Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, bbledsoe@... writes: How do you assure the paramedic does not inhale some of the drug? I'll bet OSHA would have a bovine delivery over this one. Why? We already have albuterol and nitro sprays and other drugs delivered via " aerosol " routes so you're not introducing a " new " hazard to the workplace. Besides in the course of blow by oxygen everyone in the back of the truck is " exposed " to that " drug " . <VBG> Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant Buddhist philosopher at-large LNMolino@... (Cell Phone) (Home 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 We have been using Atomized versed as the first drug of choice for status Sz for over a year now. It is delivered nasally using a MAD device that attaches with a luer-slip to a 1 or 3 cc syringe. Since it is inserted into a nare and delivered there is no risk of the EMS crew inhaling it--Unless the medics pulls a ny and Roy and disperses it in the air. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 True story: Medic gets toned out at 0310 on a chest pain. Jumps up from a deep sleep. Reaches into his pocked for the Binaca, but instead he grabs the canister of NTG that he had absent mindedly left in his pocket. One blast of NTG and things went South for a few minutes. GG > > Yes we have albuterol, oxygen and nitro. But let me ask you this, have > you never had an incident where you have gotten a little (although > minute) NTG while spraying it into a pt's mouth? Personally, I have > seen it, so if this happens to your medic what happens then. But hey, > most places still go by that old stand by rule of zero tolerance and > dont believe in second hand exposure to drugs by inhalation. > > Re: atomized Versed > > > > > > In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, > > bbledsoe@... <mailto:bbledsoe%mailto:bbledmai> > writes: > > How do you assure the paramedic does not inhale some of the > drug? I'll bet > OSHA would have a bovine delivery over this one. > > Why? > > We already have albuterol and nitro sprays and other drugs > delivered via > " aerosol " routes so you're not introducing a " new " hazard to the > workplace. > > Besides in the course of blow by oxygen everyone in the back of > the truck is > " exposed " to that " drug " . <VBG> > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/ FF/ > Freelance Consultant/Trainer/ Freelance Cons Freelance Consul > Consultant > Buddhist philosopher at-large > LNMolino@... <mailto:LNMolino%mailto:LN> > > (Cell Phone) > (Home 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 Is that the one with the coloring book supplement? <GRIN> -Wes In a message dated 1/28/2007 12:09:57 AM Central Standard Time, bbledsoe@... writes: That is what you get for reading the Mosby book. _____ From: _texasems-l@yahoogrotexasem_ (mailto:texasems-l ) [mailto:_texasems-l@yahoogrotexasem_ (mailto:texasems-l ) ] On Behalf Of D.E. (Donn) Sent: Saturday, January 27, 2007 11:54 PM To: _texasems-l@yahoogrotexasem_ (mailto:texasems-l ) Subject: RE: atomized Versed NTG side effect = gastronomic euphoria? Interesting. Haven't seen that in any of the texts. Donn Re: atomized Versed > > > > > > In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, > > bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%mailto:bbledmai> bbl <mailto:bbledsoe%mailto:bbledsoe> > writes: > > How do you assure the paramedic does not inhale some of the > drug? I'll bet > OSHA would have a bovine delivery over this one. > > Why? > > We already have albuterol and nitro sprays and other drugs > delivered via > " aerosol " routes so you're not introducing a " new " hazard to the > workplace. > > Besides in the course of blow by oxygen everyone in the back of > the truck is > " exposed " to that " drug " . <VBG> > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/ FF/ > Freelance Consultant/Trainer/ Freelance Cons Freelance Consul > Consultant > Buddhist philosopher at-large > LNMolino (AT) aol (DOT) <mailto:LNMolino%mailto:LN> LNM <mailto:LNMolino%mailto:LN> > > (Cell Phone) > (Home 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 This approach is new news to me but I can understand how it would work. Would like to here either here or offline what type of success you have had with it and what if any documentation is out on it. This may be something I can bring up to my EMS Officer and my Medical Director Quinten Firefighter/EMT-LP What do you think of Etomidate? Hello Group. I would like to know from those of you that use Etomidate, how you feel about it. I am researching it for use in our system and am currently looking at the benefits and complications of this drug. Yes, I have researched it in studies, pharm books, physician drug and emergency books but...I would like to hear from paramedics and EMS physicians concerning their thoughts and experiences from its application. I also would like to know all applications that you have utilized it besides the obvious pharm assisted intubation. Do you utilize it in other applications? Thanks for your help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 How do you assure the paramedic does not inhale some of the drug? I'll bet OSHA would have a bovine delivery over this one. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Quinten Sent: Saturday, January 27, 2007 7:33 PM To: texasems-l Subject: atomized Versed This approach is new news to me but I can understand how it would work. Would like to here either here or offline what type of success you have had with it and what if any documentation is out on it. This may be something I can bring up to my EMS Officer and my Medical Director Quinten Firefighter/EMT-LP What do you think of Etomidate? Hello Group. I would like to know from those of you that use Etomidate, how you feel about it. I am researching it for use in our system and am currently looking at the benefits and complications of this drug. Yes, I have researched it in studies, pharm books, physician drug and emergency books but...I would like to hear from paramedics and EMS physicians concerning their thoughts and experiences from its application. I also would like to know all applications that you have utilized it besides the obvious pharm assisted intubation. Do you utilize it in other applications? Thanks for your help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 Yes we have albuterol, oxygen and nitro. But let me ask you this, have you never had an incident where you have gotten a little (although minute) NTG while spraying it into a pt's mouth? Personally, I have seen it, so if this happens to your medic what happens then. But hey, most places still go by that old stand by rule of zero tolerance and dont believe in second hand exposure to drugs by inhalation. Re: atomized Versed In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, bbledsoe@... <mailto:bbledsoe%40earthlink.net> writes: How do you assure the paramedic does not inhale some of the drug? I'll bet OSHA would have a bovine delivery over this one. Why? We already have albuterol and nitro sprays and other drugs delivered via " aerosol " routes so you're not introducing a " new " hazard to the workplace. Besides in the course of blow by oxygen everyone in the back of the truck is " exposed " to that " drug " . <VBG> Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant Buddhist philosopher at-large LNMolino@... <mailto:LNMolino%40aol.com> (Cell Phone) (Home 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 Versed is a potent hypnotic. The others are stimulants. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of lnmolino@... Sent: Saturday, January 27, 2007 9:35 PM To: texasems-l Subject: Re: atomized Versed In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%40earthlink.net> net writes: How do you assure the paramedic does not inhale some of the drug? I'll bet OSHA would have a bovine delivery over this one. Why? We already have albuterol and nitro sprays and other drugs delivered via " aerosol " routes so you're not introducing a " new " hazard to the workplace. Besides in the course of blow by oxygen everyone in the back of the truck is " exposed " to that " drug " . <VBG> Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant Buddhist philosopher at-large LNMolino (AT) aol (DOT) <mailto:LNMolino%40aol.com> com (Cell Phone) (Home 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 You mean intranasal Versed. Atomized and inhaled is a different animal. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of fremsdallas@... Sent: Saturday, January 27, 2007 9:43 PM To: texasems-l Subject: Re: atomized Versed We have been using Atomized versed as the first drug of choice for status Sz for over a year now. It is delivered nasally using a MAD device that attaches with a luer-slip to a 1 or 3 cc syringe. Since it is inserted into a nare and delivered there is no risk of the EMS crew inhaling it--Unless the medics pulls a ny and Roy and disperses it in the air. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 What do you think of Etomidate? Hello Group. I would like to know from those of you that use Etomidate, how you feel about it. I am researching it for use in our system and am currently looking at the benefits and complications of this drug. Yes, I have researched it in studies, pharm books, physician drug and emergency books but...I would like to hear from paramedics and EMS physicians concerning their thoughts and experiences from its application. I also would like to know all applications that you have utilized it besides the obvious pharm assisted intubation. Do you utilize it in other applications? Thanks for your help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 As has Clive Fire/EMS in Iowa for a couple years now..same delivery method. Jules Re: atomized Versed We have been using Atomized versed as the first drug of choice for status Sz for over a year now. It is delivered nasally using a MAD device that attaches with a luer-slip to a 1 or 3 cc syringe. Since it is inserted into a nare and delivered there is no risk of the EMS crew inhaling it--Unless the medics pulls a ny and Roy and disperses it in the air. