Re: Hydrofluoric acid

[Guest guest]

Thank you.

[Guest guest]

I must have missed that with my light speed document scanning.---Never said

anything about retention though...

[Guest guest]

I must have missed that with my light speed document scanning.---Never said

anything about retention though...

[Guest guest]

Dr. Mahon:

As I understand it, the area inside 610 has a mix of the BLS ambulances and

ALS squad units. Outside the loop, you'll see ALS ambulances.

I'm not sure what Houston's dispatching protocols are.

-Wes Ogilvie

In a message dated 2/27/2006 7:50:02 PM Central Standard Time,

kirkmahon@... writes:

Wes,

Thanks for the info. Are you saying that inside 610 all the boxes have EMTs

only and thus nobody can get iv access unless an " ALS intercept " occurs. I

am not sure I understand. Are there seperate boxes and what percentage?

When I was in Houston over a decade ago they had a tiered response and would

send out paramedics or EMT units depending. If that is the current system,

then somehow the unconscious/not breathing part did not get translated into

a paramedic response (think it use to be a " Level D " ).

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Dr. Mahon:

As I understand it, the area inside 610 has a mix of the BLS ambulances and

ALS squad units. Outside the loop, you'll see ALS ambulances.

I'm not sure what Houston's dispatching protocols are.

-Wes Ogilvie

In a message dated 2/27/2006 7:50:02 PM Central Standard Time,

kirkmahon@... writes:

Wes,

Thanks for the info. Are you saying that inside 610 all the boxes have EMTs

only and thus nobody can get iv access unless an " ALS intercept " occurs. I

am not sure I understand. Are there seperate boxes and what percentage?

When I was in Houston over a decade ago they had a tiered response and would

send out paramedics or EMT units depending. If that is the current system,

then somehow the unconscious/not breathing part did not get translated into

a paramedic response (think it use to be a " Level D " ).

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Dr. Mahon:

As I understand it, the area inside 610 has a mix of the BLS ambulances and

ALS squad units. Outside the loop, you'll see ALS ambulances.

I'm not sure what Houston's dispatching protocols are.

-Wes Ogilvie

In a message dated 2/27/2006 7:50:02 PM Central Standard Time,

kirkmahon@... writes:

Wes,

Thanks for the info. Are you saying that inside 610 all the boxes have EMTs

only and thus nobody can get iv access unless an " ALS intercept " occurs. I

am not sure I understand. Are there seperate boxes and what percentage?

When I was in Houston over a decade ago they had a tiered response and would

send out paramedics or EMT units depending. If that is the current system,

then somehow the unconscious/not breathing part did not get translated into

a paramedic response (think it use to be a " Level D " ).

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Doc

My service runs only MICU trucks and we know where our equipment is located

and how to use it. HE HE We do not place central lines but place E.J's and

fast one's if needed. But it sounds like the truck you were on did not even have

a a responsible basic on board. A good basic would know where all the equipment

is located and how to lay it out if needed by a higher card.

ExLngHrn@... wrote:

Dr. Mahon -- Several of the Houston area services (not HFD) allow central line

placement and other advanced interventions in their protocols. HFD has

implemented a program where the ambulances inside 610 are staffed by EMTs and

ALS intercept squads may back them up.

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

Re: Hydrofluoric acid

Central line in Houston?

May I point out that when I called 911 for an MVA a couple years ago and

reported a patient was unconscious and not breathing, I ended up going in

the box and the provider (EMT?) was not even qualified to start an IV. I

was shocked to be in one of the largest cities in the US, driving

lights/sirens and had to direct the EMS personnel to where the appropriate

supplies were located. Luckily, i had spent many shifts on the box in

Houston in medical school so was able to manage the airway, iv etc... while

EMS watched and we drove to Ben Taub...

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Doc

My service runs only MICU trucks and we know where our equipment is located

and how to use it. HE HE We do not place central lines but place E.J's and

fast one's if needed. But it sounds like the truck you were on did not even have

a a responsible basic on board. A good basic would know where all the equipment

is located and how to lay it out if needed by a higher card.

ExLngHrn@... wrote:

Dr. Mahon -- Several of the Houston area services (not HFD) allow central line

placement and other advanced interventions in their protocols. HFD has

implemented a program where the ambulances inside 610 are staffed by EMTs and

ALS intercept squads may back them up.

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

Re: Hydrofluoric acid

Central line in Houston?

