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Re: EMS Challenge (2)

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Bipolar disorder

-Chris

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

iPhone

> Benzos would be appropriate, but why?

>

> I have seen nothing to indicate that the patient has Tardive Dyskinesia.

>

> given that she's having visual hallucinations (the loss of vision which

> turned out to be a visual 'melting' when the patient was willing to confide

> in the medic), is she on any medications which might cause this?

>

> and you still have not given the proper psych diagnosis.

>

> ck

>

>

> In a message dated 6/13/2010 15:00:04 Central Daylight Time,

> ExLngHrn@... writes:

>

>

>

>

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

> experimental studies. Otherwise, consider whichever benzodiazepine is

> available in this prehospital setting.

>

> -Wes Ogilvie

>

>

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

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

>

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

> per

>

> AW.

>

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

>

> ck

>

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

> __summedic@..._ (mailto:_summedic@...) _

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

>

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

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

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

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

> (mailto:__rick.moore@...) _

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

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

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

> wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

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

> _ (mailto:__texasems-l _

> (mailto:_texasems-l ) ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

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

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

> ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

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

>

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

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

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

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) _

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

>

> writes:

>

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

> push?

>

> -Wes Ogilvie

>

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

> ____krin135@..._ (mailto:___krin135@...) _

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

(mailto:___krin135@..._

> (mailto:__krin135@...) _

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

> _

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

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

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

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

> ) writes:

>

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

> these

>

> official hints.

>

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

> the

> patient suffer?

>

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

> front of her co workers?

>

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

>

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

> process,

> what common ALS medication would be indicated?

>

> ck

>

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

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

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

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> _

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

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

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

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

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

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

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

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

> (mailto:amwoo

> __ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

> (mailto:ds8644@...) ) )

> ) ) ) writes:

>

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

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

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

> (mailto:______ExLngHrn@...) _

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

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

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

> _

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

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

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

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

> ) _

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

> ) ) _

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

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

> (mailto:____ExLngHrn@...) _

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

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

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

> _

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

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

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

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

> ) ) )

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

> ) _

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) ) _

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) _

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

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

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

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

> _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

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

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

(mailto:_ExLngHrn@..._

> (mailto:ExLngHrn@...) ) )

> ) ) ) )

> wrote:

>

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

>> provide

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

>> IV access,

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

>> I'll be

>> heading towards someplace with neuro capabilities.

>>

>> -Wes Ogilvie

>>

>>

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

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

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

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

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

> _ (mailto:______amwoods8644@..._

> (mailto:_____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

> (mailto:___

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Guest guest

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

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

iPhone

> Benzos would be appropriate, but why?

>

> I have seen nothing to indicate that the patient has Tardive Dyskinesia.

>

> given that she's having visual hallucinations (the loss of vision which

> turned out to be a visual 'melting' when the patient was willing to confide

> in the medic), is she on any medications which might cause this?

>

> and you still have not given the proper psych diagnosis.

>

> ck

>

>

> In a message dated 6/13/2010 15:00:04 Central Daylight Time,

> ExLngHrn@... writes:

>

>

>

>

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

> experimental studies. Otherwise, consider whichever benzodiazepine is

> available in this prehospital setting.

>

> -Wes Ogilvie

>

>

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

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

>

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

> per

>

> AW.

>

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

>

> ck

>

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

> __summedic@..._ (mailto:_summedic@...) _

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

>

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

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

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

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

> (mailto:__rick.moore@...) _

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

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

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

> wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

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

> _ (mailto:__texasems-l _

> (mailto:_texasems-l ) ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

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

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

> ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

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

>

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

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

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

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) _

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

>

> writes:

>

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

> push?

>

> -Wes Ogilvie

>

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

> ____krin135@..._ (mailto:___krin135@...) _

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

(mailto:___krin135@..._

> (mailto:__krin135@...) _

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

> _

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

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

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

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

> ) writes:

>

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

> these

>

> official hints.

>

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

> the

> patient suffer?

>

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

> front of her co workers?

>

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

>

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

> process,

> what common ALS medication would be indicated?

>

> ck

>

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

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

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

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> _

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

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

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

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

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

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

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

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

> (mailto:amwoo

> __ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

> (mailto:ds8644@...) ) )

> ) ) ) writes:

>

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

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

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

> (mailto:______ExLngHrn@...) _

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

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

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

> _

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

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

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

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

> ) _

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

> ) ) _

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

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

> (mailto:____ExLngHrn@...) _

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

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

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

> _

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

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

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

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

> ) ) )

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

> ) _

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) ) _

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) _

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

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

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

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

> _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

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

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

(mailto:_ExLngHrn@..._

> (mailto:ExLngHrn@...) ) )

> ) ) ) )

> wrote:

>

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

>> provide

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

>> IV access,

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

>> I'll be

>> heading towards someplace with neuro capabilities.

>>

>> -Wes Ogilvie

>>

>>

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

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

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

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

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

> _ (mailto:______amwoods8644@..._

> (mailto:_____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

> (mailto:___

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Guest guest

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

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

iPhone

> Benzos would be appropriate, but why?

>

> I have seen nothing to indicate that the patient has Tardive Dyskinesia.

>

> given that she's having visual hallucinations (the loss of vision which

> turned out to be a visual 'melting' when the patient was willing to confide

> in the medic), is she on any medications which might cause this?

>

> and you still have not given the proper psych diagnosis.

>

> ck

>

>

> In a message dated 6/13/2010 15:00:04 Central Daylight Time,

> ExLngHrn@... writes:

>

>

>

>

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

> experimental studies. Otherwise, consider whichever benzodiazepine is

> available in this prehospital setting.

>

> -Wes Ogilvie

>

>

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

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

>

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

> per

>

> AW.

>

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

>

> ck

>

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

> __summedic@..._ (mailto:_summedic@...) _

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

>

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

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

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

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

> (mailto:__rick.moore@...) _

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

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

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

> wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

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

> _ (mailto:__texasems-l _

> (mailto:_texasems-l ) ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

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

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

> ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

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

>

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

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

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

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) _

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

>

> writes:

>

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

> push?

>

> -Wes Ogilvie

>

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

> ____krin135@..._ (mailto:___krin135@...) _

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

(mailto:___krin135@..._

> (mailto:__krin135@...) _

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

> _

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

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

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

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

> ) writes:

>

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

> these

>

> official hints.

>

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

> the

> patient suffer?

>

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

> front of her co workers?

>

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

>

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

> process,

> what common ALS medication would be indicated?

>

> ck

>

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

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

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

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> _

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

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

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

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

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

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

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

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

> (mailto:amwoo

> __ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

> (mailto:ds8644@...) ) )

> ) ) ) writes:

>

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

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

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

> (mailto:______ExLngHrn@...) _

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

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

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

> _

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

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

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

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

> ) _

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

> ) ) _

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

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

> (mailto:____ExLngHrn@...) _

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

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

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

> _

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

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

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

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

> ) ) )

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

> ) _

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) ) _

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) _

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

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

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

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

> _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

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

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

(mailto:_ExLngHrn@..._

> (mailto:ExLngHrn@...) ) )

> ) ) ) )

> wrote:

>

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

>> provide

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

>> IV access,

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

>> I'll be

>> heading towards someplace with neuro capabilities.

>>

>> -Wes Ogilvie

>>

>>

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

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

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

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

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

> _ (mailto:______amwoods8644@..._

> (mailto:_____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

> (mailto:___

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Guest guest

-Chris

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

iPhone

> Benzos would be appropriate, but why?

>

> I have seen nothing to indicate that the patient has Tardive Dyskinesia.

>

> given that she's having visual hallucinations (the loss of vision which

> turned out to be a visual 'melting' when the patient was willing to confide

> in the medic), is she on any medications which might cause this?

>

> and you still have not given the proper psych diagnosis.

>

> ck

>

>

> In a message dated 6/13/2010 15:00:04 Central Daylight Time,

> ExLngHrn@... writes:

>

>

>

>

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

> experimental studies. Otherwise, consider whichever benzodiazepine is

> available in this prehospital setting.

>

> -Wes Ogilvie

>

>

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

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

>

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

> per

>

> AW.

