Re: Buretrols and so forth

[Guest guest]

Gene, the service I work for carries buretrols. Of course with the rarity

of pediatric calls, they are seldom used.

Tony

[texasems-L] Buretrols and so forth

> In spite of the widely held belief that Buretrols, Volutrols, and the like

> are recommended for use in drug administration to pediatric patients, I

know

> of no services that carry them as standard equipment.

>

> Comments?

>

> E. Gandy, JD, LP

> EMS Professions Program

> Tyler Junior College

> Tyler, TX

>

>

>

[Guest guest]

Hello it's me again. We carry buretrols on our units although they are not

used a lot. I do not know if our medics do not like them or what there

beliefs are. Our protocols call for pediatrics to receive fluids via a

buretrol or 60 gtt admin set.

The only thing is I do not know if we are ordering more when the stock is

depleted.

Mike Shown

FF/EMT-P

Canyon Lake Fire & EMS

[Guest guest]

The Cy-Fair VFD EMS Division carries them in each Pedi Kit on each ambulance.

Expensive but well worth it in the long run.

Most services cannot afford the expense, afterall, isn't this the reason we

don't see a lot of new or useful equipment? Bottom line dollar?

They are a busy Suburban agency with the tax base to support this. The advances

and " thinking outside of the box " is a mainstay of their Medical Director and

the fabulous personnel within the agency.

--- wegandy@...

> wrote:

>In spite of the widely held belief that Buretrols, Volutrols, and the like

>are recommended for use in drug administration to pediatric patients, I know

>of no services that carry them as standard equipment.

>

>Comments?

>

> E. Gandy, JD, LP

>EMS Professions Program

>Tyler Junior College

>Tyler, TX

>

>

>

[Guest guest]

Hello,

I used to be with AMR and they did carry buretrols as of last May. Not

sure if they still do or not.

silvermedicj

[Guest guest]

On Thu, 8 Feb 2001 22:36:50 EST wegandy@... writes:

> In spite of the widely held belief that Buretrols, Volutrols, and the

> like are recommended

Gene-

The PEPP class has no reference to the use of buretrols, et al.

" Leadership is action, not position "

Larry RN CFRN NREMTP

....and some other stuff

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[Guest guest]

AMR San carries buretrols as standard.

Steve Dralle, EMT-P EMSC

CES Specialist

American Medical Response-San

[texasems-L] Buretrols and so forth

In spite of the widely held belief that Buretrols, Volutrols, and the like

are recommended for use in drug administration to pediatric patients, I know

of no services that carry them as standard equipment.

Comments?

E. Gandy, JD, LP

EMS Professions Program

Tyler Junior College

Tyler, TX

[Guest guest]

Gene:

We carried them in California and a couple of the EMS services I worked for

here in Texas did, too. That was a while back so I have no idea if anyone

here carries them now. Just because they don't doesn't mean they shouldn't.

I personally think they should because they are an excellent solution to a

lot of EMS problems, to say nothing of being the best way to BE SURE you

don't fluid overload a pedi. I daresay it is an economic decision, not a

medical one. Just my stinkin' personal opinion.

Dave

[texasems-L] Buretrols and so forth

> In spite of the widely held belief that Buretrols, Volutrols, and the like

> are recommended for use in drug administration to pediatric patients, I

know

> of no services that carry them as standard equipment.

>

> Comments?

>

> E. Gandy, JD, LP

> EMS Professions Program

> Tyler Junior College

> Tyler, TX

>

>

>

[Guest guest]

Buretrols would also come in handy if and when you get to procainamide. The

dosage is a little tricky due to the 20-30 mg/min up to 17 mg/kg cut off. A

buretrol mixture would be quite easy to figure and control.

gg

E. Gandy, JD, LP

EMS Professions Program

Tyler Junior College

Tyler, TX

[Guest guest]

Must be standard for P.E.M.S.S.

Lil' Ol' Booker E.M.S. carries and uses them!

[texasems-L] Buretrols and so forth

>

>

> In spite of the widely held belief that Buretrols, Volutrols, and the like

> are recommended for use in drug administration to pediatric patients, I

know

>

> of no services that carry them as standard equipment.

