HDTenEightyP/NetNews huggingface dataset:
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Newsgroups: misc.emerg-services
Date:         Tue, 18 Aug 1992 14:24:14 EDT
From:         PJ Geraghty <JX655C@GWUVM.BITNET>
Subject:      Our solution to the frustrating patient

We held stabilization on the head and neck (as best we could, she didn't seem
to understand the concept of "Keep your head still!!!") and brought her out
into a sitting position on the cot.  Then, using duct tape off the squad,
we taped the s**t out of her, to the cot.  I didn't think the ER nurses would
ever stop laugh.  The MD there just said "Take her out.  Any possible C-spine
damage has already been done."

Among the other suggestions offered on-scene was 1) hit her over the head [too
many witnesses], 2) get an order for Norcuron [unfeasible] 3) have her sign a
release and walk away [might have been preferable].

Just another day on the Jambulance...

_________________________________________________________________________
|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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Newsgroups: misc.emerg-services
From: af905@yfn.ysu.edu (Ed Shanks)
Subject: Amusing true story
Organization: Youngstown State University/Youngstown Free-Net
Date: Fri, 21 Aug 1992 19:23:46 GMT


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!
 
-- 
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!}
From: bentson@CS.ColoState.EDU (Randolph Bentson)
Newsgroups: misc.emerg-services
Subject: Re: nitrous oxide
Date: 16 Aug 92 16:18:34 GMT
Organization: Colorado State University, Computer Science Department

My dentist reported that long term providers of nitrous oxide
suffer from the moderate exposures they receive.  One should
have a well ventilated area if NO2 is used.

-- 
    Randolph Bentson                 Colorado State University
    bentson@grieg.CS.ColoState.Edu   Computer Science Department
    303/491-5792                     Ft. Collins, CO 80523
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Newsgroups: misc.emerg-services
Date:         Fri, 14 Aug 1992 09:26:18 -0400
From:         "Give Way... Give Life... YIELD!" <STUECRWN@EKU.BITNET>
Subject:      Re: nitrous oxide

Barbara,
  I know back in New York my squad carries nitrous. An AEMT-CC or above is
allowed to administer it. I believe the AEMT-CC has to go thru Med. Control
though. I'm not 100% sure. If you would like the snail-mail adress of someone
who would know get back to me. I just wanted to let you know that in Suffolk
County, NY we are allowed to use it in prehospital care.

Bob Corwin
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X-Acknowledge-To: <KENDALLG@VTVM1>
Newsgroups: misc.emerg-services
Date:         Wed, 19 Aug 1992 08:22:07 EDT
From:         Gary Kendall <KENDALLG@VTVM1.BITNET>
Subject:      Re: Frustrating patients

I would "CYA" as best I could - explaining to the patient the consequences of
her refusal to wear the collar, being backboarded, etc. (e.g., possibly being
paralyzed due to spinal cord injury)...  If she still refused treatment other
than wanting to be transported to the hospital, I'd DOCUMENT it in detail and
respect her request.

Of course the catch to this is that you have to be sure the patient UNDERSTANDS
what you're telling them, which can really be a pain with someone who doesn't
speak / understand English very well.

-Gary Kendall, NREMT-P / AHA CPR Instructor / Va. EMT Instructor
 Christiansburg Rescue Squad
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Newsgroups: misc.emerg-services
Date:         Wed, 19 Aug 1992 11:39:33 -0500
From:         AIRBORNE THE FIREMAN IS BACK <CDUNBAR@UNTVAX.BITNET>
Subject:      Re: Saulsbury Pumpers

Our suburban / rural fire department of Cypress Creek employs 4 1987 Pierce
Arrows, and 2 Pierce Minutemans.  Pierce will build a lasting truck to your
specifications, they are cost effective, and they are built to last.  Our
Arrows look as good as when our department bought them (except for the side
equipment door mounted with a top hinge and hydraulic raisers, it was left open
by a station member, the engine pulled out of the station, and the door took
out the center collumn of the bay doors... the compartment door only got a few
screws ripped in 2 and slight bending of the hinge... these are TOUGH ENGINES!)

As far as some of the specs...  well, it all depends on what you want.  I could
brag and brag about our Pierces (which I might in another letter), but it will
all add up that you should buy a Pierce instead of a Saulsbury.  Pierce Arrows
and Lances are quite good. Arrows have center mounted engines, Lances have
forward mounted engines.  I don't know of other differences, but I am sure they
have some.

