HDTenEightyP/NetNews huggingface dataset:
X-Envelope-to: EMERG-L@MARIST.BITNET
X-VMS-To: IN%"EMERG-L@MARIST.BITNET"
Newsgroups: misc.emerg-services
Date:         Thu, 9 Apr 1992 20:12:00 EDT
From:         "Give Way... Give Life... YIELD!" <STUECRWN@EKU.BITNET>
Subject:      Re: LIGHTS

:) Date: Thu, 9 Apr 1992 00:01:11 -0400
:) From: Ian J Gardner <ig00+@ANDREW.CMU.EDU>
:)
:) Granted, there are some people who are professional in their driving,
:) even when responding via POV.  However, there is also a good percentage
:) of people who respond in a careless or reckless manner.  In order to
:) preserve the public welfare, it is best that these people are not
:) allowed to legally go about their careless driving.  That is one of the
:) primary reasons against laws such as this.  And, it makes sense in most
:) areas as well...
:)
:) Ian Gardner
:) EMT-MAST

    Ian,
   I am also from NY where I have used a blue light. While at school I get the
privilage to use Red lights and sirens, turning my car into an emergency
vehicle. This does not make it "Legal to go about careless driving". If
anything you have to drive that much better, because most people react stupid
with someone running Lights and Sirens behind them.
*******************************************************************************
!    Bob Corwin                         | Eastern Kentucky University         !
!    Greenport VFD #410                 | Fire And Safety Engineering         !
!    White Hall VFD                     | Stuecrwn@EKU.Bitnet                 !
!    Madison County Rescue Squad #764   | Stuecrwn@acs.eku.edu                !
!             "To Risky To Do Drunk, To Precious To Be Drugged!"              !
*******************************************************************************
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
X-Envelope-to: EMERG-L@MARIST.BITNET
X-VMS-To: IN%"EMERG-L@MARIST.BITNET"
Newsgroups: misc.emerg-services
Date:         Fri, 10 Apr 1992 11:24:00 EDT
From:         GU091MAH@ITHACA.BITNET
Subject: Re: New TV Show: Code 3

WHY DOES IT HAVE TO BE SATURDAY????? :(
IT SHOULD BE DURING THE WEEK OR SUNDAY SO I CAN GO OUT ON SATURDAY!!

OH WELL, AT LEAST THEY FINALLY HAVE A REALISTIC SHOW FOR US EMTs NOW!! :)
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
X-Envelope-to: EMERG-L@MARIST.BITNET
X-VMS-To: IN%"EMERG-L@MARIST.BITNET"
X-VMS-Cc: MAWELLS
Newsgroups: misc.emerg-services
Date:         Wed, 15 Apr 1992 14:02:00 EST
From:         MAWELLS@GALLUA.BITNET
Subject:      POSSIBLE NEWSLETTER

I don't know if my last inquiry got lost in a comment or what happened.  If
you have read this before sorry for repeating.

There is so much good information that comes over the network, I am
thinking about putting it into a news letter for my station.  I do not want
to cause any "protocol" problems with this listing or with the readers.

QUESTION:  Is there any problem from the listing or the readers if I
make a newsletter using information obtained from the listing.  Of course,
I would give proper credit to the listing for any info I use from it.

Thank you for your comments and ideas.

Mary Ann

MAWELLS@GALLUJ.BITNET

We volunteer because your life depends on it.
Newsgroups: misc.emerg-services
From: jpp@philabs.philips.com (Joseph Page)
Subject: EMS / FIRE
Organization: Philips Laboratories, Briarcliff Manor, NY.
Distribution: usa
Date: Mon, 6 Apr 1992 14:20:34 GMT


I'll start by saying that I'm a strong believer in EMS as part of the fire
service. My department has been running EMS from around 1968 when we had a
Dodge van equipped with oxygen and a stretcher. Today we are running with two
type A, NY State Certified ambulances. Both are equipped with semi-automatic
defibrillators, one rig is two wheel drive the other four wheel drive.

