Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 I worked as a rig medic 15 years ago, and we did minor wound closure, had 5 or 6 antibiotics to use, administered vaccines, did eye and ear exams and did simple foreign body removal, put in chest tubes if required, and other advanced stuff. We had phone contact with our medical director and could call for consultations, but no telemedicine. . Gene G. However, quite a few offshore oil rigs use medics as their rig safety/medical officers, and many of them undergo a medic extension course where they learn to do minor suturing (including recognizing which jobs are beyond their ability), prescription of antibiotics, vaccinations, eye and ear exams, and so on. Many of them operate via a telemedicine hookup with a base physician. As far as quotable figures and hard facts, I couldn't tell you much. Any offshore medics out there? Donn , are you listening? Grayson, NREMT-P, CCEMT-P President Medic Training Solutions Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 I have planned to put a prehospital suture course together (like I used to do for the residents and medical students). I cannot get any one at Ethicon to call me back--they used to be good abot providing training instruments and suture. BEB Bledsoe, DO, FACEP Midlothian, TX " Faith is believing what you know ain't so. " Mark Twain Following the Equator Don't miss EMStock 2004!http://www.emstock.com Re: Suturing In a message dated 4/26/2004 5:12:18 PM Central Standard Time, callum@... writes: The purpose of this article will be to ascertain whether it is suitable and useful to enable paramedics to suture in the field. Not commonly done in the USA. As a matter of fact, I can't think of any state that allows it, although I seem to recall extended scope-of-practice medics in rural Arizona a few years back. However, quite a few offshore oil rigs use medics as their rig safety/medical officers, and many of them undergo a medic extension course where they learn to do minor suturing (including recognizing which jobs are beyond their ability), prescription of antibiotics, vaccinations, eye and ear exams, and so on. Many of them operate via a telemedicine hookup with a base physician. As far as quotable figures and hard facts, I couldn't tell you much. Any offshore medics out there? Donn , are you listening? Grayson, NREMT-P, CCEMT-P President Medic Training Solutions Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 I'd be interested in taking a suture class also. Re: Suturing > > In a message dated 4/26/2004 5:12:18 PM Central Standard Time, > callum@... > writes: > The purpose of this article will be to ascertain whether it is suitable and > useful to enable paramedics to suture in the field. > Not commonly done in the USA. As a matter of fact, I can't think of any > state that allows it, although I seem to recall extended scope-of-practice > medics in rural Arizona a few years back. However, quite a few offshore oil > rigs use medics as their rig safety/medical officers, and many of them > undergo a medic extension course where they learn to do minor suturing > (including recognizing which jobs are beyond their ability), prescription of > antibiotics, vaccinations, eye and ear exams, and so on. Many of them > operate via a telemedicine hookup with a base physician. As far as quotable > figures and hard facts, I couldn't tell you much. > > Any offshore medics out there? Donn , are you listening? > > > > Grayson, NREMT-P, CCEMT-P > President > Medic Training Solutions > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 Sounds fun and interesting. I would be interested in seeing this... -Matt Kuhl Hatfield wrote: > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com --------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 Sounds fun and interesting. I would be interested in seeing this... -Matt Kuhl Hatfield wrote: > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com --------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 oops ....... sitting corrected ... that wasn't at SMU .... It was at Baylor .........JEFF > > I have planned to put a prehospital suture course together (like I > used to > > do for the residents and medical students). I cannot get any one > at Ethicon > > to call me back--they used to be good abot providing training > instruments > > and suture. > > > > BEB > > > > > > Bledsoe, DO, FACEP > > Midlothian, TX > > > > " Faith is believing what you know ain't so. " > > Mark Twain > > Following the Equator > > > > Don't miss EMStock 2004!http://www.emstock.com > > > > Re: Suturing > > > > In a message dated 4/26/2004 5:12:18 PM Central Standard Time, > > callum@m... > > writes: > > The purpose of this article will be to ascertain whether it is > suitable and > > useful to enable paramedics to suture in the field. > > Not commonly done in the USA. As a matter of fact, I can't think > of any > > state that allows it, although I seem to recall extended scope- of- > practice > > medics in rural Arizona a few years back. However, quite a few > offshore oil > > rigs use medics as their rig safety/medical officers, and many of > them > > undergo a medic extension course where they learn to do minor > suturing > > (including recognizing which jobs are beyond their ability), > prescription of > > antibiotics, vaccinations, eye and ear exams, and so on. Many of > them > > operate via a telemedicine hookup with a base physician. As far as > quotable > > figures and hard facts, I couldn't tell you much. > > > > Any offshore medics out there? Donn , are you listening? > > > > > > > > Grayson, NREMT-P, CCEMT-P > > President > > Medic Training Solutions > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 oops ....... sitting corrected ... that wasn't at SMU .... It was at Baylor .........JEFF > > I have planned to put a prehospital suture course together (like I > used to > > do for the residents and medical students). I cannot get any one > at Ethicon > > to call me back--they used to be good abot providing training > instruments > > and suture. > > > > BEB > > > > > > Bledsoe, DO, FACEP > > Midlothian, TX > > > > " Faith is believing what you know ain't so. " > > Mark Twain > > Following the Equator > > > > Don't miss EMStock 2004!http://www.emstock.com > > > > Re: Suturing > > > > In a message dated 4/26/2004 5:12:18 PM Central Standard Time, > > callum@m... > > writes: > > The purpose of this article will be to ascertain whether it is > suitable and > > useful to enable paramedics to suture in the field. > > Not commonly done in the USA. As a matter of fact, I can't think > of any > > state that allows it, although I seem to recall extended scope- of- > practice > > medics in rural Arizona a few years back. However, quite a few > offshore oil > > rigs use medics as their rig safety/medical officers, and many of > them > > undergo a medic extension course where they learn to do minor > suturing > > (including recognizing which jobs are beyond their ability), > prescription of > > antibiotics, vaccinations, eye and ear exams, and so on. Many of > them > > operate via a telemedicine hookup with a base physician. As far as > quotable > > figures and hard facts, I couldn't tell you much. > > > > Any offshore medics out there? Donn , are you listening? > > > > > > > > Grayson, NREMT-P, CCEMT-P > > President > > Medic Training Solutions > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 I want to take this course too. Do it at EMStock and everybody would come Hatfield wrote: > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com Irlynda , EMT-P irlynda@... Random acts of kindness can profoundly affect someone's life, maybe even your own. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2004 Report Share Posted April 27, 2004 I want to take this course too. Do it at EMStock and everybody would come Hatfield wrote: > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com Irlynda , EMT-P irlynda@... Random acts of kindness can profoundly affect someone's life, maybe even your own. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 The connection I had doesn't work at Ethicon any longer. The plant is located in San Angelo. I've heard that they out sourced some of the suture work out of the country. Anyone in San Angelo on the list? Barry Meffert The problem is that we cannot locate adequate sets of needle drivers, forceps, and scissors. The suture is very expensive unless we can get Ethicon to donate. I have emailed various people at Ethiconnumerous times to no avail. If anybody has a connection there? It is a division of and and most of the sture is (was) made somewhere here in Texas. Bledsoe, DO, FACEP Midlothian, TX " Faith is believing what you know ain't so. " Mark Twain Following the Equator Don't miss EMStock 2004!http://www.emstock.com Re: RE: Suturing I want to take this course too. Do it at EMStock and everybody would come Hatfield wrote: > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com Irlynda , EMT-P irlynda@... Random acts of kindness can profoundly affect someone's life, maybe even your own. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 The connection I had doesn't work at Ethicon any longer. The plant is located in San Angelo. I've heard that they out sourced some of the suture work out of the country. Anyone in San Angelo on the list? Barry Meffert The problem is that we cannot locate adequate sets of needle drivers, forceps, and scissors. The suture is very expensive unless we can get Ethicon to donate. I have emailed various people at Ethiconnumerous times to no avail. If anybody has a connection there? It is a division of and and most of the sture is (was) made somewhere here in Texas. Bledsoe, DO, FACEP Midlothian, TX " Faith is believing what you know ain't so. " Mark Twain Following the Equator Don't miss EMStock 2004!http://www.emstock.com Re: RE: Suturing I want to take this course too. Do it at EMStock and everybody would come Hatfield wrote: > When and where? I would love to take this course. > Ditto!!! W. Hatfield EMT-P " Quidquid latine dictum sit, altum videtur " Don't miss EMStock 2004!!! May 21-23 in booming Midlothian, Texas!!!! www.EMStock.com Irlynda , EMT-P irlynda@... Random acts of kindness can profoundly affect someone's life, maybe even your own. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 The problem is that we cannot locate adequate sets of needle drivers, forceps, and scissors. Maybe you can collect the stuff from a hospital? Not sure what might be involved, or what else might be needed. My son recently had stitches, and they gave dh the forceps and scissors, saying they'd be thrown out anyway. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 The problem is that we cannot locate adequate sets of needle drivers, forceps, and scissors. Maybe you can collect the stuff from a hospital? Not sure what might be involved, or what else might be needed. My son recently had stitches, and they gave dh the forceps and scissors, saying they'd be thrown out anyway. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 - Give me detailed list of supplies you will need (Specific instruments, how many students at one sitting, what do you want to suture ON? Pigs feet, chicken etc...... .....and I will see if I can put the screws on our local medical supply drummers for some " donations " ..... You never know... Terry Re: RE: Suturing > > I want to take this course too. Do it at EMStock and everybody would come > > > Hatfield wrote: > > > > > When and where? I would love to take this course. > > > > > Ditto!!! > > W. Hatfield EMT-P > > " Quidquid latine dictum sit, altum videtur " > > Don't miss EMStock 2004!!! > May 21-23 in booming Midlothian, Texas!!!! > www.EMStock.com > > > Irlynda , EMT-P > irlynda@... > > Random acts of kindness can profoundly affect someone's life, maybe even > your own. > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 - Give me detailed list of supplies you will need (Specific instruments, how many students at one sitting, what do you want to suture ON? Pigs feet, chicken etc...... .....and I will see if I can put the screws on our local medical supply drummers for some " donations " ..... You never know... Terry Re: RE: Suturing > > I want to take this course too. Do it at EMStock and everybody would come > > > Hatfield wrote: > > > > > When and where? I would love to take this course. > > > > > Ditto!!! > > W. Hatfield EMT-P > > " Quidquid latine dictum sit, altum videtur " > > Don't miss EMStock 2004!!! > May 21-23 in booming Midlothian, Texas!!!! > www.EMStock.com > > > Irlynda , EMT-P > irlynda@... > > Random acts of kindness can profoundly affect someone's life, maybe even > your own. > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 The problem with those instruments is that they are poorly made (the teeth don't line up), they rust when sterilized (talking about the Pakastani disposable). We used to have 10 sets of good instruments and all the suture you could have. Again, Ethicon provided it along with some training tools. It may have to work with disposables--but poor instruments lead to poor sutures. Bledsoe, DO, FACEP Midlothian, TX " Faith is believing what you know ain't so. " Mark Twain Following the Equator Don't miss EMStock 2004!http://www.emstock.com Re: RE: Suturing The problem is that we cannot locate adequate sets of needle drivers, forceps, and scissors. Maybe you can collect the stuff from a hospital? Not sure what might be involved, or what else might be needed. My son recently had stitches, and they gave dh the forceps and scissors, saying they'd be thrown out anyway. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Needle holder, mosquito, forcep (without teeth), scissors, fresh Pig's feet, suture. I usually try to do 10-15 at a time. Bledsoe, DO, FACEP Midlothian, TX " Faith is believing what you know ain't so. " Mark Twain Following the Equator Don't miss EMStock 2004!http://www.emstock.com Re: RE: Suturing - Give me detailed list of supplies you will need (Specific instruments, how many students at one sitting, what do you want to suture ON? Pigs feet, chicken etc...... .....and I will see if I can put the screws on our local medical supply drummers for some " donations " ..... You never know... Terry Re: RE: Suturing > > I want to take this course too. Do it at EMStock and everybody would > come > > > Hatfield wrote: > > > > > When and where? I would love to take this course. > > > > > Ditto!!! > > W. Hatfield EMT-P > > " Quidquid latine dictum sit, altum videtur " > > Don't miss EMStock 2004!!! > May 21-23 in booming Midlothian, Texas!!!! > www.EMStock.com > > > Irlynda , EMT-P > irlynda@... > > Random acts of kindness can profoundly affect someone's life, maybe > even your own. > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Needle holder, mosquito, forcep (without teeth), scissors, fresh Pig's feet, suture. I usually try to do 10-15 at a time. Bledsoe, DO, FACEP Midlothian, TX " Faith is believing what you know ain't so. " Mark Twain Following the Equator Don't miss EMStock 2004!http://www.emstock.com Re: RE: Suturing - Give me detailed list of supplies you will need (Specific instruments, how many students at one sitting, what do you want to suture ON? Pigs feet, chicken etc...... .....and I will see if I can put the screws on our local medical supply drummers for some " donations " ..... You never know... Terry Re: RE: Suturing > > I want to take this course too. Do it at EMStock and everybody would > come > > > Hatfield wrote: > > > > > When and where? I would love to take this course. > > > > > Ditto!!! > > W. Hatfield EMT-P > > " Quidquid latine dictum sit, altum videtur " > > Don't miss EMStock 2004!!! > May 21-23 in booming Midlothian, Texas!!!! > www.EMStock.com > > > Irlynda , EMT-P > irlynda@... > > Random acts of kindness can profoundly affect someone's life, maybe > even your own. > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Indeed the Pakistani instruments are not the best. I have about 100 sets available that are not rusted or in bad shape. However they do not have needle drivers. Tom LeNeveu Learning Paramedic EMStock 2004 is just around the corner. Come join the fun and learn a little while your at it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2004 Report Share Posted April 28, 2004 Being one of the Air Force guys, I can *check* while I'm at drill this weekend. But, since Carswell's a LOT smaller than McGuire (not even a hospital--just a clinic), I don't know what I'll find, if anything. I know we do have *some*, as we just did a suturing refresher last month... Later, all, Dunn NREMT-B > Also you might check with military facilities. When I was at McGuire AFB as > an EMS Chief we had TONS of stuff that was slightly dated suture and other > things like that. > > With the number of military place in Texas you may find a gold mind? > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/EMSI > LNMolino@a... > (Home Office) > > " A Texan with a Jersey Attitude " > > The comments contained in this E-mail are the opinions of the author and the > author alone. I in no way ever intend to speak for any person or organization > that I am in any way whatsoever involved or associated with unless I > specifically state that I am doing so. Further this E-mail is intended only for its > stated recipient and may contain private and or confidential materials > retransmission is strictly prohibited unless placed in the public domain by the original > author. > > > Quote Link to comment Share on other sites More sharing options...
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