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Re: EMS Challenge (2)

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Can I have a complete set of vitals including blood glucose? What are

the results of a prehospital stroke screen? Since she works in the

garden center, has she been exposed to any pesticides or chemicals?

Wes Ogilvie

Sent from my iPhone

> (The following case scenario is based upon a series of calls, and is

> used for this purpose with the expressed consent of the patient.)

>

> You are dispatched for a 58 y/o female, AMS.

>

> You arrive on scene at the local Wal-Mart Garden Center, where one of

> their workers is sitting on the floor, leaning on a coworker's leg.

> She is very, very thin, her skin is hot and dry, her speech is

> slurred, she has very mild tremor in her hands, and she says that all

> of a sudden, she couldn't see. She's very alarmed and distressed at

> this sudden loss of sight, and so is a little combative and

> disoriented. So, you ask her coworkers for information.They know she's

> on a lot of medications, but they don't know why. At this point, her

> manager has obtained her purse. You find the contents to be:

> - Trash

> - An empty Pink Floyd CD case

> - Cash

> - A Driver's License

> - A medical alert card which simply states that she's allergic to

> sulfa drugs and morphine.

> - A bottle of Lamortigine

> - A bottle of Lithium

> - An array of OTC GI meds, to include but not limited to: Pepto

> Bismol, Immodium, Tums, Zantac

> - A bottle of Simvastatin

> - A bottle of N-Acetylcysteine

> - An Albuterol MDI

>

> So, what do you want to do? What do you want to know? And, of course,

> what's happening to her, and why?

>

> You have four hints. Use them wisely.

>

> Let the wild rumpus begin!

>

> Alyssa Woods, FF/NREMT-B

>

>

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No pesticides or chemical exposure.

Heart Rate: 142 bpm ; Sinus Tach

BP: 152/93

O2 Saturation: 98% RA

EtCO2: 40 mmHg

Internal Temperature: 101.2

BGL: 110

While she is slurring her speech, she can smile evenly, and she

displays no weakness to either side. No facial droop. Pupils are equal

and round, responsive to light.

> Can I have a complete set of vitals including blood glucose? What are

> the results of a prehospital stroke screen? Since she works in the

> garden center, has she been exposed to any pesticides or chemicals?

>

> Wes Ogilvie

>

> Sent from my iPhone

>

>

>

> > (The following case scenario is based upon a series of calls, and is

> > used for this purpose with the expressed consent of the patient.)

> >

> > You are dispatched for a 58 y/o female, AMS.

> >

> > You arrive on scene at the local Wal-Mart Garden Center, where one

> of

> > their workers is sitting on the floor, leaning on a coworker's leg.

> > She is very, very thin, her skin is hot and dry, her speech is

> > slurred, she has very mild tremor in her hands, and she says that

> all

> > of a sudden, she couldn't see. She's very alarmed and distressed at

> > this sudden loss of sight, and so is a little combative and

> > disoriented. So, you ask her coworkers for information.They know

> she's

> > on a lot of medications, but they don't know why. At this point, her

> > manager has obtained her purse. You find the contents to be:

> > - Trash

> > - An empty Pink Floyd CD case

> > - Cash

> > - A Driver's License

> > - A medical alert card which simply states that she's allergic to

> > sulfa drugs and morphine.

> > - A bottle of Lamortigine

> > - A bottle of Lithium

> > - An array of OTC GI meds, to include but not limited to: Pepto

> > Bismol, Immodium, Tums, Zantac

> > - A bottle of Simvastatin

> > - A bottle of N-Acetylcysteine

> > - An Albuterol MDI

> >

> > So, what do you want to do? What do you want to know? And, of

> course,

> > what's happening to her, and why?

> >

> > You have four hints. Use them wisely.

> >

> > Let the wild rumpus begin!

> >

> > Alyssa Woods, FF/NREMT-B

> >

> >

>

>

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No pesticides or chemical exposure.

Heart Rate: 142 bpm ; Sinus Tach

BP: 152/93

O2 Saturation: 98% RA

EtCO2: 40 mmHg

Internal Temperature: 101.2

BGL: 110

While she is slurring her speech, she can smile evenly, and she

displays no weakness to either side. No facial droop. Pupils are equal

and round, responsive to light.

> Can I have a complete set of vitals including blood glucose? What are

> the results of a prehospital stroke screen? Since she works in the

> garden center, has she been exposed to any pesticides or chemicals?

>

> Wes Ogilvie

>

> Sent from my iPhone

>

>

>

> > (The following case scenario is based upon a series of calls, and is

> > used for this purpose with the expressed consent of the patient.)

> >

> > You are dispatched for a 58 y/o female, AMS.

> >

> > You arrive on scene at the local Wal-Mart Garden Center, where one

> of

> > their workers is sitting on the floor, leaning on a coworker's leg.

