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I used to work for a Boy Scout camp at which i still volunteer at. I was, at one point, in charge of the medical office. One of the biggest frustrations I had was not having access to a vehicle in an emergency. The camp is 2000 +/- acres. The camp itself has two John Deere gators with a truck-style bed, not suitable for medical treatment. So basically what I am looking for is some type of grant to help purchase a John Deere/Polaris/Honda, etc. UTV with a medical/rescue skid unit to transport patients. The camp is non-profit. Any and all suggestions are greatly appreciated!

FIRST ANNUAL MINI SOMA CONFERENCE TUESDAY 18 SEPTEMBER 2012 0800-1600. FT. BRAGG CLUB (LAFAYETTTE ROOM) FT. BRAGG NC To better serve our SOF medical community located at Ft. Bragg and environs, the SOMA BOD has decided to hold our first annual "mini" SOMA program at Ft. Bragg. The program is open to all SOMA members and non members who have an interest in SOF medicine. FREE PROGRAM—OPEN TO ALL The program is free (estimated cost of program is $21 per attendee) but seating is limited so preregistration is strongly suggested. If you pre-register on our site, please show up by 0745, on 18 SEPTEMBER to be first seated. After 0745, any open seats will given to walk in attendees. FREE LUNCH Refreshments will be provided during our morning break and we will have a free buffet lunch provided to all attendees from 1200-1300. FREE CMEs All attendees will have option to obtain CME/CEUs for attending the full day program. SOMA is in process of applying for 6.5 hours of credit. FIRST ANNUAL MINI SOMA PROGRAM 18 SEPTEMBER 2012 0800-0815; WELCOME COL Robert Harrington SOMA President 0815-0830; KEYNOTE WELCOME MG Paul LaCamera 0830-0840; WELCOME COL Peter Benson, USASOC Surgeon 0840-0910; TC3 Committee Update. Rick Strayer TCCC Committee Member. 0910-0930; Head Trauma MSG Jered Eldred 0930-0950; Ultrasound Review CPT Bill Vasios 0950-1010; SOF CA Medical Update, MSG Dennis Lyons 1010-1030; BREAK 1030-1050; SOF Med Equipment Update, MSG Kyle Sims 1050-1130; SOCMSSC Update, Win Kerr 1130-1200: SOF Medicine in Perspective, COL. Warner Anderson 1200-1300; FREE BUFFET FOR ALL ATTENDEES 1300-1320; Medical Lessons Learned, 18D, TBA 1320-1350; USASOC Mental Health Issues; Maj. Kim 1350-1420; Military Working Dog Vignettes, Maj. Baker 1420-1440; MARSOC Medical Update, TBA 1440-1500: SOF Dentistry, COL Harrington 1500-1600: USSOCOM CASEVAC Program, Mr. Luciano. With hands on demonstration of equipment 1600. Program Finish TO REGISTER: Go to www.specialoperationsmedicine.org, create an account, and register. YOU DO NOT NEED TO BE A SOMA MEMBER TO ATTEND.

Hey all, here's something I'd like to think about. What would be some good universal hand signals for working at an MCI? In a perfect world, of course, everyone would have the best radios that work all the time and all agencies involved would work together in a seamless fashioned. Unfortunately, that's rarely the case. I think that EMS should add the use of hand signals for line of sight communication in case of transmission problems with radios. For instance, let's say you were doing triage, and wanted to relay your count back to the incident commander. You could point to your eyes for "I see" then make a signal for "patients", then hold your fingers up for how many, and at a hand signal for the appropriate color, red, yellow, green, or black. I think a big one would be a universally recognizable signal for "evacuate", something equivalent to what three blasts of a fire truck's air horns mean. Something that when you see it, you relay it quickly and then GTFO. What other signals could be useful?

Hello all here is weekly case #2. Hint - this weeks case will require some appropriate questions and investigation. On a separate note, there is not a possibility to obtain CEUs for case reviews without gaining approval number from every state. Case Presentation: 16 y/o female and her classmate leave school and drive to her house. During drive home, the patient states that she is starting to feel nauseous. Once arriving home the patient tells her friend that she has to use the bathroom for increased nausea and to see if her mom has any medication for nausea. Approximately 10 minutes she emerges from the bathroom stating she vomited once and had found some medication that she thinks is for nausea. About 25 minutes while doing homework the patients friend notices that the she does not seem to be acting correct, she appears as though her head is turned left and slightly upward, eyes midline to left deviation, her tongue appears to be continously darting in and out of her mouth and licking the top lip. She gets scared and calls 911....you arrive to find the below patient. Initial presentation: Awake sitting on sofa, slightly drooling from mouth. Head slightly flexed to left with an upward tilt. Neck muscles seem to be slightly protruded. PEARL, midline to left upward deviation. Upper extremities slightly flexed medial. When asked what her complaint is, the patient with some extertion states, (slightly slurred) that she cannot turn her head. Initial Vitals: HR 122, BP 104/78 RR 22 SpO2 100% PMH: None Allg: Unknown Disucssion points: What information do you feel you need, what differential diagnosis do you suspect , treatment thoughts, transport thoughts