Re: EMS Challenge (2)

June 13, 2010

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

June 13, 2010

not sure why this original reply won't go, or why when I first copied it,

the system insisted on making it a zip file.

let's see if this works this time!

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

right basic diagnosis, right drug, wrong indication.

and if the patient is on both Lamortrigine and Lithium, what are the

chances that she is in a manic phase?

What are the distinguishing characteristics of acute mania?

how does acute mania compare to delirium?

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 ) )

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) )

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) ) >

To: ____texasems-l _ (mailto:___texasems-l )

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_ (mailto:__texasems-l _

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) ) >

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@...) _

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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@...) ) ) )

) ) 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,

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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: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@..._

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) ) )

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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@...) ) ) _

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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@..._

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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@...) ) ) )

) ) ) )

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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_ (mailto:______amwoods8644@..._ (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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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

) _

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_ (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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(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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(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@...) ) _

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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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mynursecorps.com) ) _

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> > wrote:

>

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

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

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

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______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@...) ) ) )

) ) ) ) ) > 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]

June 13, 2010

not sure why this original reply won't go, or why when I first copied it,

the system insisted on making it a zip file.

let's see if this works this time!

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

right basic diagnosis, right drug, wrong indication.

and if the patient is on both Lamortrigine and Lithium, what are the

chances that she is in a manic phase?

What are the distinguishing characteristics of acute mania?

how does acute mania compare to delirium?

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@...) _

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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@...) _

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

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

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

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

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

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

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

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

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

) _

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

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

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

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

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

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

(mailto:___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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(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) )

_

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) _

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) ) _

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) _ (mailto:______ExLngHrn@..._

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_

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

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

) ) )

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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@...) ) _

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

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

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

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

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

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

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

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

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

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

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

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

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

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

) _

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

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

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

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

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

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

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

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

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

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

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

) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...)

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

_

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_

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) _

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_ (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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>

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

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

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

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

(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]

June 13, 2010

third time is a charm. not sure why things were zipped twice but here's the

gist:

from Aggiesrwe03 (Chris) makes the guess:

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.

my response:

correct basic diagnosis, correct medication, wrong indication. Why would

you expect a patient on *both* Lamortrigine (Lamictal) AND Lithium to display

manic symptoms if she has (reportedly) been taking her medications as

prescribed.

Describe the signs and symptoms of acute mania, and compare to what this

patient is displaying.

Besides a base diagnosis of bipolar disorder, what else is going on with

this patient's mental status?

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 _

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) ) _

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

) _

(mailto:___texasems-l _

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(mailto:_texasems-l ) ) ) _

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_ (mailto:__texasems-l _

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To: ____texasems-l _ (mailto:___texasems-l )

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(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@...) _

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

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

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

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

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

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

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

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

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

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

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

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

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

) ) _

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

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

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

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

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

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

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

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

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

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

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

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

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

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

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

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

) _

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

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

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

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

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

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

(mailto:___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@...) ) _

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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@...) _

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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@...) _

(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@...) ) ) )

) ) )

_ (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@...) _

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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@...) ) ) _

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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@..._

(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@...)

) ) _

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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@...) _

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

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

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

) _

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

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

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

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

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

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

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

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

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

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

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

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

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

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

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

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

) ) _ (mailto:

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

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

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

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

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

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

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

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

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

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

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

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

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

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

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

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

) _

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

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

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

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

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

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

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

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

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

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

(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]

June 13, 2010

third time is a charm. not sure why things were zipped twice but here's the

gist:

from Aggiesrwe03 (Chris) makes the guess:

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.

my response:

correct basic diagnosis, correct medication, wrong indication. Why would

you expect a patient on *both* Lamortrigine (Lamictal) AND Lithium to display

manic symptoms if she has (reportedly) been taking her medications as

prescribed.

Describe the signs and symptoms of acute mania, and compare to what this

patient is displaying.

Besides a base diagnosis of bipolar disorder, what else is going on with

this patient's mental status?

