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As a San Francisco native, I have worked in
and around that city nearly all my life. For several generations
my family have been medical men and
women. My interest grew from first aid training in the Boy Scouts, through Red Cross
training, ambulance work, the early development days of Emergency Medical Technicians and
Paramedics, and through nursing. I am a Registered Nurse and Certified Emergency Nurse who finds personal and
professional satisfaction and challenges in providing emergency care .
I live in San Rafael, the county
seat of Marin County which is north of The Golden Gate  and San
Francisco. 
My wife, Gail, has for years been a grower and
exhibitor of roses, becoming a Consulting Rosarian to share that ability
with others, then an Accredited Rose Judge for official shows of the
American Rose Society. She has now been
honored with selection as an American Rose Society "Master Rosarian"; one of
the few to be first chosen for this new distinction. She also serves as the Webmaster of the Marin County Rose
Society, a chapter of The American Rose Society,
and is Webmaster for the Northern
California Nevada Hawaii District of the American Rose Society.
Marinrose.org
was the fourth such page in the country to be established and has an excellent reputation.
It features suggestions on choosing roses that do well in the area, timely advice for the
current month on rose care, poems related to gardening and nature, the programs and
benefits of the society, and some great links to other rose resources upon the Internet.
Our son,
Scott, was graduated from University of California,
Berkeley, in Anthropology. His excellent web pages
feature a great deal of history. He is an accomplished genealogist who has
published a book of family history far beyond what was previously known. His
passion for film location is shown by his vast website of
Film In America,
and his career as a
Location Scout
for Hollywood feature films such as
Mission Impossible III,
Star Trek, television shows, and commercials.
Our son,
Daniel, is a Consultant in Software
Marketing. He is also an officer of the
United States Coast Guard Reserve. He was
graduated from
Golden Gate University.
Job title: I am an Emergency Nurse. My opinions as a professional may
not represent or be endorsed by any employer or be in any way "official."
Key responsibilities: I carry out the entire range of duties of a a
staff nurse in a hospital emergency department. I provide direct care for patients,
support for their families, active co-management with physicians of the care provided,
patient advocacy, and ensure care is provided in a safe environment in consonance with all
applicable laws, regulations, policies, and procedures. I act as Charge Nurse, and support
orientation and in-service training within the department.
- Emergency Nursing World ! Web Page
- My most time-consuming and demanding project is the
continuing development of a website that supports Emergency Nurses in their practice
throughout the world in all their varied settings. It went online July 4th, 1996 (the
220th Independence Day).
-
- Em-Nsg-L: "The Emergency
Nursing List" e-mail group (List Administrator)
-
- {To subscribe, click on the link to activate your browser's mailing feature,
, and send the message
"subscribe Em-Nsg-L [your real name]" without, of
course, the quotes or brackets}
-
- This Internet mailing list supports worldwide
communication among emergency nurses through the convenience of e-mail. It has become "The
Internet Voice of Emergency Nursing" and currently averages
over nine hundred members from 16-18 countries.
California Emergency Nurses Association
I was very pleased to serve
for ten years (1997-2007) in a pioneering role as Webmaster for Cal ENA and to support it by hosting and administering the site. It
was very satisfying to
have contributed to the organization and success of our specialty so directly. Much of Cal ENA's
communication has been streamlined this way, It has been honored with awards by both Cal
ENA and national ENA.
- Emergency Nursing
-
- I enjoy and feel "called" to the broad
spectrum of nursing patients with emergencies as it spans ALL specialties, is time and
"critical-ity" focused, deals with "raw" and un-diagnosed patients
not yet "instutionalized" in their behavioral responses, and seeks to educate
and support patients and their families in maximizing their own abilities to cope with
sudden changes.
- Airway Management of the Emergency Patient and
Management of the "Difficult Airway"
- Airway Management is my favorite area of expertise
in both "nuts & bolts" and "Art & Science" aspects.
When a patient is critical, I am most
often at the patient's airway until support arrives and to assist or guide
thereafter. This stems from long experience as a paramedic, training, and teaching BLS/ACLS.
- Respiratory Disease
-
- Respiratory Disease, naturally, therefore comprises an
area of special professional interest for me. This is especially so in that it is a field
in which patient education can vastly improve the management of the disease, as in Asthma,
for example.
- Analgesia & Sedation
Analgesia & Sedation, {conscious, dissociative, deep,
and hypnosis-assisted} are a frequent need and therefore a field of concentrated interest
for me. This affords me the opportunity to lessen patient suffering, facilitate care, and
minimize an obvious area of risk. Safe provision of these services may render
hospitalization unnecessary for some patients thus financially helping both patients and
the hospital.
- Hypnosis
-
Hypnosis is one name for ways of communication of
ideas and feelings and enhancing learning that bedside practitioners have used since
ancient times by many names and forms such as "rapport", to "Guided Imagery
or "Biofeedback." I find that it is a sensitive and powerful way of enhancing
therapeutic effect, minimizing anxiety, strengthening of self-coping, and improving
patient learning, or of forgetting unpleasant aspects of care. Training can sharpen these
skills, and allow them to be used in naturalistic ways, without fear or even formal trance
induction. One simply uses and builds upon the patient's own natural stress responses, and
guides them in beneficial ways.
- Patient Education
-
Patient Education is a large part of what I do and is
interwoven in most of these areas of interest. This correlates with my background in
teaching First Aid, BLS/ACLS, and my degree in Health Science - Community Health
Education.
- Professional Training
-
I like to share and teach. Teamwork is an essential in delivering
good emergency care. The instantaneous and dynamic demands of emergency care put a premium
on inter-capabilities of the entire team. As we all support each other's efforts for the
sake of the patient, so too do we all learn from each other: ---"a
whole greater than the sum of its parts."
In my
institution's
Emergency Department Training Program, I am responsible for didactic
instruction in Respiratory Problems & Airway Management, and for
Neurological Emergencies,
including acute stroke.
- Medical & Nursing Informatics
Medical & Nursing Informatics is a burgeoning field with
great potential to help us use computers to help patients. While I am not a programmer,
per se, I believe the developments in this area will have great impact on what we do, how
we do it , how we store it, and how we manage it.
Hobbies, etc.
Wow, where does one start? Reading (especially history, biography, travel), Music (I love listening to everything from
Opera, bagpipes
and the Scottish Games of the Caledonian Club of San Francisco, Country & Western,
Broadway, and much more---can't play or sing a thing!), Internet, Travel, Scouting.
-
EMERGENCY
NURSING
WORLD !
- Articles, and resources,
- Nursing Links,
- Medical [and other] Links {by specialty},
- Pre-hospital Care & EMS Links,
- useful to the practice of Emergency Nursing..
-
- Marin
Rose Society
I'm really quite proud of my wife and her
accomplishment in building this prize-winning website. (It was only the second webpage by a
local rose society on the Internet ---preceded only by Santa Clara County Rose Society.) She succeeded sooner and in far less time than I took in laboring on "ENW." She is an
outstanding exhibitor, Consulting Rosarian, and Rose Show Judge.
She also edits the website of the
Northern California, Nevada,
Hawaii District of the American
Rose Society.-
- Back to Top
Tom
Trimble, RN
Editor and
Publisher
EMERGENCY NURSING WORLD
! 
 [email protected]
Back to Top
Please tell me what you think about this website and
how I might improve it.
Tom Trimble's Tale (Personal Page) [http://ENW.org/PersonalPage.htm] is part of:
Emergency Nursing World ! [http://ENW.org]
©Tom Trimble, RN [[email protected]]
Last revised:
November 27, 2010
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