> > She is very, very thin, her skin is hot and dry, her speech is

> > slurred, she has very mild tremor in her hands, and she says that

> all

> > of a sudden, she couldn't see. She's very alarmed and distressed at

> > this sudden loss of sight, and so is a little combative and

> > disoriented. So, you ask her coworkers for information.They know

> she's

> > on a lot of medications, but they don't know why. At this point, her

> > manager has obtained her purse. You find the contents to be:

> > - Trash

> > - An empty Pink Floyd CD case

> > - Cash

> > - A Driver's License

> > - A medical alert card which simply states that she's allergic to

> > sulfa drugs and morphine.

> > - A bottle of Lamortigine

> > - A bottle of Lithium

> > - An array of OTC GI meds, to include but not limited to: Pepto

> > Bismol, Immodium, Tums, Zantac

> > - A bottle of Simvastatin

> > - A bottle of N-Acetylcysteine

> > - An Albuterol MDI

> >

> > So, what do you want to do? What do you want to know? And, of

> course,

> > what's happening to her, and why?

> >

> > You have four hints. Use them wisely.

> >

> > Let the wild rumpus begin!

> >

> > Alyssa Woods, FF/NREMT-B

> >

> >

>

>

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What are her vitals signs?

Sent from my iPhone,

McGee, EMT-P, EMT-T

(The following case scenario is based upon a series of calls, and is

used for this purpose with the expressed consent of the patient.)

You are dispatched for a 58 y/o female, AMS.

You arrive on scene at the local Wal-Mart Garden Center, where one of

their workers is sitting on the floor, leaning on a coworker's leg.

She is very, very thin, her skin is hot and dry, her speech is

slurred, she has very mild tremor in her hands, and she says that all

of a sudden, she couldn't see. She's very alarmed and distressed at

this sudden loss of sight, and so is a little combative and

disoriented. So, you ask her coworkers for information.They know she's

on a lot of medications, but they don't know why. At this point, her

manager has obtained her purse. You find the contents to be:

- Trash

- An empty Pink Floyd CD case

- Cash

- A Driver's License

- A medical alert card which simply states that she's allergic to

sulfa drugs and morphine.

- A bottle of Lamortigine

- A bottle of Lithium

- An array of OTC GI meds, to include but not limited to: Pepto

Bismol, Immodium, Tums, Zantac

- A bottle of Simvastatin

- A bottle of N-Acetylcysteine

- An Albuterol MDI

So, what do you want to do? What do you want to know? And, of course,

what's happening to her, and why?

You have four hints. Use them wisely.

Let the wild rumpus begin!

Alyssa Woods, FF/NREMT-B

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Heart Rate: 142 bpm ; Sinus Tach

BP: 152/93

O2 Saturation: 98% RA

EtCO2: 40 mmHg

Internal Temperature: 101.2

BGL: 110

> What are her vitals signs?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 12, 2010, at 11:12 PM, Alyssa Woods amwoods8644@...>

> wrote:

>

> (The following case scenario is based upon a series of calls, and is

> used for this purpose with the expressed consent of the patient.)

>

> You are dispatched for a 58 y/o female, AMS.

>

> You arrive on scene at the local Wal-Mart Garden Center, where one of

> their workers is sitting on the floor, leaning on a coworker's leg.

> She is very, very thin, her skin is hot and dry, her speech is

> slurred, she has very mild tremor in her hands, and she says that all

> of a sudden, she couldn't see. She's very alarmed and distressed at

> this sudden loss of sight, and so is a little combative and

> disoriented. So, you ask her coworkers for information.They know she's

> on a lot of medications, but they don't know why. At this point, her

> manager has obtained her purse. You find the contents to be:

> - Trash

> - An empty Pink Floyd CD case

> - Cash

> - A Driver's License

> - A medical alert card which simply states that she's allergic to

> sulfa drugs and morphine.

> - A bottle of Lamortigine

> - A bottle of Lithium

> - An array of OTC GI meds, to include but not limited to: Pepto

> Bismol, Immodium, Tums, Zantac

> - A bottle of Simvastatin

> - A bottle of N-Acetylcysteine

> - An Albuterol MDI

>

> So, what do you want to do? What do you want to know? And, of course,

> what's happening to her, and why?

>

> You have four hints. Use them wisely.

>

> Let the wild rumpus begin!

>

> Alyssa Woods, FF/NREMT-B

>

>

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Metabolic alkalosis with dehydration and hypokalemia. She needs fluids and

Potasium chloride due to overuse of antiacids.

Sent from my iPhone,

McGee, EMT-P, EMT-T

(The following case scenario is based upon a series of calls, and is

used for this purpose with the expressed consent of the patient.)

You are dispatched for a 58 y/o female, AMS.

You arrive on scene at the local Wal-Mart Garden Center, where one of

their workers is sitting on the floor, leaning on a coworker's leg.

She is very, very thin, her skin is hot and dry, her speech is

slurred, she has very mild tremor in her hands, and she says that all

of a sudden, she couldn't see. She's very alarmed and distressed at

this sudden loss of sight, and so is a little combative and

disoriented. So, you ask her coworkers for information.They know she's

on a lot of medications, but they don't know why. At this point, her

manager has obtained her purse. You find the contents to be:

- Trash

- An empty Pink Floyd CD case

- Cash

- A Driver's License

- A medical alert card which simply states that she's allergic to

sulfa drugs and morphine.

