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Sorry guys! misleading title. will do better next time.

I know it was just to express that at BLS there really is only so much you can do with the diagnostic tools you are given. This was less for the CME value but more for the emotional value for all first responders out there who have a sick patient that they can't really do much for to know they...

Why that reaction?

The outcome of this scenario is the patient dies from cardiac arrest( the one where the heart just gives out). May she RIP. ALS would have been super useful to maintain an airway and get a better look at the heart but when there's none available you just got the crap end of the stick.

If I remember correctly I dont see any edema or CHF on the chart. Can't recall alot of the seemingly minor stuff on the chart right now.

BP PTA is 114/42 P 112 O2 77% BP U/A is unobtainable via NIBP and via auscultation P 118 O2 77% Pulse attained at the carotid. No temp (non protocol) BVM had adequate chest rise with little resistance. Pulse regular and weak. Last time seen normal was the previous shift so could be any...

Oh yeah I chose the BVM route due to her respirations not conducive with life being that she was working with one lung and is gasping for air. And she still started to change ting from the pale we saw to a slight blue back to pale.

No one thinks it's cardiac? Just trying to promote some discussion ;). Pt. is 93 year old as well.

I like this. NYS protocols by the way if that changes any answers. Also, during transport since most of you are just packaging there's a color change to pale to a bluish.

Umm HTN but that's about it. And if zebra you mean a lot of symptoms but no idea what the primary is yup that's about right. Pt. usually is verbal with full sentences. Outcome given tomorrow at 2000? Sounds good?

This scenario is based on real life events and no details are used to pinpoint the patient or NH etc. Code 1 call to a NH for AMS. Toughbook down and dispatch busy you head to the floor and you know the room number. You walk past the room on the way to the nurses station and something doesn't...