Guest guest Posted September 24, 2010 Report Share Posted September 24, 2010 While there are wound closing protocols that have been developed with input from the Wilderness Medical Society, and military medics may be authorized to do wound closures under the supervision of PAs or physicians, I don't know of any in general use for the run of the mill field medic under normal circumstances. ck In a message dated 09/24/10 13:01:21 Central Daylight Time, hfillingim@... writes: -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 does anyone have a protocol for wound closure using steri strips and if so would you share? we are developing a protocol for this and i would like to see one that is already in use to use as a guideline. thanks ht - -- H.T. Fillingim, BS CCEMTP EMS Director, Fisher County Hospital District EMS -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.8 (MingW32) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ iEYEARECAAYFAkyc52AACgkQ+YfPGVMPm9x12gCfTmwD/b5UNvm6wCxbDrh/IkNW 5mEAn3BoqfNYj9BXzqHPT5TPmfHer7rT =vC4z -----END PGP SIGNATURE----- ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 25, 2010 Report Share Posted September 25, 2010 HT, what are you needing this for? Are your medics going to start doing wound closure and non-transport? This is an interesting concept. GG Re: steri strip protocol While there are wound closing protocols that have been developed with input from the Wilderness Medical Society, and military medics may be authorized to do wound closures under the supervision of PAs or physicians, I don't know of any in general use for the run of the mill field medic under normal circumstances. ck In a message dated 09/24/10 13:01:21 Central Daylight Time, hfillingim@... writes: -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 does anyone have a protocol for wound closure using steri strips and if so would you share? we are developing a protocol for this and i would like to see one that is already in use to use as a guideline. thanks ht - -- H.T. Fillingim, BS CCEMTP EMS Director, Fisher County Hospital District EMS -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.8 (MingW32) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ iEYEARECAAYFAkyc52AACgkQ+YfPGVMPm9x12gCfTmwD/b5UNvm6wCxbDrh/IkNW 5mEAn3BoqfNYj9BXzqHPT5TPmfHer7rT =vC4z -----END PGP SIGNATURE----- ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 25, 2010 Report Share Posted September 25, 2010 HT, what are you needing this for? Are your medics going to start doing wound closure and non-transport? This is an interesting concept. GG Re: steri strip protocol While there are wound closing protocols that have been developed with input from the Wilderness Medical Society, and military medics may be authorized to do wound closures under the supervision of PAs or physicians, I don't know of any in general use for the run of the mill field medic under normal circumstances. ck In a message dated 09/24/10 13:01:21 Central Daylight Time, hfillingim@... writes: -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 does anyone have a protocol for wound closure using steri strips and if so would you share? we are developing a protocol for this and i would like to see one that is already in use to use as a guideline. thanks ht - -- H.T. Fillingim, BS CCEMTP EMS Director, Fisher County Hospital District EMS -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.8 (MingW32) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ iEYEARECAAYFAkyc52AACgkQ+YfPGVMPm9x12gCfTmwD/b5UNvm6wCxbDrh/IkNW 5mEAn3BoqfNYj9BXzqHPT5TPmfHer7rT =vC4z -----END PGP SIGNATURE----- ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2010 Report Share Posted September 26, 2010 : selection of wounds to close, selection of closure methods and selection of wound cleansing methods are indeed included in the guidelines that I referenced. additionally, based on the experience of many folks responding to mass casualty events under austere circumstances, most wounds do fine for 48 to 72 hours with just basic cleansing and proper dressing application, followed by a relatively simple repeat cleansing, simple debridement and delayed primary closure. Interestingly enough, the cleansing and closure can be done under clean, rather than true aseptic conditions with good results. I can provide references to anyone who is expecting to practice in those kinds of situations, but the International Committee of the Red Cross/Crescent societies (_www.ICRC.org_ (http://www.ICRC.org) ) is a good place to start, as is Doctors without Borders (_www.msf.org_ (http://www.msf.org) ). ck In a message dated 09/26/10 12:59:58 Central Daylight Time, txladymedic@... writes: You might want to include guidelines for the proper cleaning of the wound prior to doing wound closure even if you are just doing it with steri-strips. I am with Doc Krin on this one...I've seen protocols for military and remote duty medics but I've never seen it for regular medics. > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... writes: > > -----BEGIN PGP SIGNED MESSAGE----- > Hash: SHA1 > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht > - -- > H.T. Fillingim, BS CCEMTP > EMS Director, Fisher County Hospital District EMS > -----BEGIN PGP SIGNATURE----- > Version: GnuPG v1.4.8 (MingW32) > Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ > > iEYEARECAAYFAkyc52AACgkQ+YfPGVMPm9x12gCfTmwD/b5UNvm6wCxbDrh/IkNW > 5mEAn3BoqfNYj9BXzqHPT5TPmfHer7rT > =vC4z > -----END PGP SIGNATURE----- > > > ------------------------------------ > > Yahoo! Groups Links > > > > > > > [Non-text portions of this message have been removed] > ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2010 Report Share Posted September 26, 2010 You might want to include guidelines for the proper cleaning of the wound prior to doing wound closure even if you are just doing it with steri-strips. I am with Doc Krin on this one...I've seen protocols for military and remote duty medics but I've never seen it for regular medics. > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... writes: > > -----BEGIN PGP SIGNED MESSAGE----- > Hash: SHA1 > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht > - -- > H.T. Fillingim, BS CCEMTP > EMS Director, Fisher County Hospital District EMS > -----BEGIN PGP SIGNATURE----- > Version: GnuPG v1.4.8 (MingW32) > Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ > > iEYEARECAAYFAkyc52AACgkQ+YfPGVMPm9x12gCfTmwD/b5UNvm6wCxbDrh/IkNW > 5mEAn3BoqfNYj9BXzqHPT5TPmfHer7rT > =vC4z > -----END PGP SIGNATURE----- > > > ------------------------------------ > > Yahoo! Groups Links > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2010 Report Share Posted September 26, 2010 You might want to include guidelines for the proper cleaning of the wound prior to doing wound closure even if you are just doing it with steri-strips. I am with Doc Krin on this one...I've seen protocols for military and remote duty medics but I've never seen it for regular medics. > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... writes: > > -----BEGIN PGP SIGNED MESSAGE----- > Hash: SHA1 > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht > - -- > H.T. Fillingim, BS CCEMTP > EMS Director, Fisher County Hospital District EMS > -----BEGIN PGP SIGNATURE----- > Version: GnuPG v1.4.8 (MingW32) > Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ > > iEYEARECAAYFAkyc52AACgkQ+YfPGVMPm9x12gCfTmwD/b5UNvm6wCxbDrh/IkNW > 5mEAn3BoqfNYj9BXzqHPT5TPmfHer7rT > =vC4z > -----END PGP SIGNATURE----- > > > ------------------------------------ > > Yahoo! Groups Links > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2010 Report Share Posted September 26, 2010 -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 i should have been more clear....we have several assisted living homes in our immediate area and have a large number of senior citizens in our county. we have numerous calls for skin tears from these patients. we usually dont tranport these calls.( the patients refuse transport) my medical director wants to at least clean, steri strip and dress these wounds with a recommended followup the next day in the clinic. most patients dont want to pay for an ambulance ride-about a hundred yards for most calls-then pay for an er visit where they receive steri strips and are sent home. this protocol will not be used for lacerations...only minor skin tears, of course, we will train for what skin tears are treatable by steri strips and what requires more aggressive treatment-a trip to the er. interestingly enough, the reason for this approach is numerous family members asking why ems cant steri strip in the field and not transport the patient and why they cannot followup the next day in the clinic. clinic costs are usually 20.00 and the er is hundreds. also, our call volume is low and would not tie up a unit and interfere with our responses. we are trying to adjust to our changing prehospital world! our medical director feels this effort to be more beneficial than harmful. one other factor...ours is a hospital district so folks are paying taxes for a service... i appreciate everyone's comments and suggestions. ht Wegandy wrote: > > > HT, what are you needing this for? Are your medics going to start doing > wound closure and non-transport? > > This is an interesting concept. > > GG > > Re: steri strip protocol > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or > physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... writes: > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht - ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2010 Report Share Posted September 26, 2010 HT, Makes perfect sense. Good luck. Gene Re: steri strip protocol > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or > physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... ; writes: > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht - ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2010 Report Share Posted September 27, 2010 ok...sounds reasonable. One Old Doctor's basic skin tear protocol: 1. Appropriate blood/body fluid protection for the medic. 2. Assess patient's medications and alcohol history- if the patient is on high dose aspirin or any other medications (including alcohol) that result in clotting problems, STRONGLY consider for transport 3. Check for any bleeding vessels- if found, consider for transport 4. Check for any muscle damage- if found, consider for transport (most of these older folks will have no subcutaneous tissue, which is part of the reason their skin tears so easily) 5. Check for any NEW loss of sensation- if found, STRONGLY consider for transport (this is an unusual finding in simple skin tears) 6. Cleanse wound with clean water (tap water is adequate) and Shur-Cleanse or other mild cleansing solution- Povidone/Iodine or peroxide solutions are not recommended in these cases, as they may impede wound healing. Make sure that you clean the underside of the flap as well, and carefully remove any clots noted. If bleeding vessels are noted after cleansing, consider for transport. 