JJC211
Forum Ride Along
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You are called for a 70 Y/O male, woke up feeling very dizzy/lightheaded. Walked himself to a kitchen chair and sat there for a couple hours. Family found patient sitting in chair and called 911 for him. When you arrive, you see the patient sitting upright, head slightly forward. Heavyset Caucasian male (Approx 350Lbs) Skin: Cool, pale, diaphoretic. Alert, very lethargic and answers questions very quietly. Tells you he feels extremely dizzy and has a hard time staying awake. Pulse is strong, regular, and slow. Vitals: BP 125/70 (auto), Pulse 35 (Pulse ox), RR 15, 93% on room air. Family states patient has a recent history of a heart attack and had a stent placed they think. Patient confirms with a nod.
You package the patient and move him to your ambulance. IV access successful (20ga LAC), 12 lead was obtained while getting IV. ECG shows bradycardia, very small QRS complexes and no discernible P waves. No elevation noted. New set of vitals: BP 142/92 (auto), Pulse 22 (Monitor), RR 14, 94% on 2LPM CapnoCannula, Etco2 48.
What is your course of treatment, and would you consider this patient stable or unstable?
You package the patient and move him to your ambulance. IV access successful (20ga LAC), 12 lead was obtained while getting IV. ECG shows bradycardia, very small QRS complexes and no discernible P waves. No elevation noted. New set of vitals: BP 142/92 (auto), Pulse 22 (Monitor), RR 14, 94% on 2LPM CapnoCannula, Etco2 48.
What is your course of treatment, and would you consider this patient stable or unstable?