>

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

>

> ck

>

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

> __summedic@..._ (mailto:_summedic@...) _

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

>

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

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

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

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

> (mailto:__rick.moore@...) _

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

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

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

> wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

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

> _ (mailto:__texasems-l _

> (mailto:_texasems-l ) ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

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

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

> ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

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

>

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

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

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

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) _

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

>

> writes:

>

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

> push?

>

> -Wes Ogilvie

>

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

> ____krin135@..._ (mailto:___krin135@...) _

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

(mailto:___krin135@..._

> (mailto:__krin135@...) _

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

> _

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

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

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

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

> ) writes:

>

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

> these

>

> official hints.

>

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

> the

> patient suffer?

>

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

> front of her co workers?

>

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

>

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

> process,

> what common ALS medication would be indicated?

>

> ck

>

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

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

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

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> _

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

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

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

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

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

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

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

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

> (mailto:amwoo

> __ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

> (mailto:ds8644@...) ) )

> ) ) ) writes:

>

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

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

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

> (mailto:______ExLngHrn@...) _

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

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

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

> _

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

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

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

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

> ) _

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

> ) ) _

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

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

> (mailto:____ExLngHrn@...) _

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

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

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

> _

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

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

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

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

> ) ) )

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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

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

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

>

> ) _

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) ) _

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

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

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

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

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) _

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

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

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

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

> _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

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

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

(mailto:_ExLngHrn@..._

> (mailto:ExLngHrn@...) ) )

> ) ) ) )

> wrote:

>

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

>> provide

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

>> IV access,

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

>> I'll be

>> heading towards someplace with neuro capabilities.

>>

>> -Wes Ogilvie

>>

>>

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

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

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

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

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

> _ (mailto:______amwoods8644@..._

> (mailto:_____amwoods8644@...) _

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

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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:___rob.davis@...) _

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

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

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

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

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

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

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

_

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

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

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

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) _

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

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

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

> (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@...) ) )

) ) ) ) )

>>> 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@...) ) )

> ) _

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

> ) ) ) _

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

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

> ) _

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

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

> ) _

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) ) _

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

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> ) _

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

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

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

> _ (mailto:____amwoods8644@..._

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

> ) ) ) ) _

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

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

> ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

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

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

> ) ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) ) ) _

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

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

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

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

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) ) _ (mailto:

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

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

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

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

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

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

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

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

> ) _

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

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

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

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

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

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

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

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

> ) ) ) ) ) > said:

>>>

>>>> Internal Temperature: 101.2

>>>

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

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

>>> parameters.

>>>

>>>

>>

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>>

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Guest guest

-Chris

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

iPhone

> Benzos would be appropriate, but why?

>

> I have seen nothing to indicate that the patient has Tardive Dyskinesia.

>

> given that she's having visual hallucinations (the loss of vision which

> turned out to be a visual 'melting' when the patient was willing to confide

> in the medic), is she on any medications which might cause this?

>

> and you still have not given the proper psych diagnosis.

>

> ck

>

>

> In a message dated 6/13/2010 15:00:04 Central Daylight Time,

> ExLngHrn@... writes:

>

>

>

>

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

> experimental studies. Otherwise, consider whichever benzodiazepine is

> available in this prehospital setting.

>

> -Wes Ogilvie

>

>

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

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

>

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

> per

>

> AW.

>

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

>

> ck

>

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

> __summedic@..._ (mailto:_summedic@...) _

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

>

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

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

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

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

> (mailto:__rick.moore@...) _

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

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

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

> wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

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

> _ (mailto:__texasems-l _

> (mailto:_texasems-l ) ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

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

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

> ) _

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

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

> ) )

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

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

>

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

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

> ) ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

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

>

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

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

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

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

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

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) _

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

>

> writes:

>

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

> push?

>

> -Wes Ogilvie

>

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

> ____krin135@..._ (mailto:___krin135@...) _

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

(mailto:___krin135@..._

> (mailto:__krin135@...) _

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

> _

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

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

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

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

> ) writes:

>

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

> these

>

> official hints.

>

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

> the

> patient suffer?

>

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

> front of her co workers?

>

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

>

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

> process,

> what common ALS medication would be indicated?

>

> ck

>

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

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

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

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

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

> In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

> ______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

> (mailto:amwoo

> __ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

> (mailto:ds8644@...) ) )

> ) ) ) writes:

>

> Believe it or not, you can treat this disease in the field.

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 1:45 PM, _______ExLngHrn@..._

> (mailto:______ExLngHrn@...) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) )

> _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> ) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

>

> ) ) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

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> (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@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) )

> _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._

> (mailto:ExLngHrn@...) ) )

> ) ) ) )

> wrote:

>

>> From a treatment standpoint, I'm not seeing anything that I can

>> provide

>> actual treatment for, so I'm going to go with the standard oxygen,

>> IV access,

>> and cardiac monitoring. Based on some of the neurological aspects,

>> I'll be

>> heading towards someplace with neuro capabilities.

>>

>> -Wes Ogilvie

>>

>>

>> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

>> _______amwoods8644@..._ (mailto:______amwoods8644@...) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

> _ (mailto:______amwoods8644@..._

> (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ) ) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

> (mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

> ) ) ) ) writes:

>>

>> Her temperature was taken rectally.

>>

>> Sent from the itty bitty keyboard on my iPhone

>>

>> On Jun 13, 2010, at 12:14 PM, " ________rob.davis@..._

> (mailto:_______rob.davis@...) _

> (mailto:_______rob.davis@..._

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> mynursecorps.com) ) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

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> (mailto:_____rob.davis@...) ) _

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>>> wrote:

>>

>>> On Sunday, June 13, 2010 01:14, " Alyssa Woods "

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> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ) ) _ (mailto:

> _____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

> (mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

> ) ) ) ) ) > 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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I found that Lamortigine binds to the melanin containing tissue, such as the

iris of the eye, therefor causing visual disturbances. Also benzos should be

used to control life threatning Lamortigine withdrawl seizures. Am I close?

Sent from my iPhone,

McGee, EMT-P, EMT-T

got this from one of the folks on the list:

Not having any luck getting this sent to the list but please post either

way!!

Sub therapeutic reaction to Lamortigine (used for bipolar disorder),

benzos are used to control acute mania until a therapeutic level is reached in

the blood

-Chris

correct drug, correct basic diagnosis, wrong indication

anyone else with an idea?

ck

In a message dated 6/13/2010 15:06:49 Central Daylight Time,

krin135@... writes:

Benzos would be appropriate, but why?

I have seen nothing to indicate that the patient has Tardive Dyskinesia.

given that she's having visual hallucinations (the loss of vision which

turned out to be a visual 'melting' when the patient was willing to

confide

in the medic), is she on any medications which might cause this?

and you still have not given the proper psych diagnosis.

ck

In a message dated 6/13/2010 15:00:04 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...) writes:

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _ (mailto:_krin135@..._

(mailto:krin135@...) ) writes:

Asked and answered, counselor. no contact with toxic substances at work

per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

___summedic@..._ (mailto:__summedic@...) _

(mailto:__summedic@..._ (mailto:_summedic@...) ) _

(mailto:__summedic@..._ (mailto:_summedic@...) _

(mailto:_summedic@..._ (mailto:summedic@...) ) ) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, ____rick.moore@..._

(mailto:___rick.moore@...) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) ) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: ____texasems-l _

(mailto:___texasems-l ) _ (mailto:___texasems-l _

(mailto:__texasems-l ) )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

To: ____texasems-l _ (mailto:___texasems-l )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

_____krin135@..._ (mailto:____krin135@...) _

(mailto:____krin135@..._ (mailto:___krin135@...) ) _

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) ) _

(mailto:____krin135@..._

(mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) )

_

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) ) ) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) _ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

_______amwoods8644@..._ (mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

_ (mailto:______amwoods8644@..._

(mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:amwoo

___ds8644@..._ (mailto:__ds8644@...) _

(mailto:__ds8644@..._ (mailto:_ds8644@...) ) _

(mailto:__ds8644@..._

(mailto:_ds8644@...) _

(mailto:_ds8644@..._ (mailto:ds8644@...) ) ) )

) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, ________ExLngHrn@..._

(mailto:_______ExLngHrn@...) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) ) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) ) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) )

_

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) )

) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) )

_ (mailto:______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

) ) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(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@...) ) ) )

_

(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@...) ) _

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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@...) ) ) _

(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@...) ) ) )

) ) ) )

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@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

)

_ (mailto:_______amwoods8644@..._

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(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) )

_

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...)

