Return-Path: Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Tue, 31 Oct 2000 19:44:46 -0500 (EST) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JVZYTYSY0600FDSO@mb2i0.ns.pitt.edu>; Tue, 31 Oct 2000 19:43:59 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Tue, 31 Oct 2000 19:42:48 -0500 (EST) Received: from imo-r16.mail.aol.com (imo-r16.mx.aol.com [152.163.225.70]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Tue, 31 Oct 2000 19:42:40 -0500 (EST) Received: from Mkeowl@aol.com by imo-r16.mx.aol.com (mail_out_v28.32.) id h.2f.c631d26 (3858) for ; Tue, 31 Oct 2000 19:41:48 -0500 (EST) Date: Tue, 31 Oct 2000 19:41:47 -0500 (EST) From: Mkeowl@aol.com Subject: W-EMED Need a SOP for MD used in SAR... Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <2f.c631d26.2730c0cb@aol.com> MIME-version: 1.0 X-Mailer: Windows AOL sub 123 Content-type: text/plain; charset="US-ASCII" Content-transfer-encoding: 7bit Precedence: bulk Where would I find SOPs or other related info to write a 'job description' for a Family Physician who is interested in working with a SAR unit? He has taken CE in Wilderness Medicine and is now interested in working in SAR. Thanks for your help. Linda R. Uihlein Blue and Gray SAR Dogs, VA EMT, WEMT Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Wed, 25 Oct 2000 20:48:22 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JVRNBQG76M004QB1@mb1i0.ns.pitt.edu>; Wed, 25 Oct 2000 20:48:22 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Wed, 25 Oct 2000 20:46:48 -0400 (EDT) Received: from gtei2.bellatlantic.net (gtei2.bellatlantic.net [199.45.39.161]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Wed, 25 Oct 2000 20:46:41 -0400 (EDT) Received: from klaptop (client-141-151-77-152.bellatlantic.net [141.151.77.152]) by gtei2.bellatlantic.net (8.9.1/8.9.1) with ESMTP id UAA09542; Wed, 25 Oct 2000 20:46:09 -0400 (EDT) Date: Wed, 25 Oct 2000 20:45:15 -0400 From: "Keith Conover, M.D., FACEP" Subject: Re: W-EMED Fwd: PDA/Handheld Computer Use for Pt Reporting In-reply-to: <47.20cc6a5.2719b49b@aol.com> Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: Kcub1@aol.com, wilderness-emergency-medicine@list.pitt.edu Cc: mra@altadena.net Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <39F7465B.22086.1121E089@localhost> MIME-version: 1.0 X-Mailer: Pegasus Mail for Win32 (v3.12c) Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Precedence: bulk On 14 Oct 2000, at 9:07, Kcub1@aol.com wrote: > Keith, et al...Do you or any organization use a PDA for Pt reporting, > med info, etc? Does this device have any application in a "wilderness" > setting? Just a thought...Keith Cubbedge Keith, I've been a big fan of computer technology for charting. I've been using a PC-based speech recognition system for charting in the ED for years. And there are zillions (well, at least a dozen or so) companies who will take your money in exchange for a PDA with a charting application on it, some for inhospital, some for prehospital. Come to the annual ACEP/PaACEP ED Information Systems Symposium in New Orleans January 13-15 (www.paacep.org) to see many of them. (You can also hear my lecture on human interfaces for software design.) Nonetheless, I have never and would likely never consider a PDA for wilderenss use. Not reliable or robust enough. Rite-in-the-Rain paper, or Tyvek, and a Sharpie waterproof marker with a wooden pencil backup is my preferred wilderness charting system! BTW, WEMSI Patient Record Forms are available at: http://www.pitt.edu/~kconover/ftp/ WEMSI Patient Record Form 11.pdf Any critique is welcomed, as we plan to update these and then print them up on Rite-in-the-Rain paper. We'll see if we can get someone who has a Web storefront to carry them for people who want them, it'll be cheaper for individuals to get them that way. --Keith Conover, M.D., FACEP http://www.pitt.edu/~kconover sent with Pegasus high-security email download free from www.pmail.com Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 14 Oct 2000 16:29:27 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JVC12WP9B2003HE2@mb1i0.ns.pitt.edu>; Sat, 14 Oct 2000 16:29:26 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 14 Oct 2000 16:27:29 -0400 (EDT) Received: from hotmail.com (oe11.law7.hotmail.com [216.33.236.115]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 14 Oct 2000 16:27:26 -0400 (EDT) Received: from mail pickup service by hotmail.com with Microsoft SMTPSVC; Sat, 14 Oct 2000 13:26:51 -0700 Date: Sat, 14 Oct 2000 16:29:07 -0400 From: Craig Button Subject: Re: W-EMED Fwd: PDA/Handheld Computer Use for Pt Reporting Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V5.50.4133.2400 X-Mailer: Microsoft Outlook Express 5.50.4133.2400 Content-type: text/plain; charset="iso-8859-1" Content-transfer-encoding: 7bit X-Priority: 3 X-MSMail-priority: Normal Precedence: bulk X-Originating-IP: [24.4.253.16] X-OriginalArrivalTime: 14 Oct 2000 20:26:51.0830 (UTC) FILETIME=[160D5D60:01C0361D] References: <47.20cc6a5.2719b49b@aol.com> There are lots of applications that can be used with a PDA. Everything from simple database/pt documentation to references and even as a terminal to packet radio/ham radio. It's one of those area's that uses are limited by imagination and programing ability. Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 14 Oct 2000 09:10:07 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JVBLQ8O32Y003EQ0@mb1i0.ns.pitt.edu>; Sat, 14 Oct 2000 09:10:07 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 14 Oct 2000 09:09:28 -0400 (EDT) Received: from imo-r19.mail.aol.com (imo-r19.mx.aol.com [152.163.225.73]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 14 Oct 2000 09:09:26 -0400 (EDT) Received: from Kcub1@aol.com by imo-r19.mx.aol.com (mail_out_v28.31.) id h.47.20cc6a5 (4322); Sat, 14 Oct 2000 09:07:39 -0400 (EDT) Date: Sat, 14 Oct 2000 09:07:39 -0400 (EDT) From: Kcub1@aol.com Subject: W-EMED Fwd: PDA/Handheld Computer Use for Pt Reporting Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: kconover@pitt.edu (Keith Conover,M.D.,FACEP) Cc: fdvenom1@hotmail.com, ADickison@aol.com, rgoodman@dps.state.nm.us, jisaac@bwn.net (Jeff Isaac), tkovacs@goodnet.com, conterra@pacificrim.net (conterra), Sarpuma@aol.com, wilderness-emergency-medicine@list.pitt.edu, zafren@alaska.com, jstankie@weir.net (John Stankiewicz), bob.norris@leland.stanford.edu (Robert Norris), mra@altadena.net, tschimel@wyoming.com (Tod Schimelpfenig) Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <47.20cc6a5.2719b49b@aol.com> MIME-version: 1.0 X-Mailer: Windows AOL sub 118 Content-type: multipart/mixed; boundary="part1_47.20cc6a5.2719b49b_boundary" Precedence: bulk --part1_47.20cc6a5.2719b49b_boundary Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit Keith, et al...Do you or any organization use a PDA for Pt reporting, med info, etc? Does this device have any application in a "wilderness" setting? Just a thought...Keith Cubbedge --part1_47.20cc6a5.2719b49b_boundary Content-Type: message/rfc822 Content-Disposition: inline Return-Path: Received: from rly-za02.mx.aol.com (rly-za02.mail.aol.com [172.31.36.98]) by air-za04.mail.aol.com (v76_r1.8) with ESMTP; Thu, 12 Oct 2000 02:51:58 -0400 Received: from lists.sni.net (lists.sni.net [199.117.27.5]) by rly-za02.mx.aol.com (v75_b3.9) with ESMTP; Thu, 12 Oct 2000 02:51:45 -0400 Received: (from majordomo@localhost) by lists.sni.net (8.9.3/8.9.3) id XAA05058 for colorado-ems-include; Wed, 11 Oct 2000 23:19:37 -0600 X-Authentication-Warning: lists.sni.net: majordomo set sender to owner-colorado-ems@lists.csn.net using -f Received: from mailman2.sni.net (IDENT:root@mailman2.sni.net [199.117.27.34]) by lists.sni.net (8.9.3/8.9.3) with ESMTP id XAA05055 for ; Wed, 11 Oct 2000 23:19:31 -0600 Received: from mail.littleton.org (mail.littleton.org [206.83.103.3]) by mailman2.sni.net (8.9.3/8.9.3) with SMTP id AAA15181 for ; Thu, 12 Oct 2000 00:44:05 -0600 Received: from COL-Message_Server by mail.littleton.org with Novell_GroupWise; Thu, 12 Oct 2000 00:43:56 -0600 Message-Id: X-Mailer: Novell GroupWise 5.5.2 Date: Thu, 12 Oct 2000 00:43:19 -0600 From: "Eric Sondeen" To: Cc: Subject: PDA/Handheld Computer Use for Pt Reporting Mime-Version: 1.0 Content-Type: text/plain; charset=US-ASCII Content-Disposition: inline Content-Transfer-Encoding: 8bit X-MIME-Autoconverted: from quoted-printable to 8bit by lists.sni.net id XAA05055 Sender: owner-colorado-ems@lists.csn.net Precedence: bulk PDA/Handheld Computer Use for Pt Reporting Several of us are investigating ways to use wireless internet applications for PDA's/Palm/WindowsCE to make the going a bit easier on the EMS front. We are already using the Epocrates.Com for pharmacology updates infield and "Docs to Go" for the Denver Metro Protocols, but.... It's not enough. Is anyone using, or aware of, some good PDA patient reporting software that can be linked with hospital records and/or EMS agency patient software? We would need something with a flexible interface to translate for several receiving hospitals' software. The wireless internet solutions look best--why not beam the info rather than waiting for arrival and upload? Thanks for your help. Eric Eric Sondeen Littleton Fire The October 2000 issue of "RadioResource" magazine has some ideas for those wishing an update on the technology. --part1_47.20cc6a5.2719b49b_boundary-- Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Fri, 13 Oct 2000 13:13:56 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JVAFY6DA2W00C9JC@mb2i0.ns.pitt.edu>; Fri, 13 Oct 2000 13:13:56 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Fri, 13 Oct 2000 13:12:37 -0400 (EDT) Received: from montu.kynd.net (mail@montu.kynd.net [208.162.108.5]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Fri, 13 Oct 2000 13:12:33 -0400 (EDT) Received: from rosalind.ts5-dvrf.att.kynd.net (master) [12.27.186.52] by montu.kynd.net with smtp (Exim 3.12 #1 (Debian)) id 13k8NR-0008Ig-00; Fri, 13 Oct 2000 13:12:14 -0400 Date: Fri, 13 Oct 2000 13:13:12 -0400 From: Oldfield Family Subject: Re: W-EMED Re: Emergency medical portable non pressurized oxygen Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu, Darrell Stevens Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <019f01c03538$f16458e0$0a01a8c0@master> MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V4.72.3155.0 X-Mailer: Microsoft Outlook Express 4.72.3155.0 Content-type: text/plain; charset="iso-8859-1" Content-transfer-encoding: 7bit X-Priority: 3 X-MSMail-priority: Normal Precedence: bulk DITTO, no kudos here,spill and temp variable Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Fri, 13 Oct 2000 12:08:27 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JVADNZ9S2800C19B@mb2i0.ns.pitt.edu>; Fri, 13 Oct 2000 12:08:26 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Fri, 13 Oct 2000 12:04:42 -0400 (EDT) Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Fri, 13 Oct 2000 12:04:39 -0400 (EDT) Received: from micron ("port 1119"@[136.142.22.173]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JVADITKH3000C93W@mb2i0.ns.pitt.edu> for wilderness-emergency-medicine@list.pitt.edu; Fri, 13 Oct 2000 12:04:38 -0500 (EST) Date: Fri, 13 Oct 2000 12:04:15 -0400 From: "Keith Conover, M.D., FACEP" Subject: W-EMED Re: Emergency medical portable non pressurized oxygen In-reply-to: <014701c032da$aa855ce0$d2d9aec7@dstevens> Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: Darrell Stevens Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <39E6FA3F.25902.D2F6904@localhost> MIME-version: 1.0 X-Mailer: Pegasus Mail for Win32 (v3.12c) Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Precedence: bulk Thanks for the information. I will pass it on to appropriate lists. One problem we noted with a similar device (EMox, from South Africa) is that the device has to be held upgright -- difficult in the litter. And if it tips over, the patient gets a facefull of warm chemical slurry. Ask Steve Meyer, WEMT coordinator for Maryland, it happened to him on one WEMT exercise! Also, your caveat not to shake the mixture may make it difficult to use for wilderness rescue. If you might consider designing something that can go in a rescue litter, without sticking up, and will work for a longer period or can be continuously refilled -- I think a lot more people will be interested. Thanks again. On 10 Oct 2000, at 9:53, Darrell Stevens wrote: > Attached is our new product, System 02, that allows you to store until > needed oxygen. The process needed to produce over 1 hour of oxygen is > simply to add water and two chemicals. This will give you 99.5% pure > oxygen at a flow rate of 6 LPM. > > I think if you read more about our product it may fit nicely into > WEMSI. > > If you can't open the attachment, visit our web site at > www.system02.com > > Thanks for your time > Darrell Stevens > VP of Sales > 916 802-6789 > --Keith Conover, M.D., FACEP http://www.pitt.edu/~kconover sent with Pegasus high-security email download free from www.pmail.com Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Tue, 3 Oct 2000 12:22:23 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUWF8T4AQG009R2W@mb2i0.ns.pitt.edu>; Tue, 3 Oct 2000 12:22:23 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Tue, 03 Oct 2000 12:21:01 -0400 (EDT) Received: from imo-r03.mail.aol.com (imo-r03.mx.aol.com [152.163.225.3]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Tue, 03 Oct 2000 12:20:51 -0400 (EDT) Received: from Ralphwolf@aol.com by imo-r03.mx.aol.com (mail_out_v28.24.) id h.20.c33421b (1883) for ; Tue, 03 Oct 2000 12:20:12 -0400 (EDT) Date: Tue, 03 Oct 2000 12:20:11 -0400 (EDT) From: Ralphwolf@aol.com Subject: Re: W-EMED Patient treatment shelters/tents Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <20.c33421b.270b613b@aol.com> MIME-version: 1.0 X-Mailer: AOL 5.0 for Windows sub 119 Content-type: text/plain; charset="US-ASCII" Content-transfer-encoding: 7bit Precedence: bulk A big 'X' slashed into the floor of any decent mountain tent should allow for top flight emerg. shelter to drop over the immobilized patient... Mark Rogacki Director Education & Training LK Painter Center 2355 Main St. PO Box 575 Collins, NY 14034 716.532.2006 Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Tue, 3 Oct 2000 08:40:52 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUW7I51L480024EF@mb1i0.ns.pitt.edu>; Tue, 3 Oct 2000 08:40:51 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Tue, 03 Oct 2000 08:39:00 -0400 (EDT) Received: from redtail.med.unc.edu (redtail.med.unc.edu [152.19.4.7]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Tue, 03 Oct 2000 08:38:57 -0400 (EDT) Received: from med.unc.edu (apex.med.unc.edu [152.19.4.80]) by redtail.med.unc.edu (8.9.3/8.9.3) with ESMTP id IAA26802 for ; Tue, 03 Oct 2000 08:38:56 -0400 (EDT) Date: Tue, 03 Oct 2000 08:38:56 -0400 (EDT) From: Tom Bush Subject: Re: W-EMED Patient treatment shelters/tents Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <22f7823d6c.23d6c22f78@med.unc.edu> MIME-version: 1.0 X-Mailer: Netscape Webmail Content-type: multipart/mixed; boundary="--3adc490056f272df" Content-language: en Precedence: bulk X-Accept-Language: en This is a multi-part message in MIME format. ----3adc490056f272df Content-Type: text/plain; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: 7bit Joel, Have you considered a tarp? A properly rigged 10X10 tarp provides ample space and head room for several people. Two can be rigged in an A frame fashion for even more space. You can create a sturdy, wind resistant shelter anywhere there are trees. The set up can be modified for any terrain and weather condition. Here in the southeast, I only carry a tent on camping trips during the summer when insects are an issue. Skill in setting up a tarp requires some practice and will provide a lightweight, versatile and low tech (ie less to go wrong)shelter that is limited only by your imagination. You can find a thorough discussion of the virtues of the properly rigged tarp in a book published by ICS called "The Basic Essentials of Camping" by Cliff Jacobson. You may find such a tarp in a Campmor catalog or make one to fit you specific needs. If you would like more info on how to do this please contact me direcly. Regards, Tom Bush, NP Clinical Assistant Professor Department of Orthopaedics University of North Carolina School of Medicine Chapel Hill, NC 27599-7055 Tom_Bush@med.unc.edu ----- Original Message ----- From: Joel McNamara Date: Monday, October 2, 2000 6:30 pm Subject: W-EMED Patient treatment shelters/tents > Does anyone have any suggestions/experience with tents suitable for > patient treatment during a disaster situation? > > The Western Shelter models widely used by Federal DMATs seem both > heavyand cumbersome. I can't help thinking that a more > lightweight/hi-tech > alternative could be used. At least for the first 72 hours before > fully equipped Federal resources arrive. > > Perhaps something along the lines of a Megamid(s) for first in > respondingteams, and then an Eureka! Equinox (or similar) for > second in teams. > > Obviously, weather and wind resistance and durability are key issues. > > Any thoughts appreciated. > > Joel McNamara > > Do not reproduce without author's express permission. > To unsubscribe, send the text "unsubscribe wilderness-emergency- > medicine"as the body of a message (no subject) To: > Majordomo@list.pitt.eduSubmissions To: wilderness-emergency- > medicine@list.pitt.edu ----3adc490056f272df Content-Type: text/x-vcard; name="explore.vcf"; charset=us-ascii Content-Disposition: attachment; filename="explore.vcf Content-Description: Card for Tom Bush Content-Transfer-Encoding: 7bit begin:vcard n:Bush;Tom fn:Tom Bush NP tel;fax:919.966.7956 tel;work:919.966.9242 org:University of North Carolina at Chapel Hill;Orthopaedics adr:;;CB #7055;Chapel Hill;NC;27599-7055; version:2.1 email;internet:Tom_Bush@med.unc.edu title:Clinical Assistant Professor end:vcard ----3adc490056f272df-- Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Mon, 2 Oct 2000 19:56:55 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUVGU05I28009MC5@mb2i0.ns.pitt.edu>; Mon, 2 Oct 2000 19:56:55 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Mon, 02 Oct 2000 19:56:14 -0400 (EDT) Received: from irvexch.rainbow.com (user24.rainbow.com [209.78.195.24]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Mon, 02 Oct 2000 19:56:11 -0400 (EDT) Received: by mail.rainbow.com with Internet Mail Service (5.5.2650.21) id ; Mon, 02 Oct 2000 16:55:45 -0700 Date: Mon, 02 Oct 2000 16:55:44 -0700 From: MKern Subject: RE: W-EMED Patient treatment shelters/tents Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: "'wilderness-emergency-medicine@list.pitt.edu'" Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <954CBFE62E42D41197A500508BA54BAAD78663@mail.rainbow.com> MIME-version: 1.0 X-Mailer: Internet Mail Service (5.5.2650.21) Content-type: text/plain; charset="iso-8859-1" Precedence: bulk What size of a shelter are you looking for? Something similar to the Western Shelter size, but less heavy? -----Original Message----- From: Joel McNamara [mailto:joelm@eskimo.com] Sent: Monday, October 02, 2000 3:31 PM To: wilderness-emergency-medicine@list.pitt.edu Subject: W-EMED Patient treatment shelters/tents Does anyone have any suggestions/experience with tents suitable for patient treatment during a disaster situation? The Western Shelter models widely used by Federal DMATs seem both heavy and cumbersome. I can't help thinking that a more lightweight/hi-tech alternative could be used. At least for the first 72 hours before fully equipped Federal resources arrive. Perhaps something along the lines of a Megamid(s) for first in responding teams, and then an Eureka! Equinox (or similar) for second in teams. Obviously, weather and wind resistance and durability are key issues. Any thoughts appreciated. Joel McNamara Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Mon, 2 Oct 2000 18:31:50 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUVDUIIHTE0020XV@mb1i0.ns.pitt.edu>; Mon, 2 Oct 2000 18:31:49 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Mon, 02 Oct 2000 18:30:58 -0400 (EDT) Received: from mx2.eskimo.com (root@mx2.eskimo.com [204.122.16.49]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Mon, 02 Oct 2000 18:30:51 -0400 (EDT) Received: from eskimo.com (joelm@eskimo.com [204.122.16.13]) by mx2.eskimo.com (8.9.1a/8.8.8) with ESMTP id PAA06786 for ; Mon, 02 Oct 2000 15:30:42 -0700 (PDT) Received: from localhost (joelm@localhost) by eskimo.com (8.9.1a/8.9.1) with SMTP id PAA20745 for ; Mon, 02 Oct 2000 15:30:35 -0700 (PDT) Date: Mon, 02 Oct 2000 15:30:33 -0700 (PDT) From: Joel McNamara Subject: W-EMED Patient treatment shelters/tents Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: MIME-version: 1.0 Content-type: TEXT/PLAIN; charset=US-ASCII Precedence: bulk X-Authentication-warning: eskimo.com: joelm owned process doing -bs Does anyone have any suggestions/experience with tents suitable for patient treatment during a disaster situation? The Western Shelter models widely used by Federal DMATs seem both heavy and cumbersome. I can't help thinking that a more lightweight/hi-tech alternative could be used. At least for the first 72 hours before fully equipped Federal resources arrive. Perhaps something along the lines of a Megamid(s) for first in responding teams, and then an Eureka! Equinox (or similar) for second in teams. Obviously, weather and wind resistance and durability are key issues. Any thoughts appreciated. Joel McNamara Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Mon, 2 Oct 2000 10:26:31 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUUWWTBJ8U009MNH@mb2i0.ns.pitt.edu>; Mon, 2 Oct 2000 10:26:32 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Mon, 02 Oct 2000 10:25:03 -0400 (EDT) Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Mon, 02 Oct 2000 10:25:01 -0400 (EDT) Received: from klaptop ("port 1054"@[136.142.20.44]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUUWUTZMS0001VIN@mb1i0.ns.pitt.edu> for wilderness-emergency-medicine@list.pitt.edu; Mon, 02 Oct 2000 10:25:00 -0500 (EST) Date: Mon, 02 Oct 2000 10:24:54 -0400 From: "Keith Conover, M.D., FACEP" Subject: W-EMED spam Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <39D86276.28061.33E3763@localhost> MIME-version: 1.0 X-Mailer: Pegasus Mail for Win32 (v3.12c) Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Precedence: bulk Sorry for the recent spam. Please exercise your delete key. Thus far, spam on this list is relatively rare. Majordomo, unlike eGroups, doesn't allow "alternate" addresses, so closing the list would mean some people wouldn't be able to post from their alternate addresses. But at least Majordomo doesn't include advertising with each message! For now, I'll ask you to just ignore the occasional spam. If it gets severe, I'll close the list. Take care. --Keith Conover, M.D., FACEP listowner Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID for ; Sun, 1 Oct 2000 12:13:58 -0400 (EDT) Received: from listserv.islandnet.com ("port 16938"@[199.175.106.5]) by pitt.edu (PMDF V5.2-32 #41462) with SMTP id <01JUTMDO3JHM00200A@mb1i0.ns.pitt.edu> for kconover@imap.pitt.edu (ORCPT rfc822;kconover+2B@pitt.edu); Sun, 1 Oct 2000 12:13:58 EST Received: by uucp.islandnet.com id m13flju-0017GqC for kconover+@pitt.edu; Sun, 01 Oct 2000 09:13:22 -0700 (PDT) Resent-date: Sun, 01 Oct 2000 09:13:22 -0700 (PDT) Date: Sun, 01 Oct 2000 09:04:55 -0600 Resent-from: sar-l@listserv.islandnet.com From: Donovan Hoggan Subject: Fw: Safety Officer Resent-sender: sar-l-request@listserv.islandnet.com To: sar-l@listserv.islandnet.com Reply-to: sar-l@listserv.islandnet.com Resent-message-id: <"pk5tQC.A.mCH.RK215"@listserv.islandnet.com> Message-id: <003001c02bb8$f7582620$aae1b9c7@seasar> MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V5.50.4133.2400 X-Mailer: Microsoft Outlook Express 5.50.4133.2400 Content-type: multipart/alternative; boundary="----=_NextPart_000_002D_01C02B86.AB1A1840" X-Priority: 3 X-MSMail-priority: Normal Precedence: list X-Loop: sar-l@listserv.islandnet.com Old-Return-Path: X-Mailing-List: archive/latest/3733 This is a multi-part message in MIME format. ------=_NextPart_000_002D_01C02B86.AB1A1840 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Hello all I'm posting this to WEMS list as well so I apologize in advance for = duplicate messages. I am the First-Aid Coordinator for a small SAR team in Alberta. I'm = looking for information the role, duties, training, etc. of the person = who is responsible for the safety of the searchers. Does anyone else = have this role separate from the Search Manager? Is anyone aware of = training materials, books, etc. that I can use to develop a Safety = Officer course? =20 As well, what issues do we need to look at for this? So far, we have = identified issues like ensuring access to hygiene around the command = post (eg. hand washing station outside the toilet), problems with = sending exhausted searchers driving home, consulting with Search = Manager, etc. What else should be included in training someone for this = position? Any help anyone can offer on-list or off would be great. I look forward = to hearing from you. Donovan Hoggan First-Aid Coordinator SEASAR Association ------=_NextPart_000_002D_01C02B86.AB1A1840 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable
Hello all
 
