Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 Well, Louis, your variation on the scenario would never happen anyway. We'd just tear open the records and read them anyway. Gene Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 And in front of the nurse too !!! > Well, Louis, your variation on the scenario would never happen anyway. We'd just tear open the records and read them anyway. > > Gene Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 > gene this scenario is in no way realistic! > > The ED nurse handed you a sealed envelope and a face sheet and told you that > HIPPA says you have no rights to see the medical conditions of this patient as > you are not a part of their " care team " . > > No amount of arguing will change her mind. At which point you open it in front of her, read the information, and walk out. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 > gene this scenario is in no way realistic! > > The ED nurse handed you a sealed envelope and a face sheet and told you that > HIPPA says you have no rights to see the medical conditions of this patient as > you are not a part of their " care team " . > > No amount of arguing will change her mind. At which point you open it in front of her, read the information, and walk out. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 > gene this scenario is in no way realistic! > > The ED nurse handed you a sealed envelope and a face sheet and told you that > HIPPA says you have no rights to see the medical conditions of this patient as > you are not a part of their " care team " . > > No amount of arguing will change her mind. At which point you open it in front of her, read the information, and walk out. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 In a message dated 9/23/2004 2:28:11 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? benzodiapines for one. If they fail to respond to that, a neuromuscular blockade. Activated charcoal as well (for strychnine--not tetanus!!) Fluid rescuscitation and rapid cooling may also be needed.. anything else--I dont know! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 In a message dated 9/23/2004 2:28:11 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? benzodiapines for one. If they fail to respond to that, a neuromuscular blockade. Activated charcoal as well (for strychnine--not tetanus!!) Fluid rescuscitation and rapid cooling may also be needed.. anything else--I dont know! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 You would need something like diazepam to relieve the muscle spasms, and you should be prepared to protect the airway as necessary. BTW, the drug of choice for tetanus is Flagyl. GG In a message dated 9/23/2004 2:27:52 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? You have me frozen in anticipation. :-) -aro > Tetanus and strychnine poisoning are the two classic conditions that produce > risus sardonicus and opisthotonus. > > Congratulations. You've won the Liberace GOLDMINE. Please appear at the > Liberace Museum in Las Vegas at noon today to claim your prize. > > > Thanks so very much....however, no can do! SO, anyone else interested in > the GOLDMINE and able to get to LV by noon, feel free to accept the prize!!!! > > > [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 I agree. Gene In a message dated 9/23/2004 3:09:23 PM Central Daylight Time, T68b@... writes: In a message dated 9/23/2004 2:28:11 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? benzodiapines for one. If they fail to respond to that, a neuromuscular blockade. Activated charcoal as well (for strychnine--not tetanus!!) Fluid rescuscitation and rapid cooling may also be needed.. anything else--I dont know! [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 I agree. Gene In a message dated 9/23/2004 3:09:23 PM Central Daylight Time, T68b@... writes: In a message dated 9/23/2004 2:28:11 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? benzodiapines for one. If they fail to respond to that, a neuromuscular blockade. Activated charcoal as well (for strychnine--not tetanus!!) Fluid rescuscitation and rapid cooling may also be needed.. anything else--I dont know! [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 I agree. Gene In a message dated 9/23/2004 3:09:23 PM Central Daylight Time, T68b@... writes: In a message dated 9/23/2004 2:28:11 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? benzodiapines for one. If they fail to respond to that, a neuromuscular blockade. Activated charcoal as well (for strychnine--not tetanus!!) Fluid rescuscitation and rapid cooling may also be needed.. anything else--I dont know! [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 So what medications should be have prepped while transferring the patient to the hospital? You have me frozen in anticipation. :-) -aro > Tetanus and strychnine poisoning are the two classic conditions that produce > risus sardonicus and opisthotonus. > > Congratulations. You've won the Liberace GOLDMINE. Please appear at the > Liberace Museum in Las Vegas at noon today to claim your prize. > > > Thanks so very much....however, no can do! SO, anyone else interested in > the GOLDMINE and able to get to LV by noon, feel free to accept the prize!!!! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 Don't forget acid diuresis with ammonium chloride..... >>> T68b@... 9/23/04 3:07:14 PM >>> In a message dated 9/23/2004 2:28:11 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? benzodiapines for one. If they fail to respond to that, a neuromuscular blockade. Activated charcoal as well (for strychnine--not tetanus!!) Fluid rescuscitation and rapid cooling may also be needed.. anything else--I dont know! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 Don't forget acid diuresis with ammonium chloride..... >>> T68b@... 9/23/04 3:07:14 PM >>> In a message dated 9/23/2004 2:28:11 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? benzodiapines for one. If they fail to respond to that, a neuromuscular blockade. Activated charcoal as well (for strychnine--not tetanus!!) Fluid rescuscitation and rapid cooling may also be needed.. anything else--I dont know! