Guest guest Posted November 28, 2007 Report Share Posted November 28, 2007 In a message dated 28-Nov-07 21:05:29 Central Standard Time, kirkmahon@... writes: Anybody know of any remedies for severe pain/burn from Jalapeno juice? the web is ripe with anecdotes, there is no EBM I know of and I have a patient in terrible pain. I am having a run of this complaint for some reason... Kirk D. Mahon, MD, ABEM try heavy or sour cream...the milk fats help clear the system. We had that problem a couple of years ago at EMStock when one of the chili cooks inadvertently wiped sweat from his face while chopping Jalapenos...IIRC, we used copious volumes of water followed with gentle soap. Alternatively, try the same decon pads (J & J baby shampoo, IIRC) used for Pepper spray treatment... ck S. Krin, DO FAAFP **************************************Check out AOL's list of 2007's hottest products. (http://money.aol.com/special/hot-products-2007?NCID=aoltop00030000000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2007 Report Share Posted November 28, 2007 Kirk, Goldfrank's recommends copious local irrigation and systemic analgesics, and the reference given is: LA, Tandberg D, Troutmann WG: Household treatment of " chile burns " of the hands. J Toxicol clin Toxicol 1987; 25: 483-491. I don't have access to that article. Maybe you can find it. The trick seems to be to get it off the skin. My wife swears that yogurt does the trick for her. Most of the web remedies I have read mention alcohol, diary products, bleach (which I wouldn't recommend) and baking soda poultice. If you find something that works, let us know. Gene G. > > > Anybody know of any remedies for severe pain/burn from Jalapeno juice? the > web is ripe with anecdotes, there is no EBM I know of and I have a patient in > terrible pain. I am having a run of this complaint for some reason... > Kirk D. Mahon, MD, ABEM > > 6106 Keller Springs Rd > Dallas, TX 75248 > > To: texasems-l@yahoogrotexasems-l@: bbledsoe@...: Wed, 28 Nov > 2007 12:23:08 -0600Subject: RE: Accredited programs in TX > > I know this accreditation issue touches a nerve. I see both sides of > theargument. When you look outside of Texas though, non-accredited EMSeducation > programs are problematic. The accreditation issue is inevitable.When the > DOT/NHTSA people had to remove it from the National Scope ofPractice requirements, > there was an immediate push to find alternate ways tomandate accreditation. > Thus, the NREMT-the largest player in thegame-stepped up and made the changes. > Accreditation will be required and isunavoidable. If you want your graduates > to sit for the NREMT exams (mandatedin ~ 39 states), you will have to be > accredited. In some states (e.g.,Florida) accreditation has always been required > and works well.Issues that will be confronting all programs in the future > are:1. The need for human patient simulators which can cost up to $250,000each. > 2. Access to reference libraries.3. Supporting basic science programs (e.g., > anatomy and physiologylabs, medical terminology instruction) I know this > accreditation issue touches a nerve. I see both sides of t I know this > accreditation issue touches a nerve. I see both sides of theargument. When you look > outside of Texas though, non-accredited EMSeducation I know thi I know this > accreditation issue touches a nerve. I see both sides of theargument. When you > look outside of Texas though, non-accredited EMSeducation programs are > problematic. The accreditation issue is inevitable.When the DOT/NHTSA people had to > remove it from the National Scope ofPractice requiremen I know this > accreditation issue touches a nerve. I see both sides of theargument. When you look > outside of Texas though, non-accredited EMSeduc I know this accreditation issue > touches I know this accreditation issue touches a nerve. I see both sides of > theargumentexasems-l@yahoogrotexasem [mailto:texasems-l@yahoogrotexasem] > OnBehalf Of HudsonSent: Wednesday, Novemb er 28, 2007 11:49 AMTo: > texasems-l@yahoogrotexasems-l@yah: RE: Accredited programs in TXI'm also > concerned about some of the college and independent programs whomay have to > drop paramedic programs because of the cost of the accreditationproces: RE: > Accredited programs in TXI'm also concerned abou: RE: > Accredited programs in TXI'm also concerned about some of the college and > independent programs whomay have to drop paramedic programs because of the > cost of the accreditationproces<wbr>s. I have been with 2 programs who have gone > through accreditation.