unleashedfury
Forum Asst. Chief
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Since were getting activity here I'll chime in.
Dispatched to a residence for a 62 yr old female with Diabetic problems.
Arrived on location to meet her husband in the driveway he states she "hasn't been acting right for 2 days now" This morning she tried to drink the cat milk. and has been talking all kinds of slurred, and cannot be well understood. Has not been compliant with her medications
Greet Patient she presents Conscious and alert, but cannot answer simple questions appropriately, Initially refuses any treatment and transport offered. but succumbs with the assistance of her husband. Hubby says that she has been going "downhill" she recently lost her mother and has been in a depressive state.
PMH - IDDM, HTN, Hyperlipidemia, Depression
Medications - Humalog, Simvistatin, Metoprolol, Zoloft, Supplemental vitamins OTC
Allergies - PCN
You assess your patient find
cannot answer simple questions appropriately, is a little bit abrasive to your assessment interventions.
BP - 160/94
PR - 102
Resp - 16 non labored, lungs CTA
ECG - NSR, rate about 100
Pupils - 4mm,Reactive
BGL - 234mg/dl
Skin - Warm, pale in color, dry
as you are placing your ECG patches, you find some bruising with healing present amongst the torso region and husband states she had took a fall while they were visiting family in another state. Pt. did not get evaluated just shook it off.
Patient moves to litter with assistance by EMS crew and as your removing her from the residence she starts with a decorticate posturing and begins to have a grand mal seizure.
Your the medic with a BLS crew transport truck. Closest ED is about 15 minutes away. Closest interventional center is 45 minutes away by ground Aeromedical is available 10ETA once off the ground.
(I was super shocked to find out the final diagnosis)
Dispatched to a residence for a 62 yr old female with Diabetic problems.
Arrived on location to meet her husband in the driveway he states she "hasn't been acting right for 2 days now" This morning she tried to drink the cat milk. and has been talking all kinds of slurred, and cannot be well understood. Has not been compliant with her medications
Greet Patient she presents Conscious and alert, but cannot answer simple questions appropriately, Initially refuses any treatment and transport offered. but succumbs with the assistance of her husband. Hubby says that she has been going "downhill" she recently lost her mother and has been in a depressive state.
PMH - IDDM, HTN, Hyperlipidemia, Depression
Medications - Humalog, Simvistatin, Metoprolol, Zoloft, Supplemental vitamins OTC
Allergies - PCN
You assess your patient find
cannot answer simple questions appropriately, is a little bit abrasive to your assessment interventions.
BP - 160/94
PR - 102
Resp - 16 non labored, lungs CTA
ECG - NSR, rate about 100
Pupils - 4mm,Reactive
BGL - 234mg/dl
Skin - Warm, pale in color, dry
as you are placing your ECG patches, you find some bruising with healing present amongst the torso region and husband states she had took a fall while they were visiting family in another state. Pt. did not get evaluated just shook it off.
Patient moves to litter with assistance by EMS crew and as your removing her from the residence she starts with a decorticate posturing and begins to have a grand mal seizure.
Your the medic with a BLS crew transport truck. Closest ED is about 15 minutes away. Closest interventional center is 45 minutes away by ground Aeromedical is available 10ETA once off the ground.
(I was super shocked to find out the final diagnosis)