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 Don't forget acid diuresis with ammonium chloride..... >>> T68b@... 9/23/04 3:07:14 PM >>> In a message dated 9/23/2004 2:28:11 PM Central Daylight Time, asclapius@... writes: So what medications should be have prepped while transferring the patient to the hospital? benzodiapines for one. If they fail to respond to that, a neuromuscular blockade. Activated charcoal as well (for strychnine--not tetanus!!) Fluid rescuscitation and rapid cooling may also be needed.. anything else--I dont know! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 always wait until you are loaded in the unit to open it and read it, as you are part of her immediate care team and don't need the heat from the idiot [pretenseive nurse's aid in the probably nursing home section of the hospital. Been there done that many times over sue me in court lady. ======================================== Re: Another puzzler > gene this scenario is in no way realistic! > > The ED nurse handed you a sealed envelope and a face sheet and told you that > HIPPA says you have no rights to see the medical conditions of this patient as > you are not a part of their " care team " . > > No amount of arguing will change her mind. At which point you open it in front of her, read the information, and walk out. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 always wait until you are loaded in the unit to open it and read it, as you are part of her immediate care team and don't need the heat from the idiot [pretenseive nurse's aid in the probably nursing home section of the hospital. Been there done that many times over sue me in court lady. ======================================== Re: Another puzzler > gene this scenario is in no way realistic! > > The ED nurse handed you a sealed envelope and a face sheet and told you that > HIPPA says you have no rights to see the medical conditions of this patient as > you are not a part of their " care team " . > > No amount of arguing will change her mind. At which point you open it in front of her, read the information, and walk out. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 always wait until you are loaded in the unit to open it and read it, as you are part of her immediate care team and don't need the heat from the idiot [pretenseive nurse's aid in the probably nursing home section of the hospital. Been there done that many times over sue me in court lady. ======================================== Re: Another puzzler > gene this scenario is in no way realistic! > > The ED nurse handed you a sealed envelope and a face sheet and told you that > HIPPA says you have no rights to see the medical conditions of this patient as > you are not a part of their " care team " . > > No amount of arguing will change her mind. At which point you open it in front of her, read the information, and walk out. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 Well if the pat was also laughing I would assume some one may have just told him a joke or he was a sever arthritic pt and needed his back padded while being transported grinning and bucking to the rodeo. ======================================== Another puzzler This one challenges not only your knowledge of signs and symptoms but your medical vocabulary and knowledge of treatment modalities as well. You are called to a small rural hospital to transfer a seriously ill patient to a larger medical center. As you look over the medical records while getting ready to transfer the patient, you see the following notes by the attending physician: " Shortly after arrival at our ER patient exhibited risus sardonicus and opisthotonos. " Your partner is baffled and asks you what this means. You explain that " risus sardonicus " means _________ and " opisthotonos " means ________. You add that there are two specific conditions that should be suspected in a patient with those signs. They are (1)_____, and (2)_____. What special precautions, if any, should you take with this patient? What medications should you have ready to administer enroute? The second prize is a pneumatic nose-hair trimmer that runs off of your M cylinder. First prize is a complete set of Liberace's greatest hits on CD, together with the accompanying photo album of him and his boyfriend at WallyWorld. GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 Well if the pat was also laughing I would assume some one may have just told him a joke or he was a sever arthritic pt and needed his back padded while being transported grinning and bucking to the rodeo. ======================================== Another puzzler This one challenges not only your knowledge of signs and symptoms but your medical vocabulary and knowledge of treatment modalities as well. You are called to a small rural hospital to transfer a seriously ill patient to a larger medical center. As you look over the medical records while getting ready to transfer the patient, you see the following notes by the attending physician: " Shortly after arrival at our ER patient exhibited risus sardonicus and opisthotonos. " Your partner is baffled and asks you what this means. You explain that " risus sardonicus " means _________ and " opisthotonos " means ________. You add that there are two specific conditions that should be suspected in a patient with those signs. They are (1)_____, and (2)_____. What special precautions, if any, should you take with this patient? What medications should you have ready to administer enroute? The second prize is a pneumatic nose-hair trimmer that runs off of your M cylinder. First prize is a complete set of Liberace's greatest hits on CD, together with the accompanying photo album of him and his boyfriend at WallyWorld. GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2004 Report Share Posted September 23, 2004 Well if the pat was also laughing I would assume some one may have just told him a joke or he was a sever arthritic pt and needed his back padded while being transported grinning and bucking to the rodeo. ======================================== Another puzzler This one challenges not only your knowledge of signs and symptoms but