Hi All,
Before beginning I will say that we are in this situation extremely limited with that diagnostic and clinical tools we have available.
Wishing to share my first "big" job that I did on New Years Day. I was working at a large music festival in my home state (Australians may be familar with it) in an overnight shift when a call comes from the event security that we are required to an unconscious, unresponsive male pt. The responsive team went to the pt and loaded him to our medical centre.
Pt was brought in in the recovery position with 8lpm oxygen via hudson mask applied. Response team advises that the pt was completely unresponsive, OP airway attempt failed due to trismus. On arrival pt beings coughing up and develops stridor. Airway is suctioned however pt is still showing stridor.
Vitals as follows
-Skin is warm, pink and dry
-Unknown hx, unknown MOI, unknown allergies Phx or medications, no medialerts
-GCS 3
-ECG shows sinus rhythm of 75
-SpO2 is 99% on O2, drops with the removal of O2 via hudson
-Temperature is 34.6 celsius
-BGL is 6.3mmoL
-Blood Pressure is 114/74
-Chest ausculatation shows entry to all parts of the lung however stridor is present
-Respiratory Rate is 25
-Pt appears to be using accessory muscles on inspiration
-Secondary survey is uneventful
-Pupils are equal at 5mm but unreactive to light.
(All I can think about at the moment)
I know what happened to him, however I am interested as a newbie to hear what you guys would do in this situation with this pt.
-Local hospital with basic ED is 30 minutes via road
-Tertiary hospital with large ED facility is 120 minutes via road
-Major city hospital with trauma, respiratory, cardiac etc specialties is 30 minutes via helicopter.
Before beginning I will say that we are in this situation extremely limited with that diagnostic and clinical tools we have available.
Wishing to share my first "big" job that I did on New Years Day. I was working at a large music festival in my home state (Australians may be familar with it) in an overnight shift when a call comes from the event security that we are required to an unconscious, unresponsive male pt. The responsive team went to the pt and loaded him to our medical centre.
Pt was brought in in the recovery position with 8lpm oxygen via hudson mask applied. Response team advises that the pt was completely unresponsive, OP airway attempt failed due to trismus. On arrival pt beings coughing up and develops stridor. Airway is suctioned however pt is still showing stridor.
Vitals as follows
-Skin is warm, pink and dry
-Unknown hx, unknown MOI, unknown allergies Phx or medications, no medialerts
-GCS 3
-ECG shows sinus rhythm of 75
-SpO2 is 99% on O2, drops with the removal of O2 via hudson
-Temperature is 34.6 celsius
-BGL is 6.3mmoL
-Blood Pressure is 114/74
-Chest ausculatation shows entry to all parts of the lung however stridor is present
-Respiratory Rate is 25
-Pt appears to be using accessory muscles on inspiration
-Secondary survey is uneventful
-Pupils are equal at 5mm but unreactive to light.
(All I can think about at the moment)
I know what happened to him, however I am interested as a newbie to hear what you guys would do in this situation with this pt.
-Local hospital with basic ED is 30 minutes via road
-Tertiary hospital with large ED facility is 120 minutes via road
-Major city hospital with trauma, respiratory, cardiac etc specialties is 30 minutes via helicopter.
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