Buy Pierce.... buy American

-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-
Chris Dunbar                Bitnet: CDUNBAR@UNTVAX
University of North Texas   Internet: CDUNBAR@VAXB.ACS.UNT.EDU
Computer Science Major
Junior
Cypress Creek Fire Department and the Argyle Fire Department, Texas
Level I Certification
-ZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZZzzzzzzzzzzzzzzzz  *YAWN* ----
Newsgroups: misc.emerg-services
Subject: Arson fire
From: Joe.Nicholson@f1014.n202.z1.fidonet.org (Joe Nicholson)
Date: 12 Aug 92 14:04:40 GMT
Organization: FidoNet node 1:202/1014

A Vietnamese owned shopping center in Stockton suffered $1,000,000 damage
in an arson fire that destroyed three businesses late last week.  Police
and fire investigators report there have been previous unsuccessful
arson attempts at the center, but have not decided if they are related.

(Do the BBS's in the Sacramento area pulling this echo have any
other info on this incident?)



 

--  
Internet: Joe.Nicholson@f1014.n202.z1.fidonet.org
Newsgroups: misc.emerg-services
Subject: Hep Vaccines
From: Kurt.Ullman@p0.f290.n231.z1.fidonet.org (Kurt Ullman)
Date: 12 Aug 92 14:05:04 GMT
Organization: FidoNet node 1:231/290.0 - The RoadHouse BBS (, Indianapolis IN

Someone recently asked if the employer had to pay for a test
to confirm seroconversion after the Hep. B. Vaccine.  The answer, from a
number of sources--including the appropriate part of the Fed. Reg.--
appears to be no. There is a requirement to pay for injections, but not
to apy for the follow up tests.
        The Recombivax insert indicated 96% conversion rate in trials
(98% in younger people to 86% in 40+ years of age) when given in
deltoid. I guess that means that the individual has to deicde if they
are comfortable with those odds or if they want to pay for the tests
themselves.
        I recently changed jobs and the titer was part of the pre-
employment physical at the hospital. If you have a real concern maybe
find a hospital with this policy and get a part-time job)G).

 

--  
Internet: Kurt.Ullman@p0.f290.n231.z1.fidonet.org
Newsgroups: misc.emerg-services
Subject: Recorder Wanted
From: Dan.Mohrbacher@f1033.n119.z1.fidonet.org (Dan Mohrbacher)
Date: 12 Aug 92 14:04:30 GMT
Organization: FidoNet node 1:119/1033 - BlueStar, Paradise CA

Do any of you know where I might be able to pick up a rather inexpensive new 
or use 8 channel or greater voice activated recorder with time injector?  I 
have a feeling someone might have one in there storage locker at work that may 
be willing to part with it....


 

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Newsgroups: misc.emerg-services
Date:         Tue, 18 Aug 1992 19:01:11 EDT
From:         Robert Sean Hartnett <hartnett@OCPT.CCUR.COM>
Subject:      test2

--
 =========================================================================
 R.S. Hartnett                         "...one day i shall come back,yes
 R.u S.H.                              i shall come back. Until then
 hartnett@macbeth.ocpt.ccur.com        there must be no regrets,no tears,
 Concurrent Computer Corporation       no anxieties, just go forward in
 Oceanport,New Jersey                  all your beliefs, and prove to me
                                       that i am not mistaken in mind..."
From: Glenn.Matthews@f34.n371.z1.fidonet.org (Glenn Matthews)
Newsgroups: misc.emerg-services
Subject: Fire Safety Inspections via Bar Codes
Date: 17 Aug 92 13:41:37 GMT
Organization: FidoNet node 1:371/34 - Diver Down BBS, Fort Myers FL

Anyone involved in Fire Safety Inspections (Prevention), that uses the Bar 
Code system, please advise.  We would be interested in how you set it up and 
what type of equipment you are using.  Our state is looking into starting a 
bar code system for violations, location, etc.  the University's already have 
bar code plates on all buildings, doors etc., now with a little more help, we 
would be able to have a complete package.