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 OOooops...I stand corrected...intranasal not atomized versed..Sorry Jules Re: atomized Versed We have been using Atomized versed as the first drug of choice for status Sz for over a year now. It is delivered nasally using a MAD device that attaches with a luer-slip to a 1 or 3 cc syringe. Since it is inserted into a nare and delivered there is no risk of the EMS crew inhaling it--Unless the medics pulls a ny and Roy and disperses it in the air. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 Actually, it is an issue and there has been some talk of banning it if air exchange rates cannot be maintained. This is the reason we do not have Penthrane inhalers in the United States. BEB _____ From: texasems-l [mailto:texasems-l ] On Behalf Of jkaymdc@... Sent: Saturday, January 27, 2007 10:02 PM To: texasems-l Subject: Re: atomized Versed What do you think of Etomidate? Hello Group. I would like to know from those of you that use Etomidate, how you feel about it. I am researching it for use in our system and am currently looking at the benefits and complications of this drug. Yes, I have researched it in studies, pharm books, physician drug and emergency books but...I would like to hear from paramedics and EMS physicians concerning their thoughts and experiences from its application. I also would like to know all applications that you have utilized it besides the obvious pharm assisted intubation. Do you utilize it in other applications? Thanks for your help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 How do you know if air exchange rates are not maintained? I know my training had nothing to do with worrying about the staff getting exposed. We administer nitrous with a neb set up...handheld by the patient. Jules What do you think of Etomidate? Hello Group. I would like to know from those of you that use Etomidate, how you feel about it. I am researching it for use in our system and am currently looking at the benefits and complications of this drug. Yes, I have researched it in studies, pharm books, physician drug and emergency books but...I would like to hear from paramedics and EMS physicians concerning their thoughts and experiences from its application. I also would like to know all applications that you have utilized it besides the obvious pharm assisted intubation. Do you utilize it in other applications? Thanks for your help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 I did not pursue the obvious contradiction in terms. If, indeed, you were " atomizing " midazolam, you would not be administering midazolam. You would be administering carbon, hydrogen, nitrogen, chlorine and assorted atoms. You are not even " molecularizing " midazolam--you are aerosolizing it. Am I a smart ass or what? BEB _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Hatfield Sent: Sunday, January 28, 2007 12:35 AM To: texasems-l Subject: RE: atomized Versed I take the heat for the semantic differences. What I mentioned should be " intranasal via the MAD " , not atomized. I think atomized has become somewhat of an accepted term given the delivery device. Re: atomized Versed We have been using Atomized versed as the first drug of choice for status Sz for over a year now. It is delivered nasally using a MAD device that attaches with a luer-slip to a 1 or 3 cc syringe. Since it is inserted into a nare and delivered there is no risk of the EMS crew inhaling it--Unless the medics pulls a ny and Roy and disperses it in the air. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 If the ambulances meet the latest KKK-1822-E guidelines then it should be OK. It is a problem right now in Oz and New Zealand. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of jkaymdc@... Sent: Saturday, January 27, 2007 10:43 PM To: texasems-l Subject: Re: atomized Versed How do you know if air exchange rates are not maintained? I know my training had nothing to do with worrying about the staff getting exposed. We administer nitrous with a neb set up...handheld by the patient. Jules What do you think of Etomidate? Hello Group. I would like to know from those of you that use Etomidate, how you feel about it. I am researching it for use in our system and am currently looking at the benefits and complications of this drug. Yes, I have researched it in studies, pharm books, physician drug and emergency books but...I would like to hear from paramedics and EMS physicians concerning their thoughts and experiences from its application. I also would like to know all applications that you have utilized it besides the obvious pharm assisted intubation. Do you utilize it in other applications? Thanks for your help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 I ordered 1 " of NTG paste for a CHF patient. Nursing student put 2 " . No problem. She simply wiped 1 " away with her index finger. Then came God's own headache, diaphoresis, near-syncope-similar to what happens after a taste of ' co-called Chili. BEB _____ From: texasems-l [mailto:texasems-l ] On Behalf