The other day I was staged at a bike ride event with a fellow volunteer who is also a basic. This was both our first time away from the paid guys. At the very end of the day we had a patient who experienced nausea, headache, and light headedness/dizziness. I chalked it up to heat exhaustion since she had rode her bike 135 miles in the last two days in the hot sun. She stated she had drank lots of water. She was on no meds, no past medical history.
My treatment plan: I immediately took vitals. Everything was within normal ranges. B/P 122/78, pulse 89, O2 Sat 98. I moved her to some shade, and placed her in Trendelenburg position. I also put on O2 via N/C at 4 LPM and placed ice packs under her armpits.
Her vitals never really changed, other than her O2 sat went up to 100%.
When she stood up, she felt dizzy and we moved her to the air conditioned chase vehicle and she signed a refusal of transport.
Did I do everything right? What would you have done differently?
I was told afterwards by the AEMT's at my station that they did away with the shock position (elevating the legs), but I just read in my AEMT AAOS book that it was still there.
Also, would this be a situation where you would want to check blood sugar? Maybe her glucose levels were low from the bike ride?
I appreciate the help in advanced, and apologize if I posted this in the wrong category.
My treatment plan: I immediately took vitals. Everything was within normal ranges. B/P 122/78, pulse 89, O2 Sat 98. I moved her to some shade, and placed her in Trendelenburg position. I also put on O2 via N/C at 4 LPM and placed ice packs under her armpits.
Her vitals never really changed, other than her O2 sat went up to 100%.
When she stood up, she felt dizzy and we moved her to the air conditioned chase vehicle and she signed a refusal of transport.
Did I do everything right? What would you have done differently?
I was told afterwards by the AEMT's at my station that they did away with the shock position (elevating the legs), but I just read in my AEMT AAOS book that it was still there.
Also, would this be a situation where you would want to check blood sugar? Maybe her glucose levels were low from the bike ride?
I appreciate the help in advanced, and apologize if I posted this in the wrong category.