--------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2K00003 Date: 02/14/97 From: CHRIS NOLD Time: 03:25pm \/To: MARK ELLIOTT (Read 0 times) Subj: New guy -> So, tell me about Rowlett. Do you work for a paid service or are -> you a volunteer? How long have you been an EMT? Rowlett is where the BBS is that I call; I actually live in Irving, Tx. I work for MedTrans, who runs exclusive service for Johnson County, found just south of Ft. Worth. I haven't worked much the last few months, because I'm fixing to either transfer up to Ft. Worth or go to another company, but I like working for MedTrans out there. It's pretty relaxed, yet we get a fairly high percentage of major incidents. I've worked there about 1 1/2 years, and before that worked about 1 year for Rural/Metro of Dallas (mostly transfers, but filled in for 911 shifts when they asked me). I left R/M because of their growing pains and my desire to step in to the 911 field, though I got alot of good medicine experience when I was with them. Before R/M, I was a volunteer firefighter with a small town, and that's when I got into EMS. Was a EMT for a year, went on to Intermediate school, then ended up moving back to Irving. I sure miss the firefighting. I'll have to look up your town on a map. I'm not familiar with the panhandle at all. Just had a cousin move to Lamesa, and two cousins live in Lubbock, but that's about it. Pretty bad, since I live'd in Odessa for 18 years and in Texas for 26! Hehe. I thought if you gave a self-addressed-stamped-envelope to your testing site when you tested, they would send you an unofficial test result within a week. Or, is that just for paramedics? Oh, well. Be sure and let us know when you pass! (Positive thinking here!) --- WILDMAIL!/WC v4.12 * Origin: Rowlett PD CrimeStoppers BBS (214)412-6262 (1:124/3152.0) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2K00004 Date: 02/15/97 From: MARK ELLIOTT Time: 01:23pm \/To: CHRIS NOLD (Read 0 times) Subj: New guy Hi Chris, -> worked about 1 year for Rural/Metro of Dallas (mostly transfers, but -> filled in for 911 shifts when they asked me). I left R/M because of R/M runs the service in Borger. If I were to try to get on with a paid service, that's probably where I'd start looking. Borger is a town of about 20,000 just NE of Fritch (10 miles). I did some of my student runs with them. The next nearest paid service is in Amarillo. -> I'll have to look up your town on a map. I'm not familiar with the -> panhandle at all. Just had a cousin move to Lamesa, and two cousins -> live in Lubbock, but that's about it. Pretty bad, since I live'd in -> Odessa for 18 years and in Texas for 26! Hehe. Look for Lake Meridith right in the middle of the Panhandle. It's kinda wrapped around Fritch. Never been to Lamesa, but I spent a summer in Lubbock about 20 years ago when I was in college and my roomate all the time I was in college was from Kermit, not too far from Odessa. Went to a Heart concert there once . -> I thought if you gave a self-addressed-stamped-envelope to your -> testing site when you tested, they would send you an unofficial test -> result within a week. Or, is that just for paramedics? Oh, well. Be -> sure and let us know when you pass! (Positive thinking here!) They didn't say anything about a SASE, but they did say that return times would only be 10 days to two weeks. The positive thinking must have worked, because my wife just walked in with the mail and my certificate was in there! Hallelujah!!! Later, Mark --- InterEcho 1.19 * Origin: Node (1:3825/21) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2K00005 Date: 02/15/97 From: GARY SAFFER Time: 05:38pm \/To: LARRY HINSLEY (Read 0 times) Subj: NEW GUY LH> > Or even more plainly, "The curse of the JAFO". LH>Dare I ask what 'JAFO' stands for. That's a new one on me. Take it LH>to netmail at the origin below or E-mail at outatime@bellsouth.net LH>if it's really in bad taste. Nah, doesn't need to go anywhere but here. JAFO is from the movie "Blue Thunder". In that movie they had so many people that want'ed to ride the high tech police helicopter that the crew had hats made up for them. The hats simply said "JAFO" on them. Stands for "Just a F****** Observer". Gary CMPQwk 1.42 129 Genius is perseverence in disguise. --- Silver Xpress Mail System 5.4P1a * Origin: 6-200 (1:101/460) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2K00006 Date: 02/15/97 From: GARY SAFFER Time: 05:38pm \/To: JAMES NOLD (Read 0 times) Subj: PULSE-OXIMETERS JN>-> Just another case of looking at a device, and not the patient. JN>-> Especially in failure, the patient can and often does just "look" JN>-> a lot worse than the equipment tells you they are. JN> It works both ways. I had a baby at work, (Cook Children's JN>Hospital, F.W., Tx.) with "normal" skin color. In fact, I just asked JN>the nurse if she needed any help. She wanted me to "fix" the oximeter JN>because it was only reading 43%. About that time we both noticed that JN>the baby wasn't breathing. To get a sat that low, the kid must have been pretty sick. Where there no other signs? N> Point is: you should use your tools to help you but don't overlook JN>the patient. Oximeters can be great if you let them. Which for some reason people seem not to be able to do. A lot of good medics, nurses, and even, or maybe especially, MDs seem to have this fixation on the O2 sat monitor. Gary CMPQwk 1.42 129 Help stamp out and abolish redundancy! --- Silver Xpress Mail System 5.4P1a * Origin: 6-200 (1:101/460) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2L00000 Date: 02/15/97 From: JIM JEFFCOAT Time: 08:14pm \/To: CHRIS NOLD (Read 0 times) Subj: Re: PULSE-OXIMETERS On or about 02-14-97, Chris Nold wrote this to Jim Jeffcoat: CN> Are there any services who carry .... mind blank .... shoot .... the CN> things that you can take a B/P with that "hear" the pulse for you? CN> Magnify the sound.... WHY CAN'T I THINK OF IT? Geez. Anyways, if you CN> can figure out what I'm talking about, do they work on an ambulance or CN> is the noise in the box too loud and ends up interfering with it? CN> Whatever IT is called! It sounds like you are talking about a doppler. And I don't know if they work on an ambulance or not. Not that I'm that much of an expert, though. :) Jim Jeffcoat, RRT jim.jeffcoat@healthmidwest.org http://www.healthmidwest.org ... I was born to HAVE a chaffeur, not BE one! ___ Blue Wave/DOS v2.30 --- TriToss (tm) Professional 10.0 - #23 * Origin: Don's Den * Weatherby Lake, Mo. * (816) 587-6204 (1:280/99.0) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2M00000 Date: 02/16/97 From: CHRIS NOLD Time: 12:46am \/To: GARY SAFFER (Read 0 times) Subj: PULSE-OXIMETERS -> 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 bu Well, the doctor said it was either or. Actually, she said it was due to the high percentage O2, but when the medic later asked her why she thought that, she said it was a 50-50 chance. That's why I would bet it was more than just the O2, because I also was taught it would take several hours, and also because a doc has never proved to me that a pt. resp. arresting was soley due to the O2... --- WILDMAIL!/WC v4.12 * Origin: Rowlett PD CrimeStoppers BBS (214)412-6262 (1:124/3152.0) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2M00001 Date: 02/16/97 From: CHRIS NOLD Time: 12:51am \/To: MARK ELLIOTT (Read 0 times) Subj: New guy -> Look for Lake Meridith right in the middle of the Panhandle. It's -> kinda wrapped around Fritch. Never been to Lamesa, but I spent a -> summer in Lubbock about 20 years ago when I was in college and my -> roomate all the time I was in college was from Kermit, not too far -> from Odessa. Went to a Heart concert there once . I saw alot of concerts in Odessa, but I don't think I made the Heart one. I was actually suprised at the bands that thought Odessa was worthy of their time! :) -> The positive thinking must have worked, because my wife just walked -> in with the mail and my certificate was in there! Hallelujah!!! Well, by "my certificate was in there!" I do believe you are telling us you passed! Congrats! --- WILDMAIL!/WC v4.12 * Origin: Rowlett PD CrimeStoppers BBS (214)412-6262 (1:124/3152.0) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2M00002 Date: 02/16/97 From: JAMES NOLD Time: 01:51am \/To: GARY SAFFER (Read 0 times) Subj: PULSE-OXIMETERS -> JN>-> Just another case of looking at a device, and not the patient. -> JN>-> Especially in failure, the patient can and often does just "loo -> JN>-> a lot worse than the equipment tells you they are. -> -> JN> It works both ways. I had a baby at work, (Cook Children's -> JN>Hospital, F.W., Tx.) with "normal" skin color. In fact, I just ask -> JN>the nurse if she needed any help. She wanted me to "fix" the oxime -> JN>because it was only reading 43%. About that time we both noticed t -> JN>the baby wasn't breathing. -> -> To get a sat that low, the kid must have been pretty sick. Where -> there no other signs? No, in fact the infant "looked" good, but it was bundled up. As the nurse said, it just decided to quit breathing. I walked through ER a few day later and the kid was back...just stopped breathing again. -> N> Point is: you should use your tools to help you but don't overlook -> JN>the patient. Oximeters can be great if you let them. -> -> Which for some reason people seem not to be able to do. A lot of good -> medics, nurses, and even, or maybe especially, MDs seem to have this -> fixation on the O2 sat monitor. My point: a lot of people "hate" the tools because of the alarms. I am also a monitor tech at another hospital. I use the oximeters the same way I use the heart monitors. 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: E2M00003 Date: 02/15/97 From: STAN SMITH Time: 02:20pm \/To: MARK ELLIOTT (Read 0 times) Subj: New guy -> Well, right now I'm still waiting for the state to mail me the result -> 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 r -> 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) Well I work for a paid service right now..I did voluteer years ago for a local Rescue Squad, then became a paid member.. then moved on to a private service as a paid EMT.. We work the local NASCAR race tracks and run both emergency and non-emergency calls during the week.. --- WM v3.10/92-0423 * Origin: Blackbeard's Tavern 803-294-9657 Greenville,SC (1:3639/3) --------------- FIDO MESSAGE AREA==> TOPIC: 197 EMERGENCY Ref: E2M00004 Date: 02/16/97 From: MIKE BOUSER Time: 10:44pm \/To: JIM JEFFCOAT (Read 0 times) Subj: Re: PREHOSPITAL BLOOD ANALYSIS Now, I am not an experienced voice, but from what I have seen locally, the only really useful test is for blood sugar levels. Our transport times are so short a lot of patients don't receive that much pre-hospital care. They get what they need, but if it isn't done before packaging and loading, there isn't much time to do anything while in transit. Unless it gets bad enough to have to stop the unit....... Mike --- Maximus 3.01 * Origin: The Military Connection-Clarksville, Tn (615) 503-8397 (1:3621/17)