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@...) _

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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@...) ) _

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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: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@...) ) ) _

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

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

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

_ (mailto:______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

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_

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(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@...) ) _

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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@...) _

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

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

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

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

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

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

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

_ (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@...) )

_

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

) ) _

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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@...) ) ) )

) _

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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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_

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

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) ) ) _

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_ (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@...) ) ) )

) _

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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@...) _

(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@...) ) _

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

mynursecorps.com) ) _

(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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>

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

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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@...) ) ) )

) ) ) ) ) > 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]

June 13, 2010

third time is a charm. not sure why things were zipped twice but here's the

gist:

from Aggiesrwe03 (Chris) makes the guess:

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.

my response:

correct basic diagnosis, correct medication, wrong indication. Why would

you expect a patient on *both* Lamortrigine (Lamictal) AND Lithium to display

manic symptoms if she has (reportedly) been taking her medications as

prescribed.

Describe the signs and symptoms of acute mania, and compare to what this

patient is displaying.

Besides a base diagnosis of bipolar disorder, what else is going on with

this patient's mental status?

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@...) _

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

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

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

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

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

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

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

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

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

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

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

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

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

) ) _

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

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

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

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

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

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

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

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

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

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

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

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

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

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

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

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

) _

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

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

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

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

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

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

(mailto:___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@...) ) ) )

) _

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_ (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@...) _

(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@...) ) ) _

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(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@..._

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(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@...) _

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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@...) ) ) )

) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

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

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

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

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

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

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

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

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

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

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

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

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

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

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

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

) _

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

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

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

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

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

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

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

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

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

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

(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@...) _

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

(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@...) ) ) )

) ) ) ) ) > 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]

June 13, 2010

ok, Chief, now expand on the acronym, and explain.

and how does the Atropine 'fix' the problem?

ck

In a message dated 6/13/2010 16:39:00 Central Daylight Time,

lnmolino@... writes:

SLUDGEM actually Doc.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

_LNMolino@..._ (mailto:LNMolino@...)

On Jun 13, 2010, at 14:55, _krin135@..._ (mailto:krin135@...)

wrote:

> 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@...) )

%40aol.com>

> 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@...) )

_

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

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

> ) ) )

> _ (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

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

> _ (mailto:____ExLngHrn@..._

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

(mailto:__ExLngHrn@...)

> )

> ) _

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

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

> _ (mailto:___ExLngHrn@..._

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

(mailto:_ExLngHrn@...)

> )

> ) ) _

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

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

> _ (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@...) )

> ) ) ) ) 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@ar

> mynursecorps.com) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) ) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) _

> (m

>

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

June 13, 2010

ok, Chief, now expand on the acronym, and explain.

and how does the Atropine 'fix' the problem?

ck

In a message dated 6/13/2010 16:39:00 Central Daylight Time,

lnmolino@... writes:

SLUDGEM actually Doc.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

_LNMolino@..._ (mailto:LNMolino@...)

On Jun 13, 2010, at 14:55, _krin135@..._ (mailto:krin135@...)

wrote:

> 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@...) )

%40aol.com>

> 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@...) )

_

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

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

> ) ) )

> _ (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

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

> _ (mailto:____ExLngHrn@..._

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

(mailto:__ExLngHrn@...)

> )

> ) _

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

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

> _ (mailto:___ExLngHrn@..._

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

(mailto:_ExLngHrn@...)

> )

> ) ) _

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

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

> _ (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@...) )

> ) ) ) ) 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@ar

> mynursecorps.com) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) ) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) _

> (m

>

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

June 13, 2010

nope. I double checked the history with AW, who had access to an excellent

historian for the case.

the skin is described as hot and dry, and there is no evidence of active

salivation, lacrimation, urinary or fecal incontinence or emesis.

Oh, and where would the Acetylcystine come in?

ck

In a message dated 6/13/2010 16:41:54 Central Daylight Time,

lnmolino@... writes:

SLUDGEM actually Doc.