Here are a few things that bother me about the FD/VAC situation within the
area I'm familiar with:

1st - A lot of the fire departments that do not run EMS are always
   complaining about the VAC that they run with - if the FD had taken on the EMS
   service the VAC would never have been formed. 

2nd - I have members of the FD tell me that they don't want to get in to EMS
   because of all the training, but a review of their rolls shows that a large
   part of the FD members are also members of the VAC with all the training

3rd - The FD members also say that they don't want to spend all the time  it
   takes for the ambulance to go to the hospital and back. When I listen to
   the radio the FD is usually the first on the scene, make numerous calls for
   the VAC, have the pt. all packaged ready for transport, and by the time
   they finally secure the scene the ambulance is usually on the way back. Also
   I don't see any reason for anybody other than the ambulance crew to have to
   wait around.

4th - I've been in the middle of arguments between the FD and VAC when we get
    called in on mutual aid. While I'm not always sure who is in the right, if
    the FD had EMS the argument wouldn't be going on.
    ***This situation happens a lot: the neighboring town get an EMS call,
    both the VAC and FD are dispatched, the FD gets there first and starts
    care (the FD has EMT's and all the equipment needed other than the
    stretcher and ambulance to transport) they don't hear the VAC sign on so
    they have them dispatched again, after a period of time they still don't
    hear the VAC so they call for mutual-aid. I do know that the last 
    five times that I have been involved in this situation I've been canceled
    prior to getting my rig on the road once, canceled in route once, arrived
    on the scene prior to the VAC but let the VAC transport once, arrived on
    the scene prior to the VAC and transported the pt. twice.

5th - I've also seen the FD set up ALS intercepts prior to the VAC's arrival 
    and the EMT from the FD who started care and set up the intercept refused
    to go with the pt.

6th - I've also heard that the FD's EMTs would get involved with the VAC's
    EMTs over weather the pt. needed to be transported or not.

just my 2 cents

Capt Joe Page / EMT-D
Vista Fire Department
Newsgroups: misc.emerg-services
From: jrd5@po.CWRU.Edu (Jacob DeGlopper)
Subject: Re: Lights
Reply-To: jrd5@po.CWRU.Edu (Jacob DeGlopper)
Organization: Case Western Reserve University, Cleveland, OH (USA)
Date: Wed, 8 Apr 92 23:47:21 GMT


In a previous article, terrya@MCES.MsState.Edu (Terry Arnsdorff) says:

>I am looking for a good source for various lights for apparatus.  I cannot 
>seem to find anything except Sho-Mes and Light bars.  I am looking for 
>different types of flush/semi-flush mount strobes.

Whelen makes a number of strobe products.  Some of their products have
been advertised in Gall's, or (203) 526-9504 direct to the company.

I have no connection with them including as a customer.
-- 

           Jacob DeGlopper, EMT-A, Wheaton Volunteer Rescue Squad
            -- CWRU Biomedical Engineering - jrd5@po.cwru.edu -- 
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
X-Envelope-to: emerg-l@marist.BITNET
X-VMS-To: IN%"emerg-l@marist"
Newsgroups: misc.emerg-services
Date:         Tue, 7 Apr 1992 15:07:00 CDT
From:         MICHAEL@UNTVAX.BITNET
Subject:      NARCAN

Guys, I've seen narcan work, and never seen it prokoke a strong reaction (I can
feel my hair growing!!!)  It does bring people down quickly, so use with care..
someone who paid money for drugs (as stated before)...  I stand behind its use
on suspected pts -- I've never seen it hurt or cardiac arrest a pt before...


