RedAirplane
Forum Asst. Chief
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I put "EtOH" in quotes because it's a diagnosis of last resort, I know. Be suspicious of hypo/hyperthermia, stroke, hypo/hyperglycemia, and the whole kitchen sink.
We were dealing with a special event this past weekend and "patients" tend to straddle that line between competent to refuse and just go home and rest, and altered enough to require a full EMS workup and transport. (For this example there's no third option).
Some people say that any EtOH onboard removes decision making capability. That doesn't make any sense because then EMS would just transport the entire local pub to the hospital.
Some people say to use the A&Ox4 questions. But what if the patient can answer these questions while sitting, but is visibly "out of it" and can't stand/walk without assistance? (And doesn't want to go with you, but you can't very well leave him on the chair/ground alone...)
It's a good option to leave someone with a responsible parent/friend/sister. But what if their family member or friend is equally altered and planning to drive both of them home? What are your duties ethically, legally, etc?
If it's an open secret that other pharmaceuticals are involved at the event, how might that change your decision making process? How long do you have to be with a patient to know that they aren't going to crash?
We were dealing with a special event this past weekend and "patients" tend to straddle that line between competent to refuse and just go home and rest, and altered enough to require a full EMS workup and transport. (For this example there's no third option).
Some people say that any EtOH onboard removes decision making capability. That doesn't make any sense because then EMS would just transport the entire local pub to the hospital.
Some people say to use the A&Ox4 questions. But what if the patient can answer these questions while sitting, but is visibly "out of it" and can't stand/walk without assistance? (And doesn't want to go with you, but you can't very well leave him on the chair/ground alone...)
It's a good option to leave someone with a responsible parent/friend/sister. But what if their family member or friend is equally altered and planning to drive both of them home? What are your duties ethically, legally, etc?
If it's an open secret that other pharmaceuticals are involved at the event, how might that change your decision making process? How long do you have to be with a patient to know that they aren't going to crash?