Emesis and Miosis with some modern (post 9/11) literature adding a P

for Physcological as well.

A typo I bet on hour part with your " history " .

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

_LNMolino@..._ (mailto:LNMolino@...)

On Jun 13, 2010, at 14:55, _krin135@..._ (mailto:krin135@...)

wrote:

> 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@...) )

%40aol.com>

> 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@...) )

_

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

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

> ) ) )

> _ (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

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

> _ (mailto:____ExLngHrn@..._

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

(mailto:__ExLngHrn@...)

> )

> ) _

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

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

> _ (mailto:___ExLngHrn@..._

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

(mailto:_ExLngHrn@...)

> )

> ) ) _

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

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

> _ (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@...) )

> ) ) ) ) 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@ar

> mynursecorps.com) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) ) ) _

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

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

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

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

%40armynursecorps.com>_

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

vis@...) _

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

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

%40armynursecorps.com>) _

> (m

>

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

June 13, 2010

nope. I double checked the history with AW, who had access to an excellent

historian for the case.

the skin is described as hot and dry, and there is no evidence of active

salivation, lacrimation, urinary or fecal incontinence or emesis.

Oh, and where would the Acetylcystine come in?

ck

In a message dated 6/13/2010 16:41:54 Central Daylight Time,

lnmolino@... writes:

SLUDGEM actually Doc.

Emesis and Miosis with some modern (post 9/11) literature adding a P

for Physcological as well.

A typo I bet on hour part with your " history " .

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

_LNMolino@..._ (mailto:LNMolino@...)

On Jun 13, 2010, at 14:55, _krin135@..._ (mailto:krin135@...)

wrote:

> 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@...) )

%40aol.com>

> 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@...) )

_

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

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

> ) ) )

> _ (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

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

> _ (mailto:____ExLngHrn@..._

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

(mailto:__ExLngHrn@...)

> )

> ) _

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

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

> _ (mailto:___ExLngHrn@..._

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

(mailto:_ExLngHrn@...)

> )

> ) ) _

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

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

> _ (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@...) )

> ) ) ) ) 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@ar

> mynursecorps.com) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) ) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) _

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

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

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

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

%40armynursecorps.com>_

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

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

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

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

%40armynursecorps.com>) ) ) _

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

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

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

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

%40armynursecorps.com>_

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

vis@...) _

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

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

%40armynursecorps.com>) _

> (m

>

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

June 13, 2010

Her temperature was taken rectally.

Sent from the itty bitty keyboard on my iPhone

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

rob.davis@...

> wrote:

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

> 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.

>

June 13, 2010

How about Lithium toxicity?

Sent from my iPhone,

McGee, EMT-P, EMT-T

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

> >

>

June 13, 2010

Pt reports being compliant with her meds.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

> 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

> > >

> >

June 13, 2010

Imodium can cause many of these symptoms as side effects including the fever

however I'm lost with the loss of vision is that headed in the correct

direction?

-Chris

Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my

iPhone

> 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]

>

June 13, 2010

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

> 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.

> >

>

June 13, 2010

You're ahead of your time! Lithium toxicity was the third diagnosis

she received from the doctors.

It is, however, incorrect.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

> How about Lithium toxicity?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 1:14 AM, Alyssa Woods amwoods8644@...>

> wrote:

>

> 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@...>

> 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

> > >

> >

June 13, 2010

Immodium is not the culprit.

However, I'm going to assume that since this is where you're looking,

you would ask her to describe her loss of vision better. Eventually,

when she's away from her coworkers, she changes what she's saying to

" everything is melting. "

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

> Imodium can cause many of these symptoms as side effects including

> the fever however I'm lost with the loss of vision is that headed in

> the correct direction?

>

> -Chris

>

> Sorry for the spelling and punctuation this was typed on tge tiny

> keyboard on my iPhone

>

> > 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.

> >>

> >

June 13, 2010

Ok well she has the imodium and other pill bottles with her are there any other

type pills in these bottles?

