Welcome to the education page for the Austin/Travis County EMS System Office of the Medical Director (ATCOMD). This page serves as a portal to continuing education and other System materials for the Austin/Travis County EMS System. Although anyone is welcome to view the materials posted here log-in is restricted to Austin/Travis County EMS System Providers. System providers, please click on the “log in” link above to access the Moodle site. by chrisp on Oct.23, 2014, under News and Info If you’re looking for the Pit Crew Model Info please click on “Video and Programs” up and to the right. You’ll find our guideline in PDF format, a video of some of our excellent providers demonstrating our Pit Crew Model as well as a presentation from Paul Hinchey explaining how this all came about. The chemist i get it from that does not require any prescription. i feel comfortable to share the link now that i have received my items have tested the products are authentic. postage is USD10 each They are a sister company of All Day Chemist. mw_aref=12270e70736270f9d11d1de3ec541f87 They post to anywhere in the world.i bought Adapalene gel, which is a milder form of vitamin A compared to Tretinoin. Retin-A Micro is simply better than Retin-A the sustained Microsponge systems technology enables the retinoid to be active in your skin for a longer time. The Microsponge system prevents the accumulation of excessive medication within the surface layers of the skin. mw_aref=12270e70736270f9d11d1de3ec541f87 "We deliver in US, Australia and some part of Europe (Esp. I don't think a derm would be of any use, because as I said there is not really a genuine tretinoin product avalaible in my country. I have tried everything i bought so far (except the silver nitrate which is for emergencies like cuts/burns) and they are all authentic and there is no issues using it so far. Hope the shelf life is that long as well, because I will buy 6 at once. I think the Gel is better than the cream as the creme may contain mineral oil. Each Microsponge is less than one-thousandth of an inch of diameter, holding a small amount of tretinoin in reserve and introducing only small amounts of tretinoin to the skin over time. I will order the cremes starting from 0,025% up to 0,1% and work my way up. This is what i got As with all internet based companies, it is not uncommon for them to have several other websites. Also hope there is no custom issue shipping to Europe. 6 tubes may work out alright because each tube may only last you 2weeks-1 month if applied daily. The Microsponge is the reason why Retin-A Micro has higher efficacy and lower irritation rates than Retin-A. I don't know exactly what the 99.9% of the product contains. I am guessing generics use mineral oil which are cheap. Remember more is not better so don't just get the strongest strength. Note that ADC & reliablerxpharmacy carry mainly generics. I'm currently using Retinol 1% which I tolerate very well, so I hope that it will be similar with tretinoin. I don't think a derm would be of any use, because as I said there is not really a genuine tretinoin product avalaible in my country. You will see a few similarities with the 2 websites too. ADC doesn't ship to the EU because of that, wonder why RLP does? It's probably good to start at a lower concentration of Tretinoin if you have not tried before and work your way up from 0.025 0.05 to 0.1% (strongest) If you are getting the strongest, try Supatret or A Ret Gel. Your skin never gets more vitamin A than it can handle at one time. If you are not sure which variant of retinol to get and you have not tried the products before, I suggest you get 1 instead of 6. If your skin were to react adversely, it will be counterproductive. The Differin I used is the original Galderma made in France, not generic. I will order the cremes starting from 0,025% up to 0,1% and work my way up. I only found out when i was talking to customer service online and the guy gave me ADC link instead of the reliablerxpharmacy link. Retin-A Micro is superior for those with oily and sensitive skin types, due to there being more shine reduction and less irritation potential than with traditional Retin-A. I always thought that the creme is better, because the gel druies out the skin more? Anyone tried the generics Retin-A sold by ADC & can comment of their products? I'm currently using Retinol 1% which I tolerate very well, so I hope that it will be similar with tretinoin. 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