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Re: Scenario 5

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  • b1laxson
    I liked these reminders. ... PS: for limb splints the SCA has a habit of being heavily stocked in 3ft long, 1 1/4 rattan.... Brian the Green
    Message 1 of 13 , Jan 23, 2010
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      I liked these reminders.
      > -keep fingertips visible for distal circulation check
      > -NO use of traction.. just spint as you find it. Traction cannot be properly maintained without the use of specialized and expensive equipment
      > -consider if this person is on blood thinners or has a bleeding disorder (internal bleeding may be more severe and/or serious sequelae)
      > -remove rings/watches if any on affected limb

      PS:
      for limb splints the SCA has a habit of being heavily stocked in 3ft long, 1 1/4" rattan....

      Brian the Green
    • Bethoc (Lesley)
      The only thing I don t like about rattan being an arm splint is the narrow width. Ideally even an improvised one should be wider than the limb.. and
      Message 2 of 13 , Jan 23, 2010
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        The only thing I don't like about rattan being an arm splint is the narrow width. Ideally even an improvised one should be wider than the limb.. and considering some of the sizes of our fighters (muscled up and molson muscle both) a rattan sword may not be sufficient. Now, for lower limbs, with one secured to either side of the length of the leg (groin to beyond the foot) that's another matter altogether.
         
        regards
        Bethóc
         
        ps and thanks for the prompt clearing up of OHIP/EMS surcharges! I don't work until later in the week and wouldn't have an answer for the group until then.

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        --- On Sat, 1/23/10, b1laxson <b1laxson@...> wrote:

        From: b1laxson <b1laxson@...>
        Subject: [E-Chir] Re: Scenario 5
        To: E-Chir@yahoogroups.com
        Received: Saturday, January 23, 2010, 11:46 AM

         

        I liked these reminders.
        > -keep fingertips visible for distal circulation check
        > -NO use of traction.. just spint as you find it. Traction cannot be properly maintained without the use of specialized and expensive equipment
        > -consider if this person is on blood thinners or has a bleeding disorder (internal bleeding may be more severe and/or serious sequelae)
        > -remove rings/watches if any on affected limb

        PS:
        for limb splints the SCA has a habit of being heavily stocked in 3ft long, 1 1/4" rattan....

        Brian the Green



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      • dyscordant_rose
        ... It does not matter if the person who calls 911 is OHIP covered, covered by other insurance or completely uninsured, you will not get charged a bill for
        Message 3 of 13 , Jan 27, 2010
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          --- In E-Chir@yahoogroups.com, "b1laxson" <b1laxson@...> wrote:
          >
          > Case 1) OHIP covered chirurgeon calls for a non-covered patient.
          > Patient refuses ambulance. Is there a fee and who pays?

          It does not matter if the person who calls 911 is OHIP covered, covered by other insurance or completely uninsured, you will not get charged a bill for calling 911. The ambulance fees only go to the patient and only if there is a transport.

          > Case 2) If I act as a Chirugeon at an event in the states. (Lets say > not Pennsic which has EMT on site anyway). Visiting chirurgeon calls > for EMT but patient refuses. Does the chirugeon get a bill?

          AFAIK, the person calling 911 will not get charged a bill for making the phone call. How the rest of the ambulance billing works however, I don't know and I suspect would be state specific, just as ambulance billing in Canada is different between provinces.

          Xristina
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