EMS Patient Care Advocate
Forum Lieutenant
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Arrive to find overweight male with pink frothy sputum, EMTs on scene are trying to lie him down on a backboard. I immidiately stopped this. Patients Vitals were a systolic of less than 80, RR and everything else is also in the dumps. So CPAP is out, Nitro is out. The only two pressors available you your box at this time is eppi or dopamine. What would you do?
I assisted ventilations with BVM, started high dose dopamine, about 5 minutes later the patient codes and pressors arent a problem as you are now pushing code doses of eppi and d/c the dopamine. He coded while trying to place an ETT tube prior to transport. We arrived at ED withn 2 min of code, pt did not survive. This was my first patient EVER that died during the course of my care. Any suggestions? I stumped docs with this one. Flash PE/CHF is usually paired with hypertension. Dopamine is not great but its not a bad option to if you have nothing else. I had to defend my use of dopamine on this call.
I assisted ventilations with BVM, started high dose dopamine, about 5 minutes later the patient codes and pressors arent a problem as you are now pushing code doses of eppi and d/c the dopamine. He coded while trying to place an ETT tube prior to transport. We arrived at ED withn 2 min of code, pt did not survive. This was my first patient EVER that died during the course of my care. Any suggestions? I stumped docs with this one. Flash PE/CHF is usually paired with hypertension. Dopamine is not great but its not a bad option to if you have nothing else. I had to defend my use of dopamine on this call.