I'm posting this to WEMS list as = well so I=20 apologize in advance for duplicate messages.
 
I am the First-Aid Coordinator for a = small SAR team=20 in Alberta.  I'm looking for information the role, duties, = training, etc.=20 of the person who is responsible for the safety of the searchers.  = Does=20 anyone else have this role separate from the Search Manager?  Is = anyone=20 aware of training materials, books, etc. that I can use to develop = a Safety=20 Officer course? 
 
As well, what issues do we need to look = at for=20 this?  So far, we have identified issues like ensuring access = to=20 hygiene around the command post (eg. hand washing station outside the = toilet),=20 problems with sending exhausted searchers driving home, consulting with = Search=20 Manager, etc.  What else should be included in training someone for = this=20 position?
 
Any help anyone can offer on-list or = off would be=20 great.  I look forward to hearing from you.
 
Donovan Hoggan
First-Aid Coordinator
SEASAR = Association
------=_NextPart_000_002D_01C02B86.AB1A1840-- ========================================================================== To unsubscribe (List) send email to sar-l-request@listserv.islandnet.com To unsubscribe (Digest) send email to sar-l-d-request@listserv.islandnet.com with the word 'unsubscribe' in the subject field, for either one. ========================================================================== -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 30 Sep 2000 07:36:51 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JURYEQKVYU001XVL@mb1i0.ns.pitt.edu>; Sat, 30 Sep 2000 07:36:51 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 30 Sep 2000 07:36:06 -0400 (EDT) Received: from www.daemyung.co.kr (daemyung.co.kr [210.92.79.2]) by list.srv.cis.pitt.edu with SMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 30 Sep 2000 07:35:58 -0400 (EDT) Received: from monorailpc (host-216-77-221-227.fll.bellsouth.net [216.77.221.227]) by www.daemyung.co.kr (8.6.9H1/8.6.9) with SMTP id UAA10553; Sat, 30 Sep 2000 20:16:43 +0900 Date: Sat, 30 Sep 2000 20:16:43 +0900 From: donald453@bbc.co.uk Subject: W-EMED Porche Boxter or Luxury Cruise Earn $$$ In Days This Works!!! Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: donald453@bbc.co.uk Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <200009301116.UAA10553@www.daemyung.co.kr> MIME-version: 1.0 Content-type: text/plain; charset=unknown-8bit Precedence: bulk Dear Friend, Thank you for your time and interest. This email contains the ENTIRE PLAN of how YOU can make $50,000 or more in the next 90 days simply sending email! Seem impossible? Just read on and see how easy this is... Due to the popularity of this letter on the Internet a major nightly news program recently devoted an entire show to the investigation of the program described below to see if it really can make people money. The show also investigated whether or not the program was legal. Their findings proved that there are absolutely no laws prohib- iting the participation in the program. This has helped to show people that this is a simple, harmless and fun way to make some extra money at home. The results have been truly remarkable. So many people are participating that those involved are doing much better than ever before. Since everyone makes more as more people try it out, it's been very exciting. You will understand once you try it yourself! ***********THE ENTIRE PLAN IS HERE BELOW**************** ***Print This Now For Future Reference*** $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ If you would like to make at least $50,000 in less than 90 days Please read this program...THEN READ IT AGAIN!!! $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ THIS IS A LEGITIMATE, LEGAL, MONEY MAKING OPPORTUNITY!!! It does NOT require you to come into contact with people or make or take any phone calls. Just follow the instruc- tions, and you will make money. This simplified e-mail marketing program works perfectly, 100% EVERY TIME! Email is the sales tool of the future. Take advantage of this virtually free method of advertising NOW!!! The longer you wait, the more people will be doing business using email. Get your piece of this action!!! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Before you delete this program from your in-box, as I almost did, take a little time to read it and REALLY THINK ABOUT IT. Get a pencil and figure out what could happen when YOU participate. Figure out the worst possi- ble response and no matter how you calculate it, you will still make a lot of money! You will definitely get back what you invested. Any doubts you have will vanish when your first orders come in. $$$ IT WORKS $$$ Jody Jacobs Richmond, VA ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HERE'S HOW THIS AMAZING PROGRAM WILL MAKE YOU THOUSANDS OF DOLLARS $$$$!!!! This method of raising capital REALLY WORKS 100% EVERYTIME. I am sure that you could use up to $50,000 or more in the next 90 days. Before you say, "BULL..." please read this program carefully. This is not a chain letter, but a perfectly legal money making business. As with all multi-level businesses, we build our business by recruiting new partners and selling our products. Every state in the USA allows you to recruit new multi- level business partners, and we sell and deliver a prod- uct for EVERY dollar received. YOUR ORDERS COME BY MAIL AND ARE FILLED BY E-MAIL, so you are not involved in personal selling. You do it privately in your own home, store or office. This is the EASIEST marketing plan any- where! It is simply order filling by email! ******************************************************** The product is informational and instructional material containing the secrets on how to open the doors to the magic world of E-COMMERCE, the information highway, the wave of the future! PLAN SUMMARY: (1) You order the 4 reports listed below ($5 each) which come to you by e-mail. (2) Save a copy of this entire letter and put your name after Report #1 and move the other names down. (3) Access Yahoo.com or any of the other major search engines to locate hundreds of bulk email service comp- anies (search for "bulk email") and have them send 25,000 - 50,000 emails for you (amount $49+) (4) Orders will come to you by postal mail -simply email them the report they ordered. Let me ask you - isn't this about as easy as it gets? ******************************************************** YOU CAN START TODAY-JUST DO THESE EASY STEPS: STEP #1: ORDER THE FOUR REPORTS Order the 4 reports shown on the list below (you can't sell them if you don't order them) For each report, send $5.00 CASH, the NAME & NUMBER OF THE REPORT YOU ARE ORDERING, YOUR E-MAIL ADDRESS, and YOUR NAME AND RETURN ADDRESS (in case of a problem) to the person whose name appears on the list next to the report. MAKE SURE YOUR RETURN ADDRESS IS ON YOUR ENVELOPE IN CASE OF ANY MAIL PROBLEMS! 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Report #1 will tell you how to download bulk email software and email addresses so you can send it out to thousands of people while you sleep! Remember that 50,000+ new people are joining the Internet every month. Your cost to participate in this is practically nothing surely you can afford $20 and initial bulk mailing cost. You obviously already have a computer and an Internet connection and email is FREE! There are two primary methods of building your down-line: METHOD #1: SENDING BULK EMAIL. Let's say that you decide to start small, just to see how it goes, and we'll assume you and all those involved email out only 2,000 each. Let's also assume that the mailing receives a 0.5 response. The response could be much better. Also, many people will email out hundreds of thousands of programs instead of 2,000(Why stop at 2,000?) But continuing with this example you send out only 2,000 programs. With a 0.5% response, that is only 10 orders for REPORT #1. Those 10 people respond by sending out 2,000 programs each for a total of 20,000. Out of those 0.5% 100 people respond and order REPORT #2. Those 100 mail out 2,000 programs each for a total of 200,000. The 0.5% response to that is 1,000 orders for REPORT #3. Those 1,000 send out 2,000 programs each for a 2,000,000 total. The 0.5% response to that is 10,000 orders for REPORT #4. That's 10,000 $5 bills for you CASH!!! Your total income in this example is $50 + $500 + $50,000 for a total of $55,550!!! REMEMBER FRIEND, THIS IS ASSUMING 1,990 out of 2,000 PEOPLE YOU MAIL TO WILL DO ABSOLUTELY NOTHING AND TRASH THIS PROGRAM! DARE TO THINK FOR A MOMENT WHAT WOULD HAPPEN IF EVERYONE, OR HALF SENT OUT 100,000 PROGRAMS INSTEAD OF 2,000. Believe me, many people will do just that, and more! METHOD #2 - PLACING FREE ADS ON THE INTERNET Advertising on the Internet is very, very inexpensive, and there are HUNDREDS of FREE places to advertise. Let's say you decide to start small just to see how well it works. Assume your goal is to get ONLY 10 people to participate on your first level. (Placing a lot of FREE ads on the Internet will EASILY get a larger response) Also assume that everyone else in YOUR ORGANIZATION gets only 10 down-line members. Look how this small number accumulates to achieve the STAGGERING results below: 1st level--your first 10 send you $5.......$50 2nd level-10 members from those($5x100)....$500 3rd level-10 members from those($5x1000)...$5,000 4th level-10 members from those($5x10000)..$50,000 $$$$$$$$$$THIS TOTALS--------------$55,550 $$$$$$$$$$$$$ AMAZING ISN'T IT? Remember friends, this assumes that the people who participate only recruit 10 people each. Think for a moment what would happen if they got 20 people to participate! Most people get 100's of participants and many will continue to work this program, sending out programs WITH YOUR NAME ON THEM for years! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ People are going to get emails about this plan from you or somebody else and many will work this plan-the question is-Don't you want your name to be on the emails they will send out? ***DON'T MISS OUT!!!***JUST TRY IT ONCE!!!*** ***SEE WHAT HAPPENS!!!***YOU'LL BE AMAZED!!!*** ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ALWAYS PROVIDE SAME-DAY SERVICE ON ALL ORDERS! This will guarantee that the email THEY send out with YOUR name and address on it will be prompt because they can't advertise until they receive the report! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ GET STARTED TODAY: PLACE YOU ORDER FOR THE FOUR REPORTS! Notes: ALWAYS SEND $5 CASH(US CURRENCY) FOR EACH REPORT. CHECK NOT ACCEPTED. Make sure the cash is concealed by wrapping it in two sheets of paper. On one of those sheets write: (a)the number & name of the report you are ordering, (b)your email address, and (c)your name & postal address. REPORT #1 "The Insider's Guide to Advertising for Free on the Internet! ORDER REPORT #1 FROM: GARRY DEAN 309 A HUTTO KENAI, AK 99611-7829 REPORT #2: "The Insider's Guide to Sending Bulk E-mail on the Internet" ORDER REPORT #2 FROM: DAVID WEBBER 6307 CALIFORNIA AVE. SW APT # 1B SEATTLE, WA 98136 REPORT #3: "The Secrets to Multilevel Marketing on the Internet" ORDER REPORT #3 FROM: KATHY BARROW 410 SYCAMORE ST.. CONWAY, SC 29527 REPORT #4 "How to become a Millionaire utilizing the Power of Multilevel Marketing and the Internet" ORDER REPORT #4 FROM: PAM BARESSI 3321 WILLIAM JOHNSTON LANE #11 DUMFRIES, VA 22026 *********TIPS FOR SUCCESS************* TREAT THIS AS YOUR BUSINESS! Be prompt, professional, and follow directions accurately. Send for the four reports IMMEDIATELY so you will have them when the orders start coming in because: When you receive a $5 order, you MUST send out the requested product/report. It is required for this to be a legal business and they need the reports to send out their letters(with your name on them!) - ALWAYS PROVIDE SAME-DAY SERVICE ON THE ORDERS YOU RECEIVE. Be patient and persistent with this program - If you follow the instructions exactly-results will follow$$$. *********YOUR SUCCESS GUIDELINES*************** Follow these guidelines to guarantee your success: If you don't receive 20 orders for REPORT #1 within 2 weeks continue advertising or sending out emails until you do. Then, a couple of weeks later you should receive at least 100 orders for REPORT #2. If you don't, continue advertising or sending out emails until you do. Once you have received 100 or more orders for REPORT #2, YOU CAN RELAX, because the system is already working for you, and the cash will continue to roll in! THIS IS IMPORTANT TO REMEMBER: Every time your name is moved down on the list, you are placed in front of a DIFFERENT report. You can KEEP TRACK of your PROGRESS by watching which report people are ordering from you. To generate more income, simply send another batch of emails or continue placing ads and start the whole process again! There is no limit to the income you will generate from this business! ======================================================== Under Bill S. 1618TITLE III passed by the 105th US Congress this letter cannot be considered spam as long as the sender includes contact information and a method of removal. This is one time e-mail transmission. No request for removal is necessary. _________________________________________________________________________ Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 30 Sep 2000 07:36:51 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JURYEQKVYU001XVL@mb1i0.ns.pitt.edu>; Sat, 30 Sep 2000 07:36:51 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 30 Sep 2000 07:36:06 -0400 (EDT) Received: from www.daemyung.co.kr (daemyung.co.kr [210.92.79.2]) by list.srv.cis.pitt.edu with SMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 30 Sep 2000 07:35:58 -0400 (EDT) Received: from monorailpc (host-216-77-221-227.fll.bellsouth.net [216.77.221.227]) by www.daemyung.co.kr (8.6.9H1/8.6.9) with SMTP id UAA10553; Sat, 30 Sep 2000 20:16:43 +0900 Date: Sat, 30 Sep 2000 20:16:43 +0900 From: donald453@bbc.co.uk Subject: W-EMED Porche Boxter or Luxury Cruise Earn $$$ In Days This Works!!! Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: donald453@bbc.co.uk Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <200009301116.UAA10553@www.daemyung.co.kr> MIME-version: 1.0 Content-type: text/plain; charset=unknown-8bit Precedence: bulk Dear Friend, Thank you for your time and interest. This email contains the ENTIRE PLAN of how YOU can make $50,000 or more in the next 90 days simply sending email! Seem impossible? Just read on and see how easy this is... Due to the popularity of this letter on the Internet a major nightly news program recently devoted an entire show to the investigation of the program described below to see if it really can make people money. The show also investigated whether or not the program was legal. Their findings proved that there are absolutely no laws prohib- iting the participation in the program. This has helped to show people that this is a simple, harmless and fun way to make some extra money at home. The results have been truly remarkable. So many people are participating that those involved are doing much better than ever before. Since everyone makes more as more people try it out, it's been very exciting. You will understand once you try it yourself! ***********THE ENTIRE PLAN IS HERE BELOW**************** ***Print This Now For Future Reference*** $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ If you would like to make at least $50,000 in less than 90 days Please read this program...THEN READ IT AGAIN!!! $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ THIS IS A LEGITIMATE, LEGAL, MONEY MAKING OPPORTUNITY!!! It does NOT require you to come into contact with people or make or take any phone calls. Just follow the instruc- tions, and you will make money. This simplified e-mail marketing program works perfectly, 100% EVERY TIME! Email is the sales tool of the future. Take advantage of this virtually free method of advertising NOW!!! The longer you wait, the more people will be doing business using email. Get your piece of this action!!! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Before you delete this program from your in-box, as I almost did, take a little time to read it and REALLY THINK ABOUT IT. Get a pencil and figure out what could happen when YOU participate. Figure out the worst possi- ble response and no matter how you calculate it, you will still make a lot of money! You will definitely get back what you invested. Any doubts you have will vanish when your first orders come in. $$$ IT WORKS $$$ Jody Jacobs Richmond, VA ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HERE'S HOW THIS AMAZING PROGRAM WILL MAKE YOU THOUSANDS OF DOLLARS $$$$!!!! This method of raising capital REALLY WORKS 100% EVERYTIME. I am sure that you could use up to $50,000 or more in the next 90 days. Before you say, "BULL..." please read this program carefully. This is not a chain letter, but a perfectly legal money making business. As with all multi-level businesses, we build our business by recruiting new partners and selling our products. Every state in the USA allows you to recruit new multi- level business partners, and we sell and deliver a prod- uct for EVERY dollar received. YOUR ORDERS COME BY MAIL AND ARE FILLED BY E-MAIL, so you are not involved in personal selling. You do it privately in your own home, store or office. This is the EASIEST marketing plan any- where! It is simply order filling by email! ******************************************************** The product is informational and instructional material containing the secrets on how to open the doors to the magic world of E-COMMERCE, the information highway, the wave of the future! PLAN SUMMARY: (1) You order the 4 reports listed below ($5 each) which come to you by e-mail. (2) Save a copy of this entire letter and put your name after Report #1 and move the other names down. (3) Access Yahoo.com or any of the other major search engines to locate hundreds of bulk email service comp- anies (search for "bulk email") and have them send 25,000 - 50,000 emails for you (amount $49+) (4) Orders will come to you by postal mail -simply email them the report they ordered. Let me ask you - isn't this about as easy as it gets? ******************************************************** YOU CAN START TODAY-JUST DO THESE EASY STEPS: STEP #1: ORDER THE FOUR REPORTS Order the 4 reports shown on the list below (you can't sell them if you don't order them) For each report, send $5.00 CASH, the NAME & NUMBER OF THE REPORT YOU ARE ORDERING, YOUR E-MAIL ADDRESS, and YOUR NAME AND RETURN ADDRESS (in case of a problem) to the person whose name appears on the list next to the report. MAKE SURE YOUR RETURN ADDRESS IS ON YOUR ENVELOPE IN CASE OF ANY MAIL PROBLEMS! Within a few days you will receive, by email, each of the 4 reports. Save them on your computer so you can send them to the 1,000's of people who will order them from you. STEP #2: ADD YOUR MAILING ADDRESS TO THIS LETTER a. Look below for the listing of the four reports. b. After you've ordered the 4 reports, delete the name and address under Report #4. This person has made it through the cycle. c. Move the name and address under REPORT #3 down to REPORT #4. d. Move the name and address under REPORT #2 down to REPORT #3. e. Move the name and address under REPORT #1 down to REPORT #2. f. Insert your name/address in the REPORT #1 position. STEP #3: Take this entire letter, including the modified list of names, and save it to your computer. Make NO changes to these instructions. Now you are ready to use this entire email to send by email to prospects. Report #1 will tell you how to download bulk email software and email addresses so you can send it out to thousands of people while you sleep! Remember that 50,000+ new people are joining the Internet every month. Your cost to participate in this is practically nothing surely you can afford $20 and initial bulk mailing cost. You obviously already have a computer and an Internet connection and email is FREE! There are two primary methods of building your down-line: METHOD #1: SENDING BULK EMAIL. Let's say that you decide to start small, just to see how it goes, and we'll assume you and all those involved email out only 2,000 each. Let's also assume that the mailing receives a 0.5 response. The response could be much better. Also, many people will email out hundreds of thousands of programs instead of 2,000(Why stop at 2,000?) But continuing with this example you send out only 2,000 programs. With a 0.5% response, that is only 10 orders for REPORT #1. Those 10 people respond by sending out 2,000 programs each for a total of 20,000. Out of those 0.5% 100 people respond and order REPORT #2. Those 100 mail out 2,000 programs each for a total of 200,000. The 0.5% response to that is 1,000 orders for REPORT #3. Those 1,000 send out 2,000 programs each for a 2,000,000 total. The 0.5% response to that is 10,000 orders for REPORT #4. That's 10,000 $5 bills for you CASH!!! Your total income in this example is $50 + $500 + $50,000 for a total of $55,550!!! REMEMBER FRIEND, THIS IS ASSUMING 1,990 out of 2,000 PEOPLE YOU MAIL TO WILL DO ABSOLUTELY NOTHING AND TRASH THIS PROGRAM! DARE TO THINK FOR A MOMENT WHAT WOULD HAPPEN IF EVERYONE, OR HALF SENT OUT 100,000 PROGRAMS INSTEAD OF 2,000. Believe me, many people will do just that, and more! METHOD #2 - PLACING FREE ADS ON THE INTERNET Advertising on the Internet is very, very inexpensive, and there are HUNDREDS of FREE places to advertise. Let's say you decide to start small just to see how well it works. Assume your goal is to get ONLY 10 people to participate on your first level. (Placing a lot of FREE ads on the Internet will EASILY get a larger response) Also assume that everyone else in YOUR ORGANIZATION gets only 10 down-line members. Look how this small number accumulates to achieve the STAGGERING results below: 1st level--your first 10 send you $5.......$50 2nd level-10 members from those($5x100)....$500 3rd level-10 members from those($5x1000)...$5,000 4th level-10 members from those($5x10000)..$50,000 $$$$$$$$$$THIS TOTALS--------------$55,550 $$$$$$$$$$$$$ AMAZING ISN'T IT? Remember friends, this assumes that the people who participate only recruit 10 people each. Think for a moment what would happen if they got 20 people to participate! Most people get 100's of participants and many will continue to work this program, sending out programs WITH YOUR NAME ON THEM for years! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ People are going to get emails about this plan from you or somebody else and many will work this plan-the question is-Don't you want your name to be on the emails they will send out? ***DON'T MISS OUT!!!***JUST TRY IT ONCE!!!*** ***SEE WHAT HAPPENS!!!***YOU'LL BE AMAZED!!!*** ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ALWAYS PROVIDE SAME-DAY SERVICE ON ALL ORDERS! This will guarantee that the email THEY send out with YOUR name and address on it will be prompt because they can't advertise until they receive the report! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ GET STARTED TODAY: PLACE YOU ORDER FOR THE FOUR REPORTS! Notes: ALWAYS SEND $5 CASH(US CURRENCY) FOR EACH REPORT. CHECK NOT ACCEPTED. Make sure the cash is concealed by wrapping it in two sheets of paper. On one of those sheets write: (a)the number & name of the report you are ordering, (b)your email address, and (c)your name & postal address. REPORT #1 "The Insider's Guide to Advertising for Free on the Internet! ORDER REPORT #1 FROM: GARRY DEAN 309 A HUTTO KENAI, AK 99611-7829 REPORT #2: "The Insider's Guide to Sending Bulk E-mail on the Internet" ORDER REPORT #2 FROM: DAVID WEBBER 6307 CALIFORNIA AVE. SW APT # 1B SEATTLE, WA 98136 REPORT #3: "The Secrets to Multilevel Marketing on the Internet" ORDER REPORT #3 FROM: KATHY BARROW 410 SYCAMORE ST.. CONWAY, SC 29527 REPORT #4 "How to become a Millionaire utilizing the Power of Multilevel Marketing and the Internet" ORDER REPORT #4 FROM: PAM BARESSI 3321 WILLIAM JOHNSTON LANE #11 DUMFRIES, VA 22026 *********TIPS FOR SUCCESS************* TREAT THIS AS YOUR BUSINESS! Be prompt, professional, and follow directions accurately. Send for the four reports IMMEDIATELY so you will have them when the orders start coming in because: When you receive a $5 order, you MUST send out the requested product/report. It is required for this to be a legal business and they need the reports to send out their letters(with your name on them!) - ALWAYS PROVIDE SAME-DAY SERVICE ON THE ORDERS YOU RECEIVE. Be patient and persistent with this program - If you follow the instructions exactly-results will follow$$$. *********YOUR SUCCESS GUIDELINES*************** Follow these guidelines to guarantee your success: If you don't receive 20 orders for REPORT #1 within 2 weeks continue advertising or sending out emails until you do. Then, a couple of weeks later you should receive at least 100 orders for REPORT #2. If you don't, continue advertising or sending out emails until you do. Once you have received 100 or more orders for REPORT #2, YOU CAN RELAX, because the system is already working for you, and the cash will continue to roll in! THIS IS IMPORTANT TO REMEMBER: Every time your name is moved down on the list, you are placed in front of a DIFFERENT report. You can KEEP TRACK of your PROGRESS by watching which report people are ordering from you. To generate more income, simply send another batch of emails or continue placing ads and start the whole process again! There is no limit to the income you will generate from this business! ======================================================== Under Bill S. 1618TITLE III passed by the 105th US Congress this letter cannot be considered spam as long as the sender includes contact information and a method of removal. This is one time e-mail transmission. No request for removal is necessary. _________________________________________________________________________ Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Thu, 28 Sep 2000 17:34:55 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUPQPJOP9W0019WH@mb1i0.ns.pitt.edu>; Thu, 28 Sep 2000 17:34:55 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Thu, 28 Sep 2000 17:31:55 -0400 (EDT) Received: from mail.memlane.com (mail.memlane.com [199.185.225.3]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Thu, 28 Sep 2000 17:31:52 -0400 (EDT) Received: from seasar ([199.185.225.195]) by mail.memlane.com (Post.Office MTA v3.5.3 release 223 ID# 0-55152U3000L300S0V35) with SMTP id com for ; Thu, 28 Sep 2000 15:16:13 -0600 Date: Thu, 28 Sep 2000 14:23:43 -0600 From: Donovan Hoggan Subject: W-EMED Safety Officer Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <002701c0298a$0047b920$c3e1b9c7@seasar> MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V5.50.4133.2400 X-Mailer: Microsoft Outlook Express 5.50.4133.2400 Content-type: multipart/alternative; boundary="----=_NextPart_000_0024_01C02957.B4D315C0" X-Priority: 3 X-MSMail-priority: Normal Precedence: bulk This is a multi-part message in MIME format. ------=_NextPart_000_0024_01C02957.B4D315C0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Hello all I'm posting this to SAR list as well so I apologize in advance for = duplicate messages. I am the First-Aid Coordinator for a small SAR team in Alberta. I'm = looking for information the role, duties, training, etc. of the person = who is responsible for the safety of the searchers. Does anyone else = have this role separate from the Search Manager? Is anyone aware of = training materials, books, etc. that I can use to develop a Safety = Officer course? =20 As well, what issues do we need to look at for this? So far, we have = identified issues like ensuring access to hygiene around the command = post (eg. hand washing station outside the toilet), problems with = sending exhausted searchers driving home, consulting with Search = Manager, etc. What else should be included in training someone for this = position? Any help anyone can offer on-list or off would be great. I look forward = to hearing from you. Donovan Hoggan First-Aid Coordinator SEASAR Association ------=_NextPart_000_0024_01C02957.B4D315C0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable
Hello all
 
