I think he just was surprised by the fact that he was called for one thing and found an underlying, totally non related issue.
I think he should be commended, nice catch. I know I probably
Wouldn't have hooked em up to the monitor for a straight forward fall with no LOC or other contributing...
Saw this thread hadn't been visited for a while.
What about nitronox. Self administered.... Quick acting..... And quick recovery when discontinued. Great for fractures, few whiffs and then move them.
Anyone else have it?
In a patient who is calm and keeping his arm straight so the fluid could flow freely, yes.
Ok, let's focus on my Ativan versed part. I didn't fluid overload this guy, he maye got 150cc total after fighting me.
I was thinking about that also, but the amount of fluid I could get into him with a 20g wasn't gonna overload him. Thats a good point about the Ativan in hi doses. That's exactly why I threw this call out there. Good point.
Well I have several problems I have to work with. First is the elevated blood sugar. I'm not sure what the cutoff for the hluceter is to read just "hi" but I have been told 500. Secondly is the missing dialysis. If his kidneys are completely shot then even missing 1 dialysis could cause...
So Friday night I am 20 hours into a 24 hour tour. Get hit out for seizures. Arrive o/s with 3 pd officers to find a 50 yom sitting on a computer desk chair that is on wheels. Family sts that they were awakened by pt not acting right and talking disoriented. Wife says she had to "wrestle with pt...
He was wearing regular ****ies work pants, had a t-shirt, under a sweat shirt, under a thick wool/cotton coat. Also had leather work gloves. It was a pain cutting through the coat though. Trauma shears only cut so fast and when you are cutting through thick material, your hand gets tired and crampy.
Also, there was about 4ccs of a of fluid, which looks like he hooked up an extension port and pulled back on the syringe and then flushed the port. The fluid on the syringe looked like he had drawn back initially on then flushed causing blood to be mixed the the NSS.
I basically was looking...
So this morning I come in at 6am and start my checkout of my truck for the next 24 hrs. Anyway while checking out the truck there was a used Syringe sitting in the IV tray we keep on the bench seat, there was no needle attached but there was 1cc of fluid of the 10cc syringe.
Anyways I bring...
This was a chemical company in our local. I actually had no idea that they dealt with this.
He was removed from the actual scene, and 2 coworkers has carried him to an open loading dock.
Anyways my partner texted me after she followed up on him. Apparently the cold burns have extended...
Had a pretty interesting call this AM. Get hit out at 5am for an unconscious. The MDT just says 35 yom possibly exposed to liquid nitrogen.
After assuring that the scene was safe for us , we arrived to find a male lying supine who had been carried away from where the exposure took place...