-Chris

on a side note immodium is good stuff I never leave for work without it either

LOL

Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my

iPhone

> Immodium is not the culprit.

>

> However, I'm going to assume that since this is where you're looking,

> you would ask her to describe her loss of vision better. Eventually,

> when she's away from her coworkers, she changes what she's saying to

> " everything is melting. "

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

>> Imodium can cause many of these symptoms as side effects including

>> the fever however I'm lost with the loss of vision is that headed in

>> the correct direction?

>>

>> -Chris

>>

>> Sorry for the spelling and punctuation this was typed on tge tiny

>> keyboard on my iPhone

>>

>>> 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.

>>>>

>>>

June 13, 2010

Atropine?

Rick

Sent via Blackberry

________________________________

From: texasems-l texasems-l >

To: texasems-l 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@... 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.

> >

>

June 13, 2010

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

Atropine?

Rick

Sent via Blackberry

________________________________

From: texasems-l texasems-l >

To: texasems-l 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@... 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.

> >

>

June 13, 2010

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

Atropine?

Rick

Sent via Blackberry

________________________________

From: texasems-l texasems-l >

To: texasems-l 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@... 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.

> >

>

June 13, 2010

Good point

Rick

Sent via Blackberry

________________________________

From: texasems-l texasems-l >

To: texasems-l texasems-l >

Sent: Sun Jun 13 14:51:08 2010

Subject: Re: EMS Challenge (2)

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@...

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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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_

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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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_

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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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_

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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@...

_

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) _

(mailto:___rob.davis@...

_

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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@..._

(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@...

_

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) _

(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@...)

_

(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@...)

) ) ) ) _

(mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...)

_

(mailto:____amwoods8644@..._

(mailto:___amwoods8644@...)

) _

(mailto:____amwoods8644@..._

(mailto:___amwoods8644@...)

_

(mailto:___amwoods8644@..._

(mailto:__amwoods8644@...)

) ) _

(mailto:____amwoods8644@..._

(mailto:___amwoods8644@...)

_

(mailto:___amwoods8644@..._

(mailto:__amwoods8644@...)

) _

(mailto:___amwoods8644@..._

(mailto:__amwoods8644@...)

_

(mailto:__amwoods8644@..._

(mailto:_amwoods8644@...)

) ) ) _

(mailto:____amwoods8644@..._

(mailto:___amwoods8644@...)

_

(mailto:___amwoods8644@..._

(mailto:__amwoods8644@...)

) _

(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.

> >

>

June 13, 2010

Good point

Rick

Sent via Blackberry

________________________________

From: texasems-l texasems-l >

To: texasems-l texasems-l >

Sent: Sun Jun 13 14:51:08 2010

Subject: Re: EMS Challenge (2)

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@...)

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>

> 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@...)

_

(mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...)

) _

(mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...)

_

(mailto:____amwoods8644@..._

(mailto:___amwoods8644@...)

) ) _

(mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...)

_

(mailto:____amwoods8644@..._

(mailto:___amwoods8644@...)

) _

(mailto:____amwoods8644@..._

(mailto:___amwoods8644@...)

_

(mailto:___amwoods8644@..._

(mailto:__amwoods8644@...)

) ) ) _

(mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...)

_

(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@...)

) ) ) ) ) > 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.

> >

>

June 13, 2010

Also, considering the description and medications presented, is this patient

Bolemic?

Sent from my iPhone,

McGee, EMT-P, EMT-T

Atropine?

Rick

Sent via Blackberry

________________________________

From: texasems-l texasems-l >

To: texasems-l 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@... 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.

> >

>

June 13, 2010

Also, considering the description and medications presented, is this patient

Bolemic?

Sent from my iPhone,

McGee, EMT-P, EMT-T

Atropine?

Rick

Sent via Blackberry

________________________________

From: texasems-l texasems-l >

To: texasems-l 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@... 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@...

_

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) _

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> > wrote:

>

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

> > _____amwoods8644@..._

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__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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