HDTenEightyP/NetNews huggingface dataset:
From: traurig@ncavax.decnet.lockheed.com
Newsgroups: misc.emerg-services
Subject: Re: MD & Rn want to run it all.....
Date: 4 Sep 92 12:53:21 GMT
Organization: Sanders Associates


	Interesting...in the state of NH we are taught never to withhold O2 from
anyone who needs it.  We are supposed to have the skills (and do, I hope! :-)
to be able to ventilate anyone who needs it, so if your COPD pt is turning
blue, then use that high concentration O2 and bag them if necessary.  Of
course, there is no accounting for the vagaries of your local ER staff.  Most
of the ER doctors around here would rather wean a COPD pt off a respirator than
deal with a code from respiratory acidocis.

Scott (traurig@ncavax.decnet.lockheed.com)
Merrimack (NH) Ambulance Rescue Service, EMT-A
From: rheck@uh.msc.edu (Randy Heckelsberg)
Newsgroups: misc.emerg-services
Subject: Re: *Short* Paramedic Survey
Date: 4 Sep 92 16:34:21 GMT
Organization: Minnesota Supercomputer Center

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

In my 20+ years as a medic I have found that most psych situations can be
handled with a calm, truely caring and professional approach.  Otherwise
diazepam and/or duct tape are very effective.

-- 
Randy Heckelsberg , FF/Paramedic      | phone: (708) 961-7688
Minnesota Supercomputer Center, Inc.  | email:  rheck@msc.edu
c/o ARC 		              |
P.O. Box 3011     MS F-1/CS	      | "We are confronted with
Naperville, IL    60566		      |  insurmountable opportunities" -Pogo
From: bguest@ateam.ems.cdc.com (Brandon Guest)
Newsgroups: misc.emerg-services
Subject: Re: MD & Rn want to run it all.....
Date: 4 Sep 92 12:37:53 GMT
Organization: Empros Systems International, a division of Control Data

In article <1992Sep4.041036.9631@samba.oit.unc.edu> Kirk.Smith@bbs.oit.unc.edu (Kirk Smith) writes:
>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..
>
[other good comments deleted]
>
>-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

Let's drop back to the original post.  In this post it was stated that
the COPD patient had experienced SEVERE HEAD TRAUMA.  In all the
training I have received over the last couple of years I have always
been taught to treat to prevent the most severe outcome (e.g. if the
patient is COPD and suffering from a heart attack, you give them high
flow O2.  If the patient stops breathing you bag mask them or use some
other form of positive pressure ventilation).  In the case of SEVERE
HEAD TRAUMA our protocols are hyperventilate on O2 (20 per minute) to
minimize brain swelling and its associated BAD effects.  If the COPD
patient stops breathing, the doctors have plenty of time to fix that
problem later.  If the COPD patient's brain swells and they suffer
associated brain damage ain't nobody gonna fix it.

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: sc4e+@andrew.cmu.edu (Scott Cheng-Hsien Chiang)
Newsgroups: misc.emerg-services
Subject: Re: Question
Date: 2 Sep 92 15:48:30 GMT
Organization: Carnegie Mellon, Pittsburgh, PA

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

It all depend on the state you are in.  In Pennsylvania, I know you have
to take an instructor course which is offered in the local community
college - at least in Allegheny county. 

In NY however, you have to belong to an ambulance corp, on top of that,
you have to take an instructor course to become a junior instructor, get
sponsored by a senior instructor to co-instruct, score a minimum of 80
on the state exam, more courses then you can become a senior instructor
(according to my captain).  You don't however have to be an AEMT.  I
think all you need is EMT certified.

               /   /     Scott C. Chiang
              /   /      sc4e+@andrew.cmu.edu
             /   /
            /   /        NY AEMT, PA EMT-Mast, AHA Instructor
    \   \  /   /         Jamaica Estates Volunteer Ambulance Corp.
     \   \/   /          New York City Emergency Medical Service -- 94 Henry
      \  /\  /           Carnegie Mellon University Emergency Medical Service
       \/  \/            "I save lives, what do you do?"
From: Kirk.Smith@bbs.oit.unc.edu (Kirk Smith)
Newsgroups: misc.emerg-services
Subject: Re: MD & Rn want to run it all.....
Date: 4 Sep 92 20:10:38 GMT
Organization: Extended Bulletin Board Service

I agree regarding hyperventillation of head trauma patients.  It's (oxygen)
the only drug we have here for head injuries (used to have Mannitol, but
the base physicians got too much grief from the neurosurgeons when
they'd order it, as some of the neurosurgeons love it, others hate it).