7. Pat the area dry with sterile gauze. 8. Using cotton tipped swabs, tease the skin edges back into alignment. If a gap larger than 1/2 inch (12 mm) is present, consider for transport. 9. Using 1/4 inch wide SteriStrips cut to an appropriate length (these are generally 3 inches long, and that's often too long for use on smaller limbs), secure the skin edges in good approximation, applying the strip to the loose skin edge first, and then gently stretching the strip across to the intact edge of the skin, being careful not to overlap the skin edges. 10. Apply a Telfa type non stick pad over the wound, followed by several layers of gauze pads. 11. Secure the dressing with several wraps of Kerlex type roller gauze, followed by careful taping with paper type tape. 12. Insure that the patient will have transportation for a clinic follow up in the next 48 to 72 hours- interestingly enough, it's often better for healing to not disturb the wound for at least 48 hours after application. This will take quite a bit of confidence in the capabilities of the paramedic on the part of the Medical Director, and the Med Director will need to get *all* of the local docs who have patients at these facilities involved in the program. All points marked as 'consider for transport,' are ones that might indicate the chance of complications from basic field treatment or the need for more advanced evaluation of the case. xk In a message dated 09/26/10 22:13:55 Central Daylight Time, hfillingim@... writes: -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 i should have been more clear....we have several assisted living homes in our immediate area and have a large number of senior citizens in our county. we have numerous calls for skin tears from these patients. we usually dont tranport these calls.( the patients refuse transport) my medical director wants to at least clean, steri strip and dress these wounds with a recommended followup the next day in the clinic. most patients dont want to pay for an ambulance ride-about a hundred yards for most calls-then pay for an er visit where they receive steri strips and are sent home. this protocol will not be used for lacerations...only minor skin tears, of course, we will train for what skin tears are treatable by steri strips and what requires more aggressive treatment-a trip to the er. interestingly enough, the reason for this approach is numerous family members asking why ems cant steri strip in the field and not transport the patient and why they cannot followup the next day in the clinic. clinic costs are usually 20.00 and the er is hundreds. also, our call volume is low and would not tie up a unit and interfere with our responses. we are trying to adjust to our changing prehospital world! our medical director feels this effort to be more beneficial than harmful. one other factor...ours is a hospital district so folks are paying taxes for a service... i appreciate everyone's comments and suggestions. ht Wegandy wrote: > > > HT, what are you needing this for? Are your medics going to start doing > wound closure and non-transport? > > This is an interesting concept. > > GG > > -----Original Message----- > From: krin135@... > To: texasems-l > Sent: Fri, Sep 24, 2010 11:08 am > Subject: Re: steri strip protocol > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or > physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... writes: > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht - ------------------------------------ Yahoo! Groups Links [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] - -- H.T. Fillingim, BS CCEMTP EMS Director, Fisher County Hospital District EMS -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.8 (MingW32) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ iEYEARECAAYFAkygC90ACgkQ+YfPGVMPm9yBDACeKKAYM8FWkGmDcQ6bfAJeP8wf T9wAmgIlYjxpb3yyQbVvo7656mWIp6ee =Suqa -----END PGP SIGNATURE----- ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2010 Report Share Posted September 27, 2010 I also think that your plan makes sense, H.T. I have often wondered why we didn't find ways to do more of this sort of thing to avoid having to incur thousands of dollars in transport and emergency care bills for something minor such as this. We have been having an interesting discussion in one of my degree classes about expanding the scope of EMS. There are some areas of the U.S. with wide rural bases that have already stepped into training their Paramedics to do something very close to home health evaluations and assistance. This is being patterned after some projects in a couple of other countries that seems to be very successful so far in reducing overall costs while modifying EMS into a different animal to adjust, as you said, to a " changing prehospital world. " The National Rural Health Association (NRHA), the National Organization of State Offices of Rural Health (NOSORH), and the National Association of State EMS Officials (NASEMSO) created " The Rural and Frontier EMS Agenda for the Future " containing recommendations for integrating EMS personnel into the rural healthcare environment in more than just a 911 role. The state EMS offices of