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 If I remember correctly, I think Acadian had gotten to the point that they were not doing any suturing offshore. However, OHSI (out of Baton Rouge), Entech (out of Lafayette), and my old outfit Walsh Offshore (out of New Orleans)were just about the only outfits that were actively doing it. Even at that, Walsh only allowed it for the guys that were previously qualified and that were contracted to J. Ray McDermott. There were 2 of us dive qualified at Walsh and had to be able to do due to the fact that if we were in SAT, they didn't want to waste decompression time for a minor something that was going to take 3 or 4 stitches. Anything more serious than that had to come up and be looked at by the doctor. The school we attended was in New Orleans at West Jefferson Hospital. My understanding is that there is a really good school at SMU that is part of one of their schools. I have a friend that attended that one and you should hear the story about taking the test with an orange in a coffee can. I tried that and was glad that they had us working on pigskin! I tore up a lot of oranges practising!! I think that it is good idea. Not so sure about it being a part of the 9-1-1 response, though. Darn sure a good idea for the industrial medics, the offshore guys, and to help out in the ER, though. JEFF HITT > 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 If I remember correctly, I think Acadian had gotten to the point that they were not doing any suturing offshore. However, OHSI (out of Baton Rouge), Entech (out of Lafayette), and my old outfit Walsh Offshore (out of New Orleans)were just about the only outfits that were actively doing it. Even at that, Walsh only allowed it for the guys that were previously qualified and that were contracted to J. Ray McDermott. There were 2 of us dive qualified at Walsh and had to be able to do due to the fact that if we were in SAT, they didn't want to waste decompression time for a minor something that was going to take 3 or 4 stitches. Anything more serious than that had to come up and be looked at by the doctor. The school we attended was in New Orleans at West Jefferson Hospital. My understanding is that there is a really good school at SMU that is part of one of their schools. I have a friend that attended that one and you should hear the story about taking the test with an orange in a coffee can. I tried that and was glad that they had us working on pigskin! I tore up a lot of oranges practising!! I think that it is good idea. Not so sure about it being a part of the 9-1-1 response, though. Darn sure a good idea for the industrial medics, the offshore guys, and to help out in the ER, though. JEFF HITT > 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 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 27, 2004 Report Share Posted April 27, 2004 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 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...
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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