Guest guest Posted June 15, 2010 Report Share Posted June 15, 2010 I'm sorry, I thought the question was an OTC for the esophageal spasms, not the impacted food. My mistake. Sent from my iPhone, McGee, EMT-P, EMT-T I doubt that Maalox will help much with an impacted meat bolus. there is something, generally found in the spice aisle, that may help in some cases, albeit Glucagon would probably be my first line choice- I've had good enough results from it that I'd use it before I call the GI or Surgeon for a follow up scope. ck In a message dated 6/15/2010 20:02:53 Central Daylight Time, summedic@... writes: Malox Sent from my iPhone, McGee, EMT-P, EMT-T On Jun 15, 2010, at 6:16 PM, _wegandy@..._ (mailto:wegandy@...) wrote: A plumber's helper? G EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2010 Report Share Posted June 15, 2010 I'm sorry, I thought the question was an OTC for the esophageal spasms, not the impacted food. My mistake. Sent from my iPhone, McGee, EMT-P, EMT-T I doubt that Maalox will help much with an impacted meat bolus. there is something, generally found in the spice aisle, that may help in some cases, albeit Glucagon would probably be my first line choice- I've had good enough results from it that I'd use it before I call the GI or Surgeon for a follow up scope. ck In a message dated 6/15/2010 20:02:53 Central Daylight Time, summedic@... writes: Malox Sent from my iPhone, McGee, EMT-P, EMT-T On Jun 15, 2010, at 6:16 PM, _wegandy@..._ (mailto:wegandy@...) wrote: A plumber's helper? G EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2010 Report Share Posted June 15, 2010 This may seem off the wall and I could be wrong, but what about viagra? The reason being is it acts as a smooth muscle relaxer and vasodilator among other things. If memory serves me correctly, when I was in paramedic class in 2001 our Instructor said something to the effect that viagra was orignally used for patients with heart problems and chest pain in the past. They then found out by accident that it causes " hard ons " , more reasarch was done and now it's used for ED. Any thoughts? -- > >> > >>> Start with the beginning. > >>> > >>> Complete set of vitals, EKG, and a SAMPLE/OPQRST workup. > >>> > >>> -Wes Ogilvie > >>> > >>> > >>> In a message dated 6/14/2010 4:03:38 P.M. Central Daylight Time, > >>> mhudson@... ;\ ; writes: > >>> > >>> > >>> > >>> > >>> > >>> ________________________________ > >>> From: [_aggiesrwe03@... _ (mailto:aggiesrwe03@... ; ] > >>> Sent: Monday, June 14, 2010 1:15 PM > >>> To: Hudson > >>> Subject: EMS Challenge (3) > >>> > >>> For some reason I can't send to the list right now but if you would please > >>> forward this!!! > >>> > >>> -Chris > >>> > >>> Ok I got one it is not as involved as alyssa's but may be something you > >>> see pretty often in this case I am actually the person this is loosely based > >>> on. > >>> > >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a > >>> chair in his living he room he say he is having a funny feeling in his > >>> chest and he feels very weak what else you wanna know > >>> > >>> -Chris > >>> > >>> > >>> > >>> > >>> > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2010 Report Share Posted June 15, 2010 tenderizer? > > >To: texasems-l >Sent: Tue, June 15, 2010 5:06:10 PM >Subject: Re: FW: EMS Challenge (3) > > > >> > >I doubt that Maalox will help much with an impacted meat bolus. > >>there is something, generally found in the spice aisle, that may help in >>some cases, albeit Glucagon would probably be my first line choice- I've had >>good enough results from it that I'd use it before I call the GI or Surgeon >>for a follow up scope. > >>ck > > >>In a message dated 6/15/2010 20:02:53 Central Daylight Time, >summedic@... writes: > >>Malox > >>Sent from my iPhone, >> McGee, EMT-P, EMT-T > >>On Jun 15, 2010, at 6:16 PM, _wegandy@..._ (mailto:wegandy@...) >>wrote: > >>A plumber's helper? > >>G > >> EMS Challenge (3) >>>>> >>>>> For some reason I can't send to the list right now but if you would >>please >>>>> forward this!!! >>>>> >>>>> -Chris >>>>> >>>>> Ok I got one it is not as involved as alyssa's but may be something >>you >>>>> see pretty often in this case I am actually the person this is loosely >>based >>>>> on. >>>>> >>>>> dispatched to a 30 y/o male for weakness upon arrival pt. > >>[Non-text portions of this message have been removed] > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2010 Report Share Posted June 15, 2010 tenderizer? > > >To: texasems-l >Sent: Tue, June 15, 2010 5:06:10 PM >Subject: Re: FW: EMS Challenge (3) > > > >> > >I doubt that Maalox will help much with an impacted meat bolus. > >>there is something, generally found in the spice aisle, that may help in >>some cases, albeit Glucagon would probably be my first line choice- I've had >>good enough results from it that I'd use it before I call the GI or Surgeon >>for a follow up scope. > >>ck > > >>In a message dated 6/15/2010 20:02:53 Central Daylight Time, >summedic@... writes: > >>Malox > >>Sent from my iPhone, >> McGee, EMT-P, EMT-T > >>On Jun 15, 2010, at 6:16 PM, _wegandy@..._ (mailto:wegandy@...) >>wrote: > >>A plumber's