_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

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_ (mailto:______amwoods8644@..._

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) ) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

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_

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_ (mailto:______amwoods8644@..._

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(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@..._ (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@..._

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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@...) _

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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@...) _

(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@...) ) ) )

_

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(mailto:______rob.davis@...) _

(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) ) ) _ (mailto:____rob.davis@ar

mynursecorps.com) ) _

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(mailto:_______rob.davis@...) _

(mailto:_______rob.davis@..._

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nursecorps.com) ) _

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) _

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__s@..._ (mailto:_s@...) _

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

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(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

>

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I found that Lamortigine binds to the melanin containing tissue, such as the

iris of the eye, therefor causing visual disturbances. Also benzos should be

used to control life threatning Lamortigine withdrawl seizures. Am I close?

Sent from my iPhone,

McGee, EMT-P, EMT-T

got this from one of the folks on the list:

Not having any luck getting this sent to the list but please post either

way!!

Sub therapeutic reaction to Lamortigine (used for bipolar disorder),

benzos are used to control acute mania until a therapeutic level is reached in

the blood

-Chris

correct drug, correct basic diagnosis, wrong indication

anyone else with an idea?

ck

In a message dated 6/13/2010 15:06:49 Central Daylight Time,

krin135@... writes:

Benzos would be appropriate, but why?

I have seen nothing to indicate that the patient has Tardive Dyskinesia.

given that she's having visual hallucinations (the loss of vision which

turned out to be a visual 'melting' when the patient was willing to

confide

in the medic), is she on any medications which might cause this?

and you still have not given the proper psych diagnosis.

ck

In a message dated 6/13/2010 15:00:04 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...) writes:

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _ (mailto:_krin135@..._

(mailto:krin135@...) ) writes:

Asked and answered, counselor. no contact with toxic substances at work

per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

___summedic@..._ (mailto:__summedic@...) _

(mailto:__summedic@..._ (mailto:_summedic@...) ) _

(mailto:__summedic@..._ (mailto:_summedic@...) _

(mailto:_summedic@..._ (mailto:summedic@...) ) ) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, ____rick.moore@..._

(mailto:___rick.moore@...) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) ) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: ____texasems-l _

(mailto:___texasems-l ) _ (mailto:___texasems-l _

(mailto:__texasems-l ) )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

To: ____texasems-l _ (mailto:___texasems-l )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

_____krin135@..._ (mailto:____krin135@...) _

(mailto:____krin135@..._ (mailto:___krin135@...) ) _

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) ) _

(mailto:____krin135@..._

(mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) )

_

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) ) ) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) _ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

_______amwoods8644@..._ (mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

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) _

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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:amwoo

___ds8644@..._ (mailto:__ds8644@...) _

(mailto:__ds8644@..._ (mailto:_ds8644@...) ) _

(mailto:__ds8644@..._

(mailto:_ds8644@...) _

(mailto:_ds8644@..._ (mailto:ds8644@...) ) ) )

) ) ) writes:

Believe it or not, you can treat this disease in the field.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 1:45 PM, ________ExLngHrn@..._

(mailto:_______ExLngHrn@...) _

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(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) )

_

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) _

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) ) _

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(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) ) )

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) _

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) ) _

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_ (mailto:_____ExLngHrn@..._

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(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

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(mailto:__ExLngHrn@...) _

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) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ________amwoods8644@..._ (mailto:_______amwoods8644@...) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...) )

_

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) ) _

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) _

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)

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_

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_

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) _

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) ) _

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) _

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) ) ) _

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) _

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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@...)

_ (mailto:________amwoods8644@..._

(mailto:_______amwoods8644@...) ) _

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oods8644@...) _ (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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_ (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@...) ) ) )

) ) ) ) ) > 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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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@...

> Asked and answered, counselor. no contact with toxic substances at

> work per

> AW.

>

> What are the s/s of organophosphate poisoning? (again a hint from

> me: SLUD)

>

> ck

>

>

> In a message dated 6/13/2010 14:52:16 Central Daylight Time,

> summedic@... writes:

>

> I agree with atropine. Can you tell us what the patient has recently

> ingested? Is this possibly a nicotinic reaction to some sort of

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

> (mailto:rick.moore@...) > wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

> From: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> To: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent,

> markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> _ExLngHrn@..._ (mailto:ExLngHrn@...)

%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@...)

> ) writes:

>

> ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

> these

>

> official hints.

>

> 1: based on her medication list, what common psychiatric diagnosis

> does

> the

> patient suffer?

>

> 2: Why would this make her reluctant to describe her visual problems

> in

> front of her co workers?

>

> 3: What kind of dietary indiscretions would make this diagnosis worse?

>

> 4: Knowing that there is a field treatment for the patient's acute

> process,

> what common ALS medication would be indicated?

>

> ck

>

> In a message dated 6/13/2010 14:00:30 Central Daylight Time,

> ___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

> In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

> ____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoo

> ds8644@...) ) ) ) writes:

>

> Believe it or not, you can treat this disease in the field.

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> ) ) )

> _ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...

> )

> ) ) ) )

> wrote:

>

> > From a treatment standpoint, I'm not seeing anything that I can

> > provide

> > actual treatment for, so I'm going to go with the standard oxygen,

> > IV access,

> > and cardiac monitoring. Based on some of the neurological aspects,

> > I'll be

> > heading towards someplace with neuro capabilities.

> >

> > -Wes Ogilvie

> >

> >

> > In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> > _____amwoods8644@..._ (mailto:____amwoods8644@...)

> _ (mailto:____amwoods8644@...

> _

> (mailto:___amwoods8644@...)

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...)

> ) ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoods8644@...)

> ) ) ) ) writes:

> >

> > Her temperature was taken rectally.

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

> (mailto:_____rob.davis@...)

> _

> (mailto:_____rob.davis@..._ (mailto:____rob.davis@ar

> mynursecorps.com) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>_

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

%40armynursecorps.com>) ) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (m

>

Link to comment
Share on other sites

Guest guest

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@...

> Asked and answered, counselor. no contact with toxic substances at

> work per

> AW.

>

> What are the s/s of organophosphate poisoning? (again a hint from

> me: SLUD)

>

> ck

>

>

> In a message dated 6/13/2010 14:52:16 Central Daylight Time,

> summedic@... writes:

>

> I agree with atropine. Can you tell us what the patient has recently

> ingested? Is this possibly a nicotinic reaction to some sort of

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

> (mailto:rick.moore@...) > wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

> From: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> To: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent,

> markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> _ExLngHrn@..._ (mailto:ExLngHrn@...)

%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@...)

> ) writes:

>

> ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

> these

>

> official hints.

>

> 1: based on her medication list, what common psychiatric diagnosis

> does

> the

> patient suffer?

>

> 2: Why would this make her reluctant to describe her visual problems

> in

> front of her co workers?

>

> 3: What kind of dietary indiscretions would make this diagnosis worse?

>

> 4: Knowing that there is a field treatment for the patient's acute

> process,

> what common ALS medication would be indicated?

>

> ck

>

> In a message dated 6/13/2010 14:00:30 Central Daylight Time,

> ___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

> In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

> ____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoo

> ds8644@...) ) ) ) writes:

>

> Believe it or not, you can treat this disease in the field.

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> ) ) )

> _ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...

> )

> ) ) ) )

> wrote:

>

> > From a treatment standpoint, I'm not seeing anything that I can

> > provide

> > actual treatment for, so I'm going to go with the standard oxygen,

> > IV access,

> > and cardiac monitoring. Based on some of the neurological aspects,

> > I'll be

> > heading towards someplace with neuro capabilities.

> >

> > -Wes Ogilvie

> >

> >

> > In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> > _____amwoods8644@..._ (mailto:____amwoods8644@...)

> _ (mailto:____amwoods8644@...

> _

> (mailto:___amwoods8644@...)

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...)

> ) ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoods8644@...)

> ) ) ) ) writes:

> >

> > Her temperature was taken rectally.

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

> (mailto:_____rob.davis@...)

