Ichthyosis Ichthyosis Ichthyosis is a family of rare genetic skin disorders characterized by dry, thickened, scaly skin. There are more than 20 types of ichthyosis which range in severity of symptoms, outward appearance, underlying genetic cause and mode of inheritance (e.g., whether the abnormal gene inherited is dominant, recessive, autosomal or X-linked). Ichthyosis comes from the Greek ἰχθύς, ichthys, literally "fish", since dry, scaly skin is the defining feature of all forms of ichthyosis. The severity of symptoms can vary enormously, from the mildest, most common, types such as ichthyosis vulgaris, which may be mistaken for normal dry skin, up to
Emergency medical services in the Netherlands The exceptional level of training permits what is, for the most part, independent practice, conducted according to a set of National Emergency Care Protocols, issued by the Dutch Ambulance Institute, and reviewed and revised every four years. Medical oversight for protocol compliance is conducted by each service's Medical Manager, who is a licensed physician. On those occasions when the patient's condition actually exceeds the paramedic protocols, the paramedic has the option of either calling their own Medical Manager for additional instructions, or requesting the response of a mobile medical team. All ambulances are staffed by a crew of two. These