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Chemical incidents There were 24 enquiries received concerning chemical incidents representing 17 different incidents ; . These included; a ruptured gas pipe in a business park 3 enquiries a household carbon monoxide exposure 3 enquiries about members of the same family nursing home patients whose tea was made up using a sanitising powder 2 enquiries a family whose gastrointestinal symptoms were initially attributed to the spraying of Jeyes fluid 2 enquiries and leak of diesel fluid from a tank in a neighbour's house 2 enquiries ; . Two separate enquiries were made about chemicals spilled in university laboratories 1 enquiry each about methyl thiogycolate and ethidium bromide ; . We also received 1 enquiry each about the following incidents: suspected toluene exposure by a fireman in a factory fire; chemical spillage ethyl acrylate ; from a lorry; phenol spillage in a hospital; benzo a ; pyrene detected on an old foundry site where housing is to be built; spillage of mercury in a community pharmacist; ammonia leakage from a fridge; exposure to indole butytric acid at a school; chlorine produced following a chemical reaction during industrial waste disposal; a patient exposed to carbon monoxide from a leak at work the precise source of the leak was unclear ; , and lead in a household water supply. Pesticides There were a total of 85 enquiries involving pesticides, of which 75 concerned human patient exposures 2 enquiries involved dogs, and a further 8 enquiries were for information only ; . The most common pesticides by type, and by individual components, are listed in Table 4.4 note that some enquiries involve more than one agent, and that some pesticide products have more than one active ingredient and lotensin.
Illinois Region 8 Emergency Medical Services Central DuPage, Edward, Good Samaritan, Loyola EMS Systems Standard Operating Procedures SPECIALTY TRANSPORT BLS ALS GENERAL CONSIDERATION 1. In appropriate situations, prehospital personnel may request from Medical Control the dispatch of specialty transportation services helicopter or hospital-based ground units ; to the scene of a prehospital emergency in accordance with the following criteria: The patient meets Trauma Center criteria and transport time by the specialized unit to the desired center is less than a prehospital providers transport time OR Benefits to the patient due to the increased level of expertise of the specialized unit staff outweigh increased transport times 2. If prehospital personnel conclude that specialty transport services are necessary, the provider agency may contact the specialty service and place the unit on standby prior to contacting Medical Control. 3. Assess the need for specialty transport services based upon: Patient history. The course of events mechanism of injury, extrication times, etc. ; . The patient's condition as assessed at the scene. Current local traffic patterns. Weather conditions, for example, side affects of levaquin.

What kind of medical or health advice have you had over this time?. 1. INITIATE PNEUMONIA CARE MAP with designated orders as marked ; 2. Admit DX: 3. Secondary Dx: O ASHS O Elect. Imbalance O Impaired Mobility O O O CHF O COPD CVA O Diabetes Dehydration O Malnutrition Other: 13. Antibiotics: First dose in ER choose as indicated ; Community Acquired O Rocephin 1 gm IV hrs with or without a. or b. ; Zithromax 500 mg IV q day or O b. Leaquin 500 mg IV q day O Other: Complicated Pneumonia co-morbidities smoker, alcoholism, Nursing home patient or recent hospitalization. ; O Lrvaquin 500 mg IV q day or O Rocephin 1 gm q hrs AND O Zithromax 500 mg IV q day Other: Aspiration suspected O Levaqui 500 mg IV q day with Cleocin 600 mg IV q 8 hrs or O Zosyn 3.375 gm IV q hrs Other: 14. Pneumonia Vaccine: Administer on date of discharge O Yes O No, * If no please document reason. 15. Additional Medication.
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