nymedic9999
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OK so I had this call the other day I want to know what other people think of my decision not to call ALS.
EMS gets dispatched for the 12 year old female with a back and shoulder injury. A BLS rig responds to scene and finds the patient lying supine next to the rear entrance of the school. Patient states that she was playing soccer when she ran into a goal post, resulting in her falling and injuring her shoulder and her back. She then said that she was able to ambulate to a bench where she lay for 5 minutes prior to making her way to the school. On her way to the school the patient said her back began to hurt severely resulting in her being unable to walk and EMS being called. Patient was found lying supine in grass. Patient was CAOX4 and did not complain of any LOC and was able to remember the entire event. The thing is the patient did complain of dizziness directly after the event, and when we backboarded her. So I asked if she felt like she was going to pass out when she was dizzy and she stated that she did not feel like she was going to pass out. Based on her not feeling faint I deferred ALS. Was that a reasonable call? Other then that the patient was super BLS.
EMS gets dispatched for the 12 year old female with a back and shoulder injury. A BLS rig responds to scene and finds the patient lying supine next to the rear entrance of the school. Patient states that she was playing soccer when she ran into a goal post, resulting in her falling and injuring her shoulder and her back. She then said that she was able to ambulate to a bench where she lay for 5 minutes prior to making her way to the school. On her way to the school the patient said her back began to hurt severely resulting in her being unable to walk and EMS being called. Patient was found lying supine in grass. Patient was CAOX4 and did not complain of any LOC and was able to remember the entire event. The thing is the patient did complain of dizziness directly after the event, and when we backboarded her. So I asked if she felt like she was going to pass out when she was dizzy and she stated that she did not feel like she was going to pass out. Based on her not feeling faint I deferred ALS. Was that a reasonable call? Other then that the patient was super BLS.