There isn't really much to do.
My treatment would include O2 via non rebreather, IV access with nacl TKO and then continually monitor - intervene when necessary.
I would limit his fluids if lungs arnt clear it may indicate pulmonary oedema - if short of breath maybe some salbutamol and...
I've never had the Dr arrive before we have departed - I'm not sure if they where even attending. I have not actually started a resus as each time they have been well and truly dead - or just after some pain releif and transport. But if they did arrest in my truck - I'd have to intervene.
A renal pt is always a pucker factor of 10 - due to the numerous conditions that rid has so kindly pointed out!
My ears are always glued to the monitor's QRS complex "bleeeep" - so so so many of my renal pt transfer's have ended with me changing my destination from a A&E department to a...
Our SOP's for violent pt's are:- (please note I dont have them infront of me but from memory are)
1. Establish rapport
2. Restraints is possible (loony straps)
3. Midazolam (15mg max dose)
The policy states that chemical restraint should only me established in police presence. I'd...
If the patient is overbreathing or under breathing you'll need to assist them.
Pt presentation will let you know exactly what is required - if the pt is breathing at >30bpm but is allert and orientated then they are perfusing well and their acid/base balance is is not effecting cognitive...
I'm not sure what you guys have in the states - in Australia we are able to Nebulise (Atomise) salbutamol (albuterol I think).
I often place NS in the neb bowl during a transport for paeds - or between nebs for adults.
Hi people -
Without being on scene, but with the information provided I would have assisted the patient with ventilations.
The patient is breathing at 60/min - shallow - which spells out acidosis to me!