HDTenEightyP/NetNews huggingface dataset:
From: bemmack@ucscb.UCSC.EDU (71028000)
Newsgroups: misc.emerg-services
Subject: Re: NARCAN
Date: 6 Apr 92 23:14:28 GMT
Article-I.D.: darkstar.32203
Organization: University of California, Santa Cruz; Open Access Computing


In article <1992Apr6.191304.4060@usenet.ins.cwru.edu> jrd5@po.CWRU.Edu (Jacob DeGlopper) writes:
>
>In a previous article, ec49726@uxa.cso.uiuc.edu (Manny C.) says:
>
>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
  ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

An anesthesiologist that I spoke with says this is all wrong.  He sited
a few tests that have been done regarding Narcan in non narcacized patients.
Apparently the naloxone displaces the opiates at the receptor sites, and
works quite well because the receptor sites have a greater affinity to
Narcan than to opiates (much like the hemoglobin/carbon monoxide syndrome).

The problem is apparently that non narcacized patients who receive Narcan
get their natural opiates displaced by the drug.  The anesthesiologist
asked me to try to imagine the pain of my hair growing, my skin dying and
flaking off, and my toenails growing.  Huh?  Apparently these involve
nerve stimulation which is easily controlled by the body's natural opiates.
Apparently the tests showed peole dying post-operatively from unknown
stress-related problems after Narcan administration.

This information floored me.  Here I had been through paramedic school,
got top grades, and was pretty inquisitive about most everything involving
medicine, yet I had never heard this theory.  He suggested that I not tell
anyone about it until I had done my research, as it's a very controversial
theory and that everyone (esp. DuPont sales reps) would tell me I'm full of
crap and didn't know what I was talking about.  Wow..  (I'm still planning
to investigate this further next time I'm near a medical library).

So what was his solution to possible overdoses?  If you know they've ODed (ie:
the needle is still in their arm, the pills are by their side, etc), then
go ahead and give small doses of Narcan (our county starts with 0.4mg..I
understand some places start with 2mg), titrate to effect.  Remember, you
can always give more of a drug but you can't get back what you've given.
If you don't know FOR SURE that the patient is an opioid overdoes, he
suggested intubating and oxygenating, forget the Narcan.

That should stir a few things up.

-Kirk J. Smith, EMT-P, MD2B
rosty@rat.csc.calpoly.edu
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Newsgroups: misc.emerg-services
Date:         Wed, 15 Apr 1992 16:12:00 CDT
From:         Firemen -- Dressed for Sucess!!! <MICHAEL@UNTVAX.BITNET>
Subject:      Re: keys for FD auto-alarms

The way I've seen it done down here in TX is to use knox boxes -- the FD has a s
   pecific key pattern, and the keys are SUPPOSED to be in a box in an accessibl
   e
place -- most of the time they are... this works really nice...

-- Mike Reed (once again, the silly vax editor is being fussy!)
From: hschu@SUNRISE.E-TECHNIK.UNI-ULM.DE (Hermann Schumacher)
Newsgroups: misc.emerg-services
Subject: re: Narcan
Date: 7 Apr 92 08:17:31 GMT
X-Unparsable-Date: Tue, 7 Apr 92 10:16:21 MET DST

Narcan (here in Germany sold under the brand name Narcanti), generic
name Naloxone, is, as far as I know, exclusively used in EMS as a
morphiates (heroine etc.) antidote.

Typical initial dosage is 0.4mg i.v. bolus, up to 0.01mg per kilograms of 
body weight. (This does not constitute medical advice, of
course --- just quoting from memory. I am not a physician, anyway.)

It sure does work. When I was in the US, it was sometimes used even if
morphiates overdose was only suspected, sort of a diagnostic tool ...
This may explain wha you have seen it used on an alcohol intoxication.

Adverse side-effects, I would suspect, is tachycardia. Careful when
you use in on somebody who goof-balled (has taken a mixture of cocaine
or derivates and morphiates). Severe tachycardia may result if the
cocaine is still in the system. I have seen this once.

