Guest guest Posted March 24, 2006 Report Share Posted March 24, 2006 Debbie, I teach to always paint the picture without pointing the finger; give enought of an OBJECTIVE detailed outline that when the document is reviewed it is clear to anyone that there was something altering the patients ability to drive, walk, talk, or have a clear thought process. 1. the patient swayed side to side and was having difficulty keeping their attention on the ems crew while the assessment was being done, falling asleep and staggering while standing and attempting to walk to the bushes to urinate the patient displayed an unsteady walk. The patient had an odor comming from thier breath and from their clothing during the examination that smelled of a alcoholic drink or mixed alcoholic beverage. The patient had nystagmus with pupil exam and the pupils are dilated and the eyes are extremely blood shot; the patient had grossly slurred speech and did not make any sense with sentence structure. CBG (Capillary Blood Glucose) was 145 and there is no visible or reported trauma. VITALS etc. to substantiate no other problems or that they were at least looked for.... This is just a quick example of what I try to use and teach..... Debbie Fishbeck wrote: Just wondering, maybe Gene or some legal eagle could answer a question. How do you properly write a patient care report on a patient that smells like they have been drinking alcoholic beverages? There seems to always be this question of how do you know it is alcohol? Rubbing alcohol? Do not use ETOH because we are not trained in that on and on and on. So what is the correct procedure? Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2006 Report Share Posted March 24, 2006 An objective description of what you observed (saw, heard, smelt, felt) does the trick. Let the reader of the run form make the determination that your patient was drunk. Why do we need to make the subjective determination that the patient was drunk/intoxicated? We can treat based on our observations and the symptoms they indicate. Making things easier for the DA by making a judgment call as to " intoxication " in a DWI case wasn't in my job description the last time I checked. -Wes Ogilvie, MPA, JD, EMT-B Austin, Texas Re: Debbie, I teach to always paint the picture without pointing the finger; give enought of an OBJECTIVE detailed outline that when the document is reviewed it is clear to anyone that there was something altering the patients ability to drive, walk, talk, or have a clear thought process. 1. the patient swayed side to side and was having difficulty keeping their attention on the ems crew while the assessment was being done, falling asleep and staggering while standing and attempting to walk to the bushes to urinate the patient displayed an unsteady walk. The patient had an odor comming from thier breath and from their clothing during the examination that smelled of a alcoholic drink or mixed alcoholic beverage. The patient had nystagmus with pupil exam and the pupils are dilated and the eyes are extremely blood shot; the patient had grossly slurred speech and did not make any sense with sentence structure. CBG (Capillary Blood Glucose) was 145 and there is no visible or reported trauma. VITALS etc. to substantiate no other problems or that they were at least looked for.... This is just a quick example of what I try to use and teach..... Debbie Fishbeck wrote: Just wondering, maybe Gene or some legal eagle could answer a question. How do you properly write a patient care report on a patient that smells like they have been drinking alcoholic beverages? There seems to always be this question of how do you know it is alcohol? Rubbing alcohol? Do not use ETOH because we are not trained in that on and on and on. So what is the correct procedure? Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2006 Report Share Posted March 24, 2006 I would like to point out that, whenever possible, one should practice defense documentations. True, people testify that there was a smell of an alcoholic beverage on the breath, but that just invites the defense to begin to try to rip you apart. Same with nystagmus. Try not to use terms that invite definition and require medical diagnosis. Most LE officers and medics never face a top notch attorney adversary. That's because the stakes are usually so low, relatively speaking, in DWI cases. But in a personal injury case, there may be millions riding on the outcome. Most cops and medics are no match for a smart attorney who is, likely, also an MD/DO, who has RNs and Paramedic experts, and toxicologists on his or her staff. Take nystagmus, for example: Here are some types. Rotatory induced nystagmus; optokinetic nystagmus; congenital nystagmus; idiopathic nystagmus, CNS nystagmus (can be caused by alcohol, lithium, dilantin, ecstasy; cerebellar malfunction such as tumor, hemorrhage; vestibular nystagmus; positional nystagmus; benign paroxysmal positional vertigo; horizontal nystagmus (1st, 2nd, and 3rd degree); Causes of nystagmus can be: head trauma, stroke, Meniere's disease, Multiple sclerosis, brain tumors, Wernicke-Korsakoff syndrome, encephalophy, lateral medullary syndrome, aniridia, optic nerve hypoplasia, albinism, Noonan syndrome, Pelizaeus-Merzbacher disease, and more. Q: And so, officer, you have testified that you're taught to recognize varying forms of nystagmus. Is that your testimony? A: Yes, sir. Q: Officer, please describe Noonan syndrome for the jury. (And so forth and so on.) Q: Can you say within a reasonable probability that the defendant, Mr. even had nystagmus?........ That's just a small sample. Don't invite this sort of cross-examination. Just document that the patient's eyes had a horizontal jerky movement. Then the expert can interpret your findings. Gene > OK Im an ex-cop that deals with this all the time as others do. you > document that you found the patient disoriented or what ever his symptoms may be, if > there is an odor on his breath that smell like alcohol say; there was a > smell of an alcoholic beverage on his breath. I beleive that everyone in the > field has smelled some type of alcohol in way shape form or fashion. it is not > illegal to say that you smelled something on his breath. as for the nystagmus- > you do have to be trained in the procedures to perform the tasks. as long as > you have been trained (you dont have to be ceritified to recognize nystagmus, > just trained to recognize it). there are many facets to nystagnus and there > causes. every one at this very moment has nystagmus and it is always > occurring. You just need to know what and why you are looking for it. > > wrote: I thinks its important to say > that you are not documenting for a legal > conviction of an alcohol related offense, you are documenting the condition > of a patient. So just document the patients conditions as you find them. > Who cares if its ETOH or nystagmus or Hippopotamus....its a PATIENT! > > IMHO > Mike >  Re: > > >  Use caution when using the term " nystagmus " . A good attorney can easily > prove that unless properly trained to recognize this, you didn't know what > you were talking about. Police Officers are not allowed to do FST's unless > they have been properly trained to recognize nystagmus. > >   Tater > > >  Weinzapfel wrote: >   Debbie, I teach to always paint the picture without pointing the finger; > give enought of an OBJECTIVE detailed outline that when the document is > reviewed it is clear to anyone that there was something altering the > patients ability to drive, walk, talk, or have a clear thought process. >    1. the patient swayed side to side and was having difficulty keeping > their attention on the ems crew while the assessment was being done, falling > asleep and staggering while standing and attempting to walk to the bushes to > urinate the patient displayed an unsteady walk. The patient had an odor > comming from thier breath and from their clothing during the examination > that smelled of a alcoholic drink or mixed alcoholic beverage. The patient > had nystagmus with pupil exam and the pupils are dilated and the eyes are > extremely blood shot; the patient had grossly slurred speech and did not > make any sense with sentence structure. CBG (Capillary Blood Glucose) was > 145 and there is no visible or reported trauma. VITALS etc. to substantiate > no other problems or that they were at least looked for.... > > > >   This is just a quick example of what I try to use and teach..... > >  Debbie Fishbeck wrote: >   Just wondering, maybe Gene or some legal eagle could answer a question. > How >  do you properly write a patient care report on a patient that smells like >  they have been drinking alcoholic beverages? There seems to always be > this >  question of how do you know it is alcohol? Rubbing alcohol? Do not use > ETOH >  because we are not trained in that on and on and on. So what is the > correct >  procedure? > > > >  Debbie > > > >  Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2006 Report Share Posted March 24, 2006 Use caution when using the term " nystagmus " . A good attorney can easily prove that unless properly trained to recognize this, you didn't know what you were talking about. Police Officers are not allowed to do FST's unless they have been properly trained to recognize nystagmus. Tater Weinzapfel wrote: Debbie, I teach to always paint the picture without pointing the finger; give enought of an OBJECTIVE detailed outline that when the document is reviewed it is clear to anyone that there was something altering the patients ability to drive, walk, talk, or have a clear thought process. 1. the patient swayed side to side and was having difficulty keeping their attention on the ems crew while the assessment was being done, falling asleep and staggering while standing and attempting to walk to the bushes to urinate the patient displayed an unsteady walk. The patient had an odor comming from thier breath and from their clothing during the examination that smelled of a alcoholic drink or mixed alcoholic beverage. The patient had nystagmus with pupil exam and the pupils are dilated and the eyes are extremely blood shot; the patient had grossly slurred speech and did not make any sense with sentence structure. CBG (Capillary Blood Glucose) was 145 and there is no visible or reported trauma. VITALS etc. to substantiate no other problems or that they were at least looked for.... This is just a quick example of what I try to use and teach..... Debbie Fishbeck wrote: Just wondering, maybe Gene or some legal eagle could answer a question. How do you properly write a patient care report on a patient that smells like they have been drinking alcoholic beverages? There seems to always be this question of how do you know it is alcohol? Rubbing alcohol? Do not use ETOH because we are not trained in that on and on and on. So what is the correct procedure? Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2006 Report Share Posted March 24, 2006 I thinks its important to say that you are not documenting for a legal conviction of an alcohol related offense, you are documenting the condition of a patient. So just document the patients conditions as you find them. Who cares if its ETOH or nystagmus or Hippopotamus....its a PATIENT! IMHO Mike Re: Use caution when using the term " nystagmus " . A good attorney can easily prove that unless properly trained to recognize this, you didn't know what you were talking about. Police Officers are not allowed to do FST's unless they have been properly trained to recognize nystagmus. Tater Weinzapfel wrote: Debbie, I teach to always paint the picture without pointing the finger; give enought of an OBJECTIVE detailed outline that when the document is reviewed it is clear to anyone that there was something altering the patients ability to drive, walk, talk, or have a clear thought process. 1. the patient swayed side to side and was having difficulty keeping their attention on the ems crew while the assessment was being done, falling asleep and staggering while standing and attempting to walk to the bushes to urinate the patient displayed an unsteady walk. The patient had an odor comming from thier breath and from their clothing during the examination that smelled of a alcoholic drink or mixed alcoholic beverage. The patient had nystagmus with pupil exam and the pupils are dilated and the eyes are extremely blood shot; the patient had grossly slurred speech and did not make any sense with sentence structure. CBG (Capillary Blood Glucose) was 145 and there is no visible or reported trauma. VITALS etc. to substantiate no other problems or that they were at least looked for.... This is just a quick example of what I try to use and teach..... Debbie Fishbeck wrote: Just wondering, maybe Gene or some legal eagle could answer a question. How do you properly write a patient care report on a patient that smells like they have been drinking alcoholic beverages? There seems to always be this question of how do you know it is alcohol? Rubbing alcohol? Do not use ETOH because we are not trained in that on and on and on. So what is the correct procedure? Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2006 Report Share Posted March 24, 2006 OK Im an ex-cop that deals with this all the time as others do. you document that you found the patient disoriented or what ever his symptoms may be, if there is an odor on his breath that smell like alcohol say; there was a smell of an alcoholic beverage on his breath. I beleive that everyone in the field has smelled some type of alcohol in way shape form or fashion. it is not illegal to say that you smelled something on his breath. as for the nystagmus- you do have to be trained in the procedures to perform the tasks. as long as you have been trained (you dont have to be ceritified to recognize nystagmus, just trained to recognize it). there are many facets to nystagnus and there causes. every one at this very moment has nystagmus and it is always occurring. You just need to know what and why you are looking for it. wrote: I thinks its important to say that you are not documenting for a legal conviction of an alcohol related offense, you are documenting the condition of a patient. So just document the patients conditions as you find them. Who cares if its ETOH or nystagmus or Hippopotamus....its a PATIENT! IMHO Mike Re: Use caution when using the term " nystagmus " . A good attorney can easily prove that unless properly trained to recognize this, you didn't know what you were talking about. Police Officers are not allowed to do FST's unless they have been properly trained to recognize nystagmus. Tater Weinzapfel wrote: Debbie, I teach to always paint the picture without pointing the finger; give enought of an OBJECTIVE detailed outline that when the document is reviewed it is clear to anyone that there was something altering the patients ability to drive, walk, talk, or have a clear thought process. 1. the patient swayed side to side and was having difficulty keeping their attention on the ems crew while the assessment was being done, falling asleep and staggering while standing and attempting to walk to the bushes to urinate the patient displayed an unsteady walk. The patient had an odor comming from thier breath and from their clothing during the examination that smelled of a alcoholic drink or mixed alcoholic beverage. The patient had nystagmus with pupil exam and the pupils are dilated and the eyes are extremely blood shot; the patient had grossly slurred speech and did not make any sense with sentence structure. CBG (Capillary Blood Glucose) was 145 and there is no visible or reported trauma. VITALS etc. to substantiate no other problems or that they were at least looked for.... This is just a quick example of what I try to use and teach..... Debbie Fishbeck wrote: Just wondering, maybe Gene or some legal eagle could answer a question. How do you properly write a patient care report on a patient that smells like they have been drinking alcoholic beverages? There seems to always be this question of how do you know it is alcohol? Rubbing alcohol? Do not use ETOH because we are not trained in that on and on and on. So what is the correct procedure? Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2006 Report Share Posted March 24, 2006 Well, I guess you can't say he's drunk OR a diabetic dems614 wrote: OK Im an ex-cop that deals with this all the time as others do. you document that you found the patient disoriented or what ever his symptoms may be, if there is an odor on his breath that smell like alcohol say; there was a smell of an alcoholic beverage on his breath. I beleive that everyone in the field has smelled some type of alcohol in way shape form or fashion. it is not illegal to say that you smelled something on his breath. as for the nystagmus- you do have to be trained in the procedures to perform the tasks. as long as you have been trained (you dont have to be ceritified to recognize nystagmus, just trained to recognize it). there are many facets to nystagnus and there causes. every one at this very moment has nystagmus and it is always occurring. You just need to know what and why you are looking for it. wrote: I thinks its important to say that you are not documenting for a legal conviction of an alcohol related offense, you are documenting the condition of a patient. So just document the patients conditions as you find them. Who cares if its ETOH or nystagmus or Hippopotamus....its a PATIENT! IMHO Mike Re: Use caution when using the term " nystagmus " . A good attorney can easily prove that unless properly trained to recognize this, you didn't know what you were talking about. Police Officers are not allowed to do FST's unless they have been properly trained to recognize nystagmus. Tater Weinzapfel wrote: Debbie, I teach to always paint the picture without pointing the finger; give enought of an OBJECTIVE detailed outline that when the document is reviewed it is clear to anyone that there was something altering the patients ability to drive, walk, talk, or have a clear thought process. 1. the patient swayed side to side and was having difficulty keeping their attention on the ems crew while the assessment was being done, falling asleep and staggering while standing and attempting to walk to the bushes to urinate the patient displayed an unsteady walk. The patient had an odor comming from thier breath and from their clothing during the examination that smelled of a alcoholic drink or mixed alcoholic beverage. The patient had nystagmus with pupil exam and the pupils are dilated and the eyes are extremely blood shot; the patient had grossly slurred speech and did not make any sense with sentence structure. CBG (Capillary Blood Glucose) was 145 and there is no visible or reported trauma. VITALS etc. to substantiate no other problems or that they were at least looked for.... This is just a quick example of what I try to use and teach..... Debbie Fishbeck wrote: Just wondering, maybe Gene or some legal eagle could answer a question. How do you properly write a patient care report on a patient that smells like they have been drinking alcoholic beverages? There seems to always be this question of how do you know it is alcohol? Rubbing alcohol? Do not use ETOH because we are not trained in that on and on and on. So what is the correct procedure? Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2006 Report Share Posted March 25, 2006 well i happen to be a paramedic 8 years going, firefighter and tcleose certified. learningmedic wrote: Well, I guess you can't say he's drunk OR a diabetic dems614 wrote: OK Im an ex-cop that deals with this all the time as others do. you document that you found the patient disoriented or what ever his symptoms may be, if there is an odor on his breath that smell like alcohol say; there was a smell of an alcoholic beverage on his breath. I beleive that everyone in the field has smelled some type of alcohol in way shape form or fashion. it is not illegal to say that you smelled something on his breath. as for the nystagmus- you do have to be trained in the procedures to perform the tasks. as long as you have been trained (you dont have to be ceritified to recognize nystagmus, just trained to recognize it). there are many facets to nystagnus and there causes. every one at this very moment has nystagmus and it is always occurring. You just need to know what and why you are looking for it. wrote: I thinks its important to say that you are not documenting for a legal conviction of an alcohol related offense, you are documenting the condition of a patient. So just document the patients conditions as you find them. Who cares if its ETOH or nystagmus or Hippopotamus....its a PATIENT! IMHO Mike Re: Use caution when using the term " nystagmus " . A good attorney can easily prove that unless properly trained to recognize this, you didn't know what you were talking about. Police Officers are not allowed to do FST's unless they have been properly trained to recognize nystagmus. Tater Weinzapfel wrote: Debbie, I teach to always paint the picture without pointing the finger; give enought of an OBJECTIVE detailed outline that when the document is reviewed it is clear to anyone that there was something altering the patients ability to drive, walk, talk, or have a clear thought process. 