- A bottle of Lamortigine

- A bottle of Lithium

- An array of OTC GI meds, to include but not limited to: Pepto

Bismol, Immodium, Tums, Zantac

- A bottle of Simvastatin

- A bottle of N-Acetylcysteine

- An Albuterol MDI

So, what do you want to do? What do you want to know? And, of course,

what's happening to her, and why?

You have four hints. Use them wisely.

Let the wild rumpus begin!

Alyssa Woods, FF/NREMT-B

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Guest guest

Interesting theory, but no. Youre hearing hoof beats and looking for

zebras.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

> Metabolic alkalosis with dehydration and hypokalemia. She needs

> fluids and Potasium chloride due to overuse of antiacids.

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 12, 2010, at 11:12 PM, Alyssa Woods amwoods8644@...>

> wrote:

>

> (The following case scenario is based upon a series of calls, and is

> used for this purpose with the expressed consent of the patient.)

>

> You are dispatched for a 58 y/o female, AMS.

>

> You arrive on scene at the local Wal-Mart Garden Center, where one of

> their workers is sitting on the floor, leaning on a coworker's leg.

> She is very, very thin, her skin is hot and dry, her speech is

> slurred, she has very mild tremor in her hands, and she says that all

> of a sudden, she couldn't see. She's very alarmed and distressed at

> this sudden loss of sight, and so is a little combative and

> disoriented. So, you ask her coworkers for information.They know she's

> on a lot of medications, but they don't know why. At this point, her

> manager has obtained her purse. You find the contents to be:

> - Trash

> - An empty Pink Floyd CD case

> - Cash

> - A Driver's License

> - A medical alert card which simply states that she's allergic to

> sulfa drugs and morphine.

> - A bottle of Lamortigine

> - A bottle of Lithium

> - An array of OTC GI meds, to include but not limited to: Pepto

> Bismol, Immodium, Tums, Zantac

> - A bottle of Simvastatin

> - A bottle of N-Acetylcysteine

> - An Albuterol MDI

>

> So, what do you want to do? What do you want to know? And, of course,

> what's happening to her, and why?

>

> You have four hints. Use them wisely.

>

> Let the wild rumpus begin!

>

> Alyssa Woods, FF/NREMT-B

>

>

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Ok, is she compliant with all of her medications? Correct dosing,

schedule, etc.

-Wes Ogilvie

In a message dated 6/13/2010 11:44:58 A.M. Central Daylight Time,

amwoods8644@... writes:

No pesticides or chemical exposure.

Heart Rate: 142 bpm ; Sinus Tach

BP: 152/93

O2 Saturation: 98% RA

EtCO2: 40 mmHg

Internal Temperature: 101.2

BGL: 110

While she is slurring her speech, she can smile evenly, and she

displays no weakness to either side. No facial droop. Pupils are equal

and round, responsive to light.

> Can I have a complete set of vitals including blood glucose? What are

> the results of a prehospital stroke screen? Since she works in the

> garden center, has she been exposed to any pesticides or chemicals?

>

> Wes Ogilvie

>

> Sent from my iPhone

>

> On Jun 12, 2010, at 23:12, Alyssa Woods _amwoods8644@..._

(mailto:amwoods8644@...) > wrote:

>

> > (The following case scenario is based upon a series of calls, and is

> > used for this purpose with the expressed consent of the patient.)

> >

> > You are dispatched for a 58 y/o female, AMS.

> >

> > You arrive on scene at the local Wal-Mart Garden Center, where one

> of

> > their workers is sitting on the floor, leaning on a coworker's leg.

> > She is very, very thin, her skin is hot and dry, her speech is

> > slurred, she has very mild tremor in her hands, and she says that

> all

> > of a sudden, she couldn't see. She's very alarmed and distressed at

> > this sudden loss of sight, and so is a little combative and

> > disoriented. So, you ask her coworkers for information.They know

> she's

> > on a lot of medications, but they don't know why. At this point, her

> > manager has obtained her purse. You find the contents to be:

> > - Trash

> > - An empty Pink Floyd CD case

> > - Cash

> > - A Driver's License

> > - A medical alert card which simply states that she's allergic to

> > sulfa drugs and morphine.

> > - A bottle of Lamortigine

> > - A bottle of Lithium

> > - An array of OTC GI meds, to include but not limited to: Pepto

> > Bismol, Immodium, Tums, Zantac

> > - A bottle of Simvastatin

> > - A bottle of N-Acetylcysteine

> > - An Albuterol MDI

> >

> > So, what do you want to do? What do you want to know? And, of

> course,

> > what's happening to her, and why?

> >

> > You have four hints. Use them wisely.

> >

> > Let the wild rumpus begin!

> >

> > Alyssa Woods, FF/NREMT-B

> >

> >

>

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

>

>

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

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From a treatment standpoint, I'm not seeing anything that I can provide

actual treatment for, so I'm going to go with the standard oxygen, IV access,

and cardiac monitoring. Based on some of the neurological aspects, I'll be

heading towards someplace with neuro capabilities.