Of wegandy1938@... Sent: Saturday, January 27, 2007 10:48 PM To: kenneth.dempsey@...; texasems-l Subject: Re: atomized Versed True story: Medic gets toned out at 0310 on a chest pain. Jumps up from a deep sleep. Reaches into his pocked for the Binaca, but instead he grabs the canister of NTG that he had absent mindedly left in his pocket. One blast of NTG and things went South for a few minutes. GG In a message dated 1/27/07 9:47:25 PM, kenneth.dempsey@ <mailto:kenneth.dempsey%40uhs-sa.com> uhs-sa.com writes: > > Yes we have albuterol, oxygen and nitro. But let me ask you this, have > you never had an incident where you have gotten a little (although > minute) NTG while spraying it into a pt's mouth? Personally, I have > seen it, so if this happens to your medic what happens then. But hey, > most places still go by that old stand by rule of zero tolerance and > dont believe in second hand exposure to drugs by inhalation. > > Re: atomized Versed > > > > > > In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, > > bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%40earthlink.bbl> bbl <mailto:bbledsoe%mailto:bbledmai> > writes: > > How do you assure the paramedic does not inhale some of the > drug? I'll bet > OSHA would have a bovine delivery over this one. > > Why? > > We already have albuterol and nitro sprays and other drugs > delivered via > " aerosol " routes so you're not introducing a " new " hazard to the > workplace. > > Besides in the course of blow by oxygen everyone in the back of > the truck is > " exposed " to that " drug " . <VBG> > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/ FF/ > Freelance Consultant/Trainer/ Freelance Cons Freelance Consul > Consultant > Buddhist philosopher at-large > LNMolino (AT) aol (DOT) <mailto:LNMolino%40aol.LNM> LNM <mailto:LNMolino%mailto:LN> > > (Cell Phone) > (Home 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 Dang, I miss ' chili, and your strange concoction that you call chili. Tom Re: atomized Versed > > > > > > In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, > > bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe% 40earthlink. bbl> bbl <mailto:bbledsoe% mailto:bbledmai> > writes: > > How do you assure the paramedic does not inhale some of the > drug? I'll bet > OSHA would have a bovine delivery over this one. > > Why? > > We already have albuterol and nitro sprays and other drugs > delivered via > " aerosol " routes so you're not introducing a " new " hazard to the > workplace. > > Besides in the course of blow by oxygen everyone in the back of > the truck is > " exposed " to that " drug " . <VBG> > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/ FF/ > Freelance Consultant/Trainer/ Freelance Cons Freelance Consul > Consultant > Buddhist philosopher at-large > LNMolino (AT) aol (DOT) <mailto:LNMolino% 40aol.LNM> LNM <mailto:LNMolino% mailto:LN> > > (Cell Phone) > (Home 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 While all of you are beating Mike up for the nomenclature glitch, how many of you are still giving albuterol by conventional means? The RT's have caught on to the number of their industry that have grown so tolerant of the meds they use, based on standing around inhaling the blowby off a neb, that the same meds will often not work for them when they require treatment. The back of your truck is smaller that most treatment areas. With three asthmatics in a small service we started the search for a better way. The first unit we found should have had NCC-1701 painted on the side of the thing (it was about a foot long and looked like the Starship Enterprise). We now use a smaller, cheaper BAN (Breath Activated Nebulizer) that we get from Tri-anim. Patient gets all of the updraft, instead of sharing half of it with you. (And they don't think you are coming at them with an alien probe!) Vernon Gresham Ganado EMS Re: atomized Versed > > > > > > In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, > > bbledsoe@... <mailto:bbledsoe%mailto:bbledmai> > writes: > > How do you assure the paramedic does not inhale some of the > drug? I'll bet > OSHA would have a bovine delivery over this one. > > Why? > > We already have albuterol and nitro sprays and other drugs > delivered via > " aerosol " routes so you're not introducing a " new " hazard to the > workplace. > > Besides in the course of blow by oxygen everyone in the back of > the truck is > " exposed " to that " drug " . <VBG> > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/ FF/ > Freelance Consultant/Trainer/ Freelance Cons Freelance Consul > Consultant > Buddhist philosopher at-large > LNMolino@... <mailto:LNMolino%mailto:LN> > > (Cell Phone) > (Home 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 NTG side effect = gastronomic euphoria? Interesting. Haven't seen that in any of the texts. Donn Re: atomized Versed > > > > > > In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, > > bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%40earthlink.bbl> bbl <mailto:bbledsoe%mailto:bbledmai> > writes: > > How do you assure the paramedic