helper? > >>G > >> EMS Challenge (3) >>>>> >>>>> For some reason I can't send to the list right now but if you would >>please >>>>> forward this!!! >>>>> >>>>> -Chris >>>>> >>>>> Ok I got one it is not as involved as alyssa's but may be something >>you >>>>> see pretty often in this case I am actually the person this is loosely >>based >>>>> on. >>>>> >>>>> dispatched to a 30 y/o male for weakness upon arrival pt. > >>[Non-text portions of this message have been removed] > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2010 Report Share Posted June 16, 2010 A benzo is certainly useful in seizure disorders, but I can't find any references in medical literature for using them in esophageal spasm. I don't know why they wouldn't work. Dr. Krin? GG EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >>> chair in his living he room he say he is having a funny feeling in his >>> chest and he feels very weak what else you wanna know >>> >>> -Chris >>> >>> >>> >>> >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2010 Report Share Posted June 16, 2010 A benzo is certainly useful in seizure disorders, but I can't find any references in medical literature for using them in esophageal spasm. I don't know why they wouldn't work. Dr. Krin? GG EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >>> chair in his living he room he say he is having a funny feeling in his >>> chest and he feels very weak what else you wanna know >>> >>> -Chris >>> >>> >>> >>> >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2010 Report Share Posted June 16, 2010 Yes indeed. And it sure worked for me. GG EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >>> chair in his living he room he say he is having a funny feeling in his >>> chest and he feels very weak what else you wanna know >>> >>> -Chris >>> >>> >>> >>> >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2010 Report Share Posted June 16, 2010 Yes indeed. And it sure worked for me. GG EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >>> chair in his living he room he say he is having a funny feeling in his >>> chest and he feels very weak what else you wanna know >>> >>> -Chris >>> >>> >>> >>> >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2010 Report Share Posted June 16, 2010 I know several GI docs who prescribe Ativan (lorezapam) for esophageal or gastric spasms. I have seen it work, but can't give a detailed mechanism of action beyond the general relaxation. ck In a message dated 6/16/2010 07:18:48 Central Daylight Time, wegandy1938@... writes: A benzo is certainly useful in seizure disorders, but I can't find any references in medical literature for using them in esophageal spasm. I don't know why they wouldn't work. Dr. Krin? GG -----Original Message----- From: McGee _summedic@..._ (mailto:summedic@...) > To: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > Sent: Tue, Jun 15, 2010 6:10 am Subject: Re: FW: EMS Challenge (3) Would a benzo help control spasms and possibly relieve the stress and anxiety for the patient? Sent from my iPhone, McGee, EMT-P, EMT-T On Jun 15, 2010, at 12:27 AM, _wegandy@..._ (mailto:wegandy@...) wrote: Chris. A similar thing has happened to me although not the Barrets. I have had GERD for many years, now controlled with esomeprazole 40 mg q d. One day about 5 years ago I was driving between Albany and Abilene when I had a sudden onset of excruciating chest pain. At first I thought, Well, here it is---THE BIG ONE. But I also knew my history and the fact that my father had esophageal spasms and stenosis and had to be dilated about every 6 months. He was prescribed NTG for it and it always relieved it. So I thought, if this continues, I'm on my way to the hospital, but if it stops I'll go to the office and do a 12-lead on myself. Sure enough, in what seemed like the longest 3 minutes I've ever spent, it suddenly stopped. So I continued on and had a friend do the 12-lead which was totally unremarkable. I stuck a canister of NTG in my pocket and forget about it. About a week later, the same thing happened at home, so I took one spray of NTG and the pain stopped within 30 seconds. Next time I saw my PCP I told her about this, she got all bent out of shape at me for self-diagnosing (but she admitted that she would have done the same thing) and made do the Holter monitor and made me have an EGD which showed one little ulcer high in the esophagus. Heart was fine. Was put on Nexium and no further trouble. I carried the NTG for a long time but finally stopped since i haven't had another spasm since. Question: Why does NTG work for this, and what other drugs might relieve esophageal spasm? Gene G. EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >>> chair in his living he room he say he is having a funny feeling in his >>> chest and he feels very weak what else you wanna know >>> >>> -Chris >>> >>> >>> >>> >>> >>> [Non-text portions of this message have been removed] >>> >>> >>> >>> ------------------------------------ >>> >>> Yahoo! Groups Links >>> >>> >>> >> >> >> >> [Non-text portions of this message have been removed] >> >> >> >> ------------------------------------ >> >> Yahoo! Groups Links >> >> >> > > > > > [Non-text portions of this message have been removed] > > > > ------------------------------------ > > Yahoo! Groups Links > > > ------------------------------------ Yahoo! Groups Links [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (31) RECENT ACTIVITY: New Members 2 Visit Your Group MARKETPLACE [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2010 Report Share Posted June 16, 2010 yes, there is a chance of erosion, which is why the next step after the tenderizer is a scope. I'll have to check the references again as to the utility. I've never had much luck getting folks to drink much of anything if they had a truly impacted food bolus. ck In a message dated 6/16/2010 07:17:24 Central Daylight Time, wegandy1938@... writes: Ok, I understand that, but isn't there a significant risk of esophageal erosion from the use of Adolph's Meat Tenderizer? Can't it erode the esophagus? The stuff I have read says that's not a good treatment. How about having the patient drink a carbonated beverage? That's also sometimes helpful, isn't it? GG Re: FW: EMS Challenge (3) that is it. and yes, if it doesn't work in a short period of time, the patient needs to be 'scoped. ck In a message dated 6/15/2010 20:10:34 Central Daylight Time, _rob.davis@..._ (mailto:rob.davis@...) writes: The old Adolph's Meat Tenderiser trick, I suppose. Years back, at a CME presentation, we were told that it tended to do the same number on the oesophageal mucosa as it did on the bolus though. Rob [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2010 Report Share Posted June 16, 2010 yes, there is a chance of erosion, which is why the next step after the tenderizer is a scope. I'll have to check the references again as to the utility. I've never had much luck getting folks to drink much of anything if they had a truly impacted food bolus. ck In a message dated 6/16/2010 07:17:24 Central Daylight Time, wegandy1938@... writes: Ok, I understand that, but isn't there a significant risk of esophageal erosion from the use of Adolph's Meat Tenderizer? Can't it erode the esophagus? The stuff I have read says that's not a good treatment. How about having the patient drink a carbonated beverage? That's also sometimes helpful, isn't it? GG Re: FW: EMS Challenge (3) that is it. and yes, if it doesn't work in a short period of time, the patient needs to be 'scoped. ck In a message dated 6/15/2010 20:10:34 Central Daylight Time, _rob.davis@..._ (mailto:rob.davis@...) writes: The old Adolph's Meat Tenderiser trick, I suppose. Years back, at a CME presentation, we were told that it tended to do the same number on the oesophageal mucosa as it did on the bolus though. Rob [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2010 Report Share Posted June 16, 2010 Ok, I understand that, but isn't there a significant risk of esophageal erosion from the use of Adolph's Meat Tenderizer? Can't it erode the esophagus? The stuff I have read says that's not a good treatment. How about having the patient drink a carbonated beverage? That's also sometimes helpful, isn't it? GG Re: FW: EMS Challenge (3) that is it. and yes, if it doesn't work in a short period of time, the patient needs to be 'scoped. ck In a message dated 6/15/2010 20:10:34 Central Daylight Time, rob.davis@... writes: The old Adolph's Meat Tenderiser trick, I suppose. Years back, at a CME presentation, we were told that it tended to do the same number on the oesophageal mucosa as it did on the bolus though. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2010 Report Share Posted June 19, 2010 OK so I will stop lurking for a moment...peppermint and ginger both have smooth muscle relaxing properties specifically involving the esophogaus. IF you are looking for spice aisle possible treatments.... Personally I am with Dr. Krin...I have had great success with Glucagon in the past. Leach > >> > >>> Start with the beginning. > >>> > >>> Complete set of vitals, EKG, and a SAMPLE/OPQRST workup. > >>> > >>> -Wes Ogilvie > >>> > >>> > >>> In a message dated 6/14/2010 4:03:38 P.M. Central Daylight Time, > >>> __mhudson@..._ (mailto:_mhudson@...) _ > (mailto:_mhudson@..._ (mailto:mhudson@...) ) > ;;; > writes: > >>> > >>> > >>> > >>> > >>> > >>> ________________________________ > >>> From: [___aggiesrwe03@..._ > (mailto:__aggiesrwe03@...) _ > (mailto:__aggiesrwe03@..._ (mailto:_aggiesrwe03@...) ) > _ > (mailto:__aggiesrwe03@..._ (mailto:_aggiesrwe03@...) _ > (mailto:_aggiesrwe03@..._ (mailto:aggiesrwe03@...) ) > ;; ] > >>> Sent: Monday, June 14, 2010 1:15 PM > >>> To: Hudson > >>> Subject: EMS Challenge (3) > >>> > >>> For some reason I can't send to the list right now but if you would > please > >>> forward this!!! > >>> > >>> -Chris > >>> > >>> Ok I got one it is not as involved as alyssa's but may be something > you > >>> see pretty often in this case I am actually the person this is loosely > based > >>> on. > >>> > >>> dispatched to a 30 y/o male for weakness upon arrival pt. > > [Non-text portions of this message have been removed] > > > > > > Quote Link to comment Share on other sites More sharing options...
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