<><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>
<>                                                                          <>
<>  Michael W. Reed      Red Cross Certified:      michael@vaxb.acs.unt.edu <>
<>  P.O. Box 6197       CPR/Standard First Aid     michael@untvax.bitnet    <>
<>  Denton, TX 76203       (817)-369-6703          ntvaxa::michael          <>
<>                                                                          <>
<>  "If there's nothing wrong with me, then there must be something wrong   <>
<>      with the universe."     -- Dr. Beverly Crusher                      <>
<>                                                                          <>
<><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>
From: aa667@cleveland.Freenet.Edu (John Griffith)
Newsgroups: misc.emerg-services
Subject: Re: NARCAN
Date: 9 Apr 92 13:45:54 GMT
Article-I.D.: usenet.1992Apr9.134554.26627
Reply-To: aa667@cleveland.Freenet.Edu (John Griffith)
Organization: Case Western Reserve University, Cleveland, OH (USA)


In a previous article, mikep@PRO-BERKS.CTS.COM (System Administrator) says:

>Our protocals for an unresponsive person with unknown etiology call for
>Narcan and D50.  One of the things you have to watch out for with Narcan is
>the person coming around too fast and signing AMA.  With the have life being
>fairly short you could be called back 30 minutes for the same problem.  If we
>could only get a permanant form of Narcan.:)
>
We revised our protocols eliminating the unnecessary use of D50% in all
unconscious persons unless we have a documented low blood sugar by
glucoscan or chemstrip.  Current research published in JAMA indicates
that excessive uses of D50% can actually destroy brain cells especially
in full arrest victime.  It seems that pushing D50% blindly can force
an accumulation of "food" (glucose) in the brain, across the blood brain
barrier.  Once the patient re-perfuses, the cells can die from not being
able to metabolize the sugar.
Also, in our area, if we treat an overdose for any reason, the patient cannot
sign AMA.  We are to transport all OD patients regardless of what they want.
Our laws protect us from suits because it is better to transport against
their will rather than having the patient die ten minutes after you leave
the scene.  We act in the best interest of the patient.  They fall in
the same category as a intoxicated patient in that they are not able to
make a rational decision that most people sober can make.

John Griffith
Fire fighter/Paramedic
-- 
"I will be watching over you, I am gonna help you see it through.  I will
 protect you in the night, I am smiling next to you.  In Silent Lucidity.
                                                        -Queensryche
John Griffith aa667 (Fire fighter/Paramedic)
From: bemmack@ucscb.UCSC.EDU (71028000)
Newsgroups: misc.emerg-services
Subject: Re: NARCAN
Date: 8 Apr 92 05:03:48 GMT
Organization: University of California, Santa Cruz; Open Access Computing


Gee, I hope I didn't give the impression that _I_ think Narcan is bogus.
I was merely pointing out that I had been told of another view.  I, like
every paramedic I know, have used Narcan, have seen it's dramatic effects,
and believe it to be useful.  But I do keep my mind open to alternative
views.  So, IMHO, Narcan is good, not evil.  I've used it numerous times.
It's fast, like giving D50 to a hypoglycemic diabetic.  I do, however
question the use of 2mg boluses.  I've seen .4mg work fine, and more can
be given if it's not enough.  Our protocol calls for 0.4-0.8mg loading
dose (slow IVP, IM, ET [why?], or IO) and then more as needed.

Remember, medical technology is changing SO fast, who knows what lies
around the corner.  The CRPA convention in June will have a speaker on
the use of thrombolitic therapy on CVA patients.  Imagine, giving blood
thinners to pts with a stroke.  Apparently it's saving lives.  Wow..

-Kirk J. Smith, EMT-P
mail: rosty@rat.csc.calpoly.edu

Newsgroups: misc.emerg-services
From: aa667@cleveland.Freenet.Edu (John Griffith)
Subject: Alpha Pagers
Reply-To: aa667@cleveland.Freenet.Edu (John Griffith)
Organization: Case Western Reserve University, Cleveland, OH (USA)
Date: Fri, 17 Apr 92 16:06:48 GMT




Someone asked me who wrote the program for alphanumeric pagers called
PCPage. 

The company is Metriplex, not sure where they are out of.
We picked it up for a nominal charge....



