^^^^^
>						    Randy Brodehl
>						    
>> 
>
>
>-- 
>        _**_                   "We came...We saw...We kicked some ASH!"
>       /____|-IIIIIIIIIIII      Gary Thurman ------ FIREFIGHTER/EMT 
>     >| 132 |-----------\       Email:  thurmag@mist.cs.orst.edu
>      +-(O)--------(O)--+       Corvallis, Oregon


-- 
        _**_                   "We came...We saw...We kicked some ASH!"
       /____|-IIIIIIIIIIII      Gary Thurman ------ FIREFIGHTER/EMT 
     >| 132 |-----------\       Email:  thurmag@mist.cs.orst.edu
      +-(O)--------(O)--+       Corvallis, Oregon
From: PAW01@ALBNYDH2.BITNET (Pat Wilcox (PAW01) BCSD)
Newsgroups: misc.emerg-services
Subject: test
Date: 31 Aug 92 19:30:52 GMT
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      Phone 473-4026  Rm. 1219
      ^^^^^^^^^^^^^^^^^^^^^^^^
ksdklmdflkm

^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
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Newsgroups: misc.emerg-services
Date:         Sun, 30 Aug 1992 23:51:00 EDT
From:         GU091MAH@ITHACA.BITNET
Subject:      Re: 18 year olds

Question for anyone who might know the answer.............
Technically, isn't it ILLEGAL to not allow an 18, 19, etc. year old to join a fi
   rst aid squad if he/she is a fully qualified EMT by that state?????
Couldn't that be considered Age discrimination?????
Age discrimination laws say that if one is just as qualified as another, then us
   ually once your over 18 (adult) age can not be a requirement.  Isn't that cor
   rect??

Let me know, Thanks!

Marc
gu091mah@ithaca
NJ & NY EMT
CPR/BLS Instructor
NJ ER Tech.
From: Glen.Strecker@f2.n390.z1.fidonet.org (Glen Strecker)
Newsgroups: misc.emerg-services
Subject: Upcoming Events in Oregon
Date: 25 Aug 92 13:43:08 GMT
Organization: FidoNet node 1:390/2 - The Fire Scene, Slidell LA


        September 10-11, 1992 - First Annual Statewide Meeting of 
        Juvenile Firesetter Intervention Networks in Prineville, Oregon. 
        Sponsored by the Central Oregon Juvenile Firesetter Network and 
        the Office of State Fire Marshal.  For more information, contact 
        Judy Okulitch, (503) 378-3473. 
 
        September 21-24, 1992 - Fourth Annual Advanced Fire and Arson 
        Conference in Newport, Oregon.  Sponsored by the International 
        Association of Arson Investigators (IAAI).  Cost is $125 -$135. 
        Contact Ken Janes, (503) 731-3027. 
 
        October 29, 1992 - Firefighters as Mentors: A Partnership 
        Program for Kids at Risk with Fire.  Full day conference 
        sponsored by the Corvallis Fire Department and the Office of 
        State Fire Marshal.  Cost is $25.  Contact Randy Bredehl, 
        (503) 757-6984. 
 
(From HOT ISSUES, Vol. 2, No. 4 - A Newsletter of the Oregon Juvenile 
Firesetter Task Force) 
 
... OFFLINE 1.39 * Member La. Chapter, I.A.A.I. 


 

--  
Internet: Glen.Strecker@f2.n390.z1.fidonet.org
Newsgroups: misc.emerg-services
Subject: Drills for Firefighters
From: Scott.Bennett@f147.n138.z1.fidonet.org (Scott Bennett)
Date: 22 Aug 92 14:31:35 GMT
Organization: FidoNet node 1:138/147 - Lakewood Fire Depar, Tacoma WA

Hi, This is my first time on a fido echo.
I am interest in drills that your department may use to train firfighters in a 
goupr 5-12 people.   If you can include at leats the specifics of the drill i 
would (and my department) would greatly appreciate it.  Include
Drill Title --  What is expected  -  how it is tought (brief)  --  adn what 
the succsful assement is.


 

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Date:         Fri, 28 Aug 1992 13:33:52 -0400
From:         Tijuana Iguana <MLB4009@RITVAX.BITNET>
Subject:      Re: 18 year olds

I was going to sign off, but I decided not to. :)
I'll let my account fill up! :)

Re: the 18-year-olds -- let 'em in ! If they are
qualified and interested, chances are they aren't
going to be very immature...in fact, with the
experience I've had with a single corps, they are
more likely to be more stressed individuals (less
experience handling it + not knowing how to
handle it = more compiled stress) and thus the
youngest old farts you'll ever meet. Of course,
it depends on the individual.

I'd say let them in. My brother just turned 19
this past year. I know how he reacts, and how he
acts. I would have no problems working with him
professionally, and I think that's the key word.

Of course, there are different levels of
professional...but I haven't got time to get into
that.

I look forward to seeing you all in hopefully
a few days when I log back in from my ALUMNI
account. :)

                                Tijuana Iguana

888888888888888888888888888888888888888888888888888888888888888888888888888888
Michele L. Brown        2nd Medic       RIT Ambulance Corps.    Henrietta, NY
EMT2B in 2 days!        Aka Tijuana Iguana
888888888888888888888888888888888888888888888888888888888888888888888888888888
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Date:         Thu, 3 Sep 1992 16:55:24 -0400
From:         TRAUMA JUNKIE <JAT8419@RITVAX.BITNET>
Subject:      Re: MD & Rn want to run it all.....

I know that the problem in the medulla oblongata causes the pt. to pt
O2 dependnt breathing...but the pt. was 5 minutes from the ER and hypoxic drive
   won'[t set in  at 5 minutes at 92% O2

                                --John Ternay CFR
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: Fri, 4 Sep 1992 04:10:36 GMT

I've seen this COPD arguement many times.  In EMT school, we were taught 
NEVER to place a COPD patient on high-flow oxygen.  In paramedic school,
we were supposedly "smarter", and thus had the skills to know when the
high flow oxygen was needed.  Then, at the last base station meeting,
one of the RN/MICNs went off on a paramedic crew for placing a COPD
patient in SEVERE respiratory distress on 15L via NRB mask.  Arrgh..

My feeling:  If the patient needs oxygen, give it to them.  According to
the base physician, he's only see ONE case where the high flow oxygen
knocked out the respiratory drive of a COPD patient.  And that was after
1+ hrs of high flow oxygen.  Most of the units in my area carry PulseOx
machines now, eliminating some of the guesswork.

My 2cents:  If the patient is normally on home oxygen, calls 911 for
shortness of breath, this means they are VERY SOB.  They're SOB every
day of their lives, so when they get bad enough to call 911, they're
usually in bad shape.  If you knock out their respiratory drive, bag
them on room air for a bit and see if you can get it back.  If not,
tube them and let the hospital deal with it.  _I_ feel that if the
patients respiratory drive is knocked out (which is VERY rare), if
you're a trained professional, you should be able to manage it
adaquately.  On the other hand, if they are hypoxic and lose brain
cells because they don't have enough oxygen, you'll have a helluva
time managing cell death.

Note:  I'm not an MD, and I don't even play one on tv.  Do what medical
control tells you, but voice your complaints.  IE: "Medic XYZ copies your
order to reduce the oxygen to 2lpm via nasal cannula.  Be advised I do
not feel comfortable with this order, but if you confirm the order I will
comply."  This puts it on them when things go bad.  And DOCUMENT DOCUMENT
DOCUMENT the hell out of the run.

-Kirk J. Smith, EMT-P

--
   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