>

> Comments?

>

> E. Gandy, JD, LP

> EMS Professions Program

> Tyler Junior College

> Tyler, TX

>

>

>

[Guest guest]

Graham EMS has carried the Buretrol set as standard equipment in our

Pediatric Kit for the past 10 years.

Graham EMS is a hospital based EMS in North Central Texas serving

approximately 15,000 residents and visitors of Young County.

Tom

[texasems-L] Buretrols and so forth

In spite of the widely held belief that Buretrols, Volutrols, and the like

are recommended for use in drug administration to pediatric patients, I know

of no services that carry them as standard equipment.

Comments?

E. Gandy, JD, LP

EMS Professions Program

Tyler Junior College

Tyler, TX

[Guest guest]

Rural/Metro Ambulance - Bastrop County carries Buretrols on our ambulances.

I have yet to need one, but if I didn't have one on the truck, I would need one!

After all, that's how it ALWAYS works! ;-)

Barry E. McClung, Paramedic

North Blanco County EMS - City, Texas

Blanco EMS - Blanco Texas

Rural/Metro Ambulance -Bastrop County

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[Guest guest]

I pretty much use them any time I start an IV on a child under 8.

Especially if I am transporting to a pediatric hospital. (No reason to

provoke the wrath of a pediatrician!!!) I guess it probably is not

necessary for every one of them that I have used but I would rather use them

than risk overloading a pedi and making their life more difficult!

Steve Dralle, EMT-P EMSC

CES Specialist

American Medical Response-San

Re: [texasems-L] Buretrols and so forth

Rural/Metro Ambulance - Bastrop County carries Buretrols on our ambulances.

I have yet to need one, but if I didn't have one on the truck, I would need

one!

After all, that's how it ALWAYS works! ;-)

Barry E. McClung, Paramedic

North Blanco County EMS - City, Texas

Blanco EMS - Blanco Texas

Rural/Metro Ambulance -Bastrop County

****************************************************************************

********

THIS E-MAIL AND ANY ATTACHED FILES ARE CONFIDENTIAL, PROTECTED BY COPYRIGHT

AND MAY BE LEGALLY PRIVILEGED. If you are not the intended addressee or

have received the e-mail

in error, any use of this e-mail or any copying, distribution or other

dissemination of it is strictly prohibited. If you

have received this transmission in error, please notify the sender

immediately and then delete the e-mail. E-mail

cannot be guaranteed to be secure, error free or free from viruses. The

sender does not accept any liability

whatsoever for any loss or damage which may be caused as a result of the

transmission of this message by e-mail.

If verification is required, please request a hard copy version.

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********

[Guest guest]

I carry one [buretrol] and have for years, don't tell me that a little ole

rural volunteer EMS carries something that the big guys don't.

M. Schuelke, AS, BS, LP

wegandy@... wrote:

> In spite of the widely held belief that Buretrols, Volutrols, and the like

> are recommended for use in drug administration to pediatric patients, I know

> of no services that carry them as standard equipment.

>

> Comments?

>

> E. Gandy, JD, LP

> EMS Professions Program

> Tyler Junior College

> Tyler, TX

>

>

[Guest guest]

We took ours off ~ 2 years ago. Our pedis only get saline locks. If they

need a bolus they get it through a syringe. This removes any chance of

accidental overloads.

When we do transfers, those pedis have IV fluids on a pump.

K. Wiseman, EMT-P

Lieutenant, B Shift South

on County EMS

bwiseman@...

Re: [texasems-L] Buretrols and so forth

>

>

>

>

>

> I carry one [buretrol] and have for years, don't tell me that a little

ole

> rural volunteer EMS carries something that the big guys don't.

>

> M. Schuelke, AS, BS, LP

>

>

> wegandy@... wrote:

>

> > In spite of the widely held belief that Buretrols, Volutrols, and the

like

> > are recommended for use in drug administration to pediatric patients, I

know

> > of no services that carry them as standard equipment.

> >

> > Comments?

> >

> > E. Gandy, JD, LP

> > EMS Professions Program

> > Tyler Junior College

> > Tyler, TX

> >

> >