RE: EMS Challenge (2) Hint #1

June 13, 2010

eh...I could have given that kind of report at that age, but then, my

mother was an RN, I was working in a nursing home as an orderly by that time,

and was debating between pre med and marine biology for a college major. I'll

let AW explain why that particular 17 yo could give that good a

description.

ck

In a message dated 6/13/2010 17:47:34 Central Daylight Time,

rob.davis@... writes:

On Sunday, June 13, 2010 17:39, " Alyssa Woods " _amwoods8644@..._

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

> The girl states: " She's having some sort of

> neurological event. She hasn't been acting quite right, and then all

> of a sudden, she started saying that everything is melting, and she's

> got some sort of aphasia. Her pupils are good, though. "

Wait... a 17 year old girl said all that? Who is she, Dougette Howser?

June 13, 2010

OH? and what was your diagnosis?

ck

In a message dated 6/13/2010 18:17:07 Central Daylight Time,

rob.davis@... writes:

Okay, sorry for the hijack. I made the diagnosis hours ago. I'm more

interested in this young medical prodigette now!

Rob

June 13, 2010

is there any proof that thiamine will improve Korsakov/Wernicke

encephalopathy?

ck

In a message dated 6/13/2010 18:27:56 Central Daylight Time,

summedic@... writes:

Ok, I now believe this patient is suffering from Wernicke's-Korsakav

syndrome and needs some thiamine stat.

Sent from my iPhone,

McGee, EMT-P, EMT-T

On Jun 13, 2010, at 5:39 PM, Alyssa Woods _amwoods8644@..._

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

Wow, you guys have gotten farther than I thought you would!

However, I see a herd of zebras. And a bunch of people looking at the

trees before trying to name what forest they're in.

So, as requested, your first clue:

Your patient was taken to the ER, where she was diagnosed with heat

exhaustion, and given fluids. A couple of hours later, her symptoms

went away. The docs, snickering at your over-thinking, sent her home

two hours later. She was discharged with instructions to take more

frequent breaks.

About three or four weeks later, you are dispatched for a 58 y/o

female, possible stroke. En route, your dispatch is changed to AMS.

Upon arrival, you find the patient and a 17 y/o female just outside of

a restaurant. The 17 y/o girl is holding the woman's hand, but looking

away from the pt. The girl states: " She's having some sort of

neurological event. She hasn't been acting quite right, and then all

of a sudden, she started saying that everything is melting, and she's

got some sort of aphasia. Her pupils are good, though. " She seems

nervous. Upon questioning, she reluctantly admits to being the

patient's daughter. The patient herself cannot form responses. She'll

say things such as, " That sign is really bright! " With much alarm,

looking away, when there is nothing in front of her. She'll also mix

up items, such as calling an oxygen cylinder a purse, and your

ambulance a space ship. She seems quite alarmed and distressed.

So, what would you ask? What would you do? What do you want to know?

And, of course, what's happening to your patient, and why?

On Jun 13, 2010, at 4:47 PM, _krin135@..._ (mailto:krin135@...)

wrote:

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

excellent

historian for the case.

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

active

salivation, lacrimation, urinary or fecal incontinence or emesis.

Oh, and where would the Acetylcystine come in?

ck

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

_lnmolino@..._ (mailto:lnmolino@...) writes:

SLUDGEM actually Doc.

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

for Physcological as well.

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

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

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

(mailto:LNMolino@...) )

On Jun 13, 2010, at 14:55, __krin135@..._ (mailto:_krin135@...) _

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

wrote:

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

work per

AW.

What are the s/s of organophosphate poisoning? (again a hint from

me: SLUD)

ck

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

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

(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: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: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@...) ) _

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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@...) _

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(mailto:_ExLngHrn@...)

)

_

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(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@...) ) _

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_

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) _

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

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

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

_ (mailto:___amwoods8644@..._

(mailto:__amwoods8644@...) _

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

(mailto: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@..._

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_ (mailto:____ExLngHrn@..._

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(mailto:_ExLngHrn@...)

