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,

Good question. This is an area of common confusion.

To begin, monopolar or bipolar placements are always only in one channel. I think you are confusing bipolar placement--an active and a reference electrode in one channel--with two-channel training--active and reference electrodes in two separate channels. You can combine two monopolars or two bipolars or a monopolar and a bipolar in two channels, but each channel must be either monopolar (referential) or bipolar (sequential).

Monopolar would be a montage in which the active lead was over an active EEG site (on the head), and the reference lead was over a relatively inert EEG site (e.g. the earlobe or the mastoid bone). A bipolar montage is one in which both active and reference leads are placed over active EEG sites. So Cz/A1 is monopolar. Cz/Fz is bipolar. It makes no difference where you place the ground, because the ground lead does not read EEG.

Whenever we measure EEG, we are measuring the difference between two sites. Our training machines are called "differential amplifiers" because they amplify the difference between the signal reported at one lead and the signal reported at the other. This does not actually mean that we are measuring exactly what is happening at, say, Fz and subtracting it from what is happening at Cz. What we actually measure is specific types of activity occurring between the two sites and the background signal from the whole head.

So a Cz/A1 placement in fact measures the activity occurring between the two sites. So does a Cz/Fz placement. If Jim wants to check this out scientifically, try this:

Put a lead at Fz, another at Cz and one at A1. Plug them in with Cz active, A1 reference and Fz ground (remember, it is not reading EEG). Take a look at the signal for a couple minutes, maybe one eyes open and one eyes closed. Then pause the data and switch the reference and ground leads. Now you have Cz/Fz with A1 as your ground. Gather another couple minutes. Unless you are working with an unusual head, you'll see very different signals in these two trials. Most likely you'll have much higher amplitudes in the first (monopolar) hookup at Cz/A1, because you are subtracting a relatively inactive site (the earlobe) from an active site. In the second (bipolar) hookup at Cz/Fz, you are subtracting an active EEG reading from another active EEG reading, so the difference should be smaller.

Hope this helps.

Pete

Training question

Hi Pete,

Jim and I have a different idea of what we were training, so I thought I'd ask you. When we train a site like CZ with reference to A1 and ground to A2, Jim says we are training only CZ. I say we are measuring and training the difference between CZ and A1 reference. Likewise, if we train CZ/FZ/A2, Jim says we are training only CZ, and I say we are training the difference between the area between CZ and FZ. He says you aren't training two areas or the difference between two unless you use a bi-polar placement. I say if you use bi-polar you are training two sides of the brain at the same time and the difference between the active and reference on both sides. Can you clarify this understanding for us. Thanks,

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  • 9 months later...

Dawn,

I think some people respond better to autothresholding than others. I personally don't. I'd suggest trying a manual and see if it works better.

Foxx

-----Original Message-----From: Dawn [mailto:spreck11@...] Sent: Monday, October 11, 2004 7:41 AM Subject: Training Question

I have a question about setting the thresholds for training in Bioexplorer. I'm doing a basic one channel, 1 reward (SMR), 2 inhibit (theta, hibeta) protocol. I was told to set the 2 inhibit channels to manual thresholds and let the reward channel autothreshold. With each session, I am slowly lowering the inhibit thresholds, but I am not getting very high amplitudes in the reward channel with the autothresholding, although I am getting a lot of positive feedback. Should I try setting a slightly higher manual threshold on the reward channel to make the sessions more challenging. Is there some reason why autothresholding is better in the reward channel?

Thanks,

Dawn M.

still struggling to get this hometraining right

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  • 3 years later...

Louis:

I have always employed the " run away concept " until the little bits stop

flying about, then put the fire out.

cheers

Wilf

Training question

Can anyone point me to any sites or for that matter providers of

helicopter emergency response training?

I have a client (Not BP) that is looking for chopper specific

crash/fire/rescue training but does not want a full blown ARFF course

like we have in the US.

Off list responses welcomed as well at LNMolino@...

Thanks.

--

Lou Molino, Sr.

FF/NREMT-B/FSI/EMSI

From the road in Baku some where ;)

979-412-0890 (Cell Phone)

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I would tend to agree with that very sound advice/concept...

Have a happy day:-)

Cheers

Sue

Sue-Ellen Wragge

Paramedic / Emergency Response Superintendent

Siguiri Gold Mine

Siguiri

Guinea

________________________________

From:

[mailto: ] On Behalf Of Wilf Mackie

Sent: 11 September 2008 10:32

Subject: Re: Training question

Louis:

I have always employed the " run away concept " until the little bits stop

flying about, then put the fire out.

cheers

Wilf

Training question

Can anyone point me to any sites or for that matter providers of

helicopter emergency response training?