-Wes Ogilvie

In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

amwoods8644@... writes:

Her temperature was taken rectally.

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 12:14 PM, " _rob.davis@..._

(mailto:rob.davis@...) " _rob.davis@..._

(mailto:rob.davis@...)

> wrote:

> On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> _amwoods8644@..._ (mailto:amwoods8644@...) > said:

>

> > Internal Temperature: 101.2

>

> ^ What exactly does this mean? There are several different routes

> for an " internal " temperature, and all have different normal

> parameters.

>

>

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

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Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

amwoods8644@... writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _ExLngHrn@..._ (mailto:ExLngHrn@...)

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _amwoods8644@..._ (mailto:amwoods8644@...) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " __rob.davis@..._

(mailto:_rob.davis@...) _

> (mailto:_rob.davis@..._

(mailto:rob.davis@...) ) "

> __rob.davis@..._ (mailto:_rob.davis@...) _

> (mailto:_rob.davis@..._

(mailto:rob.davis@...) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > __amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

>

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Guest guest

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider these

official hints.

1: based on her medication list, what common psychiatric diagnosis does the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

ExLngHrn@... writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

_amwoods8644@..._ (mailto:amwoods8644@...) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, __ExLngHrn@..._ (mailto:_ExLngHrn@...)

_ (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> __amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) _

> (mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) ) ) "

> ___rob.davis@..._ (mailto:__rob.davis@...)

_ (mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) _

> (mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

>

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Guest guest

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

krin135@... writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, ___ExLngHrn@..._

(mailto:__ExLngHrn@...) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) )

_ (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ____rob.davis@..._

(mailto:___rob.davis@...) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) ) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) ) _

> (mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) ) ) ) "

> ____rob.davis@..._

(mailto:___rob.davis@...) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) )

_ (mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) ) _

> (mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) ) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _ (mailto:

_amwoods8644@..._ (mailto:amwoods8644@...) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

>

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Guest guest

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

ExLngHrn@... writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

_krin135@..._ (mailto:krin135@...) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

__ExLngHrn@..._ (mailto:_ExLngHrn@...) _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, ____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) ) )

_ (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " _____rob.davis@..._

(mailto:____rob.davis@...) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) ) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) ) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) ) ) _

> (mailto:____rob.davis@..._

(mailto:___rob.davis@...) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) ) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) ) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) ) ) ) ) "

> _____rob.davis@..._

(mailto:____rob.davis@...) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) ) )

_ (mailto:____rob.davis@..._

(mailto:___rob.davis@...) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) ) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) ) ) _

> (mailto:____rob.davis@..._

(mailto:___rob.davis@...) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) ) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) ) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) ) _

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) ) ) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > _____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _ (mailto:

__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

>

Link to comment
Share on other sites

Guest guest

OK, what side effects do Atropine and Benedryl have in common?

so if Benedryl is contraindicated, why would you want Atropine?

RT_M, folks....

ck

In a message dated 6/13/2010 14:47:19 Central Daylight Time,

_rick.moore@..._ (mailto:rick.moore@...) writes:

Atropine?

Rick

Sent via Blackberry

________________________________

From: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

To: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...)

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...)

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

_

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

) ) )

_ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

_ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...)

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

(mailto:_____rob.davis@...)

_

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) ) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

) ) ) _

> (mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) _

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(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) )

) ) ) ) "

> ______rob.davis@..._

(mailto:_____rob.davis@...)

_

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) ) )

_ (mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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(mailto:__rob.davis@...)

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

) ) ) _

> (mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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) _

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_

(mailto:__rob.davis@..._

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) _

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_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) )

) ) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ______amwoods8644@..._ (mailto:_____amwoods8644@...)

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _ (mailto:

___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) ) >

said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

>

Link to comment
Share on other sites

Guest guest

Asked and answered, counselor. no contact with toxic substances at work per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

summedic@... writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

(mailto:rick.moore@...) > wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

To: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...)

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...)

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

_

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoo

ds8644@...) ) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

) ) )

_ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

_ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...)

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

(mailto:_____rob.davis@...)

_

(mailto:_____rob.davis@..._ (mailto:____rob.davis@ar

mynursecorps.com) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) ) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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(mailto:__rob.davis@...)

) _

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(mailto:__rob.davis@...)

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(mailto:_rob.davis@...) )

) ) ) _

> (mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

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) _

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_

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(mailto:__rob.davis@...)

) ) _

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(mailto:___rob.davis@...)

_

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(mailto:__rob.davis@...)

) _

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) ) _

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(mailto:___rob.davis@...)

_

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

) _

(mailto:___rob.davis@..._

(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

_

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(mailto:rob.davis@...) )

) ) ) ) "

> ______rob.davis@..._

(mailto:_____rob.davis@...)

_

(mailto:_____rob.davis@..._ (mailto:____r

ob.davis@...) ) _

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(mailto:____rob.davis@...)

_

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(mailto:___rob.davis@...)

) ) _

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(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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) ) )

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) _

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_

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(mailto:__rob.davis@...)

