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Hello

As far as I know there are no services in the PEMSS system which have the

kits available or at least I have never seen them. My guess would be that the

military units are probably going to be the only ones who have them. This is

something that few services really think about. Again my guess would be that

since we are not in the mideast or overseas that the threat is not high. NOT

a wise thought process but usually the barn door gets shut after the horses

are out.

Danny L.

Paramedic

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Question. What is the shelf life if these atropine and 2PAM chloride kits?

EMT-P

Nacogodhes County EMS

[] Chemical Terrorism

>Several days ago, after having read some posts on other lists, I asked

>about preparedness for chemical terrorism. I asked about the

>availability of atropine and 2-PAM chloride kits for EMS providers.

>There have been no replies. Does this mean that nobody has addressed

>this problem or is interested in it? Other areas of the country

>describe the stockpiling of >2000 units of these kits. Are there no

>Texas people doing this?

>

>I ask you once again, what are you doing to address this problem?

>

>Gene Gandy

> E. Gandy, JD, EMT-P

>EMS Professions Program Director

>Tyler Junior College

>Tyler, TX

>ggan@...

>

>Check out our website at: http://www.tyler.cc.tx.us/emmt/

>

>

>

>

>

>

>------------------------------------------------------------------------

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I think the lack of response is probably related more to the early phases of

many systems education on this issue. I know that the Austin/ County

EMS System will be receiving our initial DoD train the trainer education in

December of this year. This training, combined with response protocols

being developed at the federal level (especially by ACEP/IAFC)will

eventually provide the first response community with much better information

and capability.

I think we also are facing a larger problem...while atropine and 2-PAM are

valuable in specific types of events, most systems lack the detection

equipment to determine the agent employed (assuming a chem incident, is it a

nerve agent, blistering, choking, or blood?). Establishing a cache of

appropriate pharm. agents for a variety of incidents is a daunting task on a

community by community basis...I think that is why you will see regional

caches developed in the next couple of years. The formulation of a response

capability to a NBC incident is a complex, expensive, and challenging

process which has only been initiated in Texas in the Metroplex, Houston

area, and San (El Paso is coming up soon, as is the Austin/

County area).

I hope this helps...

> [] Chemical Terrorism

>

>

> Several days ago, after having read some posts on other lists, I asked

> about preparedness for chemical terrorism. I asked about the

> availability of atropine and 2-PAM chloride kits for EMS providers.

> There have been no replies. Does this mean that nobody has addressed

> this problem or is interested in it? Other areas of the country

> describe the stockpiling of >2000 units of these kits. Are there no

> Texas people doing this?

>

> I ask you once again, what are you doing to address this problem?

>

> Gene Gandy

> E. Gandy, JD, EMT-P

> EMS Professions Program Director

> Tyler Junior College

> Tyler, TX

> ggan@...

>

> Check out our website at: http://www.tyler.cc.tx.us/emmt/

>

>

>

>

>

>

> ------------------------------------------------------------------------

> No tricks, no gimmicks - just a great intro rate for Internet users!

> NextCard Internet VISA -- Apply online now!

> http://ads./click/63/1/nextcard

>

>

>

>

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Well Gene,

??????????????

I guess someone thinks we have a threat out there. At this point it seems to

be about the same as playing the lottery....do you know something we all

dont?

What ya got?

Henry

E. Gandy wrote:

> Several days ago, after having read some posts on other lists, I asked

> about preparedness for chemical terrorism. I asked about the

> availability of atropine and 2-PAM chloride kits for EMS providers.

> There have been no replies. Does this mean that nobody has addressed

> this problem or is interested in it? Other areas of the country

> describe the stockpiling of >2000 units of these kits. Are there no

> Texas people doing this?

>

> I ask you once again, what are you doing to address this problem?

>

> Gene Gandy

> E. Gandy, JD, EMT-P

> EMS Professions Program Director

> Tyler Junior College

> Tyler, TX

> ggan@...