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) _

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

(mailto:_ExLngHrn@..._

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)

) ) ) )

wrote:

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

provide

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

IV access,

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

I'll be

heading towards someplace with neuro capabilities.

-Wes Ogilvie

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

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

(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@..._

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mynursecorps.com) ) _

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

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_

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_

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

_vis@..._ (mailto:vis@...) ) _

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) _

(m

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

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

Yahoo! Groups Links

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

June 13, 2010

there is a reason why thiamine is no longer routinely carried in ALS

medical kits...where it used to be part of the 'coma cocktail' given to folks

with unexplained loss of consciousness (100 mg thiamine, 0.4 of Narcan, and an

amp of D50W)...

ck

In a message dated 6/13/2010 18:34:50 Central Daylight Time,

amwoods8644@... writes:

More importantly, do your units (or I suppose for you, ck, do the

units that bring pts to you) carry thiamine?

Mine don't.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 6:29 PM, _krin135@..._ (mailto:krin135@...)

wrote:

> is there any proof that thiamine will improve Korsakov/Wernicke

> encephalopathy?

>

> ck

>

> In a message dated 6/13/2010 18:27:56 Central Daylight Time,

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

>

> Ok, I now believe this patient is suffering from Wernicke's-Korsakav

> syndrome and needs some thiamine stat.

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 5:39 PM, Alyssa Woods __amwoods8644@..._

(mailto:_amwoods8644@...) _

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

wrote:

>

> Wow, you guys have gotten farther than I thought you would!

>

> However, I see a herd of zebras. And a bunch of people looking at the

> trees before trying to name what forest they're in.

>

> So, as requested, your first clue:

>

> Your patient was taken to the ER, where she was diagnosed with heat

> exhaustion, and given fluids. A couple of hours later, her symptoms

> went away. The docs, snickering at your over-thinking, sent her home

> two hours later. She was discharged with instructions to take more

> frequent breaks.

>

> About three or four weeks later, you are dispatched for a 58 y/o

> female, possible stroke. En route, your dispatch is changed to AMS.

>

> Upon arrival, you find the patient and a 17 y/o female just outside of

> a restaurant. The 17 y/o girl is holding the woman's hand, but looking

> away from the pt. The girl states: " She's having some sort of

> neurological event. She hasn't been acting quite right, and then all

> of a sudden, she started saying that everything is melting, and she's

> got some sort of aphasia. Her pupils are good, though. " She seems

> nervous. Upon questioning, she reluctantly admits to being the

> patient's daughter. The patient herself cannot form responses. She'll

> say things such as, " That sign is really bright! " With much alarm,

> looking away, when there is nothing in front of her. She'll also mix

> up items, such as calling an oxygen cylinder a purse, and your

> ambulance a space ship. She seems quite alarmed and distressed.

>

> So, what would you ask? What would you do? What do you want to know?

>

> And, of course, what's happening to your patient, and why?

>

> On Jun 13, 2010, at 4:47 PM, __krin135@..._

(mailto:_krin135@...) _

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

> wrote:

>

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

> excellent

> historian for the case.

>

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

> active

> salivation, lacrimation, urinary or fecal incontinence or emesis.

>

> Oh, and where would the Acetylcystine come in?

>

> ck

>

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

> __lnmolino@..._ (mailto:_lnmolino@...) _

(mailto:_lnmolino@..._ (mailto:lnmolino@...) ) writes:

>

> SLUDGEM actually Doc.

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

> for Physcological as well.

>

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

>

> Louis N. Molino, Sr. CET

> FF/NREMT/FSI/EMSI

> Typed by my fingers on my iPhone.

> Please excuse any typos.

> (Cell)

> ___LNMolino@..._ (mailto:__LNMolino@...) _

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

(mailto:__LNMolino@..._

(mailto:_LNMolino@...)