<wbr>It's not cheap, and it takes a mountain of > support. Some might say if theprogram can't go through accreditat: RE: > Accredited programs in TXI'm also concerned about some of the college and > independent program: RE: Accredited programs in TXI'm also > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2007 Report Share Posted November 28, 2007 I've seen/heard vegetable oil and/or shortening being used. You might check with Tom LeNeveau, as he has experience with this.... -Wes Ogilvie, MPA, JD, LP In a message dated 11/28/2007 9:05:33 P.M. Central Standard Time, kirkmahon@... writes: \ Anybody know of any remedies for severe pain/burn from Jalapeno juice? the web is ripe with anecdotes, there is no EBM I know of and I have a patient in terrible pain. I am having a run of this complaint for some reason... Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 To: _texasems-l@yahoogrotexasems-l@_ (mailto:texasems-l@...) : _bbledsoe@..._ (mailto:bbledsoe@...) : Wed, 28 Nov 2007 12:23:08 -0600Subject: RE: Accredited programs in TX I know this accreditation issue touches a nerve. I see both sides of theargument. When you look outside of Texas though, non-accredited EMSeducation programs are problematic. The accreditation issue is inevitable.When the DOT/NHTSA people had to remove it from the National Scope ofPractice requirements, there was an immediate push to find alternate ways tomandate accreditation. Thus, the NREMT-the largest player in thegame-stepped up and made the changes. Accreditation will be required and isunavoidable. If you want your graduates to sit for the NREMT exams (mandatedin ~ 39 states), you will have to be accredited. In some states (e.g.,Florida) accreditation has always been required and works well.Issues that will be confronting all programs in the future are:1. The need for human patient simulators which can cost up to $250,000each. 2. Access to reference libraries.3. Supporting basic science programs (e.g., anatomy and physiologylabs, medical terminology instruction)I know this accreditation issue touches a nerve. I see both sides of thI know this accreditation issue touches a nerve. I see both sides of theargument. When you look outside of Texas though, non-accredited EMSeducation pI know thisI know this accreditation issue touches a nerve. I see both sides of theargument. When you look outside of Texas though, non-accredited EMSeducation programs are problematic. The accreditation issue is inevitable.When the DOT/NHTSA people had to remove it from the National Scope ofPractice requirementI know this accreditation issue touches a nerve. I see both sides of theargument. When you look outside of Texas though, non-accredited EMSeducaI know this accreditation issue touches a neI know this accreditation issue touches a nerve. I see both sides of theargument_texasems-l@yahoogrotexasem_ (mailto:texasems-l ) [mailto:_texasems-l@yahoogrotexasem_ (mailto:texasems-l ) ] OnBehalf Of HudsonSent: Wednesday, Novemb er 28, 2007 11:49 AMTo: _texasems-l@yahoogrotexasems-l@yah_ (mailto:texasems-l@...) : RE: Accredited programs in TXI'm also concerned about some of the college and independent programs whomay have to drop paramedic programs because of the cost of the accreditationproces: RE: Accredited programs in TXI'm also concerned abou: RE: Accredited programs in TXI'm also concerned about some of the college and independent programs whomay have to drop paramedic programs because of the cost of the accreditationproces<WBR>s. I have been with 2 programs who have gone through accreditation.<WBR>It's not cheap, and it takes a mountain of support. Some might say if theprogram can't go through accred: RE: Accredited programs in TXI'm also concerned about some of the college and independent program: RE: Accredited programs in TXI'm also [Non-text portions of this message have been removed] **************************************Check out AOL's list of 2007's hottest products. (http://money.aol.com/special/hot-products-2007?NCID=aoltop00030000000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2007 Report Share Posted November 28, 2007 Anybody know of any remedies for severe pain/burn from Jalapeno juice? the web is ripe with anecdotes, there is no EBM I know of and I have a patient in terrible pain. I am having a run of this complaint for some reason... Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 To: texasems-l@...: bbledsoe@...: Wed, 28 Nov 2007 12:23:08 -0600Subject: RE: Accredited programs in TX I know this accreditation issue touches a nerve. I see both sides of theargument. When you look outside of Texas though, non-accredited EMSeducation programs are problematic. The accreditation issue is inevitable.When the DOT/NHTSA people had to remove it from the National Scope ofPractice requirements, there was an immediate push to find alternate ways tomandate accreditation. Thus, the NREMT-the largest player in thegame-stepped up and made the changes. Accreditation will be required and isunavoidable. If you want your graduates to sit for the NREMT exams (mandatedin ~ 39 states), you will have to be accredited. In some states (e.g.,Florida) accreditation has always been required and works well.Issues that will be confronting all programs in the future are:1. The need for human patient simulators which can cost up to $250,000each. 2. Access to reference libraries.3. Supporting basic science programs (e.g., anatomy and physiologylabs, medical terminology instruction).4. Reluctance of hospitals to sign agreements with non-accreditedprograms for clinical rotations (some of this is being driven by theinsurance companies).5. Ancillary costs will rise (e.g., mandated clinical instructors,preceptors).These issues, and others, is driving EMS education to the public collegesand universities where there is tax support and economy of scale. There isno sense fighting it. It will happen. As we have been developing the on-lineprograms through UNLV we have always planned and will have nationalaccreditation (both at the University and at the cooperating schools in thevarious states). Non-accredited programs should begin planning foraccreditation.Do I think it is right? Not necessarily-but the cards have been dealt. Toquote Darwin, " We must evolve or die. " BEBFrom: texasems-l [mailto:texasems-l ] OnBehalf Of HudsonSent: Wednesday, November 28, 2007 11:49 AMTo: texasems-l@...: RE: Accredited programs in TXI'm also concerned about some of the college and independent programs whomay have to drop paramedic programs because of the cost of the accreditationprocess. I have been with 2 programs who have gone through accreditation.It's not cheap, and it takes a mountain of support. Some might say if theprogram can't go through accreditation, then they are not worth keepingaround. However, there are some exceptional programs that just don't havethe cash to do it. Hopefully, Dishes and GETAC will muster up and help withthe expenses and provide tech assistance to programs seeking the nowmandatory accreditation(even though THEY did not make it mandatory). Thisshould be a top priority for the GETAC Education Committee.-MH[Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 2007 Report Share Posted November 28, 2007 Gene, Alcohol only works if consumed. As an antidote, if memory serves, sugar water has proved beneficial in at least one study. However, I don't buy it. My solution is vegetable oil. Capsaicin is an oil. Use benign vegetable oil to " lift and separate " the malignant oil, then use a good detergent to dissolve and remove both. Or you could just work to become desensitized to the little rascal by eating more good chilis. Donn _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Kirk Mahon Sent: Wednesday, November 28, 2007 9:05 PM To: texasems-l Subject: Jalapeno Hands Anybody know of any remedies for severe pain/burn from Jalapeno juice? the web is ripe with anecdotes, there is no EBM I know of and I have a patient in terrible pain. I am having a run of this complaint for some reason... Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 To: texasems-l@yahoogro <mailto:texasems-l%40yahoogroups.comFrom> ups.comFrom: bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%40earthlink.netDate> netDate: Wed, 28 Nov 2007 12:23:08 -0600Subject: RE: Accredited programs in TX I know this accreditation issue touches a nerve. I see both sides of theargument. When you look outside of Texas though, non-accredited EMSeducation programs are problematic. The accreditation issue is inevitable.When the DOT/NHTSA people had to remove it from the National Scope ofPractice requirements, there was an immediate push to find alternate ways tomandate accreditation. Thus, the NREMT-the largest player in thegame-stepped up and made the changes. Accreditation will be required and isunavoidable. If you want your graduates to sit for the NREMT exams (mandatedin ~ 39 states), you will have to be accredited. In some states (e.g.,Florida) accreditation has always been required and works well.Issues that will be confronting all programs in the future are:1. The need for human patient simulators which can cost up to $250,000each. 2. Access to reference libraries.3. Supporting basic science programs (e.g., anatomy and physiologylabs, medical terminology instruction).4. Reluctance of hospitals to sign agreements with non-accreditedprograms for clinical rotations (some of this is being driven by theinsurance companies).5. Ancillary costs will rise (e.g., mandated clinical instructors,preceptors).These issues, and others, is driving EMS education to the public collegesand universities where there is tax support and economy of scale. There isno sense fighting it. It will happen. As we have been developing the on-lineprograms through UNLV we have always planned and will have nationalaccreditation (both at the University and at the cooperating schools in thevarious states). Non-accredited programs should begin planning foraccreditation.Do I think it is right? Not necessarily-but the cards have been dealt. Toquote Darwin, " We must evolve or die. " BEBFrom: texasems-l@yahoogro <mailto:texasems-l%40yahoogroups.com> ups.com [mailto:texasems-l@yahoogro <mailto:texasems-l%40yahoogroups.com> ups.com] OnBehalf Of HudsonSent: Wednesday, Novemb er 28, 2007 11:49 AMTo: texasems-l@yahoogro <mailto:texasems-l%40yahoogroups.comSubject> ups.comSubject: RE: Accredited programs in TXI'm also concerned about some of the college and independent programs whomay have to drop paramedic programs because of the cost of the accreditationprocess. I have been with 2 programs who have gone through accreditation.It's not cheap, and it takes a mountain of support. Some might say if theprogram can't go through accreditation, then they are not worth keepingaround. However, there are some exceptional programs that just don't havethe cash to do it. Hopefully, Dishes and GETAC will muster up and help withthe expenses and provide tech assistance to programs seeking the nowmandatory accreditation(even though THEY did not make it mandatory). Thisshould be a top priority for the GETAC Education Committee.-MH Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2007 Report Share Posted November 29, 2007 I'd treat it like any other chemical burn. Flush with cold water for several minutes. Make sure the patient avoids touching areas like the eyes or other sensitive tissues. Kirk EMT-B **************************************Check out AOL's list of 2007's hottest products. (http://money.aol.com/special/hot-products-2007?NCID=aoltop00030000000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2007 Report Share Posted November 29, 2007 I have seen police officers who were inadvertently maced in a free-for-all, 4-cops-vs-1-BIG-guy melee (the 5th cop showed up with the Family Sized OC and carpet-maced the entire crowd) use Coca Cola. Pour it in a towel and wipe everything that burns. Worked surprisingly well, although I wouldn't use it to irrigate the eyes. Phil Reynolds Jr. 115 Harold Dr. Burnet, TX., 78611 HP CP ________________________________________________________________________________\ ____ Be a better pen pal. Text or chat with friends inside Yahoo! Mail. See how. http://overview.mail.yahoo.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 2007 Report Share Posted November 29, 2007 If all else fails - when you eat more nachos, burgers, Tex-Mex, etc. - just lick your fingers and you can dispense with having to add peppers. This may actually save you money. Hope you don't wear contact lens and need to change them out. >>> 11/29/07 12:45 PM >>> I'd treat it like any other chemical burn. Flush with cold water for several minutes. Make sure the patient avoids touching areas like the eyes or other sensitive tissues. Kirk EMT-B **************************************Check out AOL's list of 2007's hottest products. (http://money.aol.com/special/hot-products-2007?NCID=aoltop00030000000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 3, 2007 Report Share Posted December 3, 2007 I found a fat (butter for me) will break up the burning. And then a gentle detergent to get it off the face worked the best. Tom Jalapeno Butter face Tom & Marsha LeNeveu Paramedic, Future RN; & RN Fort Worth Texas Email: TomMarshaLeNeveu@... yahoo Group: Christian_Medic RE: Accredited programs in TXI'm also concerned about some of the college and independent programs whomay have to drop paramedic programs because of the cost of the accreditationproces s. I have been with 2 programs who have gone through accreditation. It's not cheap, and it takes a mountain of support. Some might say if theprogram can't go through accreditation, then they are not worth keepingaround. However, there are some exceptional programs that just don't havethe cash to do it. Hopefully, Dishes and GETAC will muster up and help withthe expenses and provide tech assistance to programs seeking the nowmandatory accreditation( even though THEY did not make it mandatory). Thisshould be a top priority for the GETAC Education Committee.-MH[ Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
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