Eagan, MN 55122 +---------------+ XX USA 29c XX XXXXXXXXXXXXXXXXXXXXX To: All BBS Users 321 Computer Blvd. XXXXXXXXXXXXXXXXXXX Anytown, USA 10101 X HAPPY X X VALENTINE'S DAY X XXXXXXXXXXXXXXXXXXX JDC * Evaluation copy of Silver Xpress. Day # 8 * Silver Xpress V4.4 --- Maximus/2 3.00 * Origin: BLACK BAG BBS <*> Collegeville, PA <*> (610) 454-7396 (1:2614/706) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2J00001 Date: 02/13/97 From: MARK ELLIOTT Time: 09:06pm \/To: CHRIS NOLD (Read 0 times) Subj: New guy 00:33:00, 10 Feb 97 Mark and Chris were discussing NEW GUY Hi Chris, CN> How large is the Rural/Metro service in Borger? I've never been to CN> Borger and don't know how big a town it is.. CN> Chris I'm not sure how many work there, exactly. I've met 5 medics and a couple of EMT-Is and the lady that manages the service. I'm sure there are more, just don't know how many. Borger isn't that large of a town, about 20k or so. There's always a 2 man crew at the station and another crew on call. I actually live in Fritch, which is about 10 miles NE of Borger. We have a volunteer service here with about 25 volunteers. That's where I hope to get on (if I ever get my test results back!). So, tell me about Rowlett. Do you work for a paid service or are you a volunteer? How long have you been an EMT? Later, Mark ... Just give me the coffee, and no one will get hurt. --- Via Silver Xpress V4.4P [Reg] --- InterEcho 1.19 * Origin: Node (1:3825/21) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2J00002 Date: 02/13/97 From: MARK ELLIOTT Time: 09:07pm \/To: MARK ANDERSON (Read 0 times) Subj: New guy 12:10:00, 5 Feb 97 Mark and Mark were discussing NEW GUY Hi Mark, MA> Mark, MA> My advice can be summed up in three simple rules of EMS: MA> 1. Everything you learn in school is WRONG! I've already noticed some differences in what I was taught and the way they are actually done on the truck. MA> 2. People die and you can't do a damn thing about it. I wasn't on the run myself, but a friend's 16 year old son died last Saturday night. He had suffered from asthma all his life. The medics did everything they could but nothing helped. MA> 3. People will live because you did do something about it. I pray that this happens more than rule 2. MA> Good luck, Thanks. Later, Mark ... I have erased the thin line between genius and insanity. --- Via Silver Xpress V4.4P [Reg] --- InterEcho 1.19 * Origin: Node (1:3825/21) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2J00003 Date: 02/13/97 From: MARK ELLIOTT Time: 09:05pm \/To: STAN SMITH (Read 0 times) Subj: New guy Hi Stan, -> Keep writing and let me know what your -> doing.. Well, right now I'm still waiting for the state to mail me the results of my certification exam. Gettin' a little antsy about it. So, I'm kinda in limbo right now. Not really a student anymore, so I can't ride as a student and I'm not certified yet, so I cant ride as and EMT. Mainly just sitting here listening to calls on the scanner and forgetting everything I've learned . Do you work for a paid service or are you a voluteer? Mark --- InterEcho 1.19 * Origin: Node (1:3825/21) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2J00004 Date: 02/12/97 From: LARRY HINSLEY Time: 08:15pm \/To: GARY SAFFER (Read 0 times) Subj: NEW GUY > Or even more plainly, "The curse of the JAFO". Dare I ask what 'JAFO' stands for. That's a new one on me. Take it to netmail at the origin below or E-mail at outatime@bellsouth.net if it's really in bad taste. Regards! --- EMSMail 1.22+ * Origin: Turn Three BBS, Nashville, TN (615)331-5661 (1:116/175) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2J00005 Date: 02/14/97 From: GARY SAFFER Time: 12:38pm \/To: JAMES NOLD (Read 0 times) Subj: PULSE-OXIMETERS JN>-> Mike, this is the 1990's successor to the ever popular "room air JN>-> blood gas" that ERs used to insist were absolutely vital for JN>-> patient care. Never mind that the patient is gasping for air even JN>-> with an O2 mask on! JN>-> Gary JN> If the are gasping for air, we will do blood gases while on O2 and JN>then report the results with the amount of O2 they are on. That always made sense to me, but you wouldn't believe the conversations I had with nurses about that subject. Gary CMPQwk 1.42 129 Talk is cheap because supply exceeds demand. --- Silver Xpress Mail System 5.4P1a * Origin: 6-200 (1:101/460) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2J00006 Date: 02/14/97 From: GARY SAFFER Time: 12:38pm \/To: CHRIS NOLD (Read 0 times) Subj: PULSE-OXIMETERS CN>Ya know, I finally saw a case where there might have been a 50-50 CN>percent chance that the pt's resp. arrest was caused by CN>overoxygenation. Severe COPDer, physician at E.R., also our med CN>control doc, said that it was that or it was just time for the pt. to CN>die. I would have figured the latter. Pt. hadn't been on NRB O2 but CN>for about 5 minutes and resp. arrested as the crew brought him out of CN>the back of the box (I was standing nearby and made them aware that CN>they're pt. "doesn't look good"). Anyways, that's the only one where CN>there was a chance that it was secondary to the O2 that the doctor CN>had been involved in. So, I don't put much stock in that theory... I think that the doctor's theory is more likely. Everything that I have heard or read on the subject says that it takes a minimum of hours for O2 to shut down a COPDers respiratory drive. Remember also, that COPDers can have other things go wrong with them as well, so it could have been a combination of things that killed this person. Gary CMPQwk 1.42 129 Read the docs. Wow, what a radical concept! --- Silver Xpress Mail System 5.4P1a * Origin: 6-200 (1:101/460) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2K00000 Date: 02/13/97 From: JAMES NOLD Time: 01:24am \/To: GARY SAFFER (Read 0 times) Subj: PULSE-OXIMETERS -> AB>Where we have found that Sa O2 readings to be most mistunderstood -> AB>with CHF patients in the early stages of failure. The medic would -> AB>assess the patient with acute distress and reguard the Sa O2 level -> AB>be acceptable we in fact that is not the case. -> -> Just another case of looking at a device, and not the patient. -> Especially in failure, the patient can and often does just "look" a -> lot worse than the equipment tells you they are. -> -> Gary -> It works both ways. I had a baby at work, (Cook Children's Hospital, F.W., Tx.) with "normal" skin color. In fact, I just asked the nurse if she needed any help. She wanted me to "fix" the oximeter because it was only reading 43%. About that time we both noticed that the baby wasn't breathing. Point is: you should use your tools to help you but don't overlook the patient. Oximeters can be great if you let them. James Nold EMT-P --- WILDMAIL!/WC v4.12 * Origin: Rowlett PD CrimeStoppers BBS (214)412-6262 (1:124/3152.0) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2K00001 Date: 02/14/97 From: CHRIS NOLD Time: 12:17am \/To: ROBERT WILKIN (Read 0 times) Subj: PULSE-OXIMETERS -> There are rumors that some of our MICU's will be doing that shortly, -> although I am the medic on one of them and havn't heard anything -> definite yet. We are also supposed to be getting approval to start -> TPA and the like in the field very shortly.... -> -> -> Robert Wilkin -> EMT-P Who do you work for? (Sorry if I should know, but I have a very short termed memory sometimes...) --- WILDMAIL!/WC v4.12 * Origin: Rowlett PD CrimeStoppers BBS (214)412-6262 (1:124/3152.0) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2K00002 Date: 02/14/97 From: CHRIS NOLD Time: 12:29am \/To: JIM JEFFCOAT (Read 0 times) Subj: Re: PULSE-OXIMETERS -> The portable ABG analyzers, such as the Irma and I-Stat, are hand -> held, have a disposable analysis cartrige, and are fairly fast and -> accurate. Right now, their main use is for faster response time in -> emergency situations in the hospital - for example they can be taken -> to a code blue. Yes, that would be nice. I don't know about the level 2 trauma centers around Dallas/Ft. Worth, but the smaller hospitals I've worked for had sad stat lab times. The trend is to equip the E.R. with it's own separate lab right in the E.R., but the port. ABGs would be awesome. -> But I'm not sure how useful they would be on an ambulance... my -> inclination is that the results would not alter your interventions -> Maybe not. Maybe in long-distance transfers over 10 hours (many of which I've done) ABGs would be nice, but probably not totally neccessary. Are there any services who carry .... mind blank .... shoot .... the things that you can take a B/P with that "hear" the pulse for you? Magnify the sound.... WHY CAN'T I THINK OF IT? Geez. Anyways, if you can figure out what I'm talking about, do they work on an ambulance or is the noise in the box too loud and ends up interfering with it? Whatever IT is called! --- WILDMAIL!/WC v4.12 * Origin: Rowlett PD CrimeStoppers BBS (214)412-6262 (1:124/3152.0)