rural Minnesota and Nebraska have already begun moving in this direction apparently. Their models of mixing ambulance work with public health system work is allowing them to review ways to find funding sources from other sorts of healthcare reimbursement programs. Systems such as this may prove to be the answer to the upcoming crush on the healthcare system when everyone gets " free " healthcare and existing hospitals and physicians offices are overloaded even more than they currently are in the existing healthcare environment. Another student in our program said that Medstar in the City of Fort Worth has also started working on a system that evaluates " frequent flyers " and such to minimize abuse of the EMS for things that really don't need to be transported and supposedly has been having good success. While this is all loosely related to what your original question to the list was, I think it raises a good discussion. Folks from Fortn Worth, would you share what it is you are doing and how that is working out for you? Jane Dinsmore To: texasems-l From: wegandy@... Date: Mon, 27 Sep 2010 00:39:03 -0400 Subject: Re: steri strip protocol HT, Makes perfect sense. Good luck. Gene Re: steri strip protocol > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or > physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... ; writes: > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht - ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2010 Report Share Posted October 4, 2010 hmmm...must be a burp in the system. I'm pretty sure that I sent this out a week ago. ck In a message dated 10/03/10 22:18:13 Central Daylight Time, krin135@... writes: ok...sounds reasonable. One Old Doctor's basic skin tear protocol: 1. Appropriate blood/body fluid protection for the medic. 2. Assess patient's medications and alcohol history- if the patient is on high dose aspirin or any other medications (including alcohol) that result in clotting problems, STRONGLY consider for transport 3. Check for any bleeding vessels- if found, consider for transport 4. Check for any muscle damage- if found, consider for transport (most of these older folks will have no subcutaneous tissue, which is part of the reason their skin tears so easily) 5. Check for any NEW loss of sensation- if found, STRONGLY consider for transport (this is an unusual finding in simple skin tears) 6. Cleanse wound with clean water (tap water is adequate) and Shur-Cleanse or other mild cleansing solution- Povidone/Iodine or peroxide solutions are not recommended in these cases, as they may impede wound healing. Make sure that you clean the underside of the flap as well, and carefully remove any clots noted. If bleeding vessels are noted after cleansing, consider for transport. 7. Pat the area dry with sterile gauze. 8. Using cotton tipped swabs, tease the skin edges back into alignment. If a gap larger than 1/2 inch (12 mm) is present, consider for transport. 9. Using 1/4 inch wide SteriStrips cut to an appropriate length (these are generally 3 inches long, and that's often too long for use on smaller limbs), secure the skin edges in good approximation, applying the strip to the loose skin edge first, and then gently stretching the strip across to the intact edge of the skin, being careful not to overlap the skin edges. 10. Apply a Telfa type non stick pad over the wound, followed by several layers of gauze pads. 11. Secure the dressing with several wraps of Kerlex type roller gauze, followed by careful taping with paper type tape. 12. Insure that the patient will have transportation for a clinic follow up in the next 48 to 72 hours- interestingly enough, it's often better for healing to not disturb the wound for at least 48 hours after application. This will take quite a bit of confidence in the capabilities of the paramedic on the part of the Medical Director, and the Med Director will need to get *all* of the local docs who have patients at these facilities involved in the program. All points marked as 'consider for transport,' are ones that might indicate the chance of complications from basic field treatment or the need for more advanced evaluation of the case. xk In a message dated 09/26/10 22:13:55 Central Daylight Time, hfillingim@... writes: -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 i should have been more clear....we have several assisted living homes in our immediate area and have a large number of senior citizens in our county. we have numerous calls for skin tears from these patients. we usually dont tranport these calls.( the patients refuse transport) my medical director wants to at least clean, steri strip and dress these wounds with a recommended followup the next day in the clinic. most patients dont want to pay for an ambulance ride-about a hundred yards for most calls-then pay for an er visit where they receive steri strips and are sent home. this protocol will not be used for lacerations...only minor skin tears, of course, we will train for what skin tears are treatable by steri strips and what requires more aggressive treatment-a trip to the er. interestingly enough, the reason for this approach is numerous family members asking why ems cant steri strip in the field and not transport the patient and why they cannot followup the next day in the clinic. clinic costs are usually 20.00 and the er is hundreds. also, our call volume is low and would not tie up