John Griffith
Firefighter/Paramedic Class "A"
-- 
"I will be watching over you, I am gonna help you see it through.  I will
 protect you in the night, I am smiling next to you.  In Silent Lucidity.
                                                        -Queensryche
John Griffith aa667 (Fire fighter/Paramedic)
Newsgroups: misc.emerg-services
From: au342@cleveland.Freenet.Edu (Michael P. Rolfes)
Subject: Re: New TV Show: Code 3
Organization: Case Western Reserve University, Cleveland, Ohio, (USA)
Date: Mon, 13 Apr 92 05:00:57 GMT


We do not get "On Scene" here in Cincinnati.  What is it about?

Code 3 doesn't show any of the procedures performed by the EMT's or
Paramedics....


Mike
From: bguest@ateam.ems.cdc.com (Brandon Guest)
Newsgroups: misc.emerg-services
Subject: Fire Officer Ranks
Date: 15 Apr 92 21:25:05 GMT
Organization: Empros Systems International, a division of Control Data


I am working on the reorganization of our department's officer
structure and am looking for some brief descriptions of the different
officer rank and responsibilities.  I was doing pretty good until I got
to Chiefs (surprise).  Given that we are a small volunteer (paid
part-time) department, we have never had anything but a Chief and
Assistant.  We now think we may be in need of an additional chief
rank and are wondering what we should call him/her.

I am interested in other department's rank structures and how the
responsibilities are defined.  Please email if possible.  I will
post a summary if there is enough interest.

Brandon
-- 
H. Brandon Guest                | bguest@ems.cdc.com
Empros Systems International    | (A division of Control Data Corp)
2300 Berkshire Lane North       | Voice (612) 553-4529
Plymouth, MN 55441-3694         | Fax   (612) 553-4018
From: bguest@ateam.ems.cdc.com (Brandon Guest)
Newsgroups: misc.emerg-services
Subject: Re: Just curious......
Date: 15 Apr 92 21:16:07 GMT
Organization: Empros Systems International, a division of Control Data

In article <97.29EC331A@stjhmc.fidonet.org> Jim.Acker@f16.n143.z1.fidonet.org (Jim Acker) writes:
>Without starting too much controversy here, I am curious how many
>users on this echo are with union fire departments versus non-union
>fire departments.  If you are union, indicate the local #.

It may be interesting to also add if your department is full time or
volunteer (paid part-time).  Until recently, I assumed most paid
part-time were non-union; hoever, I have recently heard of a volunteer
department here in Minnesota that is looking into organizing.

I work for a non-union paid part-time department.

Brandon
-- 
H. Brandon Guest                | bguest@ems.cdc.com
Empros Systems International    | (A division of Control Data Corp)
2300 Berkshire Lane North       | Voice (612) 553-4529
Plymouth, MN 55441-3694         | Fax   (612) 553-4018
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
Organization: Muhlenberg Area Ambulance Association
Newsgroups: misc.emerg-services
Date:         Wed, 8 Apr 1992 17:20:05 EST
Comments:     <Parser> W: Field "Resent-Message-ID:/Message-ID:" duplicated.
              Last occurrence was retained.
Comments:     <Parser> W: Field "Message-ID:" duplicated. Last occurrence was
              retained.
From:         "System Administrator" <mikep@PRO-BERKS.CTS.COM>
Subject:      Re: NARCAN
X-To:         emerg-l@vm.marist.edu

"joel.peshkin" <joelp%CBNEWSF.CB.ATT.COM@YALEVM.YCC.Yale.Edu> writes:

>In article <32203@darkstar.ucsc.edu> bemmack@ucscb.UCSC.EDU (71028000) writes:
>>
>>In article <1992Apr6.191304.4060@usenet.ins.cwru.edu> jrd5@po.CWRU.Edu (Jacob
>DeGlopper) writes:

> The nurse-anethesist that told us about Narcan pointed out that the half
>life is much shorter than a lot of the narcotics it counteracts. His story
>was of Pts being given Narcan post-op to wake them up and then sent up to
>their rooms. They get to the room, complain of pain and are given
>narcotic meds for the pain. Then the Narcan wears off and they OD from the
>combined narcotic doses still in their system.