I have a client (Not BP) that is looking for chopper specific

crash/fire/rescue training but does not want a full blown ARFF course

like we have in the US.

Off list responses welcomed as well at LNMolino@...

<mailto:LNMolino%40aol.com>

Thanks.

--

Lou Molino, Sr.

FF/NREMT-B/FSI/EMSI

From the road in Baku some where ;)

979-412-0890 (Cell Phone)

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This makes very much sense to me. I've only seen video of chopper crashes but

that's enough for me!

Louis N. Molino, Sr. FF/NREMT-B/FSI/EMSI

LNMolino@...

Sent via BlackBerry by AT & T

Re: Training question

Louis:

I have always employed the " run away concept " until the little bits stop

flying about, then put the fire out.

cheers

Wilf

Training question

Can anyone point me to any sites or for that matter providers of

helicopter emergency response training?

I have a client (Not BP) that is looking for chopper specific

crash/fire/rescue training but does not want a full blown ARFF course

like we have in the US.

Off list responses welcomed as well at LNMolino@...

Thanks.

--

Lou Molino, Sr.

FF/NREMT-B/FSI/EMSI

From the road in Baku some where ;)

979-412-0890 (Cell Phone)

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I think I got to close to seeing it happen twice yesterday.

Picture you being HLO, landing the chopper no worries. Pax, disembark and

you notice a pink fluid (transmission oil) leaking from the under carriage.

You tell the co-pilot who get's out, wipes the under cariage section

involved with his hankerchief gives you the thumbs up and get's back in the

chopper. You load the outgoing pax up the chopper lifts off and you can

actually see the leak in under carriage again.

1 hour later you stand on the heli deck again awaiting comms with the

chopper. Low and behold, the same chopper calls up. Yet again, you go

through the whole motions and point out this time, a much faster leak.

Again, thumbs up from the pilot and co-pilot.......

On Thu, Sep 11, 2008 at 11:17 PM, Louis N. Molino, Sr. <lnmolino@...>wrote:

> This makes very much sense to me. I've only seen video of chopper

> crashes but that's enough for me!

>

> Louis N. Molino, Sr. FF/NREMT-B/FSI/EMSI

> LNMolino@... <LNMolino%40aol.com>

> Sent via BlackBerry by AT & T

>

> Re: Training question

>

>

> Louis:

>

> I have always employed the " run away concept " until the little bits stop

> flying about, then put the fire out.

>

> cheers

> Wilf

>

> Training question

>

>

> Can anyone point me to any sites or for that matter providers of

> helicopter emergency response training?

>

> I have a client (Not BP) that is looking for chopper specific

> crash/fire/rescue training but does not want a full blown ARFF course

> like we have in the US.

>

> Off list responses welcomed as well at LNMolino@...<LNMolino%40aol.com>

>

> Thanks.

>

> --

> Lou Molino, Sr.

> FF/NREMT-B/FSI/EMSI

> From the road in Baku some where ;)

> 979-412-0890 (Cell Phone)

>

>

>

>

>

>

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  • 2 weeks later...

Ouch. I always respected chopper pilots.

Louis N. Molino, Sr. FF/nremt/FSI/EMSI

LNMolino@...

Sent via BlackBerry by AT & T

Re: Training question

>

>

> Louis:

>

> I have always employed the " run away concept " until the little bits stop

> flying about, then put the fire out.

>

> cheers

> Wilf

>

> Training question

>

>

> Can anyone point me to any sites or for that matter providers of

> helicopter emergency response training?

>

> I have a client (Not BP) that is looking for chopper specific

> crash/fire/rescue training but does not want a full blown ARFF course

> like we have in the US.

>

> Off list responses welcomed as well at LNMolino@...<LNMolino%40aol.com>

>

> Thanks.

>

> --

> Lou Molino, Sr.

> FF/NREMT-B/FSI/EMSI

> From the road in Baku some where ;)

> 979-412-0890 (Cell Phone)

>

>

>

>

>

>

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Hi Louis,

I would stand down the helo, and then have rig management

make a determination about the safety of the helo to fly. I loss some

good mates in a helo crash you don't want preventable deaths on your

watch.

Rgds,

Jim.

Crosby

KNR HSEC

Health Specialist

BHPBilliton

Rd, Kwinana, 6167, Australia

Mailto james.crosby@...

Internet http://www.bhpbilliton.com

<http://www.bhpbilliton.com/>

Phone +61 08 94390862

Mobile

Fax +61 08 94390146

________________________________

From:

[mailto: ] On Behalf Of Rundle

Sent: Saturday, 13 September 2008 16:29

Subject: Re: Training question

I think I got to close to seeing it happen twice yesterday.

