jjesusfreak01
Forum Deputy Chief
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I ran into a situation today where a girl had collapsed in a snack line at an athletic event. I had expected that they would have sent over an athletic trainer to take care of her, but when I stopped by the only person giving care was an athletic training student I know and who had witnessed the fall. I stopped to help until EMS arrived to do a full checkup on her, but I am wondering what the best treatment is here before they arrive.
The trainer had placed ice behind her neck when I arrived (she did collapse right in front of the snack stand), and a moist towel on the forehead. Her hands seemed a little clammy, but skin turgor and cap refill were both fine, and she claimed normal feeling in her extremities, and did not feel hot to touch. She briefly lost consciousness when she fell for a few seconds, and the trainer reported that she hit her head hard on the concrete surface. I checked and did not feel any hematomas on the back of the head. When medics arrived, they did a 3 position orthostatic BP test, and she was great in all positions. They found no step offs on the back or neck, and presumably nothing in the neuro test, because they observed her and then let her leave with another individual.
I asked the last time she had had anything to drink and she replied, "this morning", fall was around 1pm, so I had suspected dehydration due to the heat, but i'm not sure if any of the other signs pointed to dehydration. I'm not even sure if the medics had her drink anything before they let her go.
Any thoughts on this situation? I am new to EMS, so i'm really looking for what you would check if you had no equipment and what you would do in caring for this patient.
Thanks!
The trainer had placed ice behind her neck when I arrived (she did collapse right in front of the snack stand), and a moist towel on the forehead. Her hands seemed a little clammy, but skin turgor and cap refill were both fine, and she claimed normal feeling in her extremities, and did not feel hot to touch. She briefly lost consciousness when she fell for a few seconds, and the trainer reported that she hit her head hard on the concrete surface. I checked and did not feel any hematomas on the back of the head. When medics arrived, they did a 3 position orthostatic BP test, and she was great in all positions. They found no step offs on the back or neck, and presumably nothing in the neuro test, because they observed her and then let her leave with another individual.
I asked the last time she had had anything to drink and she replied, "this morning", fall was around 1pm, so I had suspected dehydration due to the heat, but i'm not sure if any of the other signs pointed to dehydration. I'm not even sure if the medics had her drink anything before they let her go.
Any thoughts on this situation? I am new to EMS, so i'm really looking for what you would check if you had no equipment and what you would do in caring for this patient.
Thanks!