> _

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

>

> On Jun 13, 2010, at 14:55, ___krin135@..._

(mailto:__krin135@...) _

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

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

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

> wrote:

>

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

> work per

> AW.

>

> What are the s/s of organophosphate poisoning? (again a hint from

> me: SLUD)

>

> ck

>

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

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

(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:l ) ) _

> (mailto:_texasems-

> __l _ (mailto:_l ) _

(mailto:_l _ (mailto:l ) ) ) _

> (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:l ) ) _

> (mailto:_texasems-

> __l _ (mailto:_l ) _

(mailto:_l _ (mailto:l ) ) ) _

> (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@...) ) ) )

>

%40aol.com>

> writes:

>

> Extrapyramidal reaction to her schizophrenia meds? 50 mg of

> Benadryl, IV

> push?

>

> -Wes Ogilvie

>

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

> _____krin135@..._ (mailto:____krin135@...) _

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

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

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

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

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

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

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

> _

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

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

> (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@...) _

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

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> ) _

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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@...) ) )

> )

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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@...) ) _

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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@...) _

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> _ (mailto:_____ExLngHrn@..._

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> _

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

> )

> ) ) _

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

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

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

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

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

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

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

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

> _ (mailto:_____ExLngHrn@..._

(mailto:____ExLngHrn@...) _

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

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

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

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

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

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

> _

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

> )

> ) _

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

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

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

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

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

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

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

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

> _ (mailto:____ExLngHrn@..._

(mailto:___ExLngHrn@...) _

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

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

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

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

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

(mailto:__ExLngHrn@..._

(mailto:_ExLngHrn@...)

> _

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

> )

> ) ) ) )

> 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@...) _

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

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> ) ) _

> (mailto:_______amwoods8644@..._

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> ) _

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

_

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

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

)

> _

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

_

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

_

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

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

_

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

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

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> ) _

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

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

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

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> _

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

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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@...) )

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> (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@...) _

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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@...) _

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

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

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

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

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

> ) _

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

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

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

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

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

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

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

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

> _ (mailto:____amwoods8644@..._

(mailto:___amwoods8644@...) _

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

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

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

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

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

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

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

> ) ) ) ) writes:

>

> Her temperature was taken rectally.

>

> Sent from the itty bitty keyboard on my iPhone

>

> On Jun 13, 2010, at 12:14 PM,

> " _________rob.davis@..._

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

> _

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

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

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

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

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

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

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

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

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

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> (m

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>

June 13, 2010

make that 'recommended to be carried.' I realize that there are many

outfits which still may carry it.

ck

In a message dated 6/13/2010 18:38:05 Central Daylight Time,

krin135@... writes:

there is a reason why thiamine is no longer routinely carried in ALS

medical kits...where it used to be part of the 'coma cocktail' given to

folks

with unexplained loss of consciousness (100 mg thiamine, 0.4 of Narcan,

and an

amp of D50W)...

ck

In a message dated 6/13/2010 18:34:50 Central Daylight Time,

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

More importantly, do your units (or I suppose for you, ck, do the

units that bring pts to you) carry thiamine?

Mine don't.

Alyssa Woods, FF/NREMT-B

Sent from the itty bitty keyboard on my iPhone

On Jun 13, 2010, at 6:29 PM, __krin135@..._ (mailto:_krin135@...) _

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

wrote:

> is there any proof that thiamine will improve Korsakov/Wernicke

> encephalopathy?

>

> ck

>

> In a message dated 6/13/2010 18:27:56 Central Daylight Time,

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

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

>

> Ok, I now believe this patient is suffering from Wernicke's-Korsakav

> syndrome and needs some thiamine stat.

>

> Sent from my iPhone,

> McGee, EMT-P, EMT-T

>

> On Jun 13, 2010, at 5:39 PM, Alyssa Woods ___amwoods8644@..._

(mailto:__amwoods8644@...) _

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

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

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