a unit and interfere with our responses. we are trying to adjust to our changing prehospital world! our medical director feels this effort to be more beneficial than harmful. one other factor...ours is a hospital district so folks are paying taxes for a service... i appreciate everyone's comments and suggestions. ht Wegandy wrote: > > > HT, what are you needing this for? Are your medics going to start doing > wound closure and non-transport? > > This is an interesting concept. > > GG > > -----Original Message----- > From: krin135@... > To: texasems-l > Sent: Fri, Sep 24, 2010 11:08 am > Subject: Re: steri strip protocol > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or > physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... writes: > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht - ------------------------------------ Yahoo! Groups Links [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] - -- H.T. Fillingim, BS CCEMTP EMS Director, Fisher County Hospital District EMS -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.8 (MingW32) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ iEYEARECAAYFAkygC90ACgkQ+YfPGVMPm9yBDACeKKAYM8FWkGmDcQ6bfAJeP8wf T9wAmgIlYjxpb3yyQbVvo7656mWIp6ee =Suqa -----END PGP SIGNATURE----- ------------------------------------ Yahoo! Groups Links [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2010 Report Share Posted October 4, 2010 Thanks, late or not this great info!!! It will be very helpful. Ht Sent via BlackBerry by AT&T Re: steri strip protocol > > While there are wound closing protocols that have been developed with input > from the Wilderness Medical Society, and military medics may be > authorized to do wound closures under the supervision of PAs or > physicians, I don't > know of any in general use for the run of the mill field medic under normal > circumstances. > > > > ck > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > hfillingim@... writes: > > does anyone have a protocol for wound closure using steri strips and if > so would you share? we are developing a protocol for this and i would > like to see one that is already in use to use as a guideline. thanks ht - ------------------------------------ Yahoo! Groups Links [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] - -- H.T. Fillingim, BS CCEMTP EMS Director, Fisher County Hospital District EMS -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.8 (MingW32) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org/ iEYEARECAAYFAkygC90ACgkQ+YfPGVMPm9yBDACeKKAYM8FWkGmDcQ6bfAJeP8wf T9wAmgIlYjxpb3yyQbVvo7656mWIp6ee =Suqa -----END PGP SIGNATURE----- ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2011 Report Share Posted January 11, 2011 Jane, Someone just directed me to this posting today. Wow....I'm behind! Anyhow, did you ever receive an answer to your question regarding MedStar's Advanced Practice Paramedic/Community Health Paramedic program? If not, let me know. I'd be happy to answer questions you may have, or direct you to someone that can! Macara Trusty MedStar EMS Ft. Worth, TX > > > > > > HT, what are you needing this for? Are your medics going to start doing > > wound closure and non-transport? > > > > This is an interesting concept. > > > > GG > > > > Re: steri strip protocol > > > > While there are wound closing protocols that have been developed with input > > from the Wilderness Medical Society, and military medics may be > > authorized to do wound closures under the supervision of PAs or > > physicians, I don't > > know of any in general use for the run of the mill field medic under normal > > circumstances. > > > > > > > > ck > > > > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > > hfillingim@... ; writes: > > > > does anyone have a protocol for wound closure using steri strips and if > > so would you share? we are developing a protocol for this and i would > > like to see one that is already in use to use as a guideline. thanks ht > > - ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2011 Report Share Posted January 11, 2011 Jane, Someone just directed me to this posting today. Wow....I'm behind! Anyhow, did you ever receive an answer to your question regarding MedStar's Advanced Practice Paramedic/Community Health Paramedic program? If not, let me know. I'd be happy to answer questions you may have, or direct you to someone that can! Macara Trusty MedStar EMS Ft. Worth, TX > > > > > > HT, what are you needing this for? Are your medics going to start doing > > wound closure and non-transport? > > > > This is an interesting concept. > > > > GG > > > > Re: steri strip protocol > > > > While there are wound closing protocols that have been developed with input > > from the Wilderness Medical Society, and military medics may be > > authorized to do wound closures under the supervision of PAs or > > physicians, I don't > > know of any in general use for the run of the mill field medic under normal > > circumstances. > > > > > > > > ck > > > > > > In a message dated 09/24/10 13:01:21 Central Daylight Time, > > hfillingim@... ; writes: > > > > does anyone have a protocol for wound closure using steri strips and if > > so would you share? we are developing a protocol for this and i would > > like to see one that is already in use to use as a guideline. thanks ht > > - ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
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