Did you ask your FTO how they would have treated this pt then?
If you think the answer might be incorrect I would talk to a doctor and inquire about what would be the right thing to do.
I find it interesting that this doesn't fall into the combative pt... because he was fighting.
In my...
Rob it is good to see that you analyze this call to see what you can improve on.
There is some interesting literature on being prepared and reviewing a difficult call.
We all learn, sometimes quickly and painfully, but it is key to analyze what worked and what didn't
This is an...
Nor would it be mine- "Although since this is not a psychosis related illness I might stay away from Haldol".
This pt is still combative (whether he is knowingly resisting or it is base reflex to resist being strapped down and poked/prodded doesn't matter) and will be sedated, or slowed down...
Rob, I fully agree that it is a trauma pt. But my point was you must gain control of the pt before you can manage his injuries- which for me means this is a behavioral pt.
And my guess is that is the protocol you would be under for giving him meds- unless you have RSI protocols, or a trauma...
This pt would absolutely get chemicals from me. To a certain extent he is not a trauma pt until he can be controlled.
I have a few options where I work. The first option is Versed or Versed/Haldol up to 5mg/10mg. Although since this is not a psychosis related illness I might stay away from...
Similar sort of conundrum over at Life In The Fastlane-
http://lifeinthefastlane.com/2012/09/household-words-chapter-1/
There is a part two already published so make sure to check that out.
http://hqmeded-ecg.blogspot.com/2012/08/gunshot-wound-to-chest-with-st-elevation.html
http://hqmeded-ecg.blogspot.com/2012/07/right-bundle-branch-block-after-blunt.html
Dr. Smith highlights two cases where there are EKG findings not associated with ACS.
This guy you are talking about...
I had a guy, right in front of me brady down to 23. I caught it with a 12 lead at 27bpm then it went right back up to the mid 70s.
He was talking right the way through it like nothing had happened.
This guy almost sounds like a panic attack/hyperventilation.
University of Iowa Hospitals and Clinics.
Reasonable chance of a job someplace in iowa. But I'd do the program then choose a place to do your ride time where you want to live.
Quality of the instructors is everything. One of the primary instructors has decades of ER nursing, flew as a critical care nurse, is a paramedic, and has been teaching for years (oh yeah... she wrote the Iowa CCP guidelines- one of two nationally recognized CCP curriculums). Another instructor...
Awesome program.
Fantastic hospital where you receive your training (only level 1 for hundreds of miles), fantastic instructors (many specialty instructors come in and give lectures), you get to ride in a heli. Very high first time pass rates of the NREMT (ask them- they know all their...