Print

Print


Thanks Peter-

As we investigated this here we found that many receiving hospitals  
had taken solu-cortef out of their ED stock as well- which can result  
in a time delay of up to two hours from 'call for help' by the family  
to time of the correct rescue therapy.

Jay

Sent from my iPhone

On Apr 19, 2010, at 10:30 AM, Peter Antevy <[log in to unmask]>  
wrote:

> Jay,
>
> Departments here in S. Florida carry solumedrol and not solucortef.
> Ride times in this area are 10 minutes max and therefore  
> administration of solucortef by prehospital personnel is unlikely to  
> occur.
>
> Peter Antevy MD
> Davie Fire Rescue
> Medical Director
> [log in to unmask]
>
> Joe DiMaggio Children's Hospital
> Pediatric Emergency Department
> Attending Physician
> [log in to unmask]
>
>
> On Apr 19, 2010, at 1:28 AM, Jay Fisher wrote:
>
>> List members-
>>
>> Does your EMS system carry solu-cortef on their rigs for use in  
>> patients with acute adrenal crisis?
>>
>> We are considering this in our region and are now allowing  
>> paramedics to administer the family's solu-cortef without medical  
>> control.
>>
>> The Congenital Adrenal Hyperplasia Research, Education and Support  
>> Foundation (CARES) have been working with us on this project.
>>
>> The experience of this family-led support group has been that in  
>> many instances there is a significant delay in administration if  
>> EMS systems rely on receiving EDs
>>
>> to have it quickly available upon patient arrival. They have  
>> successfully initiated a pre-hospital solu-cortef protocol in MA  
>> and RI.
>>
>> See- www.caresfoundation.org
>>
>> What is your experience and does what does your EMS system have in  
>> place?
>>
>>
>> Thanks in advance-
>>
>>
>> Jay Fisher MD
>> Medical Director
>> Pediatric Emergency Services
>>
>> Children's Hospital of Nevada
>> Las Vegas NV
>>
>> St. Rose Dominican Hospital, Sienna Campus
>> Henderson NV
>>
>>
>>
>>
>>
>>
>> For more information, send mail to [log in to unmask] with  
>> the message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
>>                 http://listserv.brown.edu/ped-em-l.html
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html