I'm posting this to SAR list as well so = I apologize=20 in advance for duplicate messages.
 
I am the First-Aid Coordinator for a = small SAR team=20 in Alberta.  I'm looking for information the role, duties, = training, etc.=20 of the person who is responsible for the safety of the searchers.  = Does=20 anyone else have this role separate from the Search Manager?  Is = anyone=20 aware of training materials, books, etc. that I can use to develop = a Safety=20 Officer course? 
 
As well, what issues do we need to look = at for=20 this?  So far, we have identified issues like ensuring access = to=20 hygiene around the command post (eg. hand washing station outside the = toilet),=20 problems with sending exhausted searchers driving home, consulting with = Search=20 Manager, etc.  What else should be included in training someone for = this=20 position?
 
Any help anyone can offer on-list or = off would be=20 great.  I look forward to hearing from you.
 
Donovan Hoggan
First-Aid Coordinator
SEASAR = Association
------=_NextPart_000_0024_01C02957.B4D315C0-- Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Thu, 28 Sep 2000 17:34:55 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUPQPJOP9W0019WH@mb1i0.ns.pitt.edu>; Thu, 28 Sep 2000 17:34:55 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Thu, 28 Sep 2000 17:31:55 -0400 (EDT) Received: from mail.memlane.com (mail.memlane.com [199.185.225.3]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Thu, 28 Sep 2000 17:31:52 -0400 (EDT) Received: from seasar ([199.185.225.195]) by mail.memlane.com (Post.Office MTA v3.5.3 release 223 ID# 0-55152U3000L300S0V35) with SMTP id com for ; Thu, 28 Sep 2000 15:16:13 -0600 Date: Thu, 28 Sep 2000 14:23:43 -0600 From: Donovan Hoggan Subject: W-EMED Safety Officer Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <002701c0298a$0047b920$c3e1b9c7@seasar> MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V5.50.4133.2400 X-Mailer: Microsoft Outlook Express 5.50.4133.2400 Content-type: multipart/alternative; boundary="----=_NextPart_000_0024_01C02957.B4D315C0" X-Priority: 3 X-MSMail-priority: Normal Precedence: bulk This is a multi-part message in MIME format. ------=_NextPart_000_0024_01C02957.B4D315C0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Hello all I'm posting this to SAR list as well so I apologize in advance for = duplicate messages. I am the First-Aid Coordinator for a small SAR team in Alberta. I'm = looking for information the role, duties, training, etc. of the person = who is responsible for the safety of the searchers. Does anyone else = have this role separate from the Search Manager? Is anyone aware of = training materials, books, etc. that I can use to develop a Safety = Officer course? =20 As well, what issues do we need to look at for this? So far, we have = identified issues like ensuring access to hygiene around the command = post (eg. hand washing station outside the toilet), problems with = sending exhausted searchers driving home, consulting with Search = Manager, etc. What else should be included in training someone for this = position? Any help anyone can offer on-list or off would be great. I look forward = to hearing from you. Donovan Hoggan First-Aid Coordinator SEASAR Association ------=_NextPart_000_0024_01C02957.B4D315C0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable
Hello all
 
I'm posting this to SAR list as well so = I apologize=20 in advance for duplicate messages.
 
I am the First-Aid Coordinator for a = small SAR team=20 in Alberta.  I'm looking for information the role, duties, = training, etc.=20 of the person who is responsible for the safety of the searchers.  = Does=20 anyone else have this role separate from the Search Manager?  Is = anyone=20 aware of training materials, books, etc. that I can use to develop = a Safety=20 Officer course? 
 
As well, what issues do we need to look = at for=20 this?  So far, we have identified issues like ensuring access = to=20 hygiene around the command post (eg. hand washing station outside the = toilet),=20 problems with sending exhausted searchers driving home, consulting with = Search=20 Manager, etc.  What else should be included in training someone for = this=20 position?
 
Any help anyone can offer on-list or = off would be=20 great.  I look forward to hearing from you.
 
