Have you been solely responsible for an ALS patient?
I don't mind anybody responding, but I think it should be clarified whether you have any experience before espousing about surgical consults and the like.
For the others, I agree that a full house load of narcs likely isn't the bset choice...
If I could answer those I wouldn't have posted here. ;)
To answer some other questions:
Bradycardia seems constant, he only retches once when you first arrive on scene. HR stays under 50 for duration of care.
BGL within normal range.
Unknown recent ETOH intake. Food intake is "breakfast...
Just looking for a round-table type discussion on this hypothetical scenario.
35 year old male, calls 911 after he been vomiting "nonstop" for the past "three or four hours." Complains of abdominal pain 10/10, has sharp grimace on his face, appears lethargic but restless. Eyes appear heavy but...
Yeah, have seen those (use a Yeti tumbler every day, worth every penny). Was hoping to find sonething a bit cheaper if possible before dropping that coin on those.
Anybody have a recommendation for a cooler that will keep food cold for a 12hr shift? I work a posted unit, cooler gets stored in a side cabinet on the outside of the truck. Truck is white but the cabinet still gets hot during the summer.
I have tried a hard sided Igloo from Walmart and a soft...
I wasn't in the back, so I don't know exactly what happened. Based on the report, I gather:
BP/Pulse ox
Bag spike and IV start (2 attempts)
Glucose
D-Fib patches applied
12 lead
Narcan draw and admin
Update:
The crew for this call elected not to intubate. The scene time was quite short, and almost all assessment other than cardiac monitoring and initiating the BVM were done enroute. By time the necessary assessment/interventions were performed, the truck was about 5 minutes from the ER...
Thanks for the discussion guys, it mirrors the conversations we've had here about it. Anybody else with different input?
I'll post an update to this thread later this evening or tomorrow.
Yeah. I posed it as ROSC since arrest protocols include advanced airways, and even though cardiac arrest is questionable, compressions were performed which makes this post-arrest in our protocols.
GCS remains 3, no purposeful movement. SPO2 falls when BVM stopped.
This is a call I am familiar with and it has brought up some discussion. Curious to hear other opinions.
Called for full arrest for 84 YOF.
Hx:
DM2, A-fib, lung cancer, chronic pain. Last seen normal last night.
Meds:
Coumadin, levothyroxine, fentanyl patch, unknown others (family doesn't...
Yep. I'm not far from you. We get an average of 4-5 emails per day with a list of open shifts and sometimes quasi guilt-trips on why we should pick up a shift. I send every email to the trash before opening it. If I'm looking for work, I know where to find the schedule and pick a shift.
Thanks for the help guys. I am not interested in an IFT only service. I am pretty lucky now that I run about 90% 911 calls and catch a transfer here and there. I don't mind a couple transfers, but I didn't become a medic to do them either.
My wife and I are considering a move out west. We have friends in SLC and Denver, so they would be the likely choices.
She is a nurse, I'm a paramedic working on my RN. I'd love a chance to work wilderness medicine, on a helicopter, search and rescue, etc.
If those aren't available, I'll...