1. the patient swayed side to side and was having difficulty keeping their attention on the ems crew while the assessment was being done, falling asleep and staggering while standing and attempting to walk to the bushes to urinate the patient displayed an unsteady walk. The patient had an odor comming from thier breath and from their clothing during the examination that smelled of a alcoholic drink or mixed alcoholic beverage. The patient had nystagmus with pupil exam and the pupils are dilated and the eyes are extremely blood shot; the patient had grossly slurred speech and did not make any sense with sentence structure. CBG (Capillary Blood Glucose) was 145 and there is no visible or reported trauma. VITALS etc. to substantiate no other problems or that they were at least looked for.... This is just a quick example of what I try to use and teach..... Debbie Fishbeck wrote: Just wondering, maybe Gene or some legal eagle could answer a question. How do you properly write a patient care report on a patient that smells like they have been drinking alcoholic beverages? There seems to always be this question of how do you know it is alcohol? Rubbing alcohol? Do not use ETOH because we are not trained in that on and on and on. So what is the correct procedure? Debbie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2006 Report Share Posted December 4, 2006 Isn't it strange that nobody is tracking EMS related motor vehicle collisions? Just another slap in the face of EMS. You can find out how many Miniature Poodles bit Ethiopian immigrants in March, 2002, but you cannot find out how many EMS vehicles were involved in accidents. What's wrong with us? GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2006 Report Share Posted December 4, 2006 , There is no collection of statistics of EMS units...nor with POV's with lights. The data is sketchy across the nation but it is still scary....roughly 5,000 accidents with ambulances annually, 10 serious injuries a day and 1 fatality a week due to GROUND ambulances....this is only estimating because there is no cetral repository of EMS accidents.....this is based upon the information that is available. You might check out www.objectivesafety.net This is Dr. Levick's web site and she has a ton of data on there...and it is all available to be used....just be ready to spend some time because it is very information rich. You might double check with DPS, but I don't believe you will be able to find accurate statisitics regarding POV accidents responding emergency....if you do, let me know. Dudley Question for the group. I know we have traveled this road before, but is there anyone anywhere that has any statistics at all regarding collisions involving not only EMS units and fire apparatus, but more specifically, POV's with lights and sirens on them? Studies involving driving habits and changes while operating lights and sirens? Dudley, I know you recently did a class on vehicle safety, anything you can send this way would be of great help. Anyone? Anyone? Buellar? Buellar? W. Hatfield FF/EMT-P www.canyonlakefire-ems.org " Ubi concordia, ibi victoria " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2006 Report Share Posted December 4, 2006 Yes Gene it is....and it is truly sad...the data is not complete and the numbers I threw out are based upon what we DO know....NIOSH, NHTSA, DOT, someone could surely be tracking this....and if we got real data things like restraining medics in the back of the truck, limiting the use of lights and sirens, using shoulder straps on stretchers, helmets for those in the back of the truck and other easily adoptable safety issues could/would be addressed... BTW, 77% of Ambulance accidents occur with the use of Lights and Sirens...82% of fatalities of rear occupants are unrestrained and of the deaths of rear occupants, over 65% of them had head injuries from striking interior components or being hit in the head by flying objects (a cell phone at 40 mph can kill...) Please be safe. Dudley Re: Isn't it strange that nobody is tracking EMS related motor vehicle collisions? Just another slap in the face of EMS. You can find out how many Miniature Poodles bit Ethiopian immigrants in March, 2002, but you cannot find out how many EMS vehicles were involved in accidents. What's wrong with us? GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2006 Report Share Posted December 5, 2006 Try this: www.emsnetwork.org/ambulance_crashes_1999.htm Melinda M. Switzer Area Safety Director ETMC EMS 352 S. Glenwood Tyler, Tx 75701 Office: 903 535-5836 Cell: 903 574-3217 Fax: 903 939-5790 >>> wegandy1938@... 12/4/2006 11:07 PM >>> Isn't it strange that nobody is tracking EMS related motor vehicle collisions? Just another slap in the face of EMS. You can find out how many Miniature Poodles bit Ethiopian immigrants in March, 2002, but you cannot find out how many EMS vehicles were involved in accidents. What's wrong with us? GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2006 Report Share Posted December 6, 2006 I was actually doing a paper over this for a college tech writing class. Some of them have to do with the risks involved in running lights and sirens to emergency calls but the MMWR and NHTSA srouces actually give figures for their respective dates - Kimberley 5. Custalow, B. MD, PhD. Gravitz, Craig S. EMT-P, RN, BSN. “Emergency Medical Vehicle Collisions and Potential for Preventative Intervention.” Prehospital Emergency Care 8.2 (2004): 175-184 6. “Ambulance Crash-Related Injuries Among Emergency Medical Services Workers – United States, 1991-2002.” Morbidity and Mortality Weekly Report 52.8 (2003): 154-156 7. Becker, L.R. Levick, N. Li, Guohua. , Ted R. Zaloshnja, E. “Relative Risk of Injury and Death in Ambulances and Other Emergency Vehicles.” Accident Analysis & Prevention 35.6 (2003): 941-948 8. “Traffic Safety Facts 2004” National Highway Traffic Safety Administration 1.1 (2004): 94. 