If someone is altered, sure, I can see it. If your pt. is not altered, tachy or diaphoretic I just can't see the point. Not to mention that regardless of what I tell the ED staff they are going to check BGL before they treat anyhow. Hey coloradoEMT, my last encounter occured at MCA and I thought...
Of late I have been subjected to a trend of RN's and doctors asking me if I did a blood sugar on every effing pt I bring through the door, regardless of the nature of the illness/injury. Is this ridiculous practice limited to my corner of the world or is it happening everywhere?
Speaking from personal experience I think the rumor that ETOH lowers blood sugar may be just that,a rumor. Unless all the bruises, lacerations and shame can be blamed on hypoglycemia.
w/ the beta blocker on board she is not going to present as your run of the mill hypoglycemic. She will likely not be diaphoretic or tachycardic and if her MS drops due to low BS it will probably happen rather fast. I am not big on BGL's on non-tachy/altered, dry pt's but I think this is a case...
When did we start treating pts based on "it's not gonna hurt 'em" NTG is not something used to R/O cardiac, it is used to treat cardiac c/p and on very rare occasions, hypertension. I would love to hear what this guy's problem was but as far as I can tell he'll get a line, some o2, and...
DFDEMS, I think you got it cracked for the most part. Not all scenes are unstable but you are right, I am going home and will do what I have to to insure that.
Captainpanic....hmmm. Have you ever worked the street? Going by your age, if you have, I think maybe not enough to be a Monday...
What about the fact that the D-50 enters the the venous circulation, is it not significantly diluted, not to mention metabolized a bit by the time it finally reaches the the point of injury? Also, if you pt. is unc. unresp. due to a bleed the least of their worries might be your D-50. Before we...