Unfortunately IDLH environments are a bad mix with seizures, I wouldn’t risk working fire.
I’m surprised someone didn’t say something sooner. It’s not just a matter of having a second patient, if you seize you are no longer able to provide them care, essentially unintentionally abandoning them.
I think that's hugely variable on how ill the patient actually is. The more critically ill the patient is after resuscitation the less often they have a normal or increased CI. Those who are fluid responsive and less ill do tend to maintain a normal or increased CI.
Depends on your intravascular fluid balance and if your heart function has taken a hit. Often in adults we see a sv of 20-45 before fluid resuscitation, and most adults just don’t tach up enough to get back to a normal CI.
Younger patients are generally less sick period. There is a reason we see the extremes of age in critical care, the very old and the very young. There certainly are adolescents and young adults who are sick and medically