10. Clawson, Jeff J., MD, , L., Langlo, Tor, Maio, F. DO, MS. “The Wake Effect – Emergency Vehicle-Related Collisions” National Academy of Emergency Dispatch Accessed 28 Oct. 2006. <http://www.emergencydispatch.org/articles/poster041.html> 13. Bledsoe, DO, FACEP. “Is EMS Response Time a Good Indicator of EMS System Performance?” Merginet.com The Ultimate EMS Resource 2006 Accessed 18 Sept 2006 http://www.merginet.com/index.cfm? pg=field & fn=responsetime . 14. Markovchick, J. MD, FACEP. Pons, T. MD, FACEP. “Eight Minutes or Less: Does the Ambulance Response Time Guideline Impact Trauma Patient Outcome?” Journal of Emergency Medicine 23.1 (2002): 43-48 15. Fitch, Jay PhD. “Response Times: Myths, Measurement and Management.” Journal of Emergency Medicine 30.9 (2005) 18. Wolfberg, Doug. “Lights, Sirens, and Liability”. National Academy of Emergency Dispatch website. (1996) Accessed 28 Oct. 2006 http://www.emergencydispatch.org/articles/lightssirenliability1.htm Melinda Switzer said: > Try this: > > www.emsnetwork.org/ambulance_crashes_1999.htm > > Melinda M. Switzer > Area Safety Director > ETMC EMS > 352 S. Glenwood > Tyler, Tx 75701 > > Office: 903 535-5836 > Cell: 903 574-3217 > Fax: 903 939-5790 > > > > > >>> wegandy1938@... 12/4/2006 11:07 PM >>> > Isn't it strange that nobody is tracking EMS related motor vehicle > collisions? Just another slap in the face of EMS. > > You can find out how many Miniature Poodles bit Ethiopian immigrants in > > March, 2002, but you cannot find out how many EMS vehicles were > involved in > accidents. > > What's wrong with us? > > GG > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2007 Report Share Posted March 5, 2007 Debbie, the list server doesn't allow attachments. Eddie , EMT-P Director of Clinical Services 4100 Ed Bluestein Blvd., Suite 100 Austin, TX 78721 ext. 110 _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Presney, Debbie Sent: Monday, March 05, 2007 4:47 PM To: texasems-l Subject: RE: I am trying to send an attachment. Could someone please advise me what I am doing wrong? Debbie ________________________________ From: texasems-l@yahoogro <mailto:texasems-l%40yahoogroups.com> ups.com [mailto:texasems-l@yahoogro <mailto:texasems-l%40yahoogroups.com> ups.com] On Behalf Of Presney, Debbie Sent: Monday, March 05, 2007 4:45 PM To: texasems-l@yahoogro <mailto:texasems-l%40yahoogroups.com> ups.com Subject: Let's try this posting again... The information contained in this message and any attachments is intended only for the use of the individual or entity to which it is addressed, and may contain information that is PRIVILEGED, CONFIDENTIAL, and exempt from disclosure under applicable law. If you are not the intended recipient, you are prohibited from copying, distributing, or using the information. Please contact the sender immediately by return e-mail and delete the original message from your system. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2007 Report Share Posted March 5, 2007 I am trying to send an attachment. Could someone please advise me what I am doing wrong? Debbie ________________________________ From: texasems-l [mailto:texasems-l ] On Behalf Of Presney, Debbie Sent: Monday, March 05, 2007 4:45 PM To: texasems-l Subject: Let's try this posting again... The information contained in this message and any attachments is intended only for the use of the individual or entity to which it is addressed, and may contain information that is PRIVILEGED, CONFIDENTIAL, and exempt from disclosure under applicable law. If you are not the intended recipient, you are prohibited from copying, distributing, or using the information. Please contact the sender immediately by return e-mail and delete the original message from your system. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2007 Report Share Posted March 5, 2007 No attachments, you can either upload it to the files section, or copy and paste it. Mike Let's try this posting again... The information contained in this message and any attachments is intended only for the use of the individual or entity to which it is addressed, and may contain information that is PRIVILEGED, CONFIDENTIAL, and exempt from disclosure under applicable law. If you are not the intended recipient, you are prohibited from copying, distributing, or using the information. Please contact the sender immediately by return e-mail and delete the original message from your system. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 21, 2007 Report Share Posted March 21, 2007 Nice...we are just starting to emerge from the " duh...one purple box, one brown box " method of trauma patient assessment where every patient whose vehicle rolled onto its roof that is out walking around when we arrive " HAS " to go to a level 1 trauma center because " He was in a roll-over and even though he is fine, with no signs and symptoms of injuries....he could be dying cause his vehicle is upside down.... " and General Motors is trying to get the CDC to throw us back there again... It is a sad day when an automotive manufacturer has more pull with the Centers for Disease Control than the National EMS Voice....oh yeah....never mind...I forgot... Dudley Interesting use of OnStar for EMS? -Wes Ogilvie Austin, Texas Real-time data could help car wreck victims POSTED: 9:04 a.m. EDT, March 21, 2007 WASHINGTON (AP) -- General Motors Corp.'s OnStar service is working with the Centers for Disease Control and Prevention to help emergency responders more effectively