 

--  
Internet: Glenn.Matthews@f34.n371.z1.fidonet.org
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X-To: HERMES::"EMERG-L%MARIST.BITNET@pucc.Princeton.EDU"
Newsgroups: misc.emerg-services
Date:         Wed, 19 Aug 1992 09:10:35 PDT
From:         THE ENFORCER <PKIRKPATRICK@INTEL9.INTEL.COM>
Subject:      Re: Saulsbury Pumpers
X-To:         EMERG-L%MARIST.BITNET@pucc.Princeton.EDU

I'LL SECOND THE PIERCE. WE ARE A RUAL DEPT WITH LOTS OF DIRT ROADS AND NO
HYDRANTS. WE CARRY ALL OF OUR WATER IN TANKERS AND ALL FIREFIGHTING IS DONE
WITH DRAFTING. OUR DASH HAS BEEN THE WORKHORSE OF OUR DEPT AND HASN'T
LET US DOWN.

PAT KIRKPATRICK
CORRALES V.F.D
CORRALES N.M.
CHIEF ENGINEER, EMT-B
PKIRKPATRICK@INTEL9.INTEL.COM
From: UUCP@f237.n260.z1.fidonet.org (UUCP)
Newsgroups: misc.emerg-services
Subject: FF Info
Date: 17 Aug 92 13:41:51 GMT
Organization: FidoNet node 1:260/237 - Paradise, Rochester NY

From: George Vaisey

To: All
From: George Vaisey
Re: Information on different fire departments & in different countries
==============================================================================
 

It is coming upon the school year.  I have the oppurtunity to start my Term 
Paper NOW (weird) but the teach sent us a letter.  My topic is the different 
means of Fire Fighting and Fire Protection in different Departments and 
Countries.  Any help would be greatly appreciated.  You can send the info back 
to me on this echo or "Snail Mail".  

                        George Vaisey
                        30 4th Avenue
                        Rochester, N.Y.
                          14612
                         UNITED STATES

Thanks in advance.
                   George


 

--  
Internet: UUCP@f237.n260.z1.fidonet.org
From: Glen.Strecker@f2.n390.z1.fidonet.org (Glen Strecker)
Newsgroups: misc.emerg-services
Subject: Fire Safety Game Offer
Date: 16 Aug 92 13:19:05 GMT
Organization: FidoNet node 1:390/2 - The Fire Scene, Slidell LA


           BIC INTRODUCES "KEEP AWAY!" tm GAME IN SPECIAL OFFER 
 
    A new card game that can fascinate children as it heightens their fire  
safety awareness has been developed by a University of Rochester  
psychologist in conjunction with the Fireproof Children, a fire safety  
organization in Pittsford, New York. 
    BIC Corporation is making KEEP AWAY!, a high-quality, educational game  
that families will play over and over, available through a low cost offer  
while the company is introducing its new lighter with Child Guard. 
    KEEP AWAY! is played with a deck of cards, consisting of wild cards and  
matched pairs, with pictures of animals, toys, and household objects on the  
faces of the cards. 
    The object of the game is for each player to collect as many pairs as  
possible. 
    The wild cards in the deck depict matches or lighters.  The match and  
lighter cards are imprinted with the universal "forbidden" symbol, a circle  
with a diagonal line crossing through.  If a player draws one of the wild  
cards, he or she loses a turn.  That's enough, says the psychologist who  
developed the game, for children to form a negative association with  
matches and lighters. 
    Adults can reinforce this implicit message when playing the game by  
talking about how children should keep away from matches and lighters.   
Children ages 3 and up will enjoy the game. 
    To send for the game, write to KEEP AWAY!, P.O. Box 5466, Clinton, IA,  
52736.  Enclose a check or money order for $1.50 payable to KEEP AWAY! to  
cover postage and handling. 
 
 
 
... OFFLINE 1.39 * Promote "Learn Not To Burn" in schools 


 

--  
Internet: Glen.Strecker@f2.n390.z1.fidonet.org
From: Kirk.Smith@bbs.oit.unc.edu (Kirk Smith)
Newsgroups: misc.emerg-services
Subject: Re: Our solution to the frustrating patient
Date: 20 Aug 92 04:04:55 GMT
Organization: Extended Bulletin Board Service

I'm a bit put off by your attitude on this matter.  While this was a
"frustrating patient" to you, try to think about what SHE was going 
through.  Trauma is old hat to us, but how often does the average
citizen get a cervical collar strapped on and told to sit still?

The patient has the legal right to refuse care.  If she didn't want
the c-collar, fine.  It's your job to try and inform the patient as to
the possible complications/consequences of their refusal (notice I didn't
say to scare them to death), and if they still don't want the particular
treatment you're offering, try to make sure others heard the refusal,
attempt to get a written AMA (against medical advice) form filled out [again, 
there's nothing to say they have to sign anything just to refuse aid],
and go on to your next treatment.