Our protocals for an unresponsive person with unknown etiology call for
Narcan and D50.  One of the things you have to watch out for with Narcan is
the person coming around too fast and signing AMA.  With the have life being
fairly short you could be called back 30 minutes for the same problem.  If we
could only get a permanant form of Narcan.:)



Michael A. Palamar PA EMT

UUCP: Crash!pro-berks!mikep
Internet: mikep@pro-berks.cts.com
Newsgroups: misc.emerg-services
From: jrd5@po.CWRU.Edu (Jacob DeGlopper)
Subject: Re: NARCAN
Reply-To: jrd5@po.CWRU.Edu (Jacob DeGlopper)
Organization: Case Western Reserve University, Cleveland, OH (USA)
Date: Mon, 6 Apr 92 19:13:04 GMT


In a previous article, ec49726@uxa.cso.uiuc.edu (Manny C.) says:

>I'm curious as to what drugs Narcan can affect (such as Opiates). From what
>I've heard, it doesn't work on alcohol, but it is administered to pts who 
>have been drinking. How does the stuff work anyway and how effective is it?

Narcan (Du Pont's trade name for naloxone) is a narcotic antagonist, which
means it reverses the effects of narcotics.  Narcotic here is used in the
strict medical sense, rather than the legal sense.  To quote and paraphrase
the PDR, "Narcan prevents or reverses the effects of opioids".  Narcan
has no effect on patients who do not have narcotics in their systems.  The
mechanism of action is not fully understood, but evidence suggests that 
Narcan competes with opioids by competing for the same receptor sites. 

Narcan is remarkable stuff.  It generally has an effect within two minutes
of IV administration.  It's not going to hurt a patient who hasn't been
using narcotic drugs, but it will reverse the effects if a patient has. 
For this reason, it's usually good to give just enough to get the patient
breathing, but not so much that they wake up completly.  Assuming these are
illegal drugs involved, you just destroyed the high he paid for, and he's
not going to love you for it!  Drugs Narcan works against include opium,
heroin, morphine, oxycodone and methadone.  It doesn't seem to be possible
to overdose on it.

Narcan has no effect on alcohol, but it's probably part of your protocols
for all unconscious people. The assumption in other patients may be
that if they're drunk, they might have taken some sort of narcotic as well. 
Narcan isn't going to hurt them if they haven't taken anything, so you
might as well give it. 

For more detailed information, look in the PDR.  Just for kicks, Narcan
is on page 911 of my 1989 edition -- how's that for coincidence?

-- 
 -- jacob 

           Jacob DeGlopper, EMT-A, Wheaton Volunteer Rescue Squad
            -- CWRU Biomedical Engineering - jrd5@po.cwru.edu -- 
Newsgroups: misc.emerg-services
From: rtoyama@uhunix.uhcc.Hawaii.Edu (Ralph Toyama)
Subject: Re: CODE3
Organization: University of Hawaii
Date: Mon, 13 Apr 1992 21:55:34 GMT

In article <01GIRCH98NW00017E2@EKU.BITNET> STUECRWN@EKU.BITNET (Give Way... Give Life... YIELD!) writes:
>The narrator was none other than Buck Rodgers himself. I thought it was
>OK. Nothing like cops though. The show did teach me two things. 1: Bring my
>own trauma bag if  I go to Honolulu. And 2: If I do go, don't say in a hotel
>above the 3rd floor cause that fire dept. was pathetic!
>
>Bob Corwin

How fortunate we are to have someone on the net who can evaluate the
capabilities and the worth of an EMS system and a fire department,
based on viewing 12 minutes of disjointed video clips (much less if
you take out the interviews and the obligatory scenic shots).
 
You didn't really expect to see a lot of shots of "firefighters in
action" as long as that woman was hanging over the street on that
ledge, did you?  Maybe you'd be happier if the camera crew went into
the building lobby or up to the fire floor?  Perhaps they should send
two camera crews with the ambulance, so they can tape more stuff?  Or
better yet, have the camera crew direct the action so they could set
their shots.  I certainly think it would have been nicer if the
cameraman had waited for the paramedics to go first, rather than
charge down that stairway with two of the guys (carrying the equipment?)
still in back of him.
 
