addictedforever
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Here's a scenario that got conflicting views from the four paramedics who responded. Some tho't an allergic reaction, others tho't just an anxiety attack. I'm curious what your take would be on this one. (I have the right to post this info as I was the pt.)
S-19 y/o f. CC: difficulty breathing. Pt. was cleaning at her work w/ Clorox wipes at 1030 when she had minor SOB then approx 1230 the breathing became a lot worse to what she has never experienced before. Pt states she can't take a deep breath. Pt denies cardiac cx/pn (side note I tried to tell them that my chest did hurt, but I could barely breathe, let alone talk), swelling of throat or tongue. Pt also c/o dizziness, tingling of face, arms, and legs (my hands, feet, and face were spasming at this point). PMHX: none
O-Arrive on scene to find pt. sitting in chair with severe difficulty breathing. Airway) open, clear. Breathing) Labored, rapid. Circ) Good. EKG) Sinus Tach. CBG) 155. Lungs) clear x 4. Skin) Pink, warm, dry. No rash, hives noted on hands or arms or face.
VS at time of arrival: T-97.5 F, P-150, R-44, B/P-118/30, SaO2-100/RA, ETCO2-11
VS in 15 min: B/P-153/77, P-125, R-45, SaO2-100/2L via NC, ETCO2-12
VS at ER: B/P-130/76, P-106, R-37, SaO2-100/2L via NC, ETCO2-12
S-19 y/o f. CC: difficulty breathing. Pt. was cleaning at her work w/ Clorox wipes at 1030 when she had minor SOB then approx 1230 the breathing became a lot worse to what she has never experienced before. Pt states she can't take a deep breath. Pt denies cardiac cx/pn (side note I tried to tell them that my chest did hurt, but I could barely breathe, let alone talk), swelling of throat or tongue. Pt also c/o dizziness, tingling of face, arms, and legs (my hands, feet, and face were spasming at this point). PMHX: none
O-Arrive on scene to find pt. sitting in chair with severe difficulty breathing. Airway) open, clear. Breathing) Labored, rapid. Circ) Good. EKG) Sinus Tach. CBG) 155. Lungs) clear x 4. Skin) Pink, warm, dry. No rash, hives noted on hands or arms or face.
VS at time of arrival: T-97.5 F, P-150, R-44, B/P-118/30, SaO2-100/RA, ETCO2-11
VS in 15 min: B/P-153/77, P-125, R-45, SaO2-100/2L via NC, ETCO2-12
VS at ER: B/P-130/76, P-106, R-37, SaO2-100/2L via NC, ETCO2-12