minicrocop
Forum Ride Along
- 5
- 0
- 1
So ran a call this am for an unconscious person that ended up being DOA, in their 20's, last seen one hour prior to being found. Pretty much a straight forward overdose of an opiate, syringe still in the arm. As it was clear the pt. was a priority 4 and other Law Enforcement issues, step back, ME, etc. Pt. was discovered by a grandparent.
Fast forward a few hours and get called back, Grandparent is now unconscious, in the same location the.deceased had been. Pretty much a carbon copy but alive. I do not know the status of the Law Enforcement investigation and what searches were done of the house. This is a rural town and State Police is the lead Agency.
Going to assume both used the same batch of Heroin.
So pt. presents as an unresponsive female with a RR of 6. I should add that while I am an ALS Level Provider my role here was in a QRS capacity with no ALS equipment / meds. Three findings I did not expect with this pt. Her HR was Tachy 120-140, felt regular but no way to know at that time. Was not a-fib. Pt.'s pressure was 120's / 70's and Spo2 with BVM around 98%. She had a significant amount of bilateral JVD. Lung sounds were present and equal in all fields. I have never heard in person, muffled heart tones but everything sounded normal but again fast rate.
Otherwise no other significant findings. ALS on scene, 2mg of Narcan IN, some improvement, gave another 2mg IV ( dead zone radio and cell so no MC ) Looked like Sinus Tach but I stayed out of the Paramedics way, their show, you know.
No toxicology info and doubt I will ever be told.
So looking for thoughts about the HR, JVD, and B/P. Maybe I do not see enough opiate overdoses but can't recall two from the same location, hours apart, or any presentation with the HR and JVD and B/P as above.
Thoughts.
Fast forward a few hours and get called back, Grandparent is now unconscious, in the same location the.deceased had been. Pretty much a carbon copy but alive. I do not know the status of the Law Enforcement investigation and what searches were done of the house. This is a rural town and State Police is the lead Agency.
Going to assume both used the same batch of Heroin.
So pt. presents as an unresponsive female with a RR of 6. I should add that while I am an ALS Level Provider my role here was in a QRS capacity with no ALS equipment / meds. Three findings I did not expect with this pt. Her HR was Tachy 120-140, felt regular but no way to know at that time. Was not a-fib. Pt.'s pressure was 120's / 70's and Spo2 with BVM around 98%. She had a significant amount of bilateral JVD. Lung sounds were present and equal in all fields. I have never heard in person, muffled heart tones but everything sounded normal but again fast rate.
Otherwise no other significant findings. ALS on scene, 2mg of Narcan IN, some improvement, gave another 2mg IV ( dead zone radio and cell so no MC ) Looked like Sinus Tach but I stayed out of the Paramedics way, their show, you know.
No toxicology info and doubt I will ever be told.
So looking for thoughts about the HR, JVD, and B/P. Maybe I do not see enough opiate overdoses but can't recall two from the same location, hours apart, or any presentation with the HR and JVD and B/P as above.
Thoughts.