> _

> (mailto:_____rob.davis@..._ (mailto:____rob.davis@ar

> mynursecorps.com) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>_

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

%40armynursecorps.com>) ) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (m

>

Link to comment
Share on other sites

Guest guest

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@...

> Asked and answered, counselor. no contact with toxic substances at

> work per

> AW.

>

> What are the s/s of organophosphate poisoning? (again a hint from

> me: SLUD)

>

> ck

>

>

> In a message dated 6/13/2010 14:52:16 Central Daylight Time,

> summedic@... writes:

>

> I agree with atropine. Can you tell us what the patient has recently

> ingested? Is this possibly a nicotinic reaction to some sort of

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

> (mailto:rick.moore@...) > wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

> From: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> To: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent,

> markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> _ExLngHrn@..._ (mailto:ExLngHrn@...)

%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@...)

> ) writes:

>

> ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

> these

>

> official hints.

>

> 1: based on her medication list, what common psychiatric diagnosis

> does

> the

> patient suffer?

>

> 2: Why would this make her reluctant to describe her visual problems

> in

> front of her co workers?

>

> 3: What kind of dietary indiscretions would make this diagnosis worse?

>

> 4: Knowing that there is a field treatment for the patient's acute

> process,

> what common ALS medication would be indicated?

>

> ck

>

> In a message dated 6/13/2010 14:00:30 Central Daylight Time,

> ___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

> In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

> ____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoo

> ds8644@...) ) ) ) writes:

>

> Believe it or not, you can treat this disease in the field.

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> ) ) )

> _ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...

> )

> ) ) ) )

> wrote:

>

> > From a treatment standpoint, I'm not seeing anything that I can

> > provide

> > actual treatment for, so I'm going to go with the standard oxygen,

> > IV access,

> > and cardiac monitoring. Based on some of the neurological aspects,

> > I'll be

> > heading towards someplace with neuro capabilities.

> >

> > -Wes Ogilvie

> >

> >

> > In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> > _____amwoods8644@..._ (mailto:____amwoods8644@...)

> _ (mailto:____amwoods8644@...

> _

> (mailto:___amwoods8644@...)

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...)

> ) ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoods8644@...)

> ) ) ) ) writes:

> >

> > Her temperature was taken rectally.

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

> (mailto:_____rob.davis@...)

> _

> (mailto:_____rob.davis@..._ (mailto:____rob.davis@ar

> mynursecorps.com) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>_

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

%40armynursecorps.com>) ) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (m

>

Link to comment
Share on other sites

Guest guest

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@...

> Asked and answered, counselor. no contact with toxic substances at

> work per

> AW.

>

> What are the s/s of organophosphate poisoning? (again a hint from

> me: SLUD)

>

> ck

>

>

> In a message dated 6/13/2010 14:52:16 Central Daylight Time,

> summedic@... writes:

>

> I agree with atropine. Can you tell us what the patient has recently

> ingested? Is this possibly a nicotinic reaction to some sort of

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

> (mailto:rick.moore@...) > wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

> From: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> To: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent,

> markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> _ExLngHrn@..._ (mailto:ExLngHrn@...)

%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@...)

> ) writes:

>

> ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

> these

>

> official hints.

>

> 1: based on her medication list, what common psychiatric diagnosis

> does

> the

> patient suffer?

>

> 2: Why would this make her reluctant to describe her visual problems

> in

> front of her co workers?

>

> 3: What kind of dietary indiscretions would make this diagnosis worse?

>

> 4: Knowing that there is a field treatment for the patient's acute

> process,

> what common ALS medication would be indicated?

>

> ck

>

> In a message dated 6/13/2010 14:00:30 Central Daylight Time,

> ___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

> In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

> ____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoo

> ds8644@...) ) ) ) writes:

>

> Believe it or not, you can treat this disease in the field.

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> ) ) )

> _ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...

> )

> ) ) ) )

> wrote:

>

> > From a treatment standpoint, I'm not seeing anything that I can

> > provide

> > actual treatment for, so I'm going to go with the standard oxygen,

> > IV access,

> > and cardiac monitoring. Based on some of the neurological aspects,

> > I'll be

> > heading towards someplace with neuro capabilities.

> >

> > -Wes Ogilvie

> >

> >

> > In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> > _____amwoods8644@..._ (mailto:____amwoods8644@...)

> _ (mailto:____amwoods8644@...

> _

> (mailto:___amwoods8644@...)

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...)

> ) ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoods8644@...)

> ) ) ) ) writes:

> >

> > Her temperature was taken rectally.

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

> (mailto:_____rob.davis@...)

> _

> (mailto:_____rob.davis@..._ (mailto:____rob.davis@ar

> mynursecorps.com) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>_

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

%40armynursecorps.com>) ) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (m

>

Link to comment
Share on other sites

Guest guest

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@...

> Asked and answered, counselor. no contact with toxic substances at

> work per

> AW.

>

> What are the s/s of organophosphate poisoning? (again a hint from

> me: SLUD)

>

> ck

>

>

> In a message dated 6/13/2010 14:52:16 Central Daylight Time,

> summedic@... writes:

>

> I agree with atropine. Can you tell us what the patient has recently

> ingested? Is this possibly a nicotinic reaction to some sort of

> organophosphate?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

> (mailto:rick.moore@...) > wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

> From: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> To: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent,

> markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> _ExLngHrn@..._ (mailto:ExLngHrn@...)

%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@...)

> ) writes:

>

> ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

> these

>

> official hints.

>

> 1: based on her medication list, what common psychiatric diagnosis

> does

> the

> patient suffer?

>

> 2: Why would this make her reluctant to describe her visual problems

> in

> front of her co workers?

>

> 3: What kind of dietary indiscretions would make this diagnosis worse?

>

> 4: Knowing that there is a field treatment for the patient's acute

> process,

> what common ALS medication would be indicated?

>

> ck

>

> In a message dated 6/13/2010 14:00:30 Central Daylight Time,

> ___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...)

> ) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

> In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

> ____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoo

> ds8644@...) ) ) ) writes:

>

> Believe it or not, you can treat this disease in the field.

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 1:45 PM, _____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> ) ) )

> _ (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...)

> _ (mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...

> )

> ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...)

> _ (mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...

> )

> ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...)

> _ (mailto:_ExLngHrn@..._

(mailto:ExLngHrn@...

> )

> ) ) ) )

> wrote:

>

> > From a treatment standpoint, I'm not seeing anything that I can

> > provide

> > actual treatment for, so I'm going to go with the standard oxygen,

> > IV access,

> > and cardiac monitoring. Based on some of the neurological aspects,

> > I'll be

> > heading towards someplace with neuro capabilities.

> >

> > -Wes Ogilvie

> >

> >

> > In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> > _____amwoods8644@..._ (mailto:____amwoods8644@...)

> _ (mailto:____amwoods8644@...

> _

> (mailto:___amwoods8644@...)

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...)

> ) ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoods8644@...)

> ) ) ) ) writes:

> >

> > Her temperature was taken rectally.

> >

> > Sent from the itty bitty keyboard on my iPhone

> >

> > On Jun 13, 2010, at 12:14 PM, " ______rob.davis@..._

> (mailto:_____rob.davis@...)

> _

> (mailto:_____rob.davis@..._ (mailto:____rob.davis@ar

> mynursecorps.com) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>_

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

%40armynursecorps.com>) ) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...)

%40armynursecorps.com>_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>) _

> (m

>

Link to comment
Share on other sites

Guest guest

Is this message getting through?

Sent from my iPhone,

McGee, EMT-P, EMT-T

I found that Lamortigine binds to the melanin containing tissue, such as the

iris of the eye, therefor causing visual disturbances. Also benzos should be

used to control life threatning Lamortigine withdrawl seizures. Am I close?

Sent from my iPhone,

McGee, EMT-P, EMT-T

got this from one of the folks on the list:

Not having any luck getting this sent to the list but please post either

way!!

Sub therapeutic reaction to Lamortigine (used for bipolar disorder),

benzos are used to control acute mania until a therapeutic level is reached in

the blood

-Chris

correct drug, correct basic diagnosis, wrong indication

anyone else with an idea?

ck

In a message dated 6/13/2010 15:06:49 Central Daylight Time,

krin135@... writes:

Benzos would be appropriate, but why?