Picture you being HLO, landing the chopper no worries. Pax, disembark

and

you notice a pink fluid (transmission oil) leaking from the under

carriage.

You tell the co-pilot who get's out, wipes the under cariage section

involved with his hankerchief gives you the thumbs up and get's back in

the

chopper. You load the outgoing pax up the chopper lifts off and you can

actually see the leak in under carriage again.

1 hour later you stand on the heli deck again awaiting comms with the

chopper. Low and behold, the same chopper calls up. Yet again, you go

through the whole motions and point out this time, a much faster leak.

Again, thumbs up from the pilot and co-pilot.......

On Thu, Sep 11, 2008 at 11:17 PM, Louis N. Molino, Sr. <lnmolino@...

<mailto:lnmolino%40aol.com> >wrote:

> This makes very much sense to me. I've only seen video of chopper

> crashes but that's enough for me!

>

> Louis N. Molino, Sr. FF/NREMT-B/FSI/EMSI

> LNMolino@... <mailto:LNMolino%40aol.com> <LNMolino%40aol.com>

> Sent via BlackBerry by AT & T

>

> Re: Training question

>

>

> Louis:

>

> I have always employed the " run away concept " until the little bits

stop

> flying about, then put the fire out.

>

> cheers

> Wilf

>

> Training question

>

>

> Can anyone point me to any sites or for that matter providers of

> helicopter emergency response training?

>

> I have a client (Not BP) that is looking for chopper specific

> crash/fire/rescue training but does not want a full blown ARFF course

> like we have in the US.

>

> Off list responses welcomed as well at LNMolino@...

<mailto:LNMolino%40aol.com> <LNMolino%40aol.com>

>

> Thanks.

>

> --

> Lou Molino, Sr.

> FF/NREMT-B/FSI/EMSI

> From the road in Baku some where ;)

> 979-412-0890 (Cell Phone)

>

>

>

>

>

>

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  • 2 years later...
Guest guest

This sounds odd as the Learn Direct

website still lists it

http://www.learndirect.co.uk/qualifications/nvq/healthandsocialcare/

Locally courses available are the Early

Years foundation degrees (2 years full time and 3 part time). Again I

think this would require placement at a nursery and working directly with

children and not only families.

The Next Steps appears to be a helpful

website

https://nextstep.direct.gov.uk/Pages/Home.aspx

From:

[mailto: ] On Behalf Of SARAH HUGHES

Sent: 06 April 2011 17:04

Subject: training

question

Dear Senate

I'm asking this on behalf of a

friend at work, who is an assistant to the health visitors (assistant

practitioner). She wants to do her NVQ level 3 in health and social care,

however has been told that this has now stopped. She is struggling to find any

alternative training locally.

Does anyone know anything that is

equivalent to the NVQ level 3 training to equip her in her job. She has

been told that for the nursery nurse qualification she would have to work in a

nursery so it wouldn't be suitable.

Thank you

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align=center>

No virus found in this message.

Checked by AVG - www.avg.com

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Checked by AVG - www.avg.com

Version: 10.0.1209 / Virus Database: 1500/3555 - Release Date: 04/06/11

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Guest guest

Hi Thank you, I will pass this on.Sent from my BlackBerry smartphone from Virgin MediaFrom: " Whittaker" <kwhittaker1@...>Sender: Date: Wed, 6 Apr 2011 18:29:44 +0100< >Reply Subject: RE: training question This sounds odd as the Learn Directwebsite still lists ithttp://www.learndirect.co.uk/qualifications/nvq/healthandsocialcare/ Locally courses available are the EarlyYears foundation degrees (2 years full time and 3 part time). Again Ithink this would require placement at a nursery and working directly withchildren and not only families. The Next Steps appears to be a helpfulwebsitehttps://nextstep.direct.gov.uk/Pages/Home.aspx From: [mailto: ] On Behalf Of SARAH HUGHESSent: 06 April 2011 17:04 Subject: trainingquestion Dear Senate I'm asking this on behalf of a friend at work, who is an assistant to the health visitors (assistantpractitioner). She wants to do her NVQ level 3 in health and social care,however has been told that this has now stopped. She is struggling to find anyalternative training locally.Does anyone know anything that isequivalent to the NVQ level 3 training to equip her in her job. She hasbeen told that for the nursery nurse qualification she would have to work in anursery so it wouldn't be suitable. Thank you size=1 width="100%" noshade color="#a0a0a0"align=center>No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1209 / Virus Database: 1500/3555 - Release Date: 04/06/11No virus found in this message.Checked by AVG - www.avg.comVersion: 10.0.1209 / Virus Database: 1500/3555 - Release Date: 04/06/11

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