AboutPam Enve Expertise I can answer any questions related to basic first aid, minor wound care, emergency situations, true emergencies. Symptoms of most major emergencies. When it is necessary to immediately go to the hospital and when a doctors appointment should suffice. I am not a doctor but was employed as a paramedic for over 12 years in a very large city. I have pretty much seen it all. I can't diagnose your illnesses. I will always recommend that you see a physician but I can still instruct you on care, splinting, and basic first aid until you are able to get to a doctor. I can also answer questions for EMT's and Paramedics regarding protocols and basic procedures. Altough each state has different protocols I can give you the general standards.
Experience Paramedic it large city for 12 years. Still an active paramedic with a volunteer fire company and have been for 15 years. The first and only paramedic in my volunteer company and very proud of it. Certified in AEMT-P, ACLS, BTLS, CPR, PHTLS, PALS. I was also a field training officer at my former company for over 6 years. I can instruct you on safe handling of vehicles. Caring for patients using the human factor. I strongly believe that each and every person believes to be treated with respect no matter how often they may call an ambulance or how many times they visit an ER even for something so simple as they are hungry or cold.
Organizations Recently retired paramedic from 2nd largest ambulance company in the nation. Active volunteer paramedic for our town volunteer fire department.
Publications Wrote the entire SOP's and infection control plan in 1992 for our volunteer fire department and made them compliant with OSHA standands. All of my work is still in use today and we have passed every OSHA evaluation since.
Education/Credentials Nationally registered Paramedic, ACLS certified, PALS certified, BTLS certified, PHTLS certified. CEVO I and II certified, EVOC certified. Former field training officer.
Awards and Honors Firewoman of the year 1994, 15 year service award and accomadation 2006, Above and beyond the call of duty award in 1992.
Past/Present Clients I live in a resort community with approximately 300,000 people during tourist season. The average age last year during the census was 72. We transport over 600 patients per season. There are to many clients to mention.
Expert: Pam Enve Date: 6/22/2008 Subject: broken nail during a fight
Question my entire nail came off during a fight and I would like to know what type of care I can give it. I haven't went to the hospital yet and I was wondering if there is anything I can do something about it without going to the hospital?
please get back to me as soon as you can. Thank You
Answer The best you can do at home is to put some triple antibiotic cream on it. Provided it is a clean break it should heal on its own. It is something you may want to see your doctor for but an emergency room is going to be able to do a whole lot. They may give you some anti-inflammatories such as motrin. I would schedule a regular appointment with your doctor. If you are not up to date on your tetanus shot they are going to want to make sure to get you a booster also.