I have seen nothing to indicate that the patient has Tardive Dyskinesia.

given that she's having visual hallucinations (the loss of vision which

turned out to be a visual 'melting' when the patient was willing to

confide

in the medic), is she on any medications which might cause this?

and you still have not given the proper psych diagnosis.

ck

In a message dated 6/13/2010 15:00:04 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...) writes:

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _ (mailto:_krin135@..._

(mailto:krin135@...) ) writes:

Asked and answered, counselor. no contact with toxic substances at work

per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

___summedic@..._ (mailto:__summedic@...) _

(mailto:__summedic@..._ (mailto:_summedic@...) ) _

(mailto:__summedic@..._ (mailto:_summedic@...) _

(mailto:_summedic@..._ (mailto:summedic@...) ) ) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, ____rick.moore@..._

(mailto:___rick.moore@...) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) ) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: ____texasems-l _

(mailto:___texasems-l ) _ (mailto:___texasems-l _

(mailto:__texasems-l ) )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

To: ____texasems-l _ (mailto:___texasems-l )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

(mailto:__texasems-l ) _ (mailto:__texasems-l _

(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

(mailto:_texasems-l ) _ (mailto:_texasems-l _

(mailto:texasems-l ) )

) ) >

Sent: Sun Jun 13 14:42:40 2010

Subject: Re: EMS Challenge (2)

BZZZT!

Look up the medications in G&G (or even a nursing text) and try again.

Your medication order would make this patient worse- somnolent, markedly

tachycardic, and cause a very dry mouth.

Choose another selection

In a message dated 6/13/2010 14:35:27 Central Daylight Time,

____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

writes:

Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

push?

-Wes Ogilvie

In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

_____krin135@..._ (mailto:____krin135@...) _

(mailto:____krin135@..._ (mailto:___krin135@...) ) _

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) ) _

(mailto:____krin135@..._

(mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) )

_

(mailto:____krin135@..._ (mailto:___krin135@...) _

(mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) ) _

(mailto:___krin135@..._ (mailto:__krin135@...) _

(mailto:__krin135@..._ (mailto:_krin135@...) ) _

(mailto:__krin135@..._ (mailto:_krin135@...) _

(mailto:_krin135@..._ (mailto:krin135@...) ) ) )

) writes:

ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

these

official hints.

1: based on her medication list, what common psychiatric diagnosis does

the

patient suffer?

2: Why would this make her reluctant to describe her visual problems in

front of her co workers?

3: What kind of dietary indiscretions would make this diagnosis worse?

4: Knowing that there is a field treatment for the patient's acute

process,

what common ALS medication would be indicated?

ck

In a message dated 6/13/2010 14:00:30 Central Daylight Time,

______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) _ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) writes:

Can I have one of the four promised hints now?

-Wes

In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

_______amwoods8644@..._ (mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

_ (mailto:______amwoods8644@..._

(mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) ) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___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@...) ) ) _

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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@...) _

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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@..._ (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@...) _

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) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ________amwoods8644@..._ (mailto:_______amwoods8644@...) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...) )

_

(mailto:_______amwoods8644@..._ (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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) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM, " _________rob.davis@..._

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > _________amwoods8644@..._ (mailto:________amwoods8644@...)

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_ (mailto:______amwoods8644@..._

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) _

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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@...) _

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(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@...) ) ) )

) ) ) ) ) > 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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Sent from my iPhone,

McGee, EMT-P, EMT-T

I found that Lamortigine binds to the melanin containing tissue, such as the

iris of the eye, therefor causing visual disturbances. Also benzos should be

used to control life threatning Lamortigine withdrawl seizures. Am I close?

Sent from my iPhone,

McGee, EMT-P, EMT-T

got this from one of the folks on the list:

Not having any luck getting this sent to the list but please post either

way!!

Sub therapeutic reaction to Lamortigine (used for bipolar disorder),

benzos are used to control acute mania until a therapeutic level is reached in

the blood

-Chris

correct drug, correct basic diagnosis, wrong indication

anyone else with an idea?

ck

In a message dated 6/13/2010 15:06:49 Central Daylight Time,

krin135@... writes:

Benzos would be appropriate, but why?

I have seen nothing to indicate that the patient has Tardive Dyskinesia.

given that she's having visual hallucinations (the loss of vision which

turned out to be a visual 'melting' when the patient was willing to

confide

in the medic), is she on any medications which might cause this?

and you still have not given the proper psych diagnosis.

ck

In a message dated 6/13/2010 15:00:04 Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...) writes:

Tardive dyskinesia. Zofran has been shown to provide some benefit in

experimental studies. Otherwise, consider whichever benzodiazepine is

available in this prehospital setting.

-Wes Ogilvie

In a message dated 6/13/2010 2:55:42 P.M. Central Daylight Time,

__krin135@..._ (mailto:_krin135@...) _ (mailto:_krin135@..._

(mailto:krin135@...) ) writes:

Asked and answered, counselor. no contact with toxic substances at work

per

AW.

What are the s/s of organophosphate poisoning? (again a hint from me: SLUD)

ck

In a message dated 6/13/2010 14:52:16 Central Daylight Time,

___summedic@..._ (mailto:__summedic@...) _

(mailto:__summedic@..._ (mailto:_summedic@...) ) _

(mailto:__summedic@..._ (mailto:_summedic@...) _

(mailto:_summedic@..._ (mailto:summedic@...) ) ) writes:

I agree with atropine. Can you tell us what the patient has recently

ingested? Is this possibly a nicotinic reaction to some sort of

organophosphate?

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 2:46 PM, ____rick.moore@..._

(mailto:___rick.moore@...) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) ) _

(mailto:___rick.moore@..._ (mailto:__rick.moore@...) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) ) _

(mailto:__rick.moore@..._ (mailto:_rick.moore@...) _

(mailto:_rick.moore@..._ (mailto:rick.moore@...) ) ) ) >

wrote:

Atropine?

Rick

Sent via Blackberry

________________________________

From: ____texasems-l _

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(mailto:__texasems-l ) )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) _

(mailto:__texasems-l _ (mailto:_texasems-l )

) ) _

(mailto:___texasems-l _

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(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

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(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 ) ) ) _

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_ (mailto:__texasems-l _

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(mailto:texasems-l ) )

) ) >

To: ____texasems-l _ (mailto:___texasems-l )

_ (mailto:___texasems-l _

(mailto:__texasems-l ) ) _

(mailto:___texasems-l _

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) _

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(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

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(mailto:texasems-l ) )

) )

____texasems-l _ (mailto:___texasems-l ) _

(mailto:___texasems-l _ (mailto:__texasems-l )

) _

(mailto:___texasems-l _

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(mailto:_texasems-l ) ) ) _

(mailto:___texasems-l _

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(mailto:_texasems-l ) )

_ (mailto:__texasems-l _

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(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@...) ) _

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(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

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_ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

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(mailto:____ExLngHrn@..._ (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@...) ) ) )

) ) 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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_

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_ (mailto:______amwoods8644@..._

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) _

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_ (mailto:_____amwoods8644@..._

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) ) _

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_ (mailto:_____amwoods8644@..._

(mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

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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: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@...) ) _

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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@...) ) ) )

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_

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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@...) ) ) _

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(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) )

_ (mailto:______ExLngHrn@..._

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(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

) _

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(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

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(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@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(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@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

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)

_ (mailto:_______amwoods8644@..._

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_

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_

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

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_ (mailto:______amwoods8644@..._

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) ) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

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_

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_ (mailto:______amwoods8644@..._

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) _

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(mailto:____amwoods8644@..._ (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@...) _

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) ) ) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

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_ (mailto:______amwoods8644@..._

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

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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@...) _

(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@...) ) ) )

_

(mailto:________rob.davis@..._

(mailto:_______rob.davis@...) _

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(mailto:______rob.davis@...) ) _

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(mailto:______rob.davis@...) _

(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) ) ) _ (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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nursecorps.com) ) _

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) _

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>

> > 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@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) )

_ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

>

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I was asked by doc to rend this:

try copying this and replying to the group.

ck

From: krin135@...