treat crash victims. On Wednesday, the automaker was scheduled to announce a partnership with U.S. health officials to create guidelines, expected in 2008, for the use of real-time crash data to help emergency services provide a more targeted response to those injured in a car accident. GM's OnStar system alerts emergency rescue officials when an air bag deploys or the vehicle is struck in a moderate to severe crash. Subscribers can also receive driving directions, roadside assistance and other services. Emergency responders could benefit from the OnStar system because its sensors transmit real-time data pinpointing where a vehicle was struck, whether it rolled over or if it was hit several times. That type of precision can help emergency officials make the " absolutely critical decision " of whether to send a crash victim to a Level I trauma center, which provides the highest level of trauma care, said Dr. Hunt, who leads the CDC's division of injury response at the National Center for Injury Prevention and Control. " It will save lives and dollars in making sure that the right people get to the right institutions with the right care, " said Stokes, the president and chief executive of the CDC Foundation, adding that the approach could " change the face of emergency medicine over time. " The collaboration was developed through a $250,000 grant from the General Motors Foundation, the company said. The CDC will review real-time crash data from OnStar to help improve emergency transportation and the treatment of crash victims. OnStar, a subsidiary of GM, is standard on about two-thirds of 2007 model year GM vehicles and will be included on most 2008 vehicles. As an option, it costs $695, which includes the hardware and first year's subscription fee. After the first year, the subscription price is $16.95 a month or $199 annually. OnStar officials say the retention rate for their service is more than 60 percent. __________________________________________________________ AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 22, 2007 Report Share Posted March 22, 2007 We'll just continue to file that one under " treat the patient not the monitor " and phooey on preconceived notions of rollover=trauma center which are often probably about as dangerous as a good rollercoaster ride! Maybe we can lobby for an in-dash ECG button for chest pain to factor in STEMI vs NSTEMI transport decisions.. Mark Eliot New Braunfels ________________________________ From: texasems-l on behalf of THEDUDMAN@... Sent: Wed 3/21/2007 7:05 PM To: texasems-l ; EMS-L@... Subject: Re: Nice...we are just starting to emerge from the " duh...one purple box, one brown box " method of trauma patient assessment where every patient whose vehicle rolled onto its roof that is out walking around when we arrive " HAS " to go to a level 1 trauma center because " He was in a roll-over and even though he is fine, with no signs and symptoms of injuries....he could be dying cause his vehicle is upside down.... " and General Motors is trying to get the CDC to throw us back there again... It is a sad day when an automotive manufacturer has more pull with the Centers for Disease Control than the National EMS Voice....oh yeah....never mind...I forgot... Dudley Interesting use of OnStar for EMS? -Wes Ogilvie Austin, Texas Real-time data could help car wreck victims POSTED: 9:04 a.m. EDT, March 21, 2007 WASHINGTON (AP) -- General Motors Corp.'s OnStar service is working with the Centers for Disease Control and Prevention to help emergency responders more effectively treat crash victims. On Wednesday, the automaker was scheduled to announce a partnership with U.S. health officials to create guidelines, expected in 2008, for the use of real-time crash data to help emergency services provide a more targeted response to those injured in a car accident. GM's OnStar system alerts emergency rescue officials when an air bag deploys or the vehicle is struck in a moderate to severe crash. Subscribers can also receive driving directions, roadside assistance and other services. Emergency responders could benefit from the OnStar system because its sensors transmit real-time data pinpointing where a vehicle was struck, whether it rolled over or if it was hit several times. That type of precision can help emergency officials make the " absolutely critical decision " of whether to send a crash victim to a Level I trauma center, which provides the highest level of trauma care, said Dr. Hunt, who leads the CDC's division of injury response at the National Center for Injury Prevention and Control. " It will save lives and dollars in making sure that the right people get to the right institutions with the right care, " said Stokes, the president and chief executive of the CDC Foundation, adding that the approach could " change the face of emergency medicine over time. " The collaboration was developed through a $250,000 grant from the General Motors Foundation, the company said. The CDC will review real-time crash data from OnStar to help improve emergency transportation and the treatment of crash victims. OnStar, a subsidiary of GM, is standard on about two-thirds of 2007 model year GM vehicles and will be included on most 2008 vehicles. As an option, it costs $695, which includes the hardware and first year's subscription fee. After the first year, the subscription price is $16.95 a month or $199 annually. OnStar officials say the retention rate for their service is more than 60 percent. __________________________________________________________ AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2007 Report Share Posted May 2, 2007 My Mother had a thing about " things in threes " I use to think she was crazy but as I age I see her wisdom and, yes Don it does seem sad in EMS lately. Maybe if Mom was right we shall get good news for a change in the future? RIP . Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) (IFW/TFW/FSS Office) (IFW/TFW/FSS Fax) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) 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. ************************************** See what's free at http://www.aol.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2007 Report Share Posted May 2, 2007 In a message dated 5/2/2007 3:44:09 P.M. Central Daylight Time, delbert@... writes: We're past three though....I hope the rule of three isn't getting stretched out. Maybe I reminded those that are watching over us? Mom? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) (IFW/TFW/FSS Office) (IFW/TFW/FSS Fax) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) 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. ************************************** See what's free at http://www.aol.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2007 Report Share Posted May 2, 2007 My condolescense to her family and friends. It is with great sorrow that we post this announcement regarding the loss of another one of our EMS family. Lyons Holland, a founding member of North Bosque EMS- Meridian, Texas passed away yesterday, May 1, 2007 after a short illness. When the hospital in Meridian discontinued the ambulance service for the northern part of Bosque County, was the major factor in establishing a volunteer service for the citizens in that area. She then became instrumental in establishing a county wide service, when the provider for the southern area of Bosque County left. will be remembered for her ever present smile, her strength and encouragement. is and will always be the Mother of North Bosque EMS. Please remember her family and coworkers in their time of grief. Polli RN/LP Polli , RN/LP pwilliams (AT) mclennan (DOT) edu Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2007 Report Share Posted May 2, 2007 Those of us in east Texas are quite saddened about hearing of 's death and pray for her soul and her family. Don, Tyler PS. What a month of terrible losses for EMS personnel. I don't remember so many in such a short time. >>> " ette " 05/02/07 12:27 PM >>> It is with great sorrow that we post this announcement regarding the loss of another one of our EMS family. Lyons Holland, a founding member of North Bosque EMS- Meridian, Texas passed away yesterday, May 1, 2007 after a short illness. When the hospital in Meridian discontinued the ambulance service for the northern part of Bosque County, was the major factor in establishing a volunteer service for the citizens in that area. She then became instrumental in establishing a county wide service, when the provider for the southern area of Bosque County left. will be remembered for her ever present smile, her strength and encouragement. is and will always be the Mother of North Bosque EMS. Please remember her family and coworkers in their time of grief. Polli RN/LP Polli , RN/LP pwilliams@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2007 Report Share Posted May 2, 2007 We're past three though....I hope the rule of three isn't getting stretched out. >>> 05/02/07 3:26 PM >>> My Mother had a thing about " things in threes " I use to think she was crazy but as I age I see her wisdom and, yes Don it does seem sad in EMS lately. Maybe if Mom was right we shall get good news for a change in the future? RIP . Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) (IFW/TFW/FSS Office) (IFW/TFW/FSS Fax) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) 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. ************************************** See what's free at http://www.aol.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2007 Report Share Posted May 2, 2007 My thoughts are with all the familys and friends that have suffered a loss recently. Renny > > We're past three though....I hope the rule of three isn't getting stretched out. > > >>> 05/02/07 3:26 PM >>> > My Mother had a thing about " things in threes " I use to think she was crazy > but as I age I see her wisdom and, yes Don it does seem sad in EMS lately. > Maybe if Mom was right we shall get good news for a change in the future? > > RIP . > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/EMSI > Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant > LNMolino@... > > (Cell Phone) > (IFW/TFW/FSS Office) > (IFW/TFW/FSS Fax) > > " A Texan with a Jersey Attitude " > > " Great minds discuss ideas; Average minds discuss events; Small minds > discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) > > 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. > > > > ************************************** See what's free at http://www.aol.com. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2007 Report Share Posted May 3, 2007 We have lost so many of those who have made a difference in these recent weeks. I extend my prayers and condolences to everyone who knew her. Barry McClung, EMT-P Quote Link to comment Share on other sites More sharing options...
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