May I point out that when I called 911 for an MVA a couple years ago and

reported a patient was unconscious and not breathing, I ended up going in

the box and the provider (EMT?) was not even qualified to start an IV. I

was shocked to be in one of the largest cities in the US, driving

lights/sirens and had to direct the EMS personnel to where the appropriate

supplies were located. Luckily, i had spent many shifts on the box in

Houston in medical school so was able to manage the airway, iv etc... while

EMS watched and we drove to Ben Taub...

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Doc

My service runs only MICU trucks and we know where our equipment is located

and how to use it. HE HE We do not place central lines but place E.J's and

fast one's if needed. But it sounds like the truck you were on did not even have

a a responsible basic on board. A good basic would know where all the equipment

is located and how to lay it out if needed by a higher card.

ExLngHrn@... wrote:

Dr. Mahon -- Several of the Houston area services (not HFD) allow central line

placement and other advanced interventions in their protocols. HFD has

implemented a program where the ambulances inside 610 are staffed by EMTs and

ALS intercept squads may back them up.

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

Re: Hydrofluoric acid

Central line in Houston?

May I point out that when I called 911 for an MVA a couple years ago and

reported a patient was unconscious and not breathing, I ended up going in

the box and the provider (EMT?) was not even qualified to start an IV. I

was shocked to be in one of the largest cities in the US, driving

lights/sirens and had to direct the EMS personnel to where the appropriate

supplies were located. Luckily, i had spent many shifts on the box in

Houston in medical school so was able to manage the airway, iv etc... while

EMS watched and we drove to Ben Taub...

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

fremsdallas@... wrote: Please correct me if I am wrong, but does Houston

FD not run a two tiered system? Most or all ambulances are staffed BLS with

paramedic intercepts?? I

thought that I read that somewhere once. Engine companies repond to life

threatening calls. A BLS Ambulance and 2 Paramedic Squad respond on all. If it

is a BLS transport, the Squad goes back in service. If ALS/MICU transport, the

Squad follows to the hospital. There are a few (EMT-B and EMT-P) MICU units, but

they are in peripheral stations (Clear Lake, Kingwood)

Larry RN EMT-P

Houston

" The true soldier fights not because he hates what is in front of him, but

because he loves what is behind him. " - GK Chesterton

---------------------------------

Yahoo! Mail

Bring photos to life! New PhotoMail makes sharing a breeze.

[Guest guest]

fremsdallas@... wrote: Please correct me if I am wrong, but does Houston

FD not run a two tiered system? Most or all ambulances are staffed BLS with

paramedic intercepts?? I

thought that I read that somewhere once. Engine companies repond to life

threatening calls. A BLS Ambulance and 2 Paramedic Squad respond on all. If it

is a BLS transport, the Squad goes back in service. If ALS/MICU transport, the

Squad follows to the hospital. There are a few (EMT-B and EMT-P) MICU units, but

they are in peripheral stations (Clear Lake, Kingwood)

Larry RN EMT-P

Houston

" The true soldier fights not because he hates what is in front of him, but

because he loves what is behind him. " - GK Chesterton

---------------------------------

Yahoo! Mail

Bring photos to life! New PhotoMail makes sharing a breeze.

[Guest guest]

Wes,

Thanks for the info. Are you saying that inside 610 all the boxes have EMTs

only and thus nobody can get iv access unless an " ALS intercept " occurs. I

am not sure I understand. Are there seperate boxes and what percentage?

When I was in Houston over a decade ago they had a tiered response and would

send out paramedics or EMT units depending. If that is the current system,

then somehow the unconscious/not breathing part did not get translated into

a paramedic response (think it use to be a " Level D " ).

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Wes,

Thanks for the info. Are you saying that inside 610 all the boxes have EMTs

only and thus nobody can get iv access unless an " ALS intercept " occurs. I

am not sure I understand. Are there seperate boxes and what percentage?

When I was in Houston over a decade ago they had a tiered response and would

send out paramedics or EMT units depending. If that is the current system,

then somehow the unconscious/not breathing part did not get translated into

a paramedic response (think it use to be a " Level D " ).

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Wes,

Thanks for the info. Are you saying that inside 610 all the boxes have EMTs

only and thus nobody can get iv access unless an " ALS intercept " occurs. I

am not sure I understand. Are there seperate boxes and what percentage?

When I was in Houston over a decade ago they had a tiered response and would

send out paramedics or EMT units depending. If that is the current system,

then somehow the unconscious/not breathing part did not get translated into

a paramedic response (think it use to be a " Level D " ).