Reply-to: texasems-l

To: texasems-l

Sent: 6/13/2010 16:44:28 Central Daylight Time

Subj: EMS Challenge (2) continued

ok, make that the fourth time, and I've snipped a bunch of old stuff out.

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

Sent from my iPhone,

McGee, EMT-P, EMT-T

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@...) ) ) )

) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (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@...) ) ) _

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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@..._

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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@...) ) ) )

) _ (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@..._ (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@..._

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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@...) ) ) )

) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) ) )

) ) ) )

wrote:

> From a treatment standpoint, I'm not seeing anything that I can

> provide

> actual treatment for, so I'm going to go with the standard oxygen,

> IV access,

> and cardiac monitoring. Based on some of the neurological aspects,

> I'll be

> heading towards someplace with neuro capabilities.

>

> -Wes Ogilvie

>

>

> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

> ________amwoods8644@..._ (mailto:_______amwoods8644@...) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...) )

_

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...)

_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) ) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...)

_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

)

_ (mailto:_______amwoods8644@..._

(mailto:______amwoods8644@...) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...)

_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

_ (mailto:______amwoods8644@..._

(mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) ) _

(mailto:_______amwoods8644@..._ (mailto:______amwoods8644@...)

_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

_

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

_ (mailto:______amwoods8644@..._

(mailto:_____amwoods8644@...) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) _

(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) ) )

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

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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@...) ) ) )

) ) ) ) ) > 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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I was asked by doc to rend this:

try copying this and replying to the group.

ck

From: krin135@...

Reply-to: texasems-l

To: texasems-l

Sent: 6/13/2010 16:44:28 Central Daylight Time

Subj: EMS Challenge (2) continued

ok, make that the fourth time, and I've snipped a bunch of old stuff out.

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

Sent from my iPhone,

McGee, EMT-P, EMT-T

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@...) ) ) )

) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) )

_ (mailto:______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

) ) _

(mailto:_______ExLngHrn@..._ (mailto:______ExLngHrn@...) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) ) _

(mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) )

_ (mailto:______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) )

) _ (mailto:______ExLngHrn@..._

(mailto:_____ExLngHrn@...) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) ) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(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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_ (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@..._

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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@..._

(mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

) _

(mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) ) _

(mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) ) )

_ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

(mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

(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@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

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)

_ (mailto:_______amwoods8644@..._

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_

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_

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(mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) ) )

) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

(mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

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_

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_ (mailto:______amwoods8644@..._

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) ) _

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_ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

) _

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_

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_ (mailto:______amwoods8644@..._

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) _

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(mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

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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@...) ) _

(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@...) ) _

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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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_

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(mailto:______rob.davis@..._

(mailto:_____rob.davis@...) ) ) _ (mailto:____rob.davis@ar

mynursecorps.com) ) _

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rsecorps.com) ) ) ) ) _

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> > wrote:

>

> > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

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(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) ) _

(mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

(mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

(mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) ) )

) ) ) ) ) > said:

> >

> > > Internal Temperature: 101.2

> >

> > ^ What exactly does this mean? There are several different routes

> > for an " internal " temperature, and all have different normal

> > parameters.

> >

> >

>

>

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Guest guest

The pill bottles contain only the pills which they are labeled as

containing.

Alyssa Woods, FF/NREMT-B

> 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

> >

> > On Jun 13, 2010, at 1:48 PM, aggiesrwe03@...>

> wrote:

> >

> >> 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.

> >>>>

> >>>>

> >>>

> >>>

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The pill bottles contain only the pills which they are labeled as

containing.

Alyssa Woods, FF/NREMT-B

> 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

> >

> > On Jun 13, 2010, at 1:48 PM, aggiesrwe03@...>

> wrote:

> >

> >> 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.

> >>>>

> >>>>

> >>>

> >>>

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Guest guest

On the note of recent ingestions: the only thing the patient ate that

day was a chocolate milk shake from Mc's. That is her usual lunch.

Alyssa Woods, FF/NREMT-B

> 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@...

%40aol.com>_

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) ) _

> (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@...

%40armynursecorps.com>_

> (mailto:____rob.davis@...

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> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

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> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

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> (mailto:___rob.davis@...

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> (mailto:__rob.davis@...

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> (mailto:___rob.davis@...

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> (mailto:__rob.davis@...

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> (mailto:_rob.davis@...

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> > (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

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> (mailto:___rob.davis@...

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> (mailto:__rob.davis@...

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> (mailto:___rob.davis@...

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> (mailto:__rob.davis@...

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> (mailto:__rob.davis@...

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> (mailto:_rob.davis@...

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> (mailto:_rob.davis@...

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> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) _

> (mailto:_rob.davis@...

%40armynursecorps.com>_

> (mailto:rob.davis@...

%40armynursecorps.com>) ) ) ) ) "

> > _____rob.davis@...

%40armynursecorps.com>_

> (mailto:____rob.davis@...

%40armynursecorps.com>) _

> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

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> (mailto:__rob.davis@...

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> _ (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) ) ) _

> > (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) _

> (mailto:_rob.davis@...

%40armynursecorps.com>_

> (mailto:rob.davis@...

%40armynursecorps.com>) ) ) ) )

> > > 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

> @gmail.com ) ) ) ) ) > said:

> > >

> > > > Internal Temperature: 101.2

> > >

> > > ^ What exactly does this mean? There are several different routes

> > > for an " internal " temperature, and all have different normal

> > > parameters.

> > >

> > >

> >

> >

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Guest guest

On the note of recent ingestions: the only thing the patient ate that

day was a chocolate milk shake from Mc's. That is her usual lunch.

Alyssa Woods, FF/NREMT-B

> 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@...

%40aol.com>_

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) ) _

> (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@...

%40armynursecorps.com>_

> (mailto:____rob.davis@...

%40armynursecorps.com>) _

> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) ) ) _

> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) ) ) _

> > (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) _

> (mailto:_rob.davis@...

%40armynursecorps.com>_

> (mailto:rob.davis@...

%40armynursecorps.com>) ) ) ) ) "

> > _____rob.davis@...

%40armynursecorps.com>_

> (mailto:____rob.davis@...

%40armynursecorps.com>) _

> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) ) )

> _ (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) ) ) _

> > (mailto:____rob.davis@...

%40armynursecorps.com>_

> (mailto:___rob.davis@...

%40armynursecorps.com>) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) ) _

> (mailto:___rob.davis@...

%40armynursecorps.com>_

> (mailto:__rob.davis@...

%40armynursecorps.com>) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) ) _

> (mailto:__rob.davis@...

%40armynursecorps.com>_

> (mailto:_rob.davis@...

%40armynursecorps.com>) _

> (mailto:_rob.davis@...

%40armynursecorps.com>_

> (mailto:rob.davis@...

%40armynursecorps.com>) ) ) ) )

> > > 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

> @gmail.com ) ) ) ) ) > said:

> > >

> > > > Internal Temperature: 101.2

> > >

> > > ^ What exactly does this mean? There are several different routes

> > > for an " internal " temperature, and all have different normal

> > > parameters.

> > >

> > >

> >

> >

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Guest guest

CK is right. The patient is not bulimic.

Alyssa Woods, FF/NREMT-B

> What age range is typical for Bulemia? (this patient is listed as

> being 58)

>

> AW has also indicated that you should be hearing horses not zebras.

>

> ck

>

>

> In a message dated 6/13/2010 14:57:07 Central Daylight Time,

> summedic@... writes:

>

> Also, considering the description and medications presented, is this

> patient Bolemic?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

> (mailto:rick.moore@...) > wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

> From: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> To: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent,

> markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> _ExLngHrn@..._ (mailto:ExLngHrn@...)

%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@...)

> ) 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@...)

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> (mailto:rob.davis@...)

%40armynursecorps.com>) ) ) ) )

> > > wrote:

> >

> > > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > > ______amwoods8644@..._ (mailto:_____amwoods8644@...)

> _

> (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...)

> ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

> _

> (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...)

> ) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

> _

> (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...)

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

> _

> (mailto:____amwoods8644@..._ (mailt

> o:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...)

> ) ) ) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

> _

> (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...)

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...)

> ) ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) )

> _ (mailto:

> ___amwoods8644@..._ (mailto:__amwoods8644@...)

> _ (mailto:__amwoods8644@..._

> (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...)

