Recent content by chickj0434

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    Didn't call a stroke alert. Ended up being a stroke

    Def would of gone with the stroke alert with it being that
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    Didn't call a stroke alert. Ended up being a stroke

    So we were dispatched for a weak woman on side of street. Got there. She was 79 and altered. Didn't know her address couldn't really answer any questions. Obtained vitals and bgl. Couldn't obtain BP because everytime cuff would inflate she would move arm and start crying. Tried to obtain it 3...
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    Crew obtained refusal but no vitals?

    So crew got dispatched to a 32 year old male with fever. Crew gets there. Pts girlfriend called 911, the boyfriend didn't want her to call. Pt stated he feels like he has a fever and chest pain. No cardiac hx. Pt has not taken his temp nor any Tylenol, etc. Says he can't sleep cause his chest...
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    Should we have done something different for this trauma call?

    So went to an mva. Pt was in her 40s unresponsive with agonal breathing. When we go on scene she was already pulled out of vehicle on ground. Engine crew was bagging pt when we got there. Transferred her to backboard while maintaining c spine and put her in back of ambulance. Immediately...
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    Should we of Initiated cpr earlier

    Yea but he wasn't really responding to sternly rub. I believe he only slightly moved his head up two times and that was one of them. He didn't really have any real. Noticeable chest rise and fall.
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    Should we of Initiated cpr earlier

    Yea went back at the hospital and he did pass. Charge nurse said they were asking around who narcaned him and why. I said we did. Was that the wrong move. Could that have any negative impact at all. From my point of view we had a male altered not making sense. Weak pulse with atonal breaths...
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    Should we of Initiated cpr earlier

    Very Very faint pulse weak pulse. But yea your right thank you. I know it's not like infant cpr
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    Should we of Initiated cpr earlier

    So call came for a fall with altered mental status. Get on scene late 60 male laying on grass smelling of booze. Construction workers found him and said he was talking talking them but not making any sense.. Check pulse. Very faint pulse not sure about respirations. Seemed like agonal breathing...
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    Should I have had als on this call

    68 F at Dana Farber. Just finished chemo treatment. Been having a bad cough for few weeks spitting up yellow phlegm. Could definately hear it in her lungs. Bp 160/100 hr 80 sat 97 on 2 lpm. Was transporting and als was behind us so cancelled them. Hospital is less than 10 min away. Should I have...
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    What blood pressure would this pt present with?

    Vague question but given the hx what would you normally see? Stable? Hypo? Hyper? 72 M Leukemia Renal failure Anemic Needs blood transfusion No pt complaints looks well
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    Call review

    Thanks! Yea really no pt hx and no indication of exactly what happened. Passerby heard pt screaming outside and called 911. Gcs of 7. Only respnsive to painful stimuli.
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    Call review

    Look it up
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    Call review

    Got dispatched to an unknown medical. Get there 57 F laying on stairs face down in vomit. Unwitnessed pt lives alone. No medications found in house only hx qe know is diabetic. Assess pt and transfer pt outside. Pt continues to vomit. Crew applies suction to suction airway. Pt has noticeable...
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    Do you grab vitals on pts that dont want to be transported.

    Thanks for all the responses. Are ambulances run around 10,000 calls a year. Not sure exactly what our protocol is i am going to look into it.
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    Do you grab vitals on pts that dont want to be transported.

    Example. Had 21 year old male who almost passed out at gym while doiing hiit workout. Friends say he got dizzy and couldnt catch his breath and pt states he felt like he was almost going to pass out. Get on scene pt is outside standing looks perfectly fine no current complaints. Says he had...
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