Re: Office Emergencies - Banyan Stat Kit 700 Contents

[Guest guest]

Personally, I would not want to have all

these “code” drugs in my office. Perhaps if I had cardiac

monitoring equipment…

I much prefer to call 911 and have the

paramedics come over from up the street. (Have not had to do this yet,

thankfully.) I have aspirin, Benadryl, epi-pens, face mask, IV supplies,

and clonidine. (also supplies for minor trauma, lacs, etc. ) That

is it! Hope I am not being too cavalier!

Ramona

Ramona G. Seidel, MD

www.baycrossingfamilymedicine.com

Your Bridge to Health

410 349-2250

polis, MD

From: [mailto: ] On Behalf Of Locke's in Colorado

Sent: Sunday, March 16, 2008 3:56

PM

To: Locke's in Colorado

Subject:

Office Emergencies - Banyan Stat Kit 700 Contents

I know at least one of the docs on the list has this kit passed down

from a clinic that closed.

Anyone else used one of these kits?

Happy with it?

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

Here is a list of supplies in the stat kit...

The only question would be how often these supplies go out of date -

plus, how many you really need -- am I really going to push lidocaine in the

office?

I suppose one could get the kit and then only refill the meds you would

really use -- such as epi, diphenhydramine, aspirin, NTG, etc.

Some of the other stuff, one could just stock from routine office

supplies -- tape, syringes, etc.

Locke, MD

[Guest guest]

I bought a Stat Kit perhaps 12 years ago, and rarely, if ever, used

it. We have never had a code in the office, in 25 years, though we have had

many who were admitted from the office with acute MIs. I got tired

of replacing the meds, which seemed to go out of date every time I turned

around.

I think the safest thing for my patients is for me to have 911

on speed dial, and to use it whenever I think I might need them.

dts

From:

[mailto: ] On Behalf Of Locke's in

Colorado

Sent: Sunday, March 16, 2008 12:56 PM

To: Locke's in Colorado

Subject: Office Emergencies - Banyan Stat Kit 700

Contents

I know at least one of the

docs on the list has this kit passed down from a clinic that closed.

Anyone else used one of these

kits?

Happy with it?

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

Here is a list of supplies in

the stat kit...

The only question would be

how often these supplies go out of date - plus, how many you really need -- am

I really going to push lidocaine in the office?

I suppose one could get the

kit and then only refill the meds you would really use -- such as epi,

diphenhydramine, aspirin, NTG, etc.

Some of the other stuff, one

could just stock from routine office supplies -- tape, syringes, etc.

Locke, MD

[Guest guest]

At my most recent insurance company office inspection, I got a single "ding" for not having O2 in the office, but I still passed with multiple points to spare.

They make these checklists in a meeting somewhere without thinking about individual situations. I think when you are looking at a stat kit or whatever, you need to consider the expense and weigh it against the likelihood of needing it.

I am across the street from the fire station/paramedics. The next time an insurance inspector asks me where the O2 is I am going to point and say "over there". From my experience that should work as she took my word on pretty much everything else.

Somewhere like Drain, where it sounds like EMS is a bit farther away, might need more emergency equipment.

KrisIt's Tax Time! Get tips, forms and advice on AOL Money Finance.

[Guest guest]

I think we should all have one of those automatic defibrillators. They are everywhere- malls, airports. Anyone have one of those and what is the cost?

I know at least one of the docs on the list has this kit passed down from a clinic that closed.

Anyone else used one of these kits?Happy with it?

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

Here is a list of supplies in the stat kit...

The only question would be how often these supplies go out of date - plus, how many you really need -- am I really going to push lidocaine in the office?

I suppose one could get the kit and then only refill the meds you would really use -- such as epi, diphenhydramine, aspirin, NTG, etc.

Some of the other stuff, one could just stock from routine office supplies -- tape, syringes, etc.

Locke, MD

-- M.D.www.elainemd.com

[Guest guest]

I agree (this has been discussed in the group before) about the AED. I hate to

think a patient is safer in the supermarket than in my office is they have a sudden

lifethreatening arrythmia. It cost a lot, ?$1000. But I look at it as

insurance, not equipment. And I hope I never need it.Otherwise I

keep oral airways, would continue cpr and call ambulance. As a solo-solo I'll

only have 2 hands to work with during an emergency, so meds and such won't be too

helpful. My plan is to call ambulance, give electricity if needed and give

cpr. I do have a nebulizer... but it broke 2 wks ago! And no oxygen here

either.TimOn Mon,

March 17, 2008 11:42 pm EDT, wrote:

I think we should all have one of those

automatic defibrillators. They are everywhere- malls, airports. Anyone have one of

those and what is the cost?

On 3/16/08, Locke's

in Colorado lockek@...> wrote:

I know at least one of the docs on the list has this kit

passed down from a clinic that closed.

Anyone else used one of these kits?Happy with

it?

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

Here is a list of supplies in the stat

kit...

The only question would be how often these supplies go out

of date - plus, how many you really need -- am I really going to push lidocaine in

the office?

I suppose one could get the kit and then only refill the

meds you would really use -- such as epi, diphenhydramine, aspirin, NTG,

etc.

Some of the other stuff, one could just stock from routine

office supplies -- tape, syringes, etc.

Locke, MD

[iMAGE REMOVED]

-- M.D.www.elainemd.com

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[Guest guest]

Dear ,I posted in the past regarding the virtues of the Banyan STAT kit. It was a hand-me-down from a occupational medicine office that went out of business. We got it for nothing. I would not recommend that any IMP's anywhere near a hospital go out and buy a new Banyan STAT kit. But keeping your eyes and ears open for a used one is not a bad idea. Why? Even though our kit is out of date it keeps everything in one convenient, organized and portable place.We only replace the epinephrine, Benadryl and nitroglycerine. We do not replace any of the other ACLS drugs.Jim Kennedy's comments are salient and very close to my recommendations: Telephone oxygen epinephrine benadrylASAI would also advocate for:nitroglycerinenebulizeralbuterol (in our case Xopenex samples)airwaysAmbu-bagendotracheal tubes (or even a 11 gauge needle or Bic pen housing)scalpel and a couple of instruments

(crash cricothyroidotomy) The durable supplies are all in the Banyan Kit.Clearly the three most important things to do are 1) dial 911, 2) take your own pulse and 3) pray. It is also important to think about what to do in an emergency before it happens.Hopefully, none of us will every have to use this stuff!Bob ForesterLocke's in Colorado wrote: I know at least one of the docs on the list has this kit passed down from a clinic that closed. Anyone else used one of these kits?Happy with it? ------------------------------------------------------- Here is a list of supplies in the stat kit... The only question would be how often these supplies go out of date - plus, how many you really need -- am I really going to push lidocaine in the office?

I suppose one could get the kit and then only refill the meds you would really use -- such as epi, diphenhydramine, aspirin, NTG, etc. Some of the other stuff, one could just stock from routine office supplies -- tape, syringes, etc. Locke, MD

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