Re: PASG pants -- PHTLS Update

[Guest guest]

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for 8

hours. They gave us a draft copy of the new textbook which is not complete. It

was very informational. They will be holding additional Updates; Texas Updates

will be scheduled by Lee , Texas Coordinator. I may be mistaken but I

believe they are considering online/internet version as a possible venue for

some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will be

reprinted.

You are not to teach the new material until you have attended an Update and new

materials are out. If I remember correctly the deadline for your Update is June

2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " . However,

" in the following three conditions the PASG may have significant benefit in

patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of 90

mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or a

pressure dressing with guaze and an elastic bandage for control of external

hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without their

explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Guest guest]

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for 8

hours. They gave us a draft copy of the new textbook which is not complete. It

was very informational. They will be holding additional Updates; Texas Updates

will be scheduled by Lee , Texas Coordinator. I may be mistaken but I

believe they are considering online/internet version as a possible venue for

some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will be

reprinted.

You are not to teach the new material until you have attended an Update and new

materials are out. If I remember correctly the deadline for your Update is June

2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " . However,

" in the following three conditions the PASG may have significant benefit in

patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of 90

mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or a

pressure dressing with guaze and an elastic bandage for control of external

hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without their

explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Guest guest]

Thank you, , for this summary. You are correct, I believe.

However, I continue to ask the question until somebody answers it: Where is

the scientific proof that PASG has any positive influence on patient outcomes?

I recall that an NAEMSP position paper formed the basis for the statement that

" in the following three conditions the PASG MAY (emphasis mine) have SIGNIFICANT

BENEFIT (emphasis mine) in patients with blood loss (in three different

situations) ...... " That position paper was not supported by any studies that

I know of, and it is now several years old.

I continue to maintain that there is no scientific proof to support that

statement. And taken on its face, it's a weak endorsement at best. " May have

significant benefit " is pure speculation.

When will we decide that what we do for our patients will be driven by evidence,

not conjecture? Of course, if that notion were to invade medicine, half the

things doctors do would have to be abandoned.

GG

Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for 8

hours. They gave us a draft copy of the new textbook which is not complete. It

was very informational. They will be holding additional Updates; Texas Updates

will be scheduled by Lee , Texas Coordinator. I may be mistaken but I

believe they are considering online/internet version as a possible venue for

some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will be

reprinted.

You are not to teach the new material until you have attended an Update and new

materials are out. If I remember correctly the deadline for your Update is June

2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " . However,

" in the following three conditions the PASG may have significant benefit in

patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of 90

mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or a

pressure dressing with guaze and an elastic bandage for control of external

hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without their

explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Guest guest]

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum because

NREMT uses PHTLS, ACLS and other national textbooks as the base standard for

specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I wasn't sure

if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for 8

hours. They gave us a draft copy of the new textbook which is not complete. It

was very informational. They will be holding additional Updates; Texas Updates

will be scheduled by Lee , Texas Coordinator. I may be mistaken but I

believe they are considering online/internet version as a possible venue for

some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will be

reprinted.

You are not to teach the new material until you have attended an Update and new

materials are out. If I remember correctly the deadline for your Update is June

2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " . However,

" in the following three conditions the PASG may have significant benefit in

patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of 90 mm

Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or a

pressure dressing with guaze and an elastic bandage for control of external

hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without their

explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Guest guest]

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum because

NREMT uses PHTLS, ACLS and other national textbooks as the base standard for

specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I wasn't sure

if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for 8

hours. They gave us a draft copy of the new textbook which is not complete. It

was very informational. They will be holding additional Updates; Texas Updates

will be scheduled by Lee , Texas Coordinator. I may be mistaken but I

believe they are considering online/internet version as a possible venue for

some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will be

reprinted.

You are not to teach the new material until you have attended an Update and new

materials are out. If I remember correctly the deadline for your Update is June

2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " . However,

" in the following three conditions the PASG may have significant benefit in

patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of 90 mm

Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or a

pressure dressing with guaze and an elastic bandage for control of external

hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without their

explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Guest guest]

I asked Will Chapleau PHTLS Guru etc the following question:

Briefly can you tell me the status of PASGs in the new PHTLS?