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT soon. So

no IVs there either. Anybody else heard this?

Gene G.

> Central line in Houston?

>

> May I point out that when I called 911 for an MVA a couple years ago and

> reported a patient was unconscious and not breathing, I ended up going in

> the box and the provider (EMT?) was not even qualified to start an IV.  I

> was shocked to be in one of the largest cities in the US, driving

> lights/sirens and had to direct the EMS personnel to where the appropriate

> supplies were located.  Luckily, i had spent many shifts on the box in

> Houston in medical school so was able to manage the airway, iv etc... while

> EMS watched and we drove to Ben Taub...

>

>

> Kirk D. Mahon, MD, ABEM

>

> 6106 Keller Springs Rd

> Dallas, TX 75248

>

>

>

>

>

>

[Guest guest]

Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT soon. So

no IVs there either. Anybody else heard this?

Gene G.

> Central line in Houston?

>

> May I point out that when I called 911 for an MVA a couple years ago and

> reported a patient was unconscious and not breathing, I ended up going in

> the box and the provider (EMT?) was not even qualified to start an IV.  I

> was shocked to be in one of the largest cities in the US, driving

> lights/sirens and had to direct the EMS personnel to where the appropriate

> supplies were located.  Luckily, i had spent many shifts on the box in

> Houston in medical school so was able to manage the airway, iv etc... while

> EMS watched and we drove to Ben Taub...

>

>

> Kirk D. Mahon, MD, ABEM

>

> 6106 Keller Springs Rd

> Dallas, TX 75248

>

>

>

>

>

>

[Guest guest]

So, in Houston, a non-breathing patient is a BLS call?

GG

> fremsdallas@... wrote:   Please correct me if I am wrong, but does

> Houston FD not run a two tiered system?  Most or all ambulances are staffed

BLS

> with paramedic intercepts??  I

> thought that I read that somewhere once.  Engine companies repond to life

> threatening calls. A BLS Ambulance and 2 Paramedic Squad respond on all. If it

> is a BLS transport, the Squad goes back in service. If ALS/MICU transport,

> the Squad follows to the hospital. There are a few (EMT-B and EMT-P) MICU

> units, but they are in peripheral stations (Clear Lake, Kingwood)

>

>   Larry RN EMT-P

>   Houston

>

>

>

> " The true soldier fights not because he hates what is in front of him, but

> because he loves what is behind him. " -  GK Chesterton

>

>

>        

> ---------------------------------

> Yahoo! Mail

> Bring photos to life! New PhotoMail  makes sharing a breeze.

>

>

[Guest guest]

So, in Houston, a non-breathing patient is a BLS call?

GG

> fremsdallas@... wrote:   Please correct me if I am wrong, but does

> Houston FD not run a two tiered system?  Most or all ambulances are staffed

BLS

> with paramedic intercepts??  I

> thought that I read that somewhere once.  Engine companies repond to life

> threatening calls. A BLS Ambulance and 2 Paramedic Squad respond on all. If it

> is a BLS transport, the Squad goes back in service. If ALS/MICU transport,

> the Squad follows to the hospital. There are a few (EMT-B and EMT-P) MICU

> units, but they are in peripheral stations (Clear Lake, Kingwood)

>

>   Larry RN EMT-P

>   Houston

>

>

>

> " The true soldier fights not because he hates what is in front of him, but

> because he loves what is behind him. " -  GK Chesterton

>

>

>        

> ---------------------------------

> Yahoo! Mail

> Bring photos to life! New PhotoMail  makes sharing a breeze.

>

>

[Guest guest]

According to the HFD web site, they have

51 BLS Ambulances

14 Medic Ambulances

8 Dual Ambulances

15 Paramedic Squads

Jack

_____

From: [mailto: ] On

Behalf Of ExLngHrn@...

Sent: Monday, February 27, 2006 7:52 PM

To:

Subject: Re: Hydrofluoric acid

Dr. Mahon:

As I understand it, the area inside 610 has a mix of the BLS ambulances and

ALS squad units. Outside the loop, you'll see ALS ambulances.

I'm not sure what Houston's dispatching protocols are.

-Wes Ogilvie

In a message dated 2/27/2006 7:50:02 PM Central Standard Time,

kirkmahon@... writes:

Wes,

Thanks for the info. Are you saying that inside 610 all the boxes have

EMTs

only and thus nobody can get iv access unless an " ALS intercept " occurs. I

am not sure I understand. Are there seperate boxes and what percentage?