> _ (mailto:_amwoods8644@..._

> (mailto:amwoods8644@...)

> ) ) ) ) ) > said:

> > >

> > > > Internal Temperature: 101.2

> > >

> > > ^ What exactly does this mean? There are several different routes

> > > for an " internal " temperature, and all have different normal

> > > parameters.

> > >

> > >

> >

> >

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Guest guest

CK is right. The patient is not bulimic.

Alyssa Woods, FF/NREMT-B

> What age range is typical for Bulemia? (this patient is listed as

> being 58)

>

> AW has also indicated that you should be hearing horses not zebras.

>

> ck

>

>

> In a message dated 6/13/2010 14:57:07 Central Daylight Time,

> summedic@... writes:

>

> Also, considering the description and medications presented, is this

> patient Bolemic?

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 2:46 PM, _rick.moore@..._

> (mailto:rick.moore@...) > wrote:

>

> Atropine?

> Rick

> Sent via Blackberry

>

> ________________________________

> From: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> To: _texasems-l _ (mailto:texasems-l )

> _texasems-l _ (mailto:texasems-l ) >

> Sent: Sun Jun 13 14:42:40 2010

> Subject: Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent,

> markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> _ExLngHrn@..._ (mailto:ExLngHrn@...)

%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@...)

> ) 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@...)

> ) _

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> (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@...)

> ) ) ) ) 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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> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

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> (mailto:__rob.davis@..._

> (mailto:_rob.davis@...)

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> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...)

%40armynursecorps.com>_

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

%40armynursecorps.com>) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

%40armynursecorps.com>_

> (mailto:__rob.davis@..._

> (mailto:_rob.davis@...)

%40armynursecorps.com>) ) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...)

%40armynursecorps.com>_

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> (mailto:_rob.davis@...)

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> (mailto:_rob.davis@...)

%40armynursecorps.com>_

> (mailto:_rob.davis@..._

> (mailto:rob.davis@...)

%40armynursecorps.com>) ) ) ) )

> > > wrote:

> >

> > > On Sunday, June 13, 2010 01:14, " Alyssa Woods "

> > > ______amwoods8644@..._ (mailto:_____amwoods8644@...)

> _

> (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...)

> ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

> _

> (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...)

> ) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

> _

> (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...)

> ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...)

> _

> (mailto:____amwoods8644@..._ (mailt

> o:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...)

> ) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...)

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) ) _

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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@...)

> ) ) ) ) ) > said:

> > >

> > > > Internal Temperature: 101.2

> > >

> > > ^ What exactly does this mean? There are several different routes

> > > for an " internal " temperature, and all have different normal

> > > parameters.

> > >

> > >

> >

> >

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Guest guest

Mcdonalds toxicity YUK!! LOL!!

-Chris

Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my

iPhone

> On the note of recent ingestions: the only thing the patient ate that

> day was a chocolate milk shake from Mc's. That is her usual lunch.

>

> Alyssa Woods, FF/NREMT-B

>

>

>

>> 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@...

> %40aol.com>_

>> (mailto:___ExLngHrn@...) _

>> (mailto:___ExLngHrn@..._

>> (mailto:__ExLngHrn@...) ) _

>> (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@...

> %40armynursecorps.com>_

>> (mailto:____rob.davis@...

> %40armynursecorps.com>) _

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

>> (mailto:rob.davis@...

> %40armynursecorps.com>) ) ) ) ) "

>>> _____rob.davis@...

> %40armynursecorps.com>_

>> (mailto:____rob.davis@...

> %40armynursecorps.com>) _

>> (mailto:____rob.davis@...

> %40armynursecorps.com>_

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> %40armynursecorps.com>) ) _

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> %40armynursecorps.com>_

>> (mailto:___rob.davis@...

> %40armynursecorps.com>) _

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

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> %40armynursecorps.com>_

>> (mailto:_rob.davis@...

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>>> (mailto:____rob.davis@...

> %40armynursecorps.com>_

>> (mailto:___rob.davis@...

> %40armynursecorps.com>) _

>> (mailto:___rob.davis@...

> %40armynursecorps.com>_

>> (mailto:__rob.davis@...

> %40armynursecorps.com>) ) _

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> %40armynursecorps.com>_

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> %40armynursecorps.com>) _

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> %40armynursecorps.com>_

>> (mailto:_rob.davis@...

> %40armynursecorps.com>) ) ) _

>> (mailto:___rob.davis@...

> %40armynursecorps.com>_

>> (mailto:__rob.davis@...

> %40armynursecorps.com>) _

>> (mailto:__rob.davis@...

> %40armynursecorps.com>_

>> (mailto:_rob.davis@...

> %40armynursecorps.com>) ) _

>> (mailto:__rob.davis@...

> %40armynursecorps.com>_

>> (mailto:_rob.davis@...

> %40armynursecorps.com>) _

>> (mailto:_rob.davis@...

> %40armynursecorps.com>_

>> (mailto:rob.davis@...

> %40armynursecorps.com>) ) ) ) )

>>>> 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

>> @gmail.com ) ) ) ) ) > said:

>>>>

>>>>> Internal Temperature: 101.2

>>>>

>>>> ^ What exactly does this mean? There are several different routes

>>>> for an " internal " temperature, and all have different normal

>>>> parameters.

>>>>

>>>>

>>>

>>>

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Guest guest

I was otherwise occupied today and am too late to get in on this, but just let

me say that I have learned a BUNCH of stuff tonight while reading this thread.

Thanks to Alyssa for presenting this, and thank you Chuck for your great

questions and information, along with everybody else's intelligent

participation. This thread covered a lot of good ground and, yes, we DO need to

know this stuff.

I wish every medic of whatever level could read this thread. Not only did it

illustrate just how much most of us do not know or have forgotten, it also

illustrates that we have a wealth of information at our fingertips for the

asking.

And Alyssa, what are your plans for further education? Paramedic school? Med

school?

Gene

Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent, markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> ___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

> ;

> writes:

>

> Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

> push?

>

> -Wes Ogilvie

>

> In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

> ____krin135@..._ (mailto:___krin135@...) _

> (mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._

> (mailto:__krin135@...) _

> (mailto:__krin135@..._ (mailto:_krin135@...) ) )

> _

> (mailto:___krin135@..._ (mailto:__krin135@...) _

> (mailto:__krin135@..._ (mailto:_krin135@...) ) _

> (mailto:__krin135@..._ (mailto:_krin135@...) _

> (mailto:_krin135@..._ (mailto:krin135@...) ) )

> ;) writes:

>

> ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

> these

>

> official hints.

>

> 1: based on her medication list, what common psychiatric diagnosis does

> the

> patient suffer?

>

> 2: Why would this make her reluctant to describe her visual problems in

> front of her co workers?

>

> 3: What kind of dietary indiscretions would make this diagnosis worse?

>

> 4: Knowing that there is a field treatment for the patient's acute

> process,

> what common ALS medication would be indicated?

>

> ck

>

> In a message dated 6/13/2010 14:00:30 Central Daylight Time,

> _____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ;) _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

> ;) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

> In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

> ______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

> (mailto:amwoo

> __ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

> (mailto:ds8644@...) ) )

> ;) ) ) writes:

>

> Believe it or not, you can treat this disease in the field.

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 1:45 PM, _______ExLngHrn@..._

> (mailto:______ExLngHrn@...) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) )

> _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> ;) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

>

> ;) ) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

>

> ;) _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) )

> ;) ) )

> _ (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

>

> ;) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ;) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ;) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) )

> _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._

> (mailto:ExLngHrn@...) ) )

> ;) ) ) )

> wrote:

>

>> From a treatment standpoint, I'm not seeing anything that I can

>> provide

>> actual treatment for, so I'm going to go with the standard oxygen,

>> IV access,

>> and cardiac monitoring. Based on some of the neurological aspects,

>> I'll be

>> heading towards someplace with neuro capabilities.

>>

>> -Wes Ogilvie

>>

>>

>> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

>> _______amwoods8644@..._ (mailto:______amwoods8644@...) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

> _ (mailto:______amwoods8644@..._

> (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> ;) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) ) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

> (mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

> ;) ) ) ) writes:

>>

>> Her temperature was taken rectally.

