Correct me if I'm wrong but...As an EMTb aren't we supposed to transport any patient who is having gastric distress? I'm asking seriously not as a joke or anything.
Who cares about high flow o2?
I just want to see somebody puke into the mask with some kind of compressed gas at 15lpm or greater blowing in it.
Back Story: You are standing by as a First Responder for a town biathalon. It is 80 degrees outside. You spot a runner on all fours, who is breathing fast and lightly. You investigate, and says she tired to drink water multiple times in the past 10 min, but it made her feel like vomiting. You radio for an EMT's assistance, who is ten min from your location.
Initial: Airway clear, Breathing. Fast and light Circulation: Cool, clammy skin. Fast pulse. No blood
Assessment: Signs: Cool, clammy skin. Fast pulse. Extreme nasuea. Fast, light breathing.
Allergies: None
Medications: None
Past History: History of fever related seizures? (would this be relavant?) None. No past heat emergencies.
Last oral intake: Drank a watter bottle about 4 hours ago that morning.
Events: Running a biathalon.
Vitals: BP 140/86 Pulse: 120 Respirations: 26 per min
Interventions (done while taking sample): Apply cold compress to forehead, back of neck, and underarms.
Do not transport, monitor patient.
Ongoing: 5 min later, she vomits a lot, and begins complaining of severe abdmonial pain. Skin turning red. Lay patient on strecher, transport to nearest facility.
Any differences? Comments?
I am no expert as this is just the beginning of my EMS knowledge but I was under the impression that cooling a patients body too rapidly will cause shivering, which will actually cause a spike in core body temp.
Slowly cooling the patient via shade or in the back of an air conditioned ambulance would be suffice.
Her vitals signs are a bit elevated, so I would try to keep her calm by having a conversation with her, explain why this is happening to her and reassuring her that everything will be alright.
*The use of oxygen would be beneficial to the patient for it REDUCES nausea and vomiting.
*Transport the patient to the hospital where she will receive fluids and further care.
*The use of oxygen would be beneficial to the patient for it REDUCES nausea and vomiting.
Who told you that?
Edit: And ask them by what mechanism.
No one told me that but... A lack of oxygen due to over overexertion may cause
nausea as there is a change in the composition of blood being circulated
through the body. If supplemental oxygen was given I only assumed it would
help reverse the effect. I don't know, maybe it doesn't work that way. I was
just thinking of a quick and simple intervention off the top of my head :unsure:
Could I point you in the direction of Guyton's Medical Physiology.
Who told you that?
Edit: And ask them by what mechanism.
I actually read that study back in 2005-ish or so.
What study is that? One that says oxygen is an antiemetic? got any citations?
Surely a bit of common sense comes into this.
Nope. Didn't think to save it and don't care enough to go lit searching
But I do remember someone posted it in context for not just giving everyone O2...have a reason whether it be for hypoxia, hypoperfusion, nausea, etc.
Yeah... I'm not a big fan of the "I read it somewhere" posts. If you're going to make a claim that it was published research, at least post the citation.