When I was in Houston over a decade ago they had a tiered response and

would

send out paramedics or EMT units depending. If that is the current system,

then somehow the unconscious/not breathing part did not get translated into

a paramedic response (think it use to be a " Level D " ).

Kirk D. Mahon, MD, ABEM

6106 Keller Springs Rd

Dallas, TX 75248

[Guest guest]

Inner Loop, that would get a response from an Engine, a BLS ambulance, a Squad,

and most likely an EMS Supervisor. Peripheral area would get an Engine, MICU

ambulance and (maybe, more than not) an EMS Supervisor.

They are also starting to implement ALS Engines, as well, on a limited basis.

wegandy1938@... wrote:

So, in Houston, a non-breathing patient is a BLS call?

" The true soldier fights not because he hates what is in front of him, but

because he loves what is behind him. " - GK Chesterton

---------------------------------

Yahoo! Mail

Use Photomail to share photos without annoying attachments.

[Guest guest]

Inner Loop, that would get a response from an Engine, a BLS ambulance, a Squad,

and most likely an EMS Supervisor. Peripheral area would get an Engine, MICU

ambulance and (maybe, more than not) an EMS Supervisor.

They are also starting to implement ALS Engines, as well, on a limited basis.

wegandy1938@... wrote:

So, in Houston, a non-breathing patient is a BLS call?

" The true soldier fights not because he hates what is in front of him, but

because he loves what is behind him. " - GK Chesterton

---------------------------------

Yahoo! Mail

Use Photomail to share photos without annoying attachments.

[Guest guest]

Kenny,

How long do you plan to live? LOL

Gene

In a message dated 2/28/06 12:57:07, kenneth.navarro@...

writes:

> >>> Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT

> soon.   So no IVs there either.   Anybody else heard this? <<<

>

> I have heard this rumor also.  As to the veracity, DFR along with most

> of the BioTel system will be participating in several NIH sponsored

> RCTs involving new IV fluids and advanced therapies.  These are

> scheduled to go on (and have been funded) for years.  My prediction is

> that you will not see an ALL BLS system in Dallas within my lifetime.

>

> Kenny Navarro

> UT Southwestern Medical Center at Dallas

>

>

>

>

>

>

>

[Guest guest]

Kenny,

How long do you plan to live? LOL

Gene

In a message dated 2/28/06 12:57:07, kenneth.navarro@...

writes:

> >>> Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT

> soon.   So no IVs there either.   Anybody else heard this? <<<

>

> I have heard this rumor also.  As to the veracity, DFR along with most

> of the BioTel system will be participating in several NIH sponsored

> RCTs involving new IV fluids and advanced therapies.  These are

> scheduled to go on (and have been funded) for years.  My prediction is

> that you will not see an ALL BLS system in Dallas within my lifetime.

>

> Kenny Navarro

> UT Southwestern Medical Center at Dallas

>

>

>

>

>

>

>

[Guest guest]

>>> Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT

soon. So no IVs there either. Anybody else heard this? <<<

I have heard this rumor also. As to the veracity, DFR along with most

of the BioTel system will be participating in several NIH sponsored

RCTs involving new IV fluids and advanced therapies. These are

scheduled to go on (and have been funded) for years. My prediction is

that you will not see an ALL BLS system in Dallas within my lifetime.

Kenny Navarro

UT Southwestern Medical Center at Dallas

[Guest guest]

No, and I doubt that the union would go for it... their paramedics make damn

good overtime both at the fire department and at side jobs like hospitals,

careflite, etc.

Mike

>

> Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT soon.

> So

> no IVs there either. Anybody else heard this?

>

> Gene G.

>

>

>

> > Central line in Houston?

> >

> > May I point out that when I called 911 for an MVA a couple years ago and

> > reported a patient was unconscious and not breathing, I ended up going

> in

> > the box and the provider (EMT?) was not even qualified to start an IV. I

> > was shocked to be in one of the largest cities in the US, driving

> > lights/sirens and had to direct the EMS personnel to where the

> appropriate

> > supplies were located. Luckily, i had spent many shifts on the box in

> > Houston in medical school so was able to manage the airway, iv etc...

> while

> > EMS watched and we drove to Ben Taub...

> >

> >

> > Kirk D. Mahon, MD, ABEM

> >

> > 6106 Keller Springs Rd

> > Dallas, TX 75248

> >

> >

> >

> >

> >

> >