Best regards,
Hermann
ex-EMT, hon. lifetime member,
Red Bank, NJ, First Aid and Rescue Squad
-- 
Hermann Schumacher		      |	hschu@sunrise.e-technik.uni-ulm.de
Dept. of Electron Devices and Circuits| hschu@dulruu51.bitnet
University of Ulm, 	              |	office: +49 731 502-4222
D-7900 Ulm, Germany		      | FAX:	+49 731 54113
-------------------------------------------------------------------------------
           Help fight leukemia - we're closing in on a killer!
From: joelp@cbnewsf.cb.att.com (joel.peshkin)
Newsgroups: misc.emerg-services
Subject: Re: LIGHTS
Date: 17 Apr 92 02:33:16 GMT
Distribution: usa
Organization: AT&T

In article <01GIVSMIDMFK003G7N@uvmvax.uvm.edu> K_HINEDI@UVMVAX.BITNET (KAREEM A. HINEDI) writes:
>If somebody has a permanently fixed lightbar or other type of emergency
>signaling device attached to their POV, and decide to drive cross-country,
>are they required to remove it ?
>
>-- Kareem Hinedi

Until very recently I had such a bar. I always called ahead to each state's
police before crossing.  When I had blue (courtesy light) in PA, I had 
to cover it in Ohio, but just about everyone else had no problem as 
long as I didn't impersonate a Cop. (Canada said I'd be OK as long
as I didn't impersonate a snow plow :-)

When I had red (emergency vehicle in PA), I didn't have to cover it
anywhere that I found. I was an emergency vehicle in my state of origin
and most states felt that it was OK regardless.

Bottom line.... Gall's has covers for approx $15. Call ahead and cover
them if necessarry.

-Joel Peshkin
jdp@aloft.att.com
From: au342@cleveland.Freenet.Edu (Michael P. Rolfes)
Newsgroups: misc.emerg-services
Subject: Re: New TV Show: Code 3
Date: 11 Apr 92 16:10:57 GMT
Article-I.D.: usenet.1992Apr11.161057.3343
Organization: Case Western Reserve University, Cleveland, Ohio, (USA)


FL>  10:00 - 10:30               On Scene

We don't get that show here in Cincinnati


Mike
From: Eric.Boehm@f405.n2606.z1.fidonet.org (Eric Boehm)
Newsgroups: misc.emerg-services
Subject: LIGHTS
Date: 14 Apr 92 13:52:13 GMT
Organization: FidoNet node 1:2606/405 - /\/\ountainTop BBS, Flanders NJ

* In a message to All dated 04-09-92 at 19:17, GU091MAH@ITHACA.BITNET said:

 GG> otherhand, in NJ, blue lights are not considered courtesy
 GG> lights, the law
 GG> states that drivers must pull over if they are in front of
 GG> a vehicle flashing
 GG> blue lights.
...
 GG> No ambulance and/or fire engine, according to the NJ law,
 GG> is allowed to break
 GG> any laws, they must stop at red lights and are supposed to
...
 GG> My point is that these same laws apply to POV's with
 GG> emergency lights.  If
 GG> more people understood the law and knew they where supposed
 GG> to pull over,
 GG> then it would be easier AND safer to get to the scene.
...
 GG> Feel free to respond!
 GG> Marc Hodosh
 GG> NJ & NY EMT
 GG> ER TECH.
 GG> CPR/BLS Instructor

Again, thank you for that one!  I don't think I put it quite as clearly in my 
previous post, but you area absolutely correct here...

    Eric

ps..  I think if more people would get that straight, we'd have a lot less 
problems when it comes to vehicle ops in our proffession.


 

--  
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From: tgpt_ltd@jondalar.cc.rochester.edu (Tom Guptill)
Newsgroups: misc.emerg-services
Subject: First Responder certification
Date: 6 Apr 92 17:17:21 GMT
Distribution: ny
Organization: University of Rochester Computing Center


	Hi.  I'm wondering if anyone knows how I would go about getting New
York State First Responder Certification.  (Or if such a thing actually
exists in New York.)  If so, would this certification be valid in New
Hampshire, or would I have to be recertified there?  Also, do I need to be a
New York resident to get this certification?  (These and other exciting
questions... :) )  Thanks for your time.