does not inhale some of the > drug? I'll bet > OSHA would have a bovine delivery over this one. > > Why? > > We already have albuterol and nitro sprays and other drugs > delivered via > " aerosol " routes so you're not introducing a " new " hazard to the > workplace. > > Besides in the course of blow by oxygen everyone in the back of > the truck is > " exposed " to that " drug " . <VBG> > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/ FF/ > Freelance Consultant/Trainer/ Freelance Cons Freelance Consul > Consultant > Buddhist philosopher at-large > LNMolino (AT) aol (DOT) <mailto:LNMolino%40aol.LNM> LNM <mailto:LNMolino%mailto:LN> > > (Cell Phone) > (Home 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 That is what you get for reading the Mosby book. _____ From: texasems-l [mailto:texasems-l ] On Behalf Of D.E. (Donn) Sent: Saturday, January 27, 2007 11:54 PM To: texasems-l Subject: RE: atomized Versed NTG side effect = gastronomic euphoria? Interesting. Haven't seen that in any of the texts. Donn Re: atomized Versed > > > > > > In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, > > bbledsoe (AT) earthlink (DOT) <mailto:bbledsoe%40earthlink.bbl> bbl <mailto:bbledsoe%mailto:bbledmai> > writes: > > How do you assure the paramedic does not inhale some of the > drug? I'll bet > OSHA would have a bovine delivery over this one. > > Why? > > We already have albuterol and nitro sprays and other drugs > delivered via > " aerosol " routes so you're not introducing a " new " hazard to the > workplace. > > Besides in the course of blow by oxygen everyone in the back of > the truck is > " exposed " to that " drug " . <VBG> > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/ FF/ > Freelance Consultant/Trainer/ Freelance Cons Freelance Consul > Consultant > Buddhist philosopher at-large > LNMolino (AT) aol (DOT) <mailto:LNMolino%40aol.LNM> LNM <mailto:LNMolino%mailto:LN> > > (Cell Phone) > (Home 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. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 27, 2007 Report Share Posted January 27, 2007 I take the heat for the semantic differences. What I mentioned should be " intranasal via the MAD " , not atomized. I think atomized has become somewhat of an accepted term given the delivery device. Re: atomized Versed We have been using Atomized versed as the first drug of choice for status Sz for over a year now. It is delivered nasally using a MAD device that attaches with a luer-slip to a 1 or 3 cc syringe. Since it is inserted into a nare and delivered there is no risk of the EMS crew inhaling it--Unless the medics pulls a ny and Roy and disperses it in the air. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2007 Report Share Posted January 28, 2007 >>On Behalf Of Bledsoe, DO >>Am I a smart ass or what? >>BEB LMAO...ohhhhhhh, I shall not touch that one.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2007 Report Share Posted January 28, 2007 In a message dated 1/27/2007 9:37:06 PM Central Standard Time, lnmolino@... writes: In a message dated 1/27/2007 9:10:24 P.M. Central Standard Time, _bbledsoe@..._ (mailto:bbledsoe@...) writes: How do you assure the paramedic does not inhale some of the drug? I'll bet OSHA would have a bovine delivery over this one. Why? We already have albuterol and nitro sprays and other drugs delivered via " aerosol " routes so you're not introducing a " new " hazard to the workplace. Besides in the course of blow by oxygen everyone in the back of the truck is " exposed " to that " drug " . <VBG> has a good point here, and atomized Versed will probably fall under the same classification as Nitrous Oxide (which now requires an 'over board scavenging system' in place before it can be used in a confined space. ck S. Krin, DO FAAFP Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 28, 2007 Report Share Posted January 28, 2007 Probably both . . . " Bledsoe, DO " wrote: I did not pursue the obvious contradiction in terms. If, indeed, you were " atomizing " midazolam, you would not be administering midazolam. You would be administering carbon, hydrogen, nitrogen, chlorine and assorted atoms. You are not even " molecularizing " midazolam--you are aerosolizing it. Am I a smart ass or what? BEB _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Hatfield Sent: Sunday, January 28, 2007 12:35 AM To: texasems-l Subject: RE: atomized Versed I take the heat for the semantic differences. What I mentioned should be " intranasal via the MAD " , not atomized. I think atomized has become somewhat of an accepted term given the delivery device. Re: atomized Versed We have been using Atomized versed as the first drug of choice for status Sz for over a year now. It is delivered nasally using a MAD device that attaches with a luer-slip to a 1 or 3 cc syringe. Since it is inserted into a nare and delivered there is no risk of the EMS crew inhaling it--Unless the medics pulls a ny and Roy and disperses it in the air. Quote Link to comment Share on other sites More sharing options...
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