Donovan Hoggan
First-Aid Coordinator
SEASAR = Association
------=_NextPart_000_0024_01C02957.B4D315C0-- Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID for ; Thu, 21 Sep 2000 13:04:34 -0400 (EDT) Received: from elbert.interrural.net ("port 3639"@[216.169.69.2]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUFP7VIJQ4000X5S@mb1i0.ns.pitt.edu> for kconover@imap.pitt.edu (ORCPT rfc822;kconover@pitt.edu); Thu, 21 Sep 2000 13:04:32 EST Received: from mail.ruralhealth.org ([216.169.78.227]) by elbert.interrural.net (Post.Office MTA v3.5.3 release 223 ID# 0-57009U5100L500S0V35) with ESMTP id net; Thu, 21 Sep 2000 11:07:25 -0600 Received: from peter1 [216.169.79.18] by mail.ruralhealth.org (SMTPD32-5.01) id AD3C294D0090; Thu, 21 Sep 2000 10:54:20 -0700 (MST) Date: Thu, 21 Sep 2000 11:08:17 -0600 From: Peter Hackett Subject: Re: W-EMED AMS In-reply-to: <39C33790.21169.1D9D56B5@localhost> X-Sender: phack/ruralhealth.org@127.0.0.1 To: kconover@pitt.edu, Jodie Katz , wilderness-emergency-medicine@list.pitt.edu Message-id: <3.0.1.32.20000921110817.00779a60@127.0.0.1> MIME-version: 1.0 X-Mailer: Windows Eudora Pro Version 3.0.1 (32) Content-type: text/plain; charset="us-ascii" References: Possible mechanisms of action of ginkgo for AMS (all are established as actions of the extract, these are the ones I think most likely involved in AMS protection): inhibition of iNOS inhibition of platelet activating factor oxygen radical scavenger If you do a lit search under ginkgo, you'll find hundreds of articles discussing its pharmocologic action. All the best, Peter At 09:04 AM 09/16/2000 -0400, Keith Conover, M.D., FACEP wrote: >I'm really not sure. I'll cc: Peter Hackett, who's doing some of the >work, and see if I can provide some thoughts. Ginkgo Biloba >extract is a mixture of many different types of pharmacologic >agents, so I think we're at the early stages of investigation -- not >much more advanced than traditional shamans who note cause >and effect for botanicals. Here is one of the references: > >1. Roncin JP, Schwartz F, P DA. EGb 761 in control of acute >mountain sickness and vascular reactivity to cold exposure. Aviat >Space Environ Med 1996; 67:445-52. > >METHOD: We recruited 44 subjects to participate in a study >of the preventive effect of Ginko biloba extract (EGb 761) on >acute mountain sickness (AMS) and vasomotor changes of >the extremities during a Himalayan expedition. After giving >their written informed consent, the subjects were >randomized to two groups. One group received 160 mg of >EGb 761 per day in two divided doses and the other group >received placebo. Assessment was based on the course of >the Environmental Symptom Questionnaire (ESQ) score and >the cold gradient measured by photoplethysmography. >RESULTS: The prophylactic efficacy of treatment with EGb >761 was clearly demonstrated in this study. In terms of >factor 1 (AMS-Cerebral), no subject in the EGb 761 group >developed acute mountain sickness versus 40.9% of >subjects in the placebo group; this difference was very >significant (p < or = 1.4 x 10(-3)). In terms of factor 2 (AMS- >Respiratory) , 3 subjects (13.6%) in the EGb 761 group >developed acute mountain sickness versus 18 (81.8%) in the >placebo group; this difference was very significant (p = 1.2 x >10(-5)) . CONCLUSION: Due to its multiple pharmacological >actions, EGb 761 provides an interesting response to the >prevention of mountain sickness for moderate altitude (5400 >m) with gradual exposure. It also decreased vasomotor >disorders of the extremities, as demonstrated by >plethysmography (p < 10(-8)) and a specific questionnaire (p >< 10(-9)). > >I haven't looked at this study, just the abstract, but doesn't >say anything about blinding, so somewhat suspicious of the >results. > >On 3 Sep 2000, at 0:18, Jodie Katz wrote: > >> Keith, >> >> Is there any thought as to the mechanism of action of gingko in the >> prevention of AMS? >> >> >> Jodie Katz, M.D., WEMT >> >> Do not reproduce without author's express permission. >> To unsubscribe, send the text "unsubscribe >> wilderness-emergency-medicine" as the body of a message (no subject) >> To: Majordomo@list.pitt.edu Submissions To: >> wilderness-emergency-medicine@list.pitt.edu > > >--Keith Conover, M.D., FACEP > http://www.pitt.edu/~kconover > sent with Pegasus high-security email > download free from www.pmail.com > > Peter Hackett, M.D. 610 Sabeta Drive Ridgway, CO 81432-9335 Phone: 970-626-2477 Fax: 970-626-2467 email: phack@ruralhealth.org -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Thu, 21 Sep 2000 13:06:25 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUFPA8X4WY000W1V@mb1i0.ns.pitt.edu>; Thu, 21 Sep 2000 13:06:25 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Thu, 21 Sep 2000 13:04:37 -0400 (EDT) Received: from elbert.interrural.net (elbert.gj.net [216.169.69.2]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Thu, 21 Sep 2000 13:04:33 -0400 (EDT) Received: from mail.ruralhealth.org ([216.169.78.227]) by elbert.interrural.net (Post.Office MTA v3.5.3 release 223 ID# 0-57009U5100L500S0V35) with ESMTP id net; Thu, 21 Sep 2000 11:07:25 -0600 Received: from peter1 [216.169.79.18] by mail.ruralhealth.org (SMTPD32-5.01) id AD3C294D0090; Thu, 21 Sep 2000 10:54:20 -0700 (MST) Date: Thu, 21 Sep 2000 11:08:17 -0600 From: Peter Hackett Subject: Re: W-EMED AMS In-reply-to: <39C33790.21169.1D9D56B5@localhost> Sender: owner-wilderness-emergency-medicine@list.pitt.edu X-Sender: phack/ruralhealth.org@127.0.0.1 To: kconover@pitt.edu, Jodie Katz , wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <3.0.1.32.20000921110817.00779a60@127.0.0.1> MIME-version: 1.0 X-Mailer: Windows Eudora Pro Version 3.0.1 (32) Content-type: text/plain; charset="us-ascii" Precedence: bulk References: Possible mechanisms of action of ginkgo for AMS (all are established as actions of the extract, these are the ones I think most likely involved in AMS protection): inhibition of iNOS inhibition of platelet activating factor oxygen radical scavenger If you do a lit search under ginkgo, you'll find hundreds of articles discussing its pharmocologic action. All the best, Peter At 09:04 AM 09/16/2000 -0400, Keith Conover, M.D., FACEP wrote: >I'm really not sure. I'll cc: Peter Hackett, who's doing some of the >work, and see if I can provide some thoughts. Ginkgo Biloba >extract is a mixture of many different types of pharmacologic >agents, so I think we're at the early stages of investigation -- not >much more advanced than traditional shamans who note cause >and effect for botanicals. Here is one of the references: > >1. Roncin JP, Schwartz F, P DA. EGb 761 in control of acute >mountain sickness and vascular reactivity to cold exposure. Aviat >Space Environ Med 1996; 67:445-52. > >METHOD: We recruited 44 subjects to participate in a study >of the preventive effect of Ginko biloba extract (EGb 761) on >acute mountain sickness (AMS) and vasomotor changes of >the extremities during a Himalayan expedition. After giving >their written informed consent, the subjects were >randomized to two groups. One group received 160 mg of >EGb 761 per day in two divided doses and the other group >received placebo. Assessment was based on the course of >the Environmental Symptom Questionnaire (ESQ) score and >the cold gradient measured by photoplethysmography. >RESULTS: The prophylactic efficacy of treatment with EGb >761 was clearly demonstrated in this study. In terms of >factor 1 (AMS-Cerebral), no subject in the EGb 761 group >developed acute mountain sickness versus 40.9% of >subjects in the placebo group; this difference was very >significant (p < or = 1.4 x 10(-3)). In terms of factor 2 (AMS- >Respiratory) , 3 subjects (13.6%) in the EGb 761 group >developed acute mountain sickness versus 18 (81.8%) in the >placebo group; this difference was very significant (p = 1.2 x >10(-5)) . CONCLUSION: Due to its multiple pharmacological >actions, EGb 761 provides an interesting response to the >prevention of mountain sickness for moderate altitude (5400 >m) with gradual exposure. It also decreased vasomotor >disorders of the extremities, as demonstrated by >plethysmography (p < 10(-8)) and a specific questionnaire (p >< 10(-9)). > >I haven't looked at this study, just the abstract, but doesn't >say anything about blinding, so somewhat suspicious of the >results. > >On 3 Sep 2000, at 0:18, Jodie Katz wrote: > >> Keith, >> >> Is there any thought as to the mechanism of action of gingko in the >> prevention of AMS? >> >> >> Jodie Katz, M.D., WEMT >> >> Do not reproduce without author's express permission. >> To unsubscribe, send the text "unsubscribe >> wilderness-emergency-medicine" as the body of a message (no subject) >> To: Majordomo@list.pitt.edu Submissions To: >> wilderness-emergency-medicine@list.pitt.edu > > >--Keith Conover, M.D., FACEP > http://www.pitt.edu/~kconover > sent with Pegasus high-security email > download free from www.pmail.com > > Peter Hackett, M.D. 610 Sabeta Drive Ridgway, CO 81432-9335 Phone: 970-626-2477 Fax: 970-626-2467 email: phack@ruralhealth.org Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Mon, 18 Sep 2000 12:39:09 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUBHGF6U3C000EP5@mb1i0.ns.pitt.edu>; Mon, 18 Sep 2000 12:39:09 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Mon, 18 Sep 2000 12:31:58 -0400 (EDT) Received: from mail.trailnet.com (mail.trailnet.com [63.71.68.3]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Mon, 18 Sep 2000 12:31:54 -0400 (EDT) Received: from lookingglass.net ([207.18.213.68]) by mail.trailnet.com (Post.Office MTA v3.5.3 release 223 ID# 0-60892U4000L400S0V35) with ESMTP id com for ; Mon, 18 Sep 2000 10:39:08 -0600 Date: Mon, 18 Sep 2000 10:43:05 -0600 From: Andy Subject: W-EMED ICS, WMET training, & Forest Fires Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <39C64619.CEB0D34C@lookingglass.net> MIME-version: 1.0 X-Mailer: Mozilla 4.72 [en] (Win98; I) Content-type: text/plain; charset=us-ascii Content-transfer-encoding: 7bit Precedence: bulk X-Accept-Language: en At our local forest fire back in May (~8,000 acres) I took the opportunity to talk with the Medical Unit Leader and study her 'emergency room' and the medicines she had available. Several interesting items came out of that conversation that I have discussed locally but now I would like to extend the conversation to this list (of which I am a recent enrollee). First: While she is formally, per ICS protocol, under the Logistics Section Support Branch Manager she actually reported directly to the Safety Officer who is part of the Command Staff. Has anyone else run into this situation or a situation where the Medical Unit Leader reported to a position other than the standard Chain of Command? How did it work? What were the problems? Second: She said that her people were assigned to Strike Teams (fire-fighting teams) as individual resources and they were responsible for their team operating under the protocols of their parent organization. This means that EMT-B's, -I's, and -P's would follow whatever medical protocols to which they were accustomed (which makes a whole bunch of sense when you think about it). Question: Has anyone been in this situation? Did you have the equipment (splints, IV's, and etc) readily available to the level of your training, what did you miss the most? What medical condition are you really, really, glad that DIDN'T come-up, would there have been a way to treat that problem, realistically, given the situation? Third: What training has your local group (EMS, Fire Fighting, Police, SAR, National Forest Service, & etc) given for such situations that you consider the greatest thing since sliced bread? What do you consider was pointless and a waste of time? Have you taken the American Burn Association's training & is it worth- while or worthless for WEMT training? Thank you in advance for your response, Andy Thornton Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID for ; Mon, 18 Sep 2000 10:56:00 -0400 (EDT) From: Lfrizzsolo@aol.com Received: from imo-r13.mx.aol.com ("port 58299"@[152.163.225.67]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JUBDUJDHAM006YGM@mb2i0.ns.pitt.edu> for kconover@imap.pitt.edu (ORCPT rfc822;kconover@pitt.edu); Mon, 18 Sep 2000 10:56:00 EST Received: from Lfrizzsolo@aol.com by imo-r13.mx.aol.com (mail_out_v28.15.) id h.db.9be8b0f (3860); Mon, 18 Sep 2000 10:55:16 -0400 (EDT) Date: Mon, 18 Sep 2000 10:54:52 -0400 (EDT) Subject: Re: W-EMED Re: Field Rewarming To: jsilveramc@hotmail.com Cc: kconover@pitt.edu Message-id: MIME-version: 1.0 X-Mailer: AOL 4.0 for Windows 95 sub 110 Content-type: text/plain; charset="US-ASCII" Content-transfer-encoding: 7bit Hey Jonathan, Thanks for re-sending that e-mail with your questions about hypothermia. Believe it or not, the information that Dr. Conover has given you IS consistent with what SOLO teaches; HOWEVER, these efforts in the backcountry are not meant to REWARM, but rather to STABILIZE and PREVENT FURTHER COOLING. SOLO has (at least as long as I have been around) always taught that providing warm, humidified oxygen in the form of rescue breaths would help these patients (albeit not a whole lot). We also tell students that the use of external heat sources (heat packs, hot water bottles, etc.) can be placed in the groin, armpits, hands, and feet areas. Again, we're trying to stabilize the patients. Of course, most important is to remove the patient from the cold environment, remove wet clothes, and replace with new layers of dry insulating materials (while handling the patient gently). The total sum of all these efforts are not going to rewarm the patient, but they will help to stabilize and prevent further cooling. In this case the semantics are truly significant. Hope that helps. --Holly -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID for ; Sat, 16 Sep 2000 17:47:16 -0400 (EDT) Received: from blount.mail.mindspring.net ("port 7703"@[207.69.200.226]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8ZMQOYL40008D3@mb1i0.ns.pitt.edu> for kconover@imap.pitt.edu (ORCPT rfc822;kconover@pitt.edu); Sat, 16 Sep 2000 17:47:16 EST Received: from dfs-office (user-2initsa.dialup.mindspring.com [165.121.119.138]) by blount.mail.mindspring.net (8.9.3/8.8.5) with SMTP id RAA04382 for ; Sat, 16 Sep 2000 17:47:14 -0400 (EDT) Date: Sat, 16 Sep 2000 14:46:42 -0700 From: Douglass Sisk Subject: RE: W-EMED Wilderness EMS Course Offierings In-reply-to: <39C37F81.17195.1EB6122A@localhost> To: kconover@pitt.edu Reply-to: 76556.1550@compuserve.com Message-id: <000001c02027$99bd3060$8a7779a5@dfs-office> MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V4.72.3110.3 X-Mailer: Microsoft Outlook 8.5, Build 4.71.2173.0 Content-type: text/plain; charset="iso-8859-1" Content-transfer-encoding: 7bit Importance: Normal X-Priority: 3 (Normal) X-MSMail-priority: Normal Dear Keith, You know, I had that thought as soon as I posted that message. (that shortest of all possible time periods is that moment you click the "send" key...) My post was not meant as a commercial at all.. I totally support the non-commercial nature of the list and like you hope that my post doesn't precipitate a rash of "commercials". I know there are plenty of other quality programs out there teaching wilderness medicine... I merely offered WMI as an additon to SOLO, etc. I'm not, btw, affiliated with WMI except that I'm a graduate of the WEMT program and had a good experience there. Thanks for your time moderating the list... Have a great time in Scotland. I wish I could go... Best, Douglass Sisk, BS, MS, WEMT, NREMT You may post this to the list if you feel it appropriate. -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 16 Sep 2000 14:49:25 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8TF85KMA000E01@mb1i0.ns.pitt.edu>; Sat, 16 Sep 2000 14:49:25 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 16 Sep 2000 14:48:53 -0400 (EDT) Received: from tomts7-srv.bellnexxia.net (tomts7.bellnexxia.net [209.226.175.40]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 16 Sep 2000 14:48:50 -0400 (EDT) Received: from Two ([64.229.113.129]) by tomts7-srv.bellnexxia.net (InterMail vM.4.01.03.00 201-229-121) with SMTP id <20000916184849.GJSX23574.tomts7-srv.bellnexxia.net@Two> for ; Sat, 16 Sep 2000 14:48:49 -0400 Date: Sat, 16 Sep 2000 15:51:53 -0500 From: Bernie Roche Subject: RE: W-EMED Wilderness EMS Course Offierings In-reply-to: <39C37F81.17195.1EB6122A@localhost> Sender: owner-wilderness-emergency-medicine@list.pitt.edu X-Sender: broche@titan.tcn.net To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <20000916184849.GJSX23574.tomts7-srv.bellnexxia.net@Two> MIME-version: 1.0 X-Mailer: QUALCOMM Windows Eudora Pro Version 4.0 Content-type: text/html; charset="iso-8859-1" Content-transfer-encoding: quoted-printable Precedence: bulk References: <000201c01ff7$ccf89440$ee7079a5@dfs-office> <39C33B68.16171.1DAC5C5B@localhost> At 02:11 PM 9/16/00 -0400, you wrote:

>So let's not see a rash of commercial advertisements here, please.=A0
>Not that any paid WEMT instructors or staff I know have ever
>made themselves rich, but this list is supposed to be commercial-
>free.=A0 I do think that at some point the Wilderness Medical Society
>may have a listing of commercial WEMT providers on their Web
>page, and if and when, I'll announce it here.
>
>--Keith Conover, M.D., FACEP

Hi:

If someone would provide a listing of commercial and non-commercial WEMT providers, I'll put it up in the WEMSI web site.