) ) _

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(mailto:___rob.davis@...)

_

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) _

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(mailto:_rob.davis@...) )

) ) ) _

> (mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

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) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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) ) _

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(mailto:___rob.davis@...)

_

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) _

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) ) _

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) _

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) _

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_

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(mailto:_rob.davis@...) )

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) )

) ) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ______amwoods8644@..._ (mailto:_____amwoods8644@...)

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _ (mailto:

___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) ) >

said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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

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

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

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

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

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

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

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Guest guest

Asked and answered, counselor. no contact with toxic substances at work per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

summedic@... writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

(mailto:rick.moore@...) > wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

To: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...)

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...)

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

_

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoo

ds8644@...) ) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

) ) )

_ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

_ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...)

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

(mailto:_____rob.davis@...)

_

(mailto:_____rob.davis@..._ (mailto:____rob.davis@ar

mynursecorps.com) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

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(mailto:___rob.davis@...)

_

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(mailto:__rob.davis@...)

) ) ) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

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(mailto:___rob.davis@...)

) _

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(mailto:___rob.davis@...)

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) ) _

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(mailto:___rob.davis@...)

_

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) _

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(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

) ) ) _

> (mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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(mailto:__rob.davis@...)

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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(mailto:__rob.davis@...)

) _

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(mailto:__rob.davis@...)

_

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(mailto:_rob.davis@...) )

) ) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ______amwoods8644@..._ (mailto:_____amwoods8644@...)

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) ) _

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(mailto:_amwoods8644@...) ) ) ) ) _

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(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _ (mailto:

___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) ) >

said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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Asked and answered, counselor. no contact with toxic substances at work per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

summedic@... writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

(mailto:rick.moore@...) > wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

To: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...)

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...)

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

_

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoo

ds8644@...) ) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

) ) )

_ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

_ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...)

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

(mailto:_____rob.davis@...)

_

(mailto:_____rob.davis@..._ (mailto:____rob.davis@ar

mynursecorps.com) ) _

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_

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) ) ) _

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(mailto:____rob.davis@...)

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_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) )

) ) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ______amwoods8644@..._ (mailto:_____amwoods8644@...)

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _ (mailto:

___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) ) >

said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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

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

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

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

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

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

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

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Guest guest

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

krin135@... writes:

Asked and answered, counselor. no contact with toxic substances at work per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

_summedic@..._ (mailto:summedic@...) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, __rick.moore@..._

(mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: __texasems-l _ (mailto:_texasems-l ) _

(mailto:_texasems-l _ (mailto:texasems-l ) )

__texasems-l _ (mailto:_texasems-l ) _

(mailto:_texasems-l _ (mailto:texasems-l ) ) >

To: __texasems-l _ (mailto:_texasems-l ) _

(mailto:_texasems-l _ (mailto:texasems-l ) )

__texasems-l _ (mailto:_texasems-l ) _

(mailto:_texasems-l _ (mailto:texasems-l ) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

__ExLngHrn@..._ (mailto:_ExLngHrn@...) _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

___krin135@..._ (mailto:__krin135@...) _ (mailto:__krin135@..._

(mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) )

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) )

) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) )

_

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

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) _

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_ (mailto:___amwoods8644@..._

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) ) _

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_ (mailto:___amwoods8644@..._

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_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) _ (mailto:amwoo

_ds8644@..._ (mailto:ds8644@...) )

) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, ______ExLngHrn@..._

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) ) _

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_ (mailto:__ExLngHrn@..._

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) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ______amwoods8644@..._ (mailto:_____amwoods8644@...) _

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_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) _

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) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " _______rob.davis@..._

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > _______amwoods8644@..._ (mailto:______amwoods8644@...) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) ) ) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) ) _ (mailto:

____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

krin135@... writes:

Asked and answered, counselor. no contact with toxic substances at work per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

_summedic@..._ (mailto:summedic@...) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, __rick.moore@..._

(mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: __texasems-l _ (mailto:_texasems-l ) _

(mailto:_texasems-l _ (mailto:texasems-l ) )

__texasems-l _ (mailto:_texasems-l ) _

(mailto:_texasems-l _ (mailto:texasems-l ) ) >

To: __texasems-l _ (mailto:_texasems-l ) _

(mailto:_texasems-l _ (mailto:texasems-l ) )

__texasems-l _ (mailto:_texasems-l ) _

(mailto:_texasems-l _ (mailto:texasems-l ) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

__ExLngHrn@..._ (mailto:_ExLngHrn@...) _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

___krin135@..._ (mailto:__krin135@...) _ (mailto:__krin135@..._

(mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) )

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) )

) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) )

_

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) _ (mailto:amwoo

_ds8644@..._ (mailto:ds8644@...) )

) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, ______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) )

_

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) )

) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) )

) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) )

) _ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) )

_

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) ) )

_ (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) )

) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) )

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) )

) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) )

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) )

) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) )

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...) )

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) )

_ (mailto:_____amwoods8644@..._

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) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) _

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_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) )

) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " _______rob.davis@..._

(mailto:______rob.davis@...) _

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_

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(mailto:__rob.davis@..._

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(mailto:_rob.davis@..._

(mailto:rob.davis@...) )

) ) ) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > _______amwoods8644@..._ (mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) )

_ (mailto:______amwoods8644@..._

(mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) )

) _

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) ) ) _

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) _

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_ (mailto:____amwoods8644@..._

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) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

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_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

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) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

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_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) ) ) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

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_ (mailto:_____amwoods8644@..._

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) _

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_ (mailto:____amwoods8644@..._

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) ) _

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_ (mailto:____amwoods8644@..._

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) _

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_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) ) _ (mailto:

____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) )

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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

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

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

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

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

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

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

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

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Guest guest

What age range is typical for Bulemia? (this patient is listed as being 58)

AW has also indicated that you should be hearing horses not zebras.

ck

In a message dated 6/13/2010 14:57:07 Central Daylight Time,

summedic@... writes:

Also, considering the description and medications presented, is this

patient Bolemic?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

(mailto:rick.moore@...) > wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

To: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...)

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...)

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

_

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

) ) )

_ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

_ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...)

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

(mailto:_____rob.davis@...)

_

(mailto:_____rob.davis@..._

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) _

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) ) ) _

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corps.com) _

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) _

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> ______rob.davis@..._

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_

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) _

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s@...) _

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) _

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) _

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(mailto:__rob.davis@...)

_

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(mailto:_rob.davis@...) )

) ) ) _

> (mailto:_____rob.davis@..._

(mailto:____rob.davis@...)

_

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

_

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(mailto:__rob.davis@...)

) ) _

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(mailto:___rob.davis@...)

_

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(mailto:__rob.davis@...)

) _

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(mailto:__rob.davis@...)

_

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(mailto:_rob.davis@...) )

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(mailto:___rob.davis@...)

_

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) _

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_

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) _

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(mailto:__rob.davis@...)

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) )

_

(mailto:__rob.davis@..._

(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) )

) ) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ______amwoods8644@..._ (mailto:_____amwoods8644@...)

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._ (mailt

o:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _ (mailto:

___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) ) >

said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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

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

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

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

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

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

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

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Guest guest

What age range is typical for Bulemia? (this patient is listed as being 58)

AW has also indicated that you should be hearing horses not zebras.

ck

In a message dated 6/13/2010 14:57:07 Central Daylight Time,

summedic@... writes:

Also, considering the description and medications presented, is this

patient Bolemic?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

(mailto:rick.moore@...) > wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

To: _texasems-l _ (mailto:texasems-l )

_texasems-l _ (mailto:texasems-l ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...)

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...)

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

_

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

) ) )

_ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...)

) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

_ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

_ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...)

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

(mailto:_____rob.davis@...)

_

(mailto:_____rob.davis@..._

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) _

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) ) ) _

(mailto:_____rob.davis@..._ (mailto:____rob.davis@armynurse

corps.com) _

(mailto:____rob.davis@..._

(mailto:___rob.davis@...)

) _

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_

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) _

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) _

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(mailto:_rob.davis@...) _

(mailto:_rob.davis@..._

(mailto:rob.davis@...) )

) ) ) )

> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ______amwoods8644@..._ (mailto:_____amwoods8644@...)

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._ (mailt

o:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) ) _ (mailto:

___amwoods8644@..._ (mailto:__amwoods8644@...)

_ (mailto:__amwoods8644@..._

(mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

_ (mailto:_amwoods8644@..._

(mailto:amwoods8644@...) ) ) ) ) ) >

said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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

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Guest guest

Benzos would be appropriate, but why?

I have seen nothing to indicate that the patient has Tardive Dyskinesia.

given that she's having visual hallucinations (the loss of vision which

turned out to be a visual 'melting' when the patient was willing to confide

in the medic), is she on any medications which might cause this?

and you still have not given the proper psych diagnosis.

ck

In a message dated 6/13/2010 15:00:04 Central Daylight Time,

ExLngHrn@... writes:

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

_krin135@..._ (mailto:krin135@...) writes:

Asked and answered, counselor. no contact with toxic substances at work

per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

__summedic@..._ (mailto:_summedic@...) _

(mailto:_summedic@..._ (mailto:summedic@...) ) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, ___rick.moore@..._

(mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: ___texasems-l _ (mailto:__texasems-l )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

_ (mailto:_texasems-l _ (mailto:texasems-l )

) )

___texasems-l _ (mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l ) ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

_ (mailto:_texasems-l _ (mailto:texasems-l )

) ) >

To: ___texasems-l _ (mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

) _

(mailto:__texasems-l _ (mailto:_texasems-l )

_ (mailto:_texasems-l _ (mailto:texasems-l )

) )

___texasems-l _ (mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l ) ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

_ (mailto:_texasems-l _ (mailto:texasems-l )

) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._

(mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) )

_

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) ) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) ) )

) _ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) ) )

_

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:amwoo

__ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

(mailto:ds8644@...) ) )

) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _______ExLngHrn@..._

(mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) )

_

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

) _

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) ) )

_ (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

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(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

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) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