--
	Thomas Guptill
	University of Rochester
	tgpt_ltd@uhura.cc.rochester.edu (Mail server)
	
Newsgroups: misc.emerg-services
From: ec49726@uxa.cso.uiuc.edu (Manny C. )
Subject: Re: New TV Show: Code 3
Organization: University of Illinois at Urbana
Date: Sun, 12 Apr 1992 21:51:56 GMT

au342@cleveland.Freenet.Edu (Michael P. Rolfes) writes:


>FL>  10:00 - 10:30               On Scene

What is that show?
From: kra@cunixa.cc.columbia.edu (Kenneth R Aron)
Newsgroups: misc.emerg-services
Subject: Marque Type III rigs
Date: 12 Apr 92 23:05:08 GMT
Distribution: usa
Organization: Columbia University


	My corps is currently undergoing a major modernization.
In the (hopefully) near term future, we'll be going to a
corps-wide defibrillation standard and join MARS, the mutual aid
radio system for the City of New York.  Our first step is the
purchase of a new rig.  We just had a demo Type III brought to us
by Marque.  Has anyone out there had any problems with them?  Are
they any good?  This dealer is close by and the price is right,
so any and all opinions would be welcome.  Thanks.

Ken




Kenneth R. Aron                 NYS EMT-Defibrillation            | |  / /
kra@cunixa.cc.columbia.edu      Columbia Area Volunteer Ambulance | |/ / 
                                Columbia University, NYC          | |\ \
"EMTs do it as if their lives depended on it"                     | |  \ \
From: Tracy.Neal@f16.n128.z1.fidonet.org (Tracy Neal)
Newsgroups: misc.emerg-services
Subject: tire fires investigation
Date: 10 Apr 92 13:28:48 GMT
Organization: FidoNet node 1:128/16 - FireNet Leader, Colorado Springs CO

I am currently investigating a fire at a location that stockpiled a large 
amount of tires (76,000) that mysteriously caught fire.  The owner operates a 
reclamation business in which he is paid by various dealers to remove the tire 
and shred them and used them in various ways.  However, EPA/EPD had stepped in 
and stopped owner from stockpiling and 2 day before he was to move 20,000 of 
these tire(per EPD) they mysteriously caught fire (it was raining). I am 
trying to establish a poss. pattern to this as this owner has had another 
similar fire in the past in another jurisdicition.  Any help from anyone who 
has had ANY experience with this sort of thing would be greatly appreciated. 
thanks in advance. Please feel free to contact me at my office at 404-547-3000 
ext. 13 or by pager 404-731-6820. Tracy Neal Investigator  Wrens Police/Fire 
Departments.




 

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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: Wed, 8 Apr 92 16:13:24 GMT


In a previous article, bemmack@ucscb.UCSC.EDU (71028000) says:

>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.
                     ^^^^^^^^^
I'm not sure why you'd push it through the ET tube if IM is an option.  I
don't believe we're allowed to give anything IM, so if getting a tube in
is easier than an IV, Narcan is one of the few drugs we can give via 
ET tube.  
 
-- 

           Jacob DeGlopper, EMT-A, Wheaton Volunteer Rescue Squad
            -- CWRU Biomedical Engineering - jrd5@po.cwru.edu -- 
Newsgroups: misc.emerg-services
From: joelp@cbnewsf.cb.att.com (joel.peshkin)
Subject: Re: NARCAN
Organization: AT&T
Distribution: na
Date: Tue, 7 Apr 1992 15:08:06 GMT

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 problem is apparently that non narcacized patients who receive Narcan
>......
>get their natural opiates displaced by the drug.  The anesthesiologist
>asked me to try to imagine the pain of my hair growing, my skin dying and
>flaking off, and my toenails growing.  Huh?  Apparently these involve
>nerve stimulation which is easily controlled by the body's natural opiates.
>Apparently the tests showed peole dying post-operatively from unknown
>stress-related problems after Narcan administration.
>
>......
>
>-Kirk J. Smith, EMT-P, MD2B
>rosty@rat.csc.calpoly.edu

 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.