>

> Check out our website at: http://www.tyler.cc.tx.us/emmt/

>

> ------------------------------------------------------------------------

> No tricks, no gimmicks - just a great intro rate for Internet users!

> NextCard Internet VISA -- Apply online now!

> http://ads./click/63/1/nextcard

>

>

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Dallas Fire Dept. recently received a grant from the fed gov for

Nuclear/Biological/Chemical (NBC) Terrorism training and response

supplies. They are now classified as a MST Strike Team. UT

Southwestern teamed up to complete the training including a 4 hour

awareness training for every firefighter. Then an additional 4 hours for

every paramedic teaching all of the medical aspects of each agent. The

fire dept is to get a response vehicle fully stocked with a mass number

of Mark I kits (2-PAM Cloride & Atropine injects).

Researching the possibilities and all of the different agents with its

accesibility is very scary and other cities should consider this

training. If you would like further info, contact me or the Dallas Fire

Dept.

Jon Puryear

NREMT-P

UT Southwestern Medical Center

>>> " E. Gandy " 10/22/98 1:27:20 AM >>>

Several days ago, after having read some posts on other lists, I asked

about preparedness for chemical terrorism. I asked about the

availability of atropine and 2-PAM chloride kits for EMS providers.

There have been no replies. Does this mean that nobody has addressed

this problem or is interested in it? Other areas of the country

describe the stockpiling of >2000 units of these kits. Are there no

Texas people doing this?

I ask you once again, what are you doing to address this problem?

Gene Gandy

E. Gandy, JD, EMT-P

EMS Professions Program Director

Tyler Junior College

Tyler, TX

ggan@...

Check out our website at: http://www.tyler.cc.tx.us/emmt/

------------------------------------------------------------------------

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Good question. I don't know. Maybe somebody on here from the military does.

I remember that when I was in the Army the kits they gave us looked like they

were made during the Civil War.

Gene

E. Gandy, JD, EMT-P

EMS Professions Program Director

Tyler Junior College

Tyler, TX

ggan@...

Check out our website at: http://www.tyler.cc.tx.us/emmt/

Nacogdoches County Emergency Medical Services Public Education Office wrote:

> Question. What is the shelf life if these atropine and 2PAM chloride kits?

>

>

> EMT-P

> Nacogodhes County EMS

> [] Chemical Terrorism

>

> >Several days ago, after having read some posts on other lists, I asked

> >about preparedness for chemical terrorism. I asked about the

> >availability of atropine and 2-PAM chloride kits for EMS providers.

> >There have been no replies. Does this mean that nobody has addressed

> >this problem or is interested in it? Other areas of the country

> >describe the stockpiling of >2000 units of these kits. Are there no

> >Texas people doing this?

> >

> >I ask you once again, what are you doing to address this problem?

> >

> >Gene Gandy

> > E. Gandy, JD, EMT-P

> >EMS Professions Program Director

> >Tyler Junior College

> >Tyler, TX

> >ggan@...

> >

> >Check out our website at: http://www.tyler.cc.tx.us/emmt/

> >

> >

> >

> >

> >

> >

> >------------------------------------------------------------------------

> >No tricks, no gimmicks - just a great intro rate for Internet users!

> >NextCard Internet VISA -- Apply online now!

> >http://ads./click/63/1/nextcard

> >

> >

> >

> >

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Yes. Thanks very much. From what I read on the EMS-L list other places in the

country are ahead of us on this.

Gene

Christian E. Callsen, Jr. wrote:

> I think the lack of response is probably related more to the early phases of

> many systems education on this issue. I know that the Austin/ County

> EMS System will be receiving our initial DoD train the trainer education in

> December of this year. This training, combined with response protocols

> being developed at the federal level (especially by ACEP/IAFC)will

> eventually provide the first response community with much better information

> and capability.

