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Title: ER treatments................. Post by don on Jun 22nd, 2003, 9:37am Should you need to make a visit to the ER what would your first choice of treatment be? Seems that most of our treatment problems stem from ER visits. Perhaps that should be the primary focus of OUCH education . Gear up Elaine. I smell a project coming on! |
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Title: Re: ER treatments................. Post by eyes_afire on Jun 22nd, 2003, 11:06am Well, I can't see myself ever going to the ER because I have no way of getting there, and it would take a long time anyway (... note to self, never say 'never')... ... but it seems like ER's mainly think: 'pain... therefore painkillers'. Of course, the most sure-fire abortive is imitrex, so it would be nice if they started thinking 'imitrex'. Then, from some of the stories I've heard here, there seems to be this mysterious belief amongst ER personnel that the administration of oxygen is to be reserved for the dying ??? ... however, they need to know how to administer the oxygen, forget about those nose thingys... I'm not dismissing the use of painkillers, they should still be an option. But, the ER personnel need to be able to identify a clusterhead. Whatcha thinkin, Don? --- Steve, one of many... |
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Title: Re: ER treatments................. Post by don on Jun 22nd, 2003, 11:10am Just that we need to barrage ERs in the local areas with our concerns and educational cooperation. A collabrative effort. Thats why OUCH chapters are a great idea. We need more of them. |
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Title: Re: ER treatments................. Post by Live4Fun on Jun 22nd, 2003, 11:10am Don, I agree with Eyes. A triptan injection would be my first treatment of choice, along with the 02 while the triptan worked. If worst came to worse and they would not give me another injection of Imitrex or another triptan, then something to knock me out for about 2 hours would be nice. Hope this helps. Bryan |
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Title: Re: ER treatments................. Post by don on Jun 22nd, 2003, 11:14am Might be a little early for this question but.......... Anyone know of an association or organization that specifically reaches Emergency Room Personnel? If you do then Email it to me so as to not disrupt the intent of this thread. |
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Title: Re: ER treatments................. Post by eyes_afire on Jun 22nd, 2003, 11:33am Don, check your IMs. I'll keep my browser eyes peeled. |
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Title: Re: ER treatments................. Post by ShariRae on Jun 22nd, 2003, 11:33am I would have to agree with Bryan here..Imitrex first..O2 while it takes hold.... But would also want all on the ER staff to ACTUALLY witness what a CH looks like before the treatment & then see how quick & effective the trex & O2 work..maybe it's just a case of ignorance to something they know little/nothing about...just my 2cents.. Shari |
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Title: Re: ER treatments................. Post by don on Jun 22nd, 2003, 11:39am Quote:
BINGO Shari, lets help them out. If I had 98 cents and needed a dollar for a bus ride your 2 cents would be very valuable to me. ;) |
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Title: Re: ER treatments................. Post by BlackDog on Jun 22nd, 2003, 11:44am Thought on Imitrex... My ER doc was actually VERY quick to use and Rx imitrex for me. MAN it was great to take away the pain, you all know that. I used it for a few days before I saw Neuro. She asked about previous heart / Blood pressure issues, ER never did. ER was so quick (i am indeed thankful, i was having a k-10) to help my CH, but could have killed me with the trex. I cannot ever take it again now. It may not be a problem for the previously diagnosed, who can tell the Docs what to do, but it could be a problem for new cases, if treated too fast. Just a thought. Personally, I'd risk an infarct to have K-10 relief most days. Darren |
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Title: Re: ER treatments................. Post by Linda_Howell on Jun 22nd, 2003, 12:08pm After my Dr. witnessed me go from a 0 to a ten in 30 seconds, he asked me what I needed. I said Imitrex and 02. When it was over he told me that after work, he was going over to the ER and speak to the personell there about the protocol for cluster headaches. I proposed marriage to him right there. LindaH |
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Title: Re: ER treatments................. Post by CathiP on Jun 22nd, 2003, 12:12pm Linda- Best man- your oxygen tank, in tux, of course! Can I be the flower girl???? ummmm......did he say yes????? ;)Cathi |
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Title: Re: ER treatments................. Post by don on Jun 22nd, 2003, 12:44pm Quote:
Like I thought that wouldn't happen. So much for lucid moments. |
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Title: Re: ER treatments................. Post by Jim R on Jun 22nd, 2003, 2:56pm One thing to bear in mind here is that most physicians' treatment plans add a hefty dose of malpractice and negligence precautions. Imitrex (and other triptans) have been know to have severe adverse reactions and I believe even stroke/death in patients with either diagnosed or undiagnosed/unknown heart disease. While it may be the most effective treatment for most, to give out as they do pain killers would be riskier than just the painkillers, without a heart work-up. Just a litle added dimnesion here.... PFDAN's to all Jim R |
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Title: Re: ER treatments................. Post by catlind on Jun 22nd, 2003, 4:45pm Perhaps we can ask Dr Sanderson (ER Doc) at the convention whether there is an organization that we can work through to get this info out. She is the ER doc that has me set up on standing orders for O2. When I show up at the ER, no questions, no forms, nothing, just automatic O2 on a non rebreather at 10lpms and she almost always comes in and turns it up to 15 :) Of course, I'm still trying to get confirmation from her, seems she's adopting a child and may not be able to attend :( I will let you know. Cat |
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Title: Re: ER treatments................. Post by Linda_Howell on Jun 22nd, 2003, 4:51pm No Cathi, after he got done laughing his ass off, he reminded me he was gay. Sorry Don. I seem to be the one digressing from the thread now. lol LindaH |
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