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_ (mailto:___ExLngHrn@..._

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(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...) ) )

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _______amwoods8644@..._ (mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_ (mailto:______amwoods8644@..._

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

) _

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

_ (mailto:_____amwoods8644@..._

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) ) _

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

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_ (mailto:_____amwoods8644@..._

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) _

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_ (mailto:____amwoods8644@..._

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) ) ) _

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_ (mailto:_____amwoods8644@..._

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) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

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(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

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(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

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_ (mailto:___amwoods8644@..._

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(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ________rob.davis@..._

(mailto:_______rob.davis@...) _

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > ________amwoods8644@..._ (mailto:_______amwoods8644@...) _

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) ) _ (mailto:

_____amwoods8644@..._ (mailto:____amwoods8644@...) _

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_ (mailto:____amwoods8644@..._

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(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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Guest guest

Benzos would be appropriate, but why?

I have seen nothing to indicate that the patient has Tardive Dyskinesia.

given that she's having visual hallucinations (the loss of vision which

turned out to be a visual 'melting' when the patient was willing to confide

in the medic), is she on any medications which might cause this?

and you still have not given the proper psych diagnosis.

ck

In a message dated 6/13/2010 15:00:04 Central Daylight Time,

ExLngHrn@... writes:

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

_krin135@..._ (mailto:krin135@...) writes:

Asked and answered, counselor. no contact with toxic substances at work

per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

__summedic@..._ (mailto:_summedic@...) _

(mailto:_summedic@..._ (mailto:summedic@...) ) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, ___rick.moore@..._

(mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: ___texasems-l _ (mailto:__texasems-l )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

_ (mailto:_texasems-l _ (mailto:texasems-l )

) )

___texasems-l _ (mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l ) ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

_ (mailto:_texasems-l _ (mailto:texasems-l )

) ) >

To: ___texasems-l _ (mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

) _

(mailto:__texasems-l _ (mailto:_texasems-l )

_ (mailto:_texasems-l _ (mailto:texasems-l )

) )

___texasems-l _ (mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l ) ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

_ (mailto:_texasems-l _ (mailto:texasems-l )

) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._

(mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) )

_

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) ) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) ) )

) _ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) ) )

_

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:amwoo

__ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

(mailto:ds8644@...) ) )

) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, _______ExLngHrn@..._

(mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) )

_

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

) _ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

_

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) )

) ) )

_ (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) ) )

) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) ) )

) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) )

_ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...) ) )

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> _______amwoods8644@..._ (mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_ (mailto:______amwoods8644@..._

(mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) ) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " ________rob.davis@..._

(mailto:_______rob.davis@...) _

(mailto:_______rob.davis@..._

(mailto:______rob.davis@...) ) _

(mailto:_______rob.davis@..._

(mailto:______rob.davis@...) _

(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) ) )

_

(mailto:_______rob.davis@..._

(mailto:______rob.davis@...) _

(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) ) _ (mailto:____rob.davis@ar

mynursecorps.com) ) _

(mailto:_______rob.davis@..._

(mailto:______rob.davis@...) _

(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) ) _

(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...) ) )

_

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(mailto:_____rob.davis@...) _

(mailto:_____rob.davis@..._

(mailto:____rob.davis@...) ) _

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(mailto:____rob.davis@..._

(mailto:___rob.davis@...) ) )

) ) _

(mailto:_______rob.davis@..._

(mailto:______rob.davis@...) _

(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) ) _

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(mailto:_____rob.davis@..._

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_

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) _

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_s@..._ (mailto:s@...) ) _

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_

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) ) ) _

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(mailto:______rob.davis@...) _

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_

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) _

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_

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) ) _

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) _

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_

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) ) ) ) _

> (mailto:_______rob.davis@..._

(mailto:______rob.davis@...) _

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_

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) _

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_

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

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(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) ) _ (mailto:

_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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Guest guest

got this from one of the folks on the list:

Not having any luck getting this sent to the list but please post either

way!!

Sub therapeutic reaction to Lamortigine (used for bipolar disorder),

benzos are used to control acute mania until a therapeutic level is reached in

the blood

-Chris

correct drug, correct basic diagnosis, wrong indication

anyone else with an idea?

ck

In a message dated 6/13/2010 15:06:49 Central Daylight Time,

krin135@... writes:

Benzos would be appropriate, but why?

I have seen nothing to indicate that the patient has Tardive Dyskinesia.

given that she's having visual hallucinations (the loss of vision which

turned out to be a visual 'melting' when the patient was willing to

confide

in the medic), is she on any medications which might cause this?

and you still have not given the proper psych diagnosis.

ck

In a message dated 6/13/2010 15:00:04 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...) writes:

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _ (mailto:_krin135@..._

(mailto:krin135@...) ) writes:

Asked and answered, counselor. no contact with toxic substances at work

per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

___summedic@..._ (mailto:__summedic@...) _

(mailto:__summedic@..._ (mailto:_summedic@...) ) _

(mailto:__summedic@..._ (mailto:_summedic@...) _

(mailto:_summedic@..._ (mailto:summedic@...) ) ) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, ____rick.moore@..._

