pumper12fireman
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Time: 0230
Called for a fall at a residence, you are a FF/EMT riding on a BLS rig, dispatched with an EMT/Medic ambulance. The two rigs arrive at the same time, and enter the home. You arrive to find an 88y/o woman, alert and telling us how she fell. She's been down for 4 hours.
Vitals:
AVPU-a/ox3
A-open
B-clear, bilateral breath sounds- 14/min
C-pulse at 80, strong and regular
BP- 98/64
Pupils- PEARL
Pulse- still at 80
Skin- warm and dry
Respiration- still at 14
SpO2- 99%
We stood her up, and BP dropped to 84/56, pulse upped to 100
A-none
M- hydrocodone, "heart medicine"
P-hypertension
L-unremarkable
E-got up to go to bathroom
BP is normally 120/80
No O2 was started, and shock treatment wasn't started. The medic got out his release form, and we went home. Am I missing something? Why wasn't more treatment rendered? The medic we work with has tons of time on the job, but seems, at times he likes to release, rather than treat. As a probie on the fire rig, I didn't want to second guess, especially on scene...Maybe the "heart medicine" was an antihypertensive, and dramatically drops her BP?
Called for a fall at a residence, you are a FF/EMT riding on a BLS rig, dispatched with an EMT/Medic ambulance. The two rigs arrive at the same time, and enter the home. You arrive to find an 88y/o woman, alert and telling us how she fell. She's been down for 4 hours.
Vitals:
AVPU-a/ox3
A-open
B-clear, bilateral breath sounds- 14/min
C-pulse at 80, strong and regular
BP- 98/64
Pupils- PEARL
Pulse- still at 80
Skin- warm and dry
Respiration- still at 14
SpO2- 99%
We stood her up, and BP dropped to 84/56, pulse upped to 100
A-none
M- hydrocodone, "heart medicine"
P-hypertension
L-unremarkable
E-got up to go to bathroom
BP is normally 120/80
No O2 was started, and shock treatment wasn't started. The medic got out his release form, and we went home. Am I missing something? Why wasn't more treatment rendered? The medic we work with has tons of time on the job, but seems, at times he likes to release, rather than treat. As a probie on the fire rig, I didn't want to second guess, especially on scene...Maybe the "heart medicine" was an antihypertensive, and dramatically drops her BP?
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