His exact answer was:

Pretty much gone Lou. It's ok to use but evidence does not support it's use

for internal bleeding and doesn't show it's any more effective than

sheets or binders for pelvic fxs.

Will is the Manager of the ATLS Program for ACS as well as the PHTLS Chair

or whatever NAEMT calls it these days.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 10/18/2010 9:05:30 A.M. Central Daylight Time,

texas.paramedic@... writes:

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum

because NREMT uses PHTLS, ACLS and other national textbooks as the base

standard

for specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I

wasn't sure if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for

8 hours. They gave us a draft copy of the new textbook which is not

complete. It was very informational. They will be holding additional Updates;

Texas Updates will be scheduled by Lee , Texas Coordinator. I may be

mistaken but I believe they are considering online/internet version as a

possible venue for some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will

be reprinted.

You are not to teach the new material until you have attended an Update

and new materials are out. If I remember correctly the deadline for your

Update is June 2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " .

However, " in the following three conditions the PASG may have significant

benefit in patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of

90 mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire

PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or

a pressure dressing with guaze and an elastic bandage for control of

external hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without

their explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Guest guest]

I asked Will Chapleau PHTLS Guru etc the following question:

Briefly can you tell me the status of PASGs in the new PHTLS?

His exact answer was:

Pretty much gone Lou. It's ok to use but evidence does not support it's use

for internal bleeding and doesn't show it's any more effective than

sheets or binders for pelvic fxs.

Will is the Manager of the ATLS Program for ACS as well as the PHTLS Chair

or whatever NAEMT calls it these days.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 10/18/2010 9:05:30 A.M. Central Daylight Time,

texas.paramedic@... writes:

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum

because NREMT uses PHTLS, ACLS and other national textbooks as the base

standard

for specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I

wasn't sure if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for

8 hours. They gave us a draft copy of the new textbook which is not

complete. It was very informational. They will be holding additional Updates;

Texas Updates will be scheduled by Lee , Texas Coordinator. I may be

mistaken but I believe they are considering online/internet version as a

possible venue for some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will

be reprinted.

You are not to teach the new material until you have attended an Update

and new materials are out. If I remember correctly the deadline for your

Update is June 2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " .

However, " in the following three conditions the PASG may have significant

benefit in patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of

90 mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire

PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or

a pressure dressing with guaze and an elastic bandage for control of

external hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without

their explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Guest guest]

I asked Will Chapleau PHTLS Guru etc the following question:

Briefly can you tell me the status of PASGs in the new PHTLS?

His exact answer was:

Pretty much gone Lou. It's ok to use but evidence does not support it's use

for internal bleeding and doesn't show it's any more effective than

sheets or binders for pelvic fxs.

Will is the Manager of the ATLS Program for ACS as well as the PHTLS Chair

or whatever NAEMT calls it these days.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 10/18/2010 9:05:30 A.M. Central Daylight Time,

texas.paramedic@... writes:

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum

because NREMT uses PHTLS, ACLS and other national textbooks as the base

standard

for specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I

wasn't sure if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for

8 hours. They gave us a draft copy of the new textbook which is not

complete. It was very informational. They will be holding additional Updates;

Texas Updates will be scheduled by Lee , Texas Coordinator. I may be

mistaken but I believe they are considering online/internet version as a

possible venue for some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will

be reprinted.

You are not to teach the new material until you have attended an Update

and new materials are out. If I remember correctly the deadline for your

Update is June 2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " .

However, " in the following three conditions the PASG may have significant

benefit in patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of

90 mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire

PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or

a pressure dressing with guaze and an elastic bandage for control of

external hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without

their explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Non-text portions of this message have been removed]

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

Yahoo! Groups Links

[Guest guest]

Soooo, has NREMT STOPPED putting questions about this on their exams then????

And if so, state folks, can you drop this off the requirements for folks to

skills test to get their certifications back in Texas?

Jane Dinsmore

To: texasems-l

From: lnmolino@...