>

> I think we also are facing a larger problem...while atropine and 2-PAM are

> valuable in specific types of events, most systems lack the detection

> equipment to determine the agent employed (assuming a chem incident, is it a

> nerve agent, blistering, choking, or blood?). Establishing a cache of

> appropriate pharm. agents for a variety of incidents is a daunting task on a

> community by community basis...I think that is why you will see regional

> caches developed in the next couple of years. The formulation of a response

> capability to a NBC incident is a complex, expensive, and challenging

> process which has only been initiated in Texas in the Metroplex, Houston

> area, and San (El Paso is coming up soon, as is the Austin/

> County area).

>

> I hope this helps...

>

> > [] Chemical Terrorism

> >

> >

> > Several days ago, after having read some posts on other lists, I asked

> > about preparedness for chemical terrorism. I asked about the

> > availability of atropine and 2-PAM chloride kits for EMS providers.

> > There have been no replies. Does this mean that nobody has addressed

> > this problem or is interested in it? Other areas of the country

> > describe the stockpiling of >2000 units of these kits. Are there no

> > Texas people doing this?

> >

> > I ask you once again, what are you doing to address this problem?

> >

> > Gene Gandy

> > E. Gandy, JD, EMT-P

> > EMS Professions Program Director

> > Tyler Junior College

> > Tyler, TX

> > ggan@...

> >

> > Check out our website at: http://www.tyler.cc.tx.us/emmt/

> >

> >

> >

> >

> >

> >

> > ------------------------------------------------------------------------

> > No tricks, no gimmicks - just a great intro rate for Internet users!

> > NextCard Internet VISA -- Apply online now!

> > http://ads./click/63/1/nextcard

> >

> >

> >

> >

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The areas that are stockpiling are probably associated with the CSEPP program

(Chemical Stockpile Emergency Preparedness Program) - and most likely are

" within " a release area of one of the military bases that stockpiles the old

WWII chemical weapons. FEMA and EPA have made Atropine and 2Pam available (on

a limited basis) to them. Other areas (such as Texas) would have to stockpile

at their own expense....an unlike scenario.

Kenny Shaw, Paramedic

Little Rock, AR

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Gene, regarding the civil war era chemical antidote kits, that should have

been a current event for you. It was for me----Jim Easley

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Several weeks ago there was a thread on the EMS-L list about this which

indicated that Chicago, LA and some other places have gone into this pretty

deeply. I had not heard of anything here so asked about it. That's how it all

started.

Gene Gandy

BARBER wrote:

> Well Gene,

>

> ??????????????

> I guess someone thinks we have a threat out there. At this point it seems to

> be about the same as playing the lottery....do you know something we all

> dont?

>

> What ya got?

>

> Henry

>

> E. Gandy wrote:

>

> > Several days ago, after having read some posts on other lists, I asked

> > about preparedness for chemical terrorism. I asked about the

> > availability of atropine and 2-PAM chloride kits for EMS providers.

> > There have been no replies. Does this mean that nobody has addressed

> > this problem or is interested in it? Other areas of the country

> > describe the stockpiling of >2000 units of these kits. Are there no

> > Texas people doing this?

> >

> > I ask you once again, what are you doing to address this problem?

> >

> > Gene Gandy

> > E. Gandy, JD, EMT-P

> > EMS Professions Program Director

> > Tyler Junior College

> > Tyler, TX

> > ggan@...

> >

> > Check out our website at: http://www.tyler.cc.tx.us/emmt/

> >

> > ------------------------------------------------------------------------

> > No tricks, no gimmicks - just a great intro rate for Internet users!

> > NextCard Internet VISA -- Apply online now!

> > http://ads./click/63/1/nextcard

> >

> >

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Yes, I was at Appomattox. General Lee handed me his Atropine Surette and

reminded me that it should be injected whenever my pupils became pinpoint. I

have preserved it and will contribute it to the museum of Parasympathetic

Antagonists. Unfortunately General Lee's horse lacked a vet who understood

pharmacology and only recommended BagBalm for equine priapism. Such a loss!