If the patient is capable of making rational informed decisions, and you
tape them to the board anyway, you're guilty of criminal assault.  If
the patient is incapable of making the decisions for themselves, get
law enforcement to take control (they "5150" them here in CA) and see
what can be accomplished that way.

I'm a big advocate of patient's rights.  If I refused aid (and would
likely refuse IVs in most cases) and you decided to duct-tape me to
a backboard, you'd wind up in court and would probably end up getting
decertified (assault is a felony).

-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
From: daldridg@magnus.acs.ohio-state.edu (David A Aldridge)
Subject: *SHORT* Paramedic Survey for English Class
Organization: The Ohio State University
Date: Mon, 17 Aug 1992 19:27:54 GMT


Howdy all. I have a small favor to ask of all you paramedics out there
in netland. I have a presentation to do for a college level English
class, and I need some information to use as a base for the presentation.
I have put together a few short questions for you to answer. Any answers
that I get to this post will be greatly appreciated. Thanks all.

Please include information such as name, title, and the name and
location of the service (if any) you are with presently. 

1. What was your motivation to become a paramedic?

2. Is being a paramedic all you expected it to be?

3. Do you enjoy what you do?

4. What do you like most about what you do?

5. What do you dislike most about what you do?

6. Do you consider yourself to be in a high-stress position?

7. How do you deal (or have you dealt) with the stresses?

8. What would you say to someone wanting to be a paramedic?

9. What has been your most rewarding experience(s)?

Feel free to elaborate on any of these questions and anything
else that you wish to add.
-- 
David A. Aldridge KB8EQO (t+) : daldridg@magnus.acs.ohio-state.edu
david+@osu.edu : DAVID+@OHSTMAIL.BITNET : Central Ohio ARES Member
ARC Disaster Services Member,FASC : Warren County EMA/RACES Member
AHA CPR Instructor, Level F : ARC First Aid Trained : EMTA Student
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Newsgroups: misc.emerg-services
Date:         Sun, 16 Aug 1992 01:21:00 GMT
From:         Daniel Burstein <0001964967@MCIMAIL.COM>
Subject:      Re: nitrous oxide
X-To:         Emergency Services Discussion List
              <EMERG-L%MARIST.BITNET@pucc.princeton.edu>

"FireMAN", in a post of 8/15/1992, asked:
>   "Just a quick question...  What is nitrous oxide used for in
>    pre-hospital care?

Answers:

1) As a super-booster in the fuel mix going into the (gasoline only!)
  engine.  Dramatically improves acceleration and top speed.  Not
so good for the engine's life expectancy, though....

2) As a propellant for various spray cans.  i.e., the whipped cream
you put on top of the ice cream you gobble down between calls.

3) As a degreaser and cleanser for engine parts (works best when
compressed into liquid form).

------------------------

and......

Nitrous Oxide, when given through inhalation, is a quick acting
and short-term pain reducer.  (I'm -not- going to get into
the differences between "analgesia" and "anasthesia" in this posting).

It's effectiveness for pain control was discovered in the mid 1800's
(don't have the exact references at hand), and rapidly, along
with Ether, made a DRAMATIC difference in the way SURGERY
was done.

The PBS series "NOVA" put together a superb dramatization
and recreation of the initial uses, and impact, of these agents.

It has been widely REPLACED for IN-Hospital use by agents that
have more specific actions, and that are non-flammable.  For FIELD
use, though, it has quite a few advantages:

1) Administered by inhalation
2) Rapid onset of effect
3) quick reversal when administration is ended.
4) Relatively few obnoxious secondary effects
5) If designed into a properly spec'ed system, overdosing
a patient to the point of respiratory and/or cardiac diffculty
is quite unlikely.

Problems with field use:

-actually, there are very few.  IMHO, we should be doing a LOT MORE
for pain management in the field (and in-hospital, at home, etc),
and this gets recognized in study after study.....
Why should a person with a fractured arm (or FEMUR!) have
to be in pain when we can block it?

Generally, the nitrous oxide was provided to the patient
using a mixing valve hooked up to an oxygen tank.  The patient
would hold the mask to his face (trauma patients tend to be male)
until he started getting positive results.  If he held the mask
too long, he would get "dopey" and drop it, thus giving
a nearly fail-safe control of administration.