Despite what the narration implied, they DO send more than one station
on the first call for a high rise fire in this town--or maybe it is a
good idea to send three dozen guys charging up to the fire floor.
Maybe pumping water up twenty-five stories of standpipe is easier than
I'm assuming.  Maybe all of the local news media was wrong, and she
really was out there for twenty minutes.
 
On the show they showed very little, and to make the derogatory
comments you did is, to put it politely, highly presumptive.  It kind
of makes me wonder what else you're presuming about us out here.
 
I would think that anyone who has been involved in emergency service
for as long as you apparently have, would be sick and tired of hearing
criticism from people who don't know what you're doing.

--
Ralph Toyama                                 /          73 and Aloha
University of Hawaii at Manoa               /__       from Radio NH6PY
School of Library and Information Studies     /     Honolulu, Hawaii, USA     
rtoyama@uhunix.uhcc.Hawaii.Edu               /   nh6py@uhunix.uhcc.Hawaii.Edu
From: Jim.Acker@f16.n143.z1.fidonet.org (Jim Acker)
Newsgroups: misc.emerg-services
Subject: Just curious......
Date: 15 Apr 92 13:40:20 GMT
Organization: FidoNet node 1:143/16 - The Electronic Fire, San Martin CA

Without starting too much controversy here, I am curious how many
users on this echo are with union fire departments versus non-union
fire departments.  If you are union, indicate the local #.



 
 

--  
Uucp: ...{gatech,ames,rutgers}!ncar!asuvax!stjhmc!143!16!Jim.Acker
Internet: Jim.Acker@f16.n143.z1.fidonet.org
From: Jeff.Gelpi@f16.n128.z1.fidonet.org (Jeff Gelpi)
Newsgroups: misc.emerg-services
Subject: EMS/FIRE Management
Date: 15 Apr 92 13:39:19 GMT
Organization: FidoNet node 1:128/16 - FireNet Leader, Colorado Springs CO

Hi,   I am a Safety Officer/Paramedic with a large private
ambulance service serving Central and Northeastern Ohio. I
am working on a project gathering information on different
types of command structures throughout EMS/Fire service. If
anyone can point me in the direction of articles on this
subject or let me know what you are doing it would be
appreciated.
                         THANKS   J. Gelpi
   



 

--  
Uucp: ...{gatech,ames,rutgers}!ncar!asuvax!stjhmc!128!16!Jeff.Gelpi
Internet: Jeff.Gelpi@f16.n128.z1.fidonet.org
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
X-Envelope-to: EMERG-L@MARIST.BITNET
X-VMS-To: IN%"EMERG-L@MARIST.BITNET"
MIME-version: 1.0
Content-transfer-encoding: 7BIT
Newsgroups: misc.emerg-services
Date:         Sun, 12 Apr 1992 18:45:09 -0400
From:         TRAUMA JUNKIE <JAT8419@RITVAX.BITNET>
Subject:      Re: Those nifty pagers.

fireMAN,
        I have worked with national and I have seen the pagers.  They work
quite well.  They can contact any one they want and give a message without
tying up the radio.  And they also send messgaes like  "The rubber gloves on
the rig are for your use only" then on the radio i heard  "don't put them on
cows.
        The pgers seemed to work well and save time and radio space.
-------------------------------------------------------------------------------
John A. Ternay
Emergency Medical Services First Responder
Pre-Medical Studies                             R.I.T. Ambulance
MD2B                                    Cornwall Volunteer Ambulance Corps.
                        "Trauma Junkie"

        "If you can't beat 'em....heal 'em"




 ********     **** ****   *******
 *            *   *   *   *
 ********     *   *   *   *******
 *            *       *         *
 ********     *       *   *******   * * *  PEOPLE WHO CARE