I'm trying to get everyone's takes on treatment of Blunt Trauma Induced Cardiac Dysrhythmias. To treat or not to treat? Lets say the pt is in V-tach with a pulse following blunt chest trauma. Suspect SA and AV nodal damage?
I believe that MSO4 and Diphenhydramine are synergistic as well. Which I dont fully understand myself. Isnt the hypotension caused by Morphine administration due to histamine release? Yet, Diphenhydramine is a antihistamine medication? Maybe it is just due to the sedative effects.
Just a...
I am thinking that as well due to the fact that they dont state that the pt was on any anticoagulants post-op. But that seems like a rather acute filling of Pulmonary Edema for a Pulmonary Embolism? Yes? No?
Was the Cardiac Monitor on the Pt when they had their periods of unresponsiveness...
Has anyone else ever seen this?
Witnessed Arrest in the rig. Pt went into V-Fib, shocked biphasic at 200 joules and then had a pretty signifigant of blood discharged from the nose.
There was no oral or nasal airway placed.
Hey bdradt. I didn't make that post on the daily news website. I had already gone and thouroughly apologized to the station for this post getting out and someone posting it on that website. This was my first post on this website and probably my last since someone decided to do that. I have never...
yah sorry guys he originally went into asystole. He coded while I was driving so I was just sort of listening to what was going on. I wanted to put cpap on him before he was rsi'd. They said Hr was still fighting the et tube even though I dropped an opa on him fine. Sorry this call was a cluster...
Oh yah I forgot that they RSI'd him also with versed, succs, and lido. Personally I wouldn't have wasted time trying to RSI him since a field intubation was Practically impossible. Even the doctor at the ER put it in his esophagas. Pt is still alive right now at this moment on a vent in ICU.