The problem relayed by the MICNs is that you can't always fix the COPD
patient that stops breathing.  Lots of them have "No Intubation" orders
(ie: part of their no-code), and others won't tolerate the intubation
for long (since these people are in such bad respiratory shape anyway).

It's another medical problem with no perfect solution.  Like I said in
my last post, I'd be more inclined to go with the high flow oxygen
than to worry about their hypoxic drive problems.

-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
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Newsgroups: misc.emerg-services
Date:         Fri, 4 Sep 1992 14:43:10 EDT
From:         AISARMSTRONG%IST%VMI@IST.VMI.EDU
Subject:      re: Firefighter Job

Has far as I know; Western Virginia in the County of Augusta is hiring fire
fighters as of now.
From: tcm@moscom.UUCP (Tom Maszerowski)
Newsgroups: misc.emerg-services
Subject: Re: Deaf Firefighter??
Summary: In my department
Date: 31 Aug 92 12:19:23 GMT
Reply-To: tcm@moscom.UUCP (Tom Maszerowski)
Followup-To: misc.emerg-services
Distribution: na
Organization: Moscom Corp., Pittsford, NY


  My department, West Brighton, (a Rochester, NY suburb) has a deaf member
who currently serves as Captain. I do not personally know the actual
numbers on the extent of his hearing impairment but he does wear a
hearing aid. We have had to make some adjustments but nothing that 
seriously impacted operations. For instance, it is important that
you face him when speaking as he is likely to miss some of the content
when his back is turned. We have found that on the fireground, especially
near an operating fire truck, hand signals and gestures are much more
effective when the individuals are beyond arm's reach than trying
to yell over the noise. 

  If you want to be a firefighter, then go for it! Although the Rochester
area is somewhat used to deaf people because of the presence of NTID, I
would hope that most fire departments would be willing to take on
someone who was willing to give their time. You might want to see if
anyone at Gallaudet is a member of fire department back home or locally
to see if there are any local/state regulations that might be relevant
in your case. If your intended fire department shows some reluctance,
it would help if there was someone else who had already been through
this to act as a precedent. Good luck and keep us informed of
your progress.

-- 
Tom Maszerowski    tcm@moscom.com   
                   {rit,tropix,ur-valhalla}!moscom!tcm
                   DoD #1957 (1987 BMW K75s) BMWMOA #59113
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Date:         Wed, 2 Sep 1992 09:29:25 -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

Yes.  Seth.  Lists where I have seen references to Somalia are:

   Activ-l
   Africa-l
   soc.culture.african.american (UseNet NewsGroup)
--bob

***********************************************************************
Robert (Bob) L. Stringfield      Mainz Army Depot
UNIT 24218  P.O. Box 52:  APO AE 09185
COML (No ETS or Autovon available): 06131-696328 (Germany)
FAX: 06131-696467  IRC Nick - DeathStar (:ds)
bstring@mainz-emh2.army.mil or bstring%mainz-emh2.army.mil@vm1.nodak.edu
                   Truth:  IGNORANCE hates knowledge....
*************************************************************************
From: JAT8419@RITVAX.BITNET (TRAUMA JUNKIE)
Newsgroups: misc.emerg-services
Subject: Re: MD & Rn want to run it all.....
Date: 4 Sep 92 14:51:19 GMT
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O.K. I checked NYS protocol for BLS servbices and it says treat a COPd pt. as
you would any other...EXCEPT when the trouble is DIRECTLY related to the Pt's
COPD disease... (i.e. an asthma pt. w/ atshmatic problems).
        In these cases you are to keep the Pt. on the home care level of O2
or if not taking home oxygen then give 2-4 LPm via N.C.

        If the distress is great enought though and perfusion is not
adaquate....