Gandy

Easley wrote:

> Gene, regarding the civil war era chemical antidote kits, that should have

> been a current event for you. It was for me----Jim Easley

>

> ------------------------------------------------------------------------

> No tricks, no gimmicks - just a great intro rate for Internet users!

> NextCard Internet VISA -- Apply online now!

> http://ads./click/63/1/nextcard

>

>

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Being Both in the HAZMAT and EMS field we (in the EMS) do not have a what when

where how to ability to handle the hazmat cituation. In part if we do not know

how to care for our self through ppe, monitors, decon how can we take care of

the victims??? Every time iI mention getting my department trained to respond

to HAZMAT they tell me We'll use Dallas for mutal aid . Alot of good this does

us. So it (in theory) it is not our problem it is someone elses, but it is our

problem w/ the NIMBY attitude.

TRavis EMT_P HAZMAT Inst

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Gene,

I am interested in the Chemical part. I think we could be better prepared for

not only terrorist but chemical spills. Some of the Chemical that travel up

and down our roads do not need terrorist to cause a problem. Just one good

fender bender. I would like to have more information on these kits.

Thanks Benna Mc

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Thank you for this perceptive post. I've now determined that there are several

sites in Texas that are currently addressing this problem. Perhaps more will

now become aware.

Gene

Christian E. Callsen, Jr. wrote:

> I think the lack of response is probably related more to the early phases of

> many systems education on this issue. I know that the Austin/ County

> EMS System will be receiving our initial DoD train the trainer education in

> December of this year. This training, combined with response protocols

> being developed at the federal level (especially by ACEP/IAFC)will

> eventually provide the first response community with much better information

> and capability.

>

> I think we also are facing a larger problem...while atropine and 2-PAM are

> valuable in specific types of events, most systems lack the detection

> equipment to determine the agent employed (assuming a chem incident, is it a

> nerve agent, blistering, choking, or blood?). Establishing a cache of

> appropriate pharm. agents for a variety of incidents is a daunting task on a

> community by community basis...I think that is why you will see regional

> caches developed in the next couple of years. The formulation of a response

> capability to a NBC incident is a complex, expensive, and challenging

> process which has only been initiated in Texas in the Metroplex, Houston

> area, and San (El Paso is coming up soon, as is the Austin/

> County area).

>

> I hope this helps...

>

> > [] Chemical Terrorism

> >

> >

> > Several days ago, after having read some posts on other lists, I asked

> > about preparedness for chemical terrorism. I asked about the

> > availability of atropine and 2-PAM chloride kits for EMS providers.

> > There have been no replies. Does this mean that nobody has addressed

> > this problem or is interested in it? Other areas of the country

> > describe the stockpiling of >2000 units of these kits. Are there no

> > Texas people doing this?

> >

> > I ask you once again, what are you doing to address this problem?

> >

> > Gene Gandy

> > E. Gandy, JD, EMT-P

> > EMS Professions Program Director

> > Tyler Junior College

> > Tyler, TX

> > ggan@...

> >

> > Check out our website at: http://www.tyler.cc.tx.us/emmt/

> >

> >

> >

> >

> >

> >

> > ------------------------------------------------------------------------

> > No tricks, no gimmicks - just a great intro rate for Internet users!

> > NextCard Internet VISA -- Apply online now!

> > http://ads./click/63/1/nextcard

> >

> >

> >

> >

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Share on other sites

FYI...