(mailto:___rick.moore@...) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) ) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: ____texasems-l _

(mailto:___texasems-l ) _ (mailto:___texasems-l _

(mailto:__texasems-l ) )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

To: ____texasems-l _ (mailto:___texasems-l )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

_____krin135@..._ (mailto:____krin135@...) _

(mailto:____krin135@..._ (mailto:___krin135@...) ) _

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) ) _

(mailto:____krin135@..._

(mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) )

_

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) ) ) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) _ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

_______amwoods8644@..._ (mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

_ (mailto:______amwoods8644@..._

(mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

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_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

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) ) _

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

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(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:amwoo

___ds8644@..._ (mailto:__ds8644@...) _

(mailto:__ds8644@..._ (mailto:_ds8644@...) ) _

(mailto:__ds8644@..._

(mailto:_ds8644@...) _

(mailto:_ds8644@..._ (mailto:ds8644@...) ) ) )

) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, ________ExLngHrn@..._

(mailto:_______ExLngHrn@...) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) ) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) ) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) )

_

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) )

) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) )

_ (mailto:______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

) ) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

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(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) )

_ (mailto:______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

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(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

) _ (mailto:______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

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(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

_

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(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) ) )

_ (mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

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_ (mailto:______ExLngHrn@..._

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(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

) _

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(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

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(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

_ (mailto:_____ExLngHrn@..._

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(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

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) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

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(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ________amwoods8644@..._ (mailto:_______amwoods8644@...) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...) )

_

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) ) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

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)

_ (mailto:_______amwoods8644@..._

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_

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_

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

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_

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_ (mailto:______amwoods8644@..._

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) ) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

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_

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_ (mailto:______amwoods8644@..._

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) _

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_ (mailto:_____amwoods8644@..._

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

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) ) ) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

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_

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_ (mailto:______amwoods8644@..._

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(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) _

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

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_ (mailto:_____amwoods8644@..._

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(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) )

) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " _________rob.davis@..._

(mailto:________rob.davis@...) _

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_

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(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) ) ) _ (mailto:____rob.davis@ar

mynursecorps.com) ) _

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nursecorps.com) ) _

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

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_ (mailto:_____amwoods8644@..._

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(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

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(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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Guest guest

got this from one of the folks on the list:

Not having any luck getting this sent to the list but please post either

way!!

Sub therapeutic reaction to Lamortigine (used for bipolar disorder),

benzos are used to control acute mania until a therapeutic level is reached in

the blood

-Chris

correct drug, correct basic diagnosis, wrong indication

anyone else with an idea?

ck

In a message dated 6/13/2010 15:06:49 Central Daylight Time,

krin135@... writes:

Benzos would be appropriate, but why?

I have seen nothing to indicate that the patient has Tardive Dyskinesia.

given that she's having visual hallucinations (the loss of vision which

turned out to be a visual 'melting' when the patient was willing to

confide

in the medic), is she on any medications which might cause this?

and you still have not given the proper psych diagnosis.

ck

In a message dated 6/13/2010 15:00:04 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...) writes:

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _ (mailto:_krin135@..._

(mailto:krin135@...) ) writes:

Asked and answered, counselor. no contact with toxic substances at work

per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

___summedic@..._ (mailto:__summedic@...) _

(mailto:__summedic@..._ (mailto:_summedic@...) ) _

(mailto:__summedic@..._ (mailto:_summedic@...) _

(mailto:_summedic@..._ (mailto:summedic@...) ) ) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, ____rick.moore@..._

(mailto:___rick.moore@...) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) ) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: ____texasems-l _

(mailto:___texasems-l ) _ (mailto:___texasems-l _

(mailto:__texasems-l ) )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

To: ____texasems-l _ (mailto:___texasems-l )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

_____krin135@..._ (mailto:____krin135@...) _

(mailto:____krin135@..._ (mailto:___krin135@...) ) _

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) ) _

(mailto:____krin135@..._

(mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) )

_

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) ) ) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) _ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

_______amwoods8644@..._ (mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

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(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) _

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_ (mailto:_____amwoods8644@..._

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:amwoo

___ds8644@..._ (mailto:__ds8644@...) _

(mailto:__ds8644@..._ (mailto:_ds8644@...) ) _

(mailto:__ds8644@..._

(mailto:_ds8644@...) _

(mailto:_ds8644@..._ (mailto:ds8644@...) ) ) )

) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, ________ExLngHrn@..._

(mailto:_______ExLngHrn@...) _

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(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) )

_

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) _

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) ) _

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_

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(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) ) )

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) _

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) ) _

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_ (mailto:_____ExLngHrn@..._

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(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

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(mailto:__ExLngHrn@...) _

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) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ________amwoods8644@..._ (mailto:_______amwoods8644@...) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...) )

_

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) ) _

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) _

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)

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_

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) _

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) ) _

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) _

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) ) ) _

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) _

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(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

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) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " _________rob.davis@..._

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > _________amwoods8644@..._ (mailto:________amwoods8644@...)

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_ (mailto:_____amwoods8644@..._

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) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

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

>

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

>

>

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