-------------------------------------------------------------------------------
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"
From: bguest@ateam.ems.cdc.com (Brandon Guest)
Newsgroups: misc.emerg-services
Subject: Re: MD & Rn want to run it all.....
Date: 3 Sep 92 21:35:16 GMT
Organization: Empros Systems International, a division of Control Data

In article <01GOCGNOKNQQ9KMG3B@ritvax.isc.rit.edu> JAT8419@RITVAX.BITNET (TRAUMA JUNKIE) writes:
>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

[the rest deleted]

My company contracts with an Occupational Health MD for our First
Responder protocols and we have similar trouble with him.  Even though
two of our members are EMTs, we are not allowed to give more than 6lpm
through a simple mask AND if we administer any O2 its an automatic trip
to the ER for the poor sap we gave it too.  It really puts us in a bind
as to when and how we administer O2.

His answer to the question why-  'Its medicine and the liability to the
company is just to great'.

I don't know- maybe 16 years as an EMT running rescue has ruined my 
brain.  

There is a glimmer of light though-  my division is in the process of
being sold to a new company AND maybe I will have some input on who
we hire for our company MD in the future.

We live in hope.

Brandon
Training and Safety Officer
Hamel Vol. Fire Dept.
FF2/EMT-A/HazMat2
-- 
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: bguest@ateam.ems.cdc.com (Brandon Guest)
Newsgroups: misc.emerg-services
Subject: Re: 18 year olds
Date: 31 Aug 92 15:15:46 GMT
Organization: Empros Systems International, a division of Control Data

In article <01GO7LUV74ZO8WW5YR@ITHACA.BITNET> GU091MAH@ITHACA.BITNET writes:
=>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.

It is ILLEGAL to discriminate based on age for individuals in the
protected group of age 40 to 60.

It is LEGAL to discriminate based on age for individuals outside that
protected group- including people aged 18-21.


-- 
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
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Newsgroups: misc.emerg-services
Date:         Tue, 25 Aug 1992 23:00:46 AST
From:         "Gonzalo Velez J. UCV" <gvelez@CONICIT.VE>
Subject:      Hurricane Andrew's progress
X-To:         EMERG-L%MARIST.BITNET@pucc.Princeton.EDU
              25, 92 8:23 pm

Can anybody supply reference regarding E-mail accessible reports on
hurricane Andrew's progress ? I will be grateful...

gvelez@dino.conicit.ve
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 20:14:06 GMT

If the patient is on home O2 @ 2LPM, why not bump them up to 4LPM and
see how they do?  I know it's "above all, do no harm", but hey, let's
try to do a little good while were out there.

-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
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Date:         Mon, 31 Aug 1992 22:40:58 -0400
From:         "Michael P. Rolfes" <usr2879a@TSO.UC.EDU>
Subject:      Re: 18 Year Olds

OHIO

> What is the minimum age in your state to work as a full time civil
> service firefighter??

18.


> How about for working for a private ambulance firm?

18.

> How
> about being a police office??

21.

Michael P. Rolfes  OVR Unit #43, usr2879a@tso.uc.edu
*****************************************************
Ohio Valley REACT Inc.  #2601, CB channel 9 KHY-1303.
                               VHF  151.625 Mhz.

Hamilton County Disaster and Emergency Services
American Red Cross --Standard First Aid
American Heart Association -- Basic Life Support Certified.
**********************************************************
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Newsgroups: misc.emerg-services
Date:         Fri, 4 Sep 1992 10:38:58 -0400
From:         TRAUMA JUNKIE <JAT8419@RITVAX.BITNET>
Subject:      In NYC area????

Are there any EMS/FF members from the Newburg/West point area reading this
confrence?????  Just curious
-------------------------------------------------------------------------------
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:         Sun, 30 Aug 1992 23:39:00 EDT
From:         GU091MAH@ITHACA.BITNET
Subject:      Re: 18 year olds

Just out of curiousity...... would you happen to be talking about Ithaca, NY????
   ? If so, I have so info to talk with you about!! Let me know! Thanks!

Marc Hodosh
gu091mah@Ithaca
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Date:         Fri, 28 Aug 1992 07:34:58 -0500
From:         "Kevin M. Dunn" <KMD@ICF.HRB.COM>
Subject:      Re: 18 year olds
X-To:         EMERG-L%MARIST.BITNET@pucc.Princeton.edu

  Thanks for the response...  I never thought about a minimum GPA....