Best Wishes,

Bernie Roche, RN, BScN, W-EMT, OSJ

WEMSI Web Site Administrator

broche@tcn.net Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 16 Sep 2000 14:12:00 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8S4T1ZJA000E04@mb1i0.ns.pitt.edu>; Sat, 16 Sep 2000 14:11:59 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 16 Sep 2000 14:11:21 -0400 (EDT) Received: from mb2i0.ns.pitt.edu (mb2i1.ns.pitt.edu [136.142.185.162]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 16 Sep 2000 14:11:18 -0400 (EDT) Received: from micron ("port 2234"@[136.142.21.33]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8S3WLTFI006IHG@mb2i0.ns.pitt.edu> for wilderness-emergency-medicine@list.pitt.edu; Sat, 16 Sep 2000 14:11:17 -0500 (EST) Date: Sat, 16 Sep 2000 14:11:13 -0400 From: "Keith Conover, M.D., FACEP" Subject: RE: W-EMED Wilderness EMS Course Offierings In-reply-to: <000201c01ff7$ccf89440$ee7079a5@dfs-office> Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: Douglass Sisk , wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <39C37F81.17195.1EB6122A@localhost> MIME-version: 1.0 X-Mailer: Pegasus Mail for Win32 (v3.12c) Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Precedence: bulk References: <39C33B68.16171.1DAC5C5B@localhost> On 16 Sep 2000, at 9:04, Douglass Sisk wrote: > If you're not independently wealthy enough to go to Scotland... and > you happen to live or hang out in the western half of the US, another > option for W-EMT and First Responder classes is the Wilderness > Medicine Institute (now part of NOLS) @ http://wmi.nols.edu. Quality > instruction in a variety of outdoor settings, with courses offered all > over the western US. Hmm. My announcement was primarily related to a change in plans for an accredited academic offering specifically for emergency medicine residents, with a couple of notes about alternatives for those who aren't EM residents who keep emailing about the rotation in Pittsburgh. But I guess it was close to advertising. WEMSI is a volunteer operation, as are some organizations who offer classes based on the WEMSI Curriculum (examples include the Irish Mountain Rescue Association and U.S. National Cave Rescue Commission). However, there are some commercial organizations who, if not profit-motivated, at least have some of their staff and instructors partially supported by course fees, who offer courses based on the WEMSI Curriculum. The WEMSI curriculum has always been slanted particularly at SAR team members, and WEMSI courses are really not suited for trip leaders, and the like. That's why SAR organizations sometimes offer WEMSI courses -- WEMSI doesn't charge for the WEMSI curriculum, just has some QI (quality improvement) requirements for those who offer the courses. There are many other organizations who offer WEMT courses, based on their own curricula. Many of these are much better suited to trip leaders than the WEMSI curriculum. WMI, SOLO, and WMA seem to be the biggest providers. If someone wants a WEMT course in their area, they can usually arrange with WMI, SOLO, WMA, or other similar organizations to come to their area and offer a course. WEMSI doesn't do this, except occasionally to send some experienced staff to a new area (e.g., Scotland) to help the SAR/EMS people there get started in using the curriculum themselves. WEMSI staff who go usually have their airfare and food/lodging covered by the sponsoring organization, but receive no other compensation. So let's not see a rash of commercial advertisements here, please. Not that any paid WEMT instructors or staff I know have ever made themselves rich, but this list is supposed to be commercial- free. I do think that at some point the Wilderness Medical Society may have a listing of commercial WEMT providers on their Web page, and if and when, I'll announce it here. --Keith Conover, M.D., FACEP W-EMED list owner WEMSI Medical Director WMS Web Committee member Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 16 Sep 2000 12:05:39 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8NP7D1DW000DSW@mb1i0.ns.pitt.edu>; Sat, 16 Sep 2000 12:05:39 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 16 Sep 2000 12:05:09 -0400 (EDT) Received: from smtp6.mindspring.com (smtp6.mindspring.com [207.69.200.110]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 16 Sep 2000 12:05:06 -0400 (EDT) Received: from dfs-office (user-2inis7e.dialup.mindspring.com [165.121.112.238]) by smtp6.mindspring.com (8.9.3/8.8.5) with SMTP id MAA15414 for ; Sat, 16 Sep 2000 12:05:04 -0400 (EDT) Date: Sat, 16 Sep 2000 09:04:32 -0700 From: Douglass Sisk Subject: RE: W-EMED Wilderness EMS Course Offierings In-reply-to: <39C33B68.16171.1DAC5C5B@localhost> Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <000201c01ff7$ccf89440$ee7079a5@dfs-office> MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V4.72.3110.3 X-Mailer: Microsoft Outlook 8.5, Build 4.71.2173.0 Content-type: text/plain; charset="iso-8859-1" Content-transfer-encoding: 7bit Importance: Normal X-Priority: 3 (Normal) X-MSMail-priority: Normal Precedence: bulk If you're not independently wealthy enough to go to Scotland... and you happen to live or hang out in the western half of the US, another option for W-EMT and First Responder classes is the Wilderness Medicine Institute (now part of NOLS) @ http://wmi.nols.edu. Quality instruction in a variety of outdoor settings, with courses offered all over the western US. Best, Douglass Sisk, BS, MS, WEMT, NREMT Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID for ; Sat, 16 Sep 2000 10:10:40 -0400 (EDT) Received: from smtp2.gateway.net ("port 3867"@[208.230.117.246]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8JOMZKCY0007FI@mb1i0.ns.pitt.edu> for kconover@imap.pitt.edu (ORCPT rfc822;kconover+2B@pitt.edu); Sat, 16 Sep 2000 10:10:40 EST Received: from default (1Cust59.tnt3.pittsburgh.pa.da.uu.net [63.10.67.59]) by smtp2.gateway.net (8.9.3/8.9.3) with SMTP id KAA28411 for ; Sat, 16 Sep 2000 10:10:38 -0400 (EDT) Date: Sat, 16 Sep 2000 10:08:44 -0400 From: "Matthew F. Russell, M.D." Subject: RE: W-EMED AMS In-reply-to: <39C33790.21169.1D9D56B5@localhost> To: Keith Conover Message-id: MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V5.00.2919.6600 X-Mailer: Microsoft Outlook IMO, Build 9.0.2416 (9.0.2911.0) Content-type: text/plain; charset="iso-8859-1" Content-transfer-encoding: 7bit Importance: Normal X-Priority: 3 (Normal) X-MSMail-priority: Normal Keith, At the recent WMS conference, Hackett proposed that the mechanism may have to do with inhibition of Nitrous Oxide Synthetase...but that was just a theory and that one Australian researcher was doing further work to try and better elucidate the mechanism of action. -----Original Message----- From: owner-wilderness-emergency-medicine@list.pitt.edu [mailto:owner-wilderness-emergency-medicine@list.pitt.edu]On Behalf Of Keith Conover, M.D., FACEP Sent: Saturday, September 16, 2000 9:04 AM To: Jodie Katz; wilderness-emergency-medicine@list.pitt.edu Cc: Peter Hackett Subject: Re: W-EMED AMS I'm really not sure. I'll cc: Peter Hackett, who's doing some of the work, and see if I can provide some thoughts. Ginkgo Biloba extract is a mixture of many different types of pharmacologic agents, so I think we're at the early stages of investigation -- not much more advanced than traditional shamans who note cause and effect for botanicals. Here is one of the references: 1. Roncin JP, Schwartz F, P DA. EGb 761 in control of acute mountain sickness and vascular reactivity to cold exposure. Aviat Space Environ Med 1996; 67:445-52. METHOD: We recruited 44 subjects to participate in a study of the preventive effect of Ginko biloba extract (EGb 761) on acute mountain sickness (AMS) and vasomotor changes of the extremities during a Himalayan expedition. After giving their written informed consent, the subjects were randomized to two groups. One group received 160 mg of EGb 761 per day in two divided doses and the other group received placebo. Assessment was based on the course of the Environmental Symptom Questionnaire (ESQ) score and the cold gradient measured by photoplethysmography. RESULTS: The prophylactic efficacy of treatment with EGb 761 was clearly demonstrated in this study. In terms of factor 1 (AMS-Cerebral), no subject in the EGb 761 group developed acute mountain sickness versus 40.9% of subjects in the placebo group; this difference was very significant (p < or = 1.4 x 10(-3)). In terms of factor 2 (AMS- Respiratory) , 3 subjects (13.6%) in the EGb 761 group developed acute mountain sickness versus 18 (81.8%) in the placebo group; this difference was very significant (p = 1.2 x 10(-5)) . CONCLUSION: Due to its multiple pharmacological actions, EGb 761 provides an interesting response to the prevention of mountain sickness for moderate altitude (5400 m) with gradual exposure. It also decreased vasomotor disorders of the extremities, as demonstrated by plethysmography (p < 10(-8)) and a specific questionnaire (p < 10(-9)). I haven't looked at this study, just the abstract, but doesn't say anything about blinding, so somewhat suspicious of the results. On 3 Sep 2000, at 0:18, Jodie Katz wrote: > Keith, > > Is there any thought as to the mechanism of action of gingko in the > prevention of AMS? > > > Jodie Katz, M.D., WEMT > > Do not reproduce without author's express permission. > To unsubscribe, send the text "unsubscribe > wilderness-emergency-medicine" as the body of a message (no subject) > To: Majordomo@list.pitt.edu Submissions To: > wilderness-emergency-medicine@list.pitt.edu --Keith Conover, M.D., FACEP http://www.pitt.edu/~kconover sent with Pegasus high-security email download free from www.pmail.com Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 16 Sep 2000 09:21:07 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8HY7CLJE000DSW@mb1i0.ns.pitt.edu>; Sat, 16 Sep 2000 09:21:07 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 16 Sep 2000 09:20:51 -0400 (EDT) Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 16 Sep 2000 09:20:48 -0400 (EDT) Received: from micron ("port 1659"@[136.142.23.135]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8HXQZOD2000E01@mb1i0.ns.pitt.edu> for wilderness-emergency-medicine@list.pitt.edu; Sat, 16 Sep 2000 09:20:47 -0500 (EST) Date: Sat, 16 Sep 2000 09:20:40 -0400 From: "Keith Conover, M.D., FACEP" Subject: W-EMED Wilderness EMS Course Offierings Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Cc: "Todd L. Slesinger M.D." , David Dreitlein , "Imran m. bajwa" Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <39C33B68.16171.1DAC5C5B@localhost> MIME-version: 1.0 X-Mailer: Pegasus Mail for Win32 (v3.12c) Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Precedence: bulk Sorry for the delay in getting back to everone who is interested. Although I generally offer a month-long rotation in Wilderness EMS for R-2/-3 emergency medicine residents in August or November of each year, I will not be able to offer one this November except under some exceptional circumnstances. I will be going to Scotland in the middle of the month to help some Scottish mountain rescue people put on the first Scottish WEMSI Wilderness EMT and Wilderness Command Physician courses. So I'll be gone about half the month, and the only way I can handle residents on this rotation (the centerpiece of which is always helping with a WEMT/WCP class) is if the residents are independently wealthy and can afford the airfare to Scotland and back! The course will be at Glenmore Lodge in the