>>

>> Sent from the itty bitty keyboard on my iPhone

>>

>> On Jun 13, 2010, at 12:14 PM, " ________rob.davis@..._

> (mailto:_______rob.davis@...) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) ) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) )

> _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) _ (mailto:____rob.davis@ar

> mynursecorps.com) ;) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) )

_

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

;) ) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) )

_

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

;) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _ (mailto:____rob.davi

> _s@..._ (mailto:s@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

_

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) )

;) ) ) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) )

_

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

;) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

_

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) )

;) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

_

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) )

;) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) )

_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) _

> (mailto:__rob.davis@..._

> (mailto:_rob.davis@...) ) )

;) ) ) ) _

>> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) )

_

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

;) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

_

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) )

;) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

_

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) )

;) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) )

_

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) _

> (mailto:__rob.davis@..._

> (mailto:_rob.davis@...) ) )

;) ) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

_

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) _

> (mailto:___rob.davis@..._

> (mailto:__rob.davis@...) ) )

;) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (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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>>> wrote:

>>

>>> On Sunday, June 13, 2010 01:14, " Alyssa Woods "

>>> ________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@...) ) )

> ;) ) ) ) ) > 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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>>

>

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Guest guest

I was otherwise occupied today and am too late to get in on this, but just let

me say that I have learned a BUNCH of stuff tonight while reading this thread.

Thanks to Alyssa for presenting this, and thank you Chuck for your great

questions and information, along with everybody else's intelligent

participation. This thread covered a lot of good ground and, yes, we DO need to

know this stuff.

I wish every medic of whatever level could read this thread. Not only did it

illustrate just how much most of us do not know or have forgotten, it also

illustrates that we have a wealth of information at our fingertips for the

asking.

And Alyssa, what are your plans for further education? Paramedic school? Med

school?

Gene

Re: EMS Challenge (2)

>

> BZZZT!

>

> Look up the medications in G&G (or even a nursing text) and try again.

>

> Your medication order would make this patient worse- somnolent, markedly

> tachycardic, and cause a very dry mouth.

>

> Choose another selection

>

> In a message dated 6/13/2010 14:35:27 Central Daylight Time,

> ___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

> ;

> writes:

>

> Extrapyramidal reaction to her schizophrenia meds? 50 mg of Benadryl, IV

> push?

>

> -Wes Ogilvie

>

> In a message dated 6/13/2010 2:30:35 P.M. Central Daylight Time,

> ____krin135@..._ (mailto:___krin135@...) _

> (mailto:___krin135@..._ (mailto:__krin135@...) ) _

(mailto:___krin135@..._

> (mailto:__krin135@...) _

> (mailto:__krin135@..._ (mailto:_krin135@...) ) )

> _

> (mailto:___krin135@..._ (mailto:__krin135@...) _

> (mailto:__krin135@..._ (mailto:_krin135@...) ) _

> (mailto:__krin135@..._ (mailto:_krin135@...) _

> (mailto:_krin135@..._ (mailto:krin135@...) ) )

> ;) writes:

>

> ok, I'm going to jump in here a bit. Alyssa does NOT have to consider

> these

>

> official hints.

>

> 1: based on her medication list, what common psychiatric diagnosis does

> the

> patient suffer?

>

> 2: Why would this make her reluctant to describe her visual problems in

> front of her co workers?

>

> 3: What kind of dietary indiscretions would make this diagnosis worse?

>

> 4: Knowing that there is a field treatment for the patient's acute

> process,

> what common ALS medication would be indicated?

>

> ck

>

> In a message dated 6/13/2010 14:00:30 Central Daylight Time,

> _____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ;) _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

> (mailto:_ExLngHrn@..._ (mailto:ExLngHrn@...) ) )

> ;) ) writes:

>

> Can I have one of the four promised hints now?

>

> -Wes

>

> In a message dated 6/13/2010 1:58:47 P.M. Central Daylight Time,

> ______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

> (mailto:amwoo

> __ds8644@..._ (mailto:_ds8644@...) _ (mailto:_ds8644@..._

> (mailto:ds8644@...) ) )

> ;) ) ) writes:

>

> Believe it or not, you can treat this disease in the field.

>

> Alyssa Woods, FF/NREMT-B

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 1:45 PM, _______ExLngHrn@..._

> (mailto:______ExLngHrn@...) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) ) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) )

> _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> ;) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

>

> ;) ) _

> (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

>

> ;) _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) )

> ;) ) )

> _ (mailto:______ExLngHrn@..._ (mailto:_____ExLngHrn@...) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) )

> _ (mailto:_____ExLngHrn@..._

> (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

>

> ;) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ;) ) _

> (mailto:_____ExLngHrn@..._ (mailto:____ExLngHrn@...) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) ) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) )

> _ (mailto:____ExLngHrn@..._

> (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

(mailto:__ExLngHrn@..._

> (mailto:_ExLngHrn@...) ) )

> ;) _

> (mailto:____ExLngHrn@..._ (mailto:___ExLngHrn@...) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) ) _

> (mailto:___ExLngHrn@..._ (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) )

> _ (mailto:___ExLngHrn@..._

> (mailto:__ExLngHrn@...) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) ) _

> (mailto:__ExLngHrn@..._ (mailto:_ExLngHrn@...) _

(mailto:_ExLngHrn@..._

> (mailto:ExLngHrn@...) ) )

> ;) ) ) )

> wrote:

>

>> From a treatment standpoint, I'm not seeing anything that I can

>> provide

>> actual treatment for, so I'm going to go with the standard oxygen,

>> IV access,

>> and cardiac monitoring. Based on some of the neurological aspects,

>> I'll be

>> heading towards someplace with neuro capabilities.

>>

>> -Wes Ogilvie

>>

>>

>> In a message dated 6/13/2010 1:42:01 P.M. Central Daylight Time,

>> _______amwoods8644@..._ (mailto:______amwoods8644@...) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) )

> _ (mailto:______amwoods8644@..._

> (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> ;) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) ) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

> (mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

> ;) ) ) ) writes:

>>

>> Her temperature was taken rectally.

>>

>> Sent from the itty bitty keyboard on my iPhone

>>

>> On Jun 13, 2010, at 12:14 PM, " ________rob.davis@..._

> (mailto:_______rob.davis@...) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) ) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) )

> _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) _ (mailto:____rob.davis@ar

> mynursecorps.com) ;) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) )

_

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

;) ) _

> (mailto:_______rob.davis@..._

> (mailto:______rob.davis@...) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) ) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) )

_

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

;) _

> (mailto:______rob.davis@..._

> (mailto:_____rob.davis@...) _ (mailto:____rob.davi

> _s@..._ (mailto:s@...) ) _

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) )

_

> (mailto:_____rob.davis@..._

> (mailto:____rob.davis@...) _

> (mailto:____rob.davis@..._

> (mailto:___rob.davis@...) ) _

> (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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>>> wrote:

>>

>>> On Sunday, June 13, 2010 01:14, " Alyssa Woods "

>>> ________amwoods8644@..._ (mailto:_______amwoods8644@...) _

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> _ (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...)

> ) _

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> (mailto:_____amwoods8644@..._ (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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> ;) ) _

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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@...) ) )

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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@..._ (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@..._

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> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

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> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) ) ) _

> (mailto:______amwoods8644@..._ (mailto:_____amwoods8644@...) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) ) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) )

> _ (mailto:_____amwoods8644@..._

> (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> ;) _

> (mailto:_____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) ) _ (mailto:

> _____amwoods8644@..._ (mailto:____amwoods8644@...) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) ) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) )

> _ (mailto:____amwoods8644@..._

> (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> ;) _

> (mailto:____amwoods8644@..._ (mailto:___amwoods8644@...) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) ) _

> (mailto:___amwoods8644@..._ (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) )

> _ (mailto:___amwoods8644@..._

> (mailto:__amwoods8644@...) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) ) _

> (mailto:__amwoods8644@..._ (mailto:_amwoods8644@...) _

> (mailto:_amwoods8644@..._ (mailto:amwoods8644@...) ) )

> ;) ) ) ) ) > said:

>>>

>>>> Internal Temperature: 101.2

>>>

>>> ^ What exactly does this mean? There are several different routes

>>> for an " internal " temperature, and all have different normal

>>> parameters.

>>>

>>>

>>

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