               -1st
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Date:         Thu, 27 Aug 1992 13:08:18 -0500
From:         "Kevin M. Dunn" <KMD@ICF.HRB.COM>
Subject:      18 year olds
X-To:         EMERG-L%MARIST.BITNET@PUCC.PRINCETON.edu

  Our volunteer ambulance service presently requires an applicant to
be 21 years of age before being considered for membership.  We are
located in a college town (about 35,000 college students!), which would
give us an excellent source of manpower to draw from if our age
requirement was lowered.

  We are currently trying to get the age lowered to (gasp!) 18.  Many
of us in the service (mostly the "younger" (less then 30 - no offence
to any "oldsters" ;-) ) are pushing for this, hard.  The problem is
(you guessed it), there are a few who do not want to see such "immature,
childish persons" become part of our fine organizations.  They cite an
increase in insurance rates (false), as well as a general maturity level
in the "younger sect."

 Does anyone have any ideas/facts/figures/studies/info that we could use
to help persuade them?  We need the manpower the students can provide, as
the small number of us "young'ens" are the ones who take the majority of
calls, and we're getting burnt out:  the ones opposed to the idea generally
do the minimum shifts to stay active.... (as usual)

 I personally was running EMS at 16 (actually 15, but....) at my old service
with mo problems, so I know it can be done:  we just need some very
convincing arguements.....


		advaTHANKSnce
		      (kmd@icf.hrb.com)
Newsgroups: misc.emerg-services
From: zrepachol@cc.curtin.edu.au (Paul Repacholi)
Subject: Re:      18 year olds
Organization: Curtin University of Technology
Date: Tue, 1 Sep 1992 12:17:55 GMT

In article <01GO2S95GV2AL6WA9Z@icf.hrb.com>,         "Kevin M. Dunn" <KMD@ICF.HRB.COM> writes:
>   Our volunteer ambulance service presently requires an applicant to
> be 21 years of age before being considered for membership.  We are
> located in a college town (about 35,000 college students!), which would
				   ^^^^^^^

>  Does anyone have any ideas/facts/figures/studies/info that we could use
> to help persuade them?  

You might point out that they are in a comunity of 35000 people who probably
would prefer one of their peers to an 'old phart' in a crisis.

Yet another old phart...
~Paul

Newsgroups: misc.emerg-services
From: Blake.Bowers@f33.n116.z1.fidonet.org (Blake Bowers)
Newsgroups: misc.emerg-services
Subject: Re: our solution to the f
Date: 26 Aug 92 13:36:52 GMT
Organization: FidoNet node 1:116/33 - The Ace of Spades B, Nashville TN


 -=> Quoting Kirk Smith to All <=-

 KS> From: Kirk.Smith@bbs.oit.unc.edu (Kirk Smith)

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

Agreed.  Wholeheartedly.  Frustration is sometimes valid, but should be contr
olled when it threatens patient care, or patient rights.


 

--  
Internet: Blake.Bowers@f33.n116.z1.fidonet.org
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Date:         Wed, 2 Sep 1992 08:12:48 -0600
From:         HAZARDS@COLORADO.BITNET
Subject:      STOP!!!!!! Please
X-To:         hazards-list@COLORADO.BITNET

Someone on the Disaster Research discussion list is sending or, more likely,
*forwarding* messages to  hazards-list@vaxf.colorado.edu.

PLEASE STOP

Messages should be sent to  hazards@vaxf.colorado.edu

NOT to hazards-list
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Date:         Sun, 23 Aug 1992 18:58:22 -0500
From:         AIRBORNE THE FIREMAN IS BACK <CDUNBAR@UNTVAX.BITNET>
Subject:      Re: Drills for Firefighters

Scott,

Do you mean single apparatus, multi apparatus evolutions, haz mat, training
with personal protective clothing and SCBA, hose and fire stream practices?
Your question requires a not too very brief answer.  If you do want information
on all of these practices and more, contact me at CDUNBAR@UNTVAX.BITNET.  My
mother was one of the training officers at CCVFD and she is certifying
coordinator at AFD.  I have all information available on most kinds of
firefighting drills and evolutions which has served our departments well in
providing the best training under the most realistic conditions.  Just drop me
a line.

*******************************************************************************
Chris Dunbar              Bitnet: CDUNBAR@untvax.bitnet
University of North Texas Internet: CDUNBAR@vaxb.acs.unt.edu
Junior in Computer Science
Cypress Creek Volunteer Fire Department and the Argyle Fire Department
Level I Certification
*******************************************************************************
Newsgroups: misc.emerg-services