The Emergency Nurses Association and Texas College of Emergency Physicians

are holding a conference " Medical Consequences of Terrorism " on Saturday,

November 7, 1998 in Houston, Texas. 9.3 Contact Hours for EMS, Nurses and

TCLEOSE will be awarded. Cost is $100.00. The Speaker is Dr. Henry

Siegelson, from Atlanta, Georgia. He was an emergency medicine consultant

for the 1996 Olympic Games and provided training to the healthcare workers

and planners. If you are interested in attending contact Gaylen Tips, RN

at Brackenridge Hospital, gtips@... or me, Rob Angle, RN EMT-P, at

the Houston Fire Department, wangle@... I will happy to

fax you the information.

Rob Angle, RN EMT-P

EMS Nurse, HFD

[] Chemical Terrorism

> >

> >

> > Several days ago, after having read some posts on other lists, I asked

> > about preparedness for chemical terrorism. I asked about the

> > availability of atropine and 2-PAM chloride kits for EMS providers.

> > There have been no replies. Does this mean that nobody has addressed

> > this problem or is interested in it? Other areas of the country

> > describe the stockpiling of >2000 units of these kits. Are there no

> > Texas people doing this?

> >

> > I ask you once again, what are you doing to address this problem?

> >

> > Gene Gandy

> > E. Gandy, JD, EMT-P

> > EMS Professions Program Director

> > Tyler Junior College

> > Tyler, TX

> > ggan@...

> >

> > Check out our website at: http://www.tyler.cc.tx.us/emmt/

> >

> >

> >

> >

> >

> >

> >

------------------------------------------------------------------------

> > No tricks, no gimmicks - just a great intro rate for Internet users!

> > NextCard Internet VISA -- Apply online now!

> > http://ads./click/63/1/nextcard

> >

> >

> >

> >

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Hey Rob,

I would be interested to know how many people attend this conference

because I am looking at developing a similar training for outsiders.

Dallas Fire is a MMST Strike Team funded by the federal government and

we performed all of the training for them. Several people are

interested in this training and I am looking at opening such training.

Obviously, it all depends on how many people are interested in attending

(at least to the school's budget). Thanks in advance for your input.

Jon Puryear

NREMT-P/Instructor

UT Southwestern Medical Center

>>> " R. " Rob " Angle " 10/26/98

7:44:22 AM >>>

FYI...

The Emergency Nurses Association and Texas College of Emergency

Physicians

are holding a conference " Medical Consequences of Terrorism " on

Saturday,

November 7, 1998 in Houston, Texas. 9.3 Contact Hours for EMS, Nurses

and

TCLEOSE will be awarded. Cost is $100.00. The Speaker is Dr. Henry

Siegelson, from Atlanta, Georgia. He was an emergency medicine

consultant

for the 1996 Olympic Games and provided training to the healthcare

workers

and planners. If you are interested in attending contact Gaylen Tips,

RN

at Brackenridge Hospital, gtips@... or me, Rob Angle, RN EMT-P, at

the Houston Fire Department, wangle@... I will happy

to

fax you the information.

Rob Angle, RN EMT-P

EMS Nurse, HFD

[] Chemical Terrorism

> >

> >

> > Several days ago, after having read some posts on other lists, I

asked

> > about preparedness for chemical terrorism. I asked about the

> > availability of atropine and 2-PAM chloride kits for EMS providers.

> > There have been no replies. Does this mean that nobody has

addressed

> > this problem or is interested in it? Other areas of the country

> > describe the stockpiling of >2000 units of these kits. Are there no

> > Texas people doing this?

> >

> > I ask you once again, what are you doing to address this problem?

> >

> > Gene Gandy

> > E. Gandy, JD, EMT-P

> > EMS Professions Program Director

> > Tyler Junior College

> > Tyler, TX

> > ggan@...

> >

> > Check out our website at: http://www.tyler.cc.tx.us/emmt/

> >

> >

> >

> >

> >

> >

> >

------------------------------------------------------------------------

> > No tricks, no gimmicks - just a great intro rate for Internet users!

> > NextCard Internet VISA -- Apply online now!

> > http://ads./click/63/1/nextcard

> >

> >

> >

> >

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