It sounds as if you are assuming pain medicine includes only giving narcotics? Ice is a form of pain relief. Where did I describe cook book medicine? I think if someone is in pain then treating that pain is our job similar to how treating a pt with symptomatic hypotension is, would you consider...
Why the oxygen? It doesn't appear hypoxia is the cause for it and it can cause more damage...
Why an 18g? I think Fentanyl would also be a better choice. More hemodynamically stable, might calm him down a little and bring down his pressure.
Treatment?
ASA, 12 lead q5 minutes (or whenever he...
We went over it pretty extensively in TCCC and ITLS, but it may be instructor dependent. Its been utilized in the military for years, its silly to not adapt it if it works.
Good subject! It has a wide usage in EMS, from urban to rural. Many agencies say they do CCT or call themselves mobile critical care units but the fact is without imaging we are going on a lot of guess work. Its easy to use (especially for specific tests with specific goals), mobile and getting...
RSI has been mentioned quite a bit but this patient MAY be able to be intubated without it. Keep suction close, set up for first pass success and have the post intubation sedation of your choice ready to go.
Whats the general flow of your ALS work up? I know about 25% of people will respond with "it depends" however humans are pattern based individuals so what are your patterns?
12 leads on scene or in truck?
IVs on scene or in truck?
Where do you start your initial medications? (neb treatments...
Acutely ill patients should be managed where they are found unless safety or space limits that. Before everyone jumps up and down there are some limitations or time sensitive conditions that require more coordination for a shorter on scene time (major trauma, stroke and STEMI).
We really need to answer some other question before we can make a determination:
1) Do we like our partner?
2) Is his life insurance paid up?
3) How hot is his wife?