Date: Mon, 18 Oct 2010 10:17:48 -0400

Subject: Re: PASG pants -- PHTLS Update

I asked Will Chapleau PHTLS Guru etc the following question:

Briefly can you tell me the status of PASGs in the new PHTLS?

His exact answer was:

Pretty much gone Lou. It's ok to use but evidence does not support it's use

for internal bleeding and doesn't show it's any more effective than

sheets or binders for pelvic fxs.

Will is the Manager of the ATLS Program for ACS as well as the PHTLS Chair

or whatever NAEMT calls it these days.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 10/18/2010 9:05:30 A.M. Central Daylight Time,

texas.paramedic@... writes:

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum

because NREMT uses PHTLS, ACLS and other national textbooks as the base standard

for specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I

wasn't sure if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for

8 hours. They gave us a draft copy of the new textbook which is not

complete. It was very informational. They will be holding additional Updates;

Texas Updates will be scheduled by Lee , Texas Coordinator. I may be

mistaken but I believe they are considering online/internet version as a

possible venue for some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will

be reprinted.

You are not to teach the new material until you have attended an Update

and new materials are out. If I remember correctly the deadline for your

Update is June 2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " .

However, " in the following three conditions the PASG may have significant

benefit in patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of

90 mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire

PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or

a pressure dressing with guaze and an elastic bandage for control of

external hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without

their explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Guest guest]

Soooo, has NREMT STOPPED putting questions about this on their exams then????

And if so, state folks, can you drop this off the requirements for folks to

skills test to get their certifications back in Texas?

Jane Dinsmore

To: texasems-l

From: lnmolino@...

Date: Mon, 18 Oct 2010 10:17:48 -0400

Subject: Re: PASG pants -- PHTLS Update

I asked Will Chapleau PHTLS Guru etc the following question:

Briefly can you tell me the status of PASGs in the new PHTLS?

His exact answer was:

Pretty much gone Lou. It's ok to use but evidence does not support it's use

for internal bleeding and doesn't show it's any more effective than

sheets or binders for pelvic fxs.

Will is the Manager of the ATLS Program for ACS as well as the PHTLS Chair

or whatever NAEMT calls it these days.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 10/18/2010 9:05:30 A.M. Central Daylight Time,

texas.paramedic@... writes:

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum

because NREMT uses PHTLS, ACLS and other national textbooks as the base standard

for specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I

wasn't sure if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for

8 hours. They gave us a draft copy of the new textbook which is not

complete. It was very informational. They will be holding additional Updates;

Texas Updates will be scheduled by Lee , Texas Coordinator. I may be

mistaken but I believe they are considering online/internet version as a

possible venue for some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will

be reprinted.

You are not to teach the new material until you have attended an Update

and new materials are out. If I remember correctly the deadline for your

Update is June 2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " .

However, " in the following three conditions the PASG may have significant

benefit in patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of

90 mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire

PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or

a pressure dressing with guaze and an elastic bandage for control of

external hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without

their explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Guest guest]

Soooo, has NREMT STOPPED putting questions about this on their exams then????

And if so, state folks, can you drop this off the requirements for folks to

skills test to get their certifications back in Texas?

Jane Dinsmore

To: texasems-l

From: lnmolino@...

Date: Mon, 18 Oct 2010 10:17:48 -0400

Subject: Re: PASG pants -- PHTLS Update

I asked Will Chapleau PHTLS Guru etc the following question:

Briefly can you tell me the status of PASGs in the new PHTLS?

His exact answer was:

Pretty much gone Lou. It's ok to use but evidence does not support it's use

for internal bleeding and doesn't show it's any more effective than

sheets or binders for pelvic fxs.

Will is the Manager of the ATLS Program for ACS as well as the PHTLS Chair

or whatever NAEMT calls it these days.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 10/18/2010 9:05:30 A.M. Central Daylight Time,

texas.paramedic@... writes:

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum

because NREMT uses PHTLS, ACLS and other national textbooks as the base standard

for specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I

wasn't sure if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for

8 hours. They gave us a draft copy of the new textbook which is not

complete. It was very informational. They will be holding additional Updates;

Texas Updates will be scheduled by Lee , Texas Coordinator. I may be

mistaken but I believe they are considering online/internet version as a

possible venue for some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will

be reprinted.