-Joel Peshkin, EMT-P
jdp@aloft.att.com
From: chinatti@phoenix.Princeton.EDU (Stephen A. Chinatti)
Newsgroups: misc.emerg-services
Subject: keys for FD auto-alarms
Date: 15 Apr 92 16:31:31 GMT
Organization: Princeton University
Originator: news@ernie.Princeton.EDU

I have a question for any of the firefighters (or anyone else who might know)
about something I have heard on one of the FD's freqs near my home.  Sometimes
when an automatic alarm goes out and the district chief arrives, he asks the
dispatcher to "release key 1234" or other number, and then I hear a rapid
sequence of DTMF tones over the dispatch freq.  I assume that the district
chief's cars must have some sort of system where they possess keys for the
major buildings which have automatic alarms, and to enter the building, they 
must have the dispatcher send the appropriate series of DTMF tones to 
physically get access to the key to enter the building.  Is this the correct 
assumption?  Does anyone else use/know of such a system?  It seems like a great
idea, especially over having a keyholder (from the company/building) respond
to the scene while the FD waits, unable to gain access (which my hometown FD
does).  Also, with the DTMF protection, it prohibits someone from sneaking up
to the chief's car & grabbing the keys during a true incident where the chief
is occupied.
  I'd be interested in any comments anyone might have on this.

		Steve C

P.S. the FD that uses this system is in West Hartford, CT
-- 
Steve Chinatti, EMTA <internet:chinatti@phoenix.Princeton.EDU> 
EECS student, Princeton University, Princeton, NJ           
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Date:         Fri, 10 Apr 1992 10:07:34 -0400
From:         KEN <KAK6279@RITVAX.BITNET>
Subject:      EMSREVU

        Dylan Kaufman has been kind enough to help me out with the EMSREVU
program.  I will mail him the program on disk, and he will try to upload it and
send it out.  Sorry about EMSREVU2.ZIP.  I tried a different method, but that
also was corrupt.

                                                        FireMAN


----------------KB2AOH - Member ARRL- General Class Liscence--------------------
|Ken Kirchoff            |Henrietta Fire Dist.  |"Rescue 638, Engine 632 --    |
|CPU 1293 25 Andrews Dr. |Larchmont Vol. Amb.   |  We find 'em hot and         |
|Rochester, NY 14623     |R.I.T. Ambulance      |           leave 'em wet.     |
--------------------"I go to college...What do you do?"-------------------------

Disclaimer:  Even a stopped clock is right twice a day.  Feel lucky right now??

                                "Trust me!"
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Newsgroups: misc.emerg-services
Date:         Wed, 15 Apr 1992 22:27:00 EDT
From:         GU091MAH@ITHACA.BITNET
Subject:      Re: LIGHTS

Kareem:
Don't quote me on it, but it is my belief that whatever state you are in,
then you must follow the laws of that state! But..... I don't think that you
will have a problem unless you are using that light bar illegally.  Most
police officers should understand your situation and will not give you a
problem unless you give them a reason to bother you!  I have driven to
Canada with my blue light on my dash, and even there I've never had a problem,
not even through customs, and that is another Country!
Well, I just thought I'd let you know, later!

Marc Hodosh
NJ & NY EMT
ER Tech.
CPR/BLS Instructor
From: au342@cleveland.Freenet.Edu (Michael P. Rolfes)
Newsgroups: misc.emerg-services
Subject: Re: RED/BLUE/GREEN Lights . . .
Date: 8 Apr 92 23:58:38 GMT
Article-I.D.: usenet.1992Apr8.235838.4518
Organization: Case Western Reserve University, Cleveland, Ohio, (USA)


> command post, or the Ringling Bros. circus?  We need national 
> light color.

I agree!

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  
Receive 158.820
American Red Cross --Standard First Aid 
American Heart Association -- Basic Life Support Certified.
**********************************************************
From: manson@Happy-Man.com (Manson_Polley)
Newsgroups: misc.emerg-services
Subject: Re: LIGHTS
Date: 10 Apr 92 20:02:20 GMT
Distribution: usa
Organization: Happy Man Corp., Vashon Island, WA 98070-7399

I can add a few comments on Washington state.  I am vol fire on Vashon
 Island, and we have definite protocol on lights and emerg vehicle operation.  I have a State of Wash card saying "Emergency Vehicle
 Accident Prevention Training", 16 hours and date of completion.  That
 was followed with a minimum of two hours practice driving with a
 station officer, (in each vehicle you will be operating) then a driving skill test in a large parking lot w/cones, backing, stopping,etc.  The driving skill test is required every two years.  We respond POV to incidents w/green flashing/roatating lights.  You must have a document signed by the
 chief in your vehicle authorizing that light, and a supplemental
 ident plate on your licens plate/in your window identifying you as a
 vol firefighter. (Aid personnel use the same ident and light
 requirement.) You also must have on file in the district office a
 copy of your valid driver's licence and proof of POV insurance.  Green
 lights are 'courtesy' here, and are in effect "please allow me to go
 ahead of you" but nothing else.  Some drivers do - some don't.