Why did nitrous fall out of favor??  IMHO it's because
it has mild euphoric effects ("high"s), and too many people
thought that this was WRONG.

Also... it's been rumored that far too many nitrous tanks
were springing leaks and had to be refilled prematurely...

hope this helps,

Danny

<dburstein@mcimail.com>
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Newsgroups: misc.emerg-services
Date:         Wed, 12 Aug 1992 11:52:21 EDT
From:         Darrell Duane Jr <dduane@GMUVAX2.GMU.EDU>
Subject:      CAD Systems
X-To:         EMERG-L%MARIST.BitNet@pucc.PRINCETON.EDU
              9, 92 3:10 am

Does anyone have an address or know how to contact Mobil Data International,
Manufacturers of the MDT 9031, the MDT used in Fairfax Co., VA units?

Thanks,
    Darrell

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
& Darrell Duane   dduane@gmuvax2.gmu.edu   George Mason University         &
& Volunteer at Fair Oaks Fire & Rescue, Station 21  Fairfax Co., VA  USA   &
& Firefighter III, EMT-A, VEVOC, OSHA Haz Mat Level 1                      &
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
From: kreisel@BRL.MIL (GWD Robert G. Kreisel)
Newsgroups: misc.emerg-services
Subject: psar
Date: 19 Aug 92 12:01:55 GMT
Comments: Gated by NETNEWS@AUVM.AMERICAN.EDU
Org.:     Army Materiel Systems Analysis Activity - APG, MD. USA
Phone:    (410) 278-7291   DSN: 298-7291
Fax:      (410) 278-2778/6242
X-To:         emerg-l%marist.bitnet@pucc.princeton.edu

>hi,
>i'm a member of a new group (search and rescue dogs of maryland) and i have
>
>virginia degiorgi


Virginia,

Where is this group located?  I am interested in knowing more about it.

Rob



==============================================================================
                           Robert G. Kreisel, Jr.
  __________        Jarrettsville Volunteer Fire Company
  |AMBULANCE|_o_       Harford County, Maryland Co. 7
  |   791   |---\_               HAZMAT 1-A
  =(*)-------(*)-'                 EMT-A
                              (kreisel@brl.mil)
==============================================================================
From: ddodell@stjhmc.fidonet.org (David Dodell)
Newsgroups: misc.emerg-services
Subject: Digest form of misc.emerg-services
Date: Sat, 22 Aug 92 07:32:02 mst
Organization: St. Joseph's Hospital/Medical Ctr, Phoenix, AZ

I have not had any luck in getting myself on the mailing list for the EMERG-L 
digest at MARIST.BITNET.  Can anyone help me?  Who is the list owner?

david
 

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From: af905@yfn.ysu.edu (Ed Shanks)
Newsgroups: misc.emerg-services
Subject: Re: difficult patient
Date: 22 Aug 92 21:16:35 GMT
Organization: Youngstown State University/Youngstown Free-Net


>We held stabilization on the head and neck (as best we could,
>she didn't seem to understand the concept of "Keep your head
>still!!!") and brought her out

I was on a similar call - an MVA with a claustrophobic woman.
Sshe didn't even want to get into the ambulance, let alone have
a collar on. We finally got her settled down enough to let us
apply traction with our hands and got her into the ambulance.
We never thought of duct tape, though! It's tempting! :-)

A previous thread might have applied: You could have administered
nitrous oxide to her to mellow her out a little. (uh huh! :-) )

Stay in the shade!

-- 
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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Newsgroups: misc.emerg-services
Date:         Mon, 17 Aug 1992 23:51:28 -0400
From:         "Michael P. Rolfes" <usr2879a@TSO.UC.EDU>
Subject:      Re: Child Resistant Lighters

It is about time....


Mike
From: virginia@walkinghorse.nrl.navy.mil (Virginia DeGiorgi)
Newsgroups: misc.emerg-services
Subject: psar
Keywords: prevention,sar,psar
Date: 18 Aug 92 11:27:28 GMT

hi,
i'm a member of a new group (search and rescue dogs of maryland) and i have 
become intrigued/interested in the concepts of preventative search and
rescue.  so far the only information i have been able to find are two
books from the NASAR bookstore (lost in the woods and a coloring book) -
can anyone point me towards additional information in this area.
i'm especially interested in info aimed towards children

thanks

virginia degiorgi
Newsgroups: misc.forsale,ba.market.computers,su.market,misc.forsale.computers,alt.forsale