You are not to teach the new material until you have attended an Update

and new materials are out. If I remember correctly the deadline for your

Update is June 2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " .

However, " in the following three conditions the PASG may have significant

benefit in patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of

90 mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire

PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or

a pressure dressing with guaze and an elastic bandage for control of

external hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without

their explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

[Guest guest]

IMHO the odds that the NREMT Test Bank has caught up to PHTLS are likely as

good as the odds that one gets at a craps table betting one roll bets.

If Ya don't know Craps let's just say only suckers bet one roll bets.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 10/18/2010 9:33:39 A.M. Central Daylight Time,

texas.paramedic@... writes:

Soooo, has NREMT STOPPED putting questions about this on their exams

then???? And if so, state folks, can you drop this off the requirements for

folks to skills test to get their certifications back in Texas?

Jane Dinsmore

To: texasems-l

From: lnmolino@...

Date: Mon, 18 Oct 2010 10:17:48 -0400

Subject: Re: PASG pants -- PHTLS Update

I asked Will Chapleau PHTLS Guru etc the following question:

Briefly can you tell me the status of PASGs in the new PHTLS?

His exact answer was:

Pretty much gone Lou. It's ok to use but evidence does not support it's

use

for internal bleeding and doesn't show it's any more effective than

sheets or binders for pelvic fxs.

Will is the Manager of the ATLS Program for ACS as well as the PHTLS Chair

or whatever NAEMT calls it these days.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 10/18/2010 9:05:30 A.M. Central Daylight Time,

texas.paramedic@... writes:

They really haven't changed their stance then other than adding the word

" controversial " . SO that means it remains in the national curriculum

because NREMT uses PHTLS, ACLS and other national textbooks as the base

standard

for specific care as far as testing is concerned.

Thanks, . I knew the new textbooks weren't out which is why I

wasn't sure if the initial instructor update had transpired.

Jane Dinsmore

To: texasems-l

From: dwilliams@...

Date: Sun, 17 Oct 2010 22:09:18 -0500

Subject: Re: PASG pants -- PHTLS Update

Yes, there was a PHTLS Instructor Update in Dallas on Monday, Sept 26 for

8 hours. They gave us a draft copy of the new textbook which is not

complete. It was very informational. They will be holding additional

Updates;

Texas Updates will be scheduled by Lee , Texas Coordinator. I

may be

mistaken but I believe they are considering online/internet version as a

possible venue for some of the Updates. This was not in stone.

Those who attended the Update will receive the new textbook. There will be

minimal changes involving the Instructor Manual. I do not believe it will

be reprinted.

You are not to teach the new material until you have attended an Update

and new materials are out. If I remember correctly the deadline for your

Update is June 2011.

If you need additional information, I will consult my notes.

PASG is listed in the Draft 7th Edition textbook as " controversial " .

However, " in the following three conditions the PASG may have significant

benefit in patients with shock from blood loss:

1. Suspected pelvic fractures with hypotension (systolic blood pressure of

90 mm Hg). Inflate entire PASG.

2. Suspected intraperitoneal hemorrhage with hypotension. Inflate entire

PASG.

3. Suspected retroperitoneal hemorrhage with hypotension. Inflation of the

entire device compresses the retroperitoneal organs. "

" The PASG is probably significantly less effective than direct pressure or

a pressure dressing with guaze and an elastic bandage for control of

external hemorrhage from the extremities. "

I will list the Contraindications listed in the Draft textbook without

their explanations on Pg 202:

1) " Penetrating thoracic trauma

2) Splinting of lower extremity fractures

3) Evisceration of abdominal organs

4) Impaled objects in the abdomen

5) Pregnancy

6) Traumatic cardiopulmonary arrest

7) Co-existing medical conditions

Congestive heart failure (CHF)

Pulmonary edema "

I hope this was helpful.

Have a great week!

County ESD-1

Work Email: dwilliams@...

Cell Phone:

RE: PASG pants

It will be interesting to see if it is in the new PHTLS curriculum. Does

anyone know?

Jane Dinsmore

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