 Manson L. Polley, King County Dist 13, Sta 2.
-- 

-- 
 Manson L._Polley@happy-man.com     Happy Man Corp. 206/463-9399 x106
 4410 SW Pt. Robinson Rd., Vashon Island, WA  98070-7399  fax x108
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Newsgroups: misc.emerg-services
Date:         Sun, 12 Apr 1992 00:37:00 CDT
From:         Firemen -- hoses -- make the connection!!!
              <MICHAEL@UNTVAX.BITNET>
Subject:      looking for...

Steve Kelpfer (sp?) who knows my dad, ray f. reed, captain at 14a
for dallas -- also the union president -- get in touch with me

the rest of you guys--- how'd ya like code 3?  I thought it was ok -- not
technical but really geared for the public like COPS... I hope they have
more soon! it's a lot like on-scene... real footage, no r911 reencatments...

well???

<><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>
<>                                                                          <>
<>  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                      <>
<>                                                                          <>
<><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>
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Date:         Thu, 9 Apr 1992 20:00:21 -0400
From:         TRAUMA JUNKIE <JAT8419@RITVAX.BITNET>
Subject:      Re: Lights

Has anyone mentioned Galls.  I bought my streethawks from them.
THey offer grat prices and great service.  the number is
1-800-(i will have to find the rest)
        send me e-mail...if you are interested
-------------------------------------------------------------------------------
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"




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 *            *   *   *   *
 ********     *   *   *   *******
 *            *       *         *
 ********     *       *   *******   * * *  PEOPLE WHO CARE
From: Glen.Strecker@f2.n390.z1.fidonet.org (Glen Strecker)
Newsgroups: misc.emerg-services
Subject: tire fires investigation
Date: 12 Apr 92 13:48:10 GMT
Organization: FidoNet node 1:390/2 - The Fire Scene, Slidell LA


 On 04-08-92 Tracy Neal wrote to All... 
 
 TN> I am currently investigating a fire at a location that stockpiled a large  
 
 TN> amount of tires (76,000) that mysteriously caught fire.   
 TN> The owner operates a reclamation business in which he is  
 TN> paid by various dealers to remove the tire and shred them  
 TN> and used them in various ways.  However, EPA/EPD had  
 TN> stepped in and stopped owner from stockpiling and 2 day  
 TN> before he was to move 20,000 of these tire(per EPD) they  
 TN> mysteriously caught fire (it was raining). I am trying to  
 TN> establish a poss. pattern to this as this owner has had  
 TN> another similar fire in the past in another jurisdicition.   
 TN> Any help from anyone who has had ANY experience with this  
 TN> sort of thing would be greatly appreciated. thanks in  
 TN> advance. Please feel free to contact me at my office at 404- 
 TN> 547-3000 ext. 13 or by pager 404-731-6820. Tracy Neal  
 TN> Investigator  Wrens Police/Fire Departments. 
 
Tracy, 
        Tires do not catch on fire in the rain without lots of help. 
        I'd be willing to bet that the cost of moving the tires was more 
        than his little pocketbook could bear.  If you have not already 
        done so, better get the EPA/EPD back out.  The residue from 
        burned tires usually has to be cleaned up similar to any other 
        toxic waste spill.  They do leave a mess, don't they? 
 
        You might begin by finding out if he had contracted with anyone 
        to have the tires moved, and where they were going to move them. 
        The EPA won't allow tires to go into a sanitary land fill.  With 
        2 days before deadline, and possibly facing fines for failure to 
        remove the tires, you probably have your motive right there. 
        Unless you can run down a witness, all you may be able to do is 
        work up a circumstancial case.  Good luck with the DA. 
                                                Glen 
 
 
... OFFLINE 1.35 * Smoke detectors save lives-Test your's today! 


 

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