Neuro assessment

[NomadicMedic]

Refusal of service.

 

[RedAirplane]

It's really gonna vary by provider, their training, area, and agency. Their area and agency will likely have protocols and policies that cover that.

If your best friend just got whacked with a heavy object at close range, what symptoms would make you call EMS? What symptoms would make you drive him to urgent care? What symptoms would make you tell him to get checked out by his personal MD?

 

[EastCoast42]

ROS?

In this context, ROS= Refusal of Services.

 

[NomadicMedic]

If your best friend just got whacked with a heavy object at close range, what symptoms would make you call EMS? What symptoms would make you drive him to urgent care? What symptoms would make you tell him to get checked out by his personal MD?

Ambulance: Unconscious. Serious bleeding that I can't control. Brain matter on the floor. A repeated AMS assessment that shows they're STILL altered. Acute neuro deficits. In other words, an EMERGENCY.

A POV To the ED: any worsening symptoms. Severe pain with no AMS or Neuro deficits.

PCP exam: in any acute case, this is rather pointless. How many PCP have immediate access to CT and have any recent experience in assessing traumatic head injuries? Mostly zero. (ProTip: they'd send you straight to the ED. Very likely by ambulance! No Bueno.)

If they're dying, they need a medic and an expeditious trip to the ED.

If they're not actively dying, they can get a ride to the ED in the car.