Cairngorms from 5-11 November -- haven't quite figured out departure and return dates, as we will want to have a couple of days for climbing or hillwalking in the Cairngorms before returning. And, as a reminder, this course is solely wilderness EMS (designed to train you to be a medical director for a SAR team) and solely for EM residents in the U.S. or Canada, and solely at the R- 2 level or above. If you're looking for other kinds of wilderness medicine training opportunities, I suggest you contact the Wilderness Medical Society: http://www.wms.org Also, if you are interested in a Wilderness Command Physician course, designed to take a physician who already knows how to provide medical direction for paramedics to the level of providing online medical direction for SAR team EMTs and paramedics, there definitely will be such a course at the Scotland course http://www.wildmedic.org Any other WCP courses that will be offered will be posted on the WEMSI pages http://www.wemsi.org Physicians, RNs, PAs, etc. who wish to serve as _members_ of a SAR team may find it worthwhile to take the entire WEMSI WEMT class. The prerequisite is U.S. EMT-Basic or equivalent. A physician or RN who has read through the EMT book and spent a bit of time in an ambulance as an observer would be in good standing to take the course. A First Responder who learns well by reading, and who has read through the EMT book and spent some time in an ambulance would also be in good standing to take the WEMT course without being left behind in class and practical sessions. Physicians who are interested in wilderness medicine in general, but not as part of a SAR team, might look to the training for physicians occasionally offered by SOLO: http://www.stonehearth.com/ Those who are interested in learning more of the SAR end of things should work with a local SAR team -- check my Web page, URL below, for links to SAR organizations. Again, sorry for the delay in getting this information out to everyone. Take care. --Keith Conover, M.D., FACEP http://www.pitt.edu/~kconover sent with Pegasus high-security email download free from www.pmail.com Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sat, 16 Sep 2000 09:06:24 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8HFY0R7K000E04@mb1i0.ns.pitt.edu>; Sat, 16 Sep 2000 09:06:24 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sat, 16 Sep 2000 09:05:03 -0400 (EDT) Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sat, 16 Sep 2000 09:05:00 -0400 (EDT) Received: from micron ("port 1657"@[136.142.23.135]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU8HE2OA6G000DZY@mb1i0.ns.pitt.edu> for wilderness-emergency-medicine@list.pitt.edu; Sat, 16 Sep 2000 09:04:59 -0500 (EST) Date: Sat, 16 Sep 2000 09:04:16 -0400 From: "Keith Conover, M.D., FACEP" Subject: Re: W-EMED AMS In-reply-to: Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: Jodie Katz , wilderness-emergency-medicine@list.pitt.edu Cc: Peter Hackett Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <39C33790.21169.1D9D56B5@localhost> MIME-version: 1.0 X-Mailer: Pegasus Mail for Win32 (v3.12c) Content-type: text/plain; charset=US-ASCII Content-transfer-encoding: 7BIT Precedence: bulk I'm really not sure. I'll cc: Peter Hackett, who's doing some of the work, and see if I can provide some thoughts. Ginkgo Biloba extract is a mixture of many different types of pharmacologic agents, so I think we're at the early stages of investigation -- not much more advanced than traditional shamans who note cause and effect for botanicals. Here is one of the references: 1. Roncin JP, Schwartz F, P DA. EGb 761 in control of acute mountain sickness and vascular reactivity to cold exposure. Aviat Space Environ Med 1996; 67:445-52. METHOD: We recruited 44 subjects to participate in a study of the preventive effect of Ginko biloba extract (EGb 761) on acute mountain sickness (AMS) and vasomotor changes of the extremities during a Himalayan expedition. After giving their written informed consent, the subjects were randomized to two groups. One group received 160 mg of EGb 761 per day in two divided doses and the other group received placebo. Assessment was based on the course of the Environmental Symptom Questionnaire (ESQ) score and the cold gradient measured by photoplethysmography. RESULTS: The prophylactic efficacy of treatment with EGb 761 was clearly demonstrated in this study. In terms of factor 1 (AMS-Cerebral), no subject in the EGb 761 group developed acute mountain sickness versus 40.9% of subjects in the placebo group; this difference was very significant (p < or = 1.4 x 10(-3)). In terms of factor 2 (AMS- Respiratory) , 3 subjects (13.6%) in the EGb 761 group developed acute mountain sickness versus 18 (81.8%) in the placebo group; this difference was very significant (p = 1.2 x 10(-5)) . CONCLUSION: Due to its multiple pharmacological actions, EGb 761 provides an interesting response to the prevention of mountain sickness for moderate altitude (5400 m) with gradual exposure. It also decreased vasomotor disorders of the extremities, as demonstrated by plethysmography (p < 10(-8)) and a specific questionnaire (p < 10(-9)). I haven't looked at this study, just the abstract, but doesn't say anything about blinding, so somewhat suspicious of the results. On 3 Sep 2000, at 0:18, Jodie Katz wrote: > Keith, > > Is there any thought as to the mechanism of action of gingko in the > prevention of AMS? > > > Jodie Katz, M.D., WEMT > > Do not reproduce without author's express permission. > To unsubscribe, send the text "unsubscribe > wilderness-emergency-medicine" as the body of a message (no subject) > To: Majordomo@list.pitt.edu Submissions To: > wilderness-emergency-medicine@list.pitt.edu --Keith Conover, M.D., FACEP http://www.pitt.edu/~kconover sent with Pegasus high-security email download free from www.pmail.com Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Wed, 13 Sep 2000 20:03:20 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU4XIF6STC000207@mb1i0.ns.pitt.edu>; Wed, 13 Sep 2000 20:03:21 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Wed, 13 Sep 2000 20:02:04 -0400 (EDT) Received: from macs.mxim.com (macs.mxim.com [204.17.143.130]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Wed, 13 Sep 2000 20:02:01 -0400 (EDT) Received: from localhost (localhost [127.0.0.1]) by macs.mxim.com (8.7/8.6.9) with SMTP id RAA05293 for ; Wed, 13 Sep 2000 17:01:19 -0700 (PDT) Date: Wed, 13 Sep 2000 17:01:18 -0700 (PDT) From: Hal Lillywhite Subject: Re: W-EMED Backboard questions. In-reply-to: "Your message of Sun, 10 Sep 2000 13:54:41 EDT." <39BB92A1.15863.576EDA@localhost> Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: <200009140001.RAA05293@macs.mxim.com> MIME-version: 1.0 X-Mailer: exmh version 2.0.1 12/23/97 Content-type: text/plain; charset=us-ascii Precedence: bulk Keith Conover, MD writes: >The short answer as far as this list is concerned is that you >shouldn't use backboards for wilderness EMS, you should use >vacuum mattresses! Well this is getting into sort of another topic but backboards do have a place in wilderness medicine, they just shouldn't be used as in the wilderness the same way they are used in urban medicine. You should not fasten a wilderness patient directly to the backboard. However a backboard used in conjunction with a vacuum mattress and possibly a Sked can make for a very comfortable ride out in even the roughest terrain. I suggest a folding aluminum backboard, cut down width wise so it fits easily in a Sked. Put the patient in the vacuum mattress and fasten the mattress to the backboard. Put the whole thing in a sked and you have a packaging system which is both easier to handle and more comfortable than a basket litter. I was a doubter so they put me in this system and drug me around a bit, including over some sharp edges. (That's right, they didn't carry me, they drug me over all the obstacles they could find.) I never felt the edges, the rocks on the ground etc. If there is a system easier on the patient and rescuers I don't know what it is. If the patient can stand to be vertical for a short time it is also a great packaging system for vertical rescue, you can drag the patient over the edge of a cliff very easily compared to the traditional horizontal litter. Put the tie-in to the Sked about a third of the way down from the head and add a couple of tag lines to prevent spinning. The system usually comes over the edge without the need for edge men to fight it away from the obstacles. One edge person can handle it easily. Do not reproduce without author's express permission. To unsubscribe, send the text "unsubscribe wilderness-emergency-medicine" as the body of a message (no subject) To: Majordomo@list.pitt.edu Submissions To: wilderness-emergency-medicine@list.pitt.edu -- End -- Return-Path: Received: from mb1i0.ns.pitt.edu (mb1i1.ns.pitt.edu [136.142.185.161]) by imap.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisimap-7.2.2.4) ID ; Sun, 10 Sep 2000 14:02:20 -0400 (EDT) Received: from list.srv.cis.pitt.edu (majordom@[136.142.185.20]) by pitt.edu (PMDF V5.2-32 #41462) with ESMTP id <01JU0E1Q3UIO007QH8@mb1i0.ns.pitt.edu>; Sun, 10 Sep 2000 14:02:18 EST Received: from localhost (majordom@localhost) by list.srv.cis.pitt.edu (8.8.8/8.8.8/cisls-7.2.2.2) ID ; Sun, 10 Sep 2000 14:02:09 -0400 (EDT) Received: from mail.austin.rr.com (sm1.texas.rr.com [24.93.35.54]) by list.srv.cis.pitt.edu with ESMTP (8.8.8/8.8.8/cisls-7.2.2.2) ID for ; Sun, 10 Sep 2000 14:02:06 -0400 (EDT) Received: from connolly ([24.93.38.106]) by mail.austin.rr.com with Microsoft SMTPSVC(5.5.1877.537.53); Sun, 10 Sep 2000 13:03:47 -0500 Date: Mon, 11 Sep 2000 18:06:19 -0500 (CDT) From: Micheal Mc Evoy Subject: Re: W-EMED Backboard questions. In-reply-to: <001901c01b25$1aad9fa0$60f35a8f@cao03330> Sender: owner-wilderness-emergency-medicine@list.pitt.edu To: wilderness-emergency-medicine@list.pitt.edu Cc: cao03330@pop02.odn.ne.jp Reply-to: wilderness-emergency-medicine@list.pitt.edu Message-id: MIME-version: 1.0 Content-type: TEXT/PLAIN; charset=US-ASCII Precedence: bulk On Sun, 10 Sep 2000, Mark Wallace wrote: >Scenario: > >The pt is a 21 year old male who was hit by a car from the left side while >riding his motorcycle(vehicle vs. motorcycle). > >Initial assessment: > Mental(AVPU): Pt response to painful stimulation > Airway: Jaw thrust maneuver is performed to keep the airway open > Breathing: Normal, but O2 is given at 12L/m(nonrebreather mask) > Circulation: Pulse is present, No major bleeding > Skin: Normal > > >Rapid Trauma Assessment(DCAP-BLS): > Neck and Head: Normal (Cervical Collar is Applied) >Chest, abdomen, pelvis: No signs of trauma > Leg: Left lower leg, 20 cm distal the knee, is swollen > and deformed. > >The next phase of the rapid trauma assessment would to inspect and palpate >the back as the pt is being log-rolled onto a backboard. > >Question 1: Should the leg be splinted before log-rolling the Pt? I think >you should splint to prevent further damage to the leg and because the >nature of the accident. But I also read (Warning: Reading can be dangerous) >that if the pt is a priority, then you should forgo splinting and just >immobilize. Is the pt currently supine ? If so there is no immediate need to move the pt, so splint the lower leg. This could also be the case if the pt was prone. If the pt is in a latreral recumbant, the way I undersstand it, you would palpate the spine, backboard the pt, then deal with the lower leg. >The rapid trauma assessment(DCAP-BLS) is