your medical vocabulary and knowledge of treatment modalities as well. You are called to a small rural hospital to transfer a seriously ill patient to a larger medical center. As you look over the medical records while getting ready to transfer the patient, you see the following notes by the attending physician: " Shortly after arrival at our ER patient exhibited risus sardonicus and opisthotonos. " Your partner is baffled and asks you what this means. You explain that " risus sardonicus " means _________ and " opisthotonos " means ________. You add that there are two specific conditions that should be suspected in a patient with those signs. They are (1)_____, and (2)_____. What special precautions, if any, should you take with this patient? What medications should you have ready to administer enroute? The second prize is a pneumatic nose-hair trimmer that runs off of your M cylinder. First prize is a complete set of Liberace's greatest hits on CD, together with the accompanying photo album of him and his boyfriend at WallyWorld. GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2004 Report Share Posted September 24, 2004 What's this about? Chief complaint/diagnosis, hx, meds, etc. have always been standard information EMS takes down. In the past I got a non-sealed envelope, took the copied chart out to get all my info. As a nurse, I wouldn't want to turn care over to a crew who didn't have the information. If it's standard that all charts are sealed, the crew should expect a really excellent report from the nurse. Meredith Re: Another puzzler ' I must confess that I have actually done this. More than once. I'm such a naughty boy! GG In a message dated 9/23/2004 9:27:14 AM Central Daylight Time, paramedicop@... writes: On Thu, 23 Sep 2004 00:44:45 EDT, lnmolino@... > wrote: > gene this scenario is in no way realistic! > > The ED nurse handed you a sealed envelope and a face sheet and told you that > HIPPA says you have no rights to see the medical conditions of this patient as > you are not a part of their " care team " . > > No amount of arguing will change her mind. At which point you open it in front of her, read the information, and walk out. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2004 Report Share Posted September 24, 2004 What's this about? Chief complaint/diagnosis, hx, meds, etc. have always been standard information EMS takes down. In the past I got a non-sealed envelope, took the copied chart out to get all my info. As a nurse, I wouldn't want to turn care over to a crew who didn't have the information. If it's standard that all charts are sealed, the crew should expect a really excellent report from the nurse. Meredith Re: Another puzzler ' I must confess that I have actually done this. More than once. I'm such a naughty boy! GG In a message dated 9/23/2004 9:27:14 AM Central Daylight Time, paramedicop@... writes: On Thu, 23 Sep 2004 00:44:45 EDT, lnmolino@... > wrote: > gene this scenario is in no way realistic! > > The ED nurse handed you a sealed envelope and a face sheet and told you that > HIPPA says you have no rights to see the medical conditions of this patient as > you are not a part of their " care team " . > > No amount of arguing will change her mind. At which point you open it in front of her, read the information, and walk out. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2004 Report Share Posted September 24, 2004 A report from a nurse? Those are few and far between. Mostly I get, " I don't know this is the first time I care for him/her " , or " I'm not sure " (why they are in the hospital). Sometimes they are glad to see us...when they have a demanding pt or family. > > gene this scenario is in no way realistic! > > > > The ED nurse handed you a sealed envelope and a face sheet and told you > that > > HIPPA says you have no rights to see the medical conditions of this > patient as > > you are not a part of their " care team " . > > > > No amount of arguing will change her mind. > > At which point you open it in front of her, read the information, and walk > out. > > Mike > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 25, 2004 Report Share Posted September 25, 2004 Dancer in a topless bar has a seizure and falls off the stage. Still seizing when EMS arrives. While they're treating her a drunk hands them a hundred dollar bill. " What's that for? " the medic asks. The drunk says, " Stick that in her G-string. That's the best goddam dance I've ever seen. " G In a message dated 9/23/2004 7:22:01 PM Central Daylight Time, silsbeeems@... writes: Well if the pat was also laughing I would assume some one may have just told him a joke or he was a sever arthritic pt and needed his back padded while being transported grinning and bucking to the rodeo. ======================================== ----- Original Message ----- From: wegandy1938@... To: Sent: Wednesday, September 22, 2004 11:08 PM Subject: Another puzzler This one challenges not only your knowledge of signs and symptoms but your medical vocabulary and knowledge of treatment modalities as well. You are called to a small rural hospital to transfer a seriously ill patient to a larger medical center. As you look over the medical records while getting ready to transfer the patient, you see the following notes by the attending physician: " Shortly after arrival at our ER patient exhibited risus sardonicus and opisthotonos. " Your partner is baffled and asks you what this means. You explain that " risus sardonicus " means _________ and " opisthotonos " means ________. You add that there are two specific conditions that should be suspected in a patient with those signs. They are (1)_____, and (2)_____. What special precautions, if any, should you take with this patient? What medications should you have ready to administer enroute? The second prize is a pneumatic nose-hair trimmer that runs off of your M cylinder. First prize is a complete set of Liberace's greatest hits on CD, together with the accompanying photo album of him and his boyfriend at WallyWorld. GG Quote Link to comment Share on other sites More sharing options...
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