I follow everything that was discussed so far. I'm sure someone can clarify this for me. So obstructive, hypovolemic, and anaphylactic shock were mentioned, but not cardiogenic. Granted she is fairly young however pregnancies take quiet the toll on the human body. I remember seeing a video of a...
If i gave a bp right away it would defeat the purpose. And isnt hyperventilation indicated in rising icp? Not that it was done here. And i never said we couldnt get a bp because she was a little person i was simply building the senario. And its not just me if both emts, medics and hospital staff...
Nice guess, pt brought into er after many attempts to get a bp, reading was 280/150! Pt has massive intracranial hemorrhage after following up next day.
Its easy to say why is she on o2 with all the info placed nicely right before you. Now ask yourself someone presents as ams, u have no history, non verbal, no glucometer or pulse oximeter bls. What do u do?
At the end of the day a MOI is a MOi and a patient assessment is just that. Earlier it was stated that this pt did not meet major trauma criteria. That was incorrect due to death in same compartment thats all. Follow protocol or dont treat asthma with glucose if u like ur perrogative
An...
<moderator snip>..I wasnt the one going off an MOI i said along with a patient assessment that need to be included..like Protocols sts! Read the entire convo before u comment and this whole thing was done 30mins ago.
I work in the city, at best my trauma hospitals are 15mins from each other i wont be using any helicopter ;) and EXACTLy i mever said otherwise; u probably need to read on how this whole conversation went
i get what an rma is, we're just goin off on a tangent. To bring it all back, the scenario said nothing of an rma. It only came to that because someone alluded that patient assessment is what mattered and not MOI..ppl sustain head trauma that they think is nothing that can become life...
Then when she died a week later from an unchecked intracranial hemorrhage u'd show up in court when the family sues and say i pick and choose which protocols to follow because i THINK they're outdated? Have fun with that.
MOI is not supposed to be based on patient assessment, thats why its a MOI. She meets criteria period! Had the 2 other ppl died and she only sustained a minor sti with no complaints would u rma her?!
Vitals:
Hr: 92
R: 18
Bp: unattainable ( 1st and 2nd attempts made by both emts and 1 medic using child cuff ) last attempt made by medic with adult cuff revealed questionable 240/p
Bgl: 86
O2 : 99 while on 15lpm via nrb
+ PERRLA
12 lead no abnormalities
Contact made with pt's mother who sts...
Apologies! I meant responsive to painful stimuli..
Tried to edit after rereading but i dont have the option anymore
And while ur input is welcomed u may want to look up the difference between unconscious and unresponsive!
Dispatched to an assault.
Onscene crew finds "a little person", female in back of cab. Driver sts she was talking to him a short while ago, paid her fare and was about to exit the cab when she sat back in seat.
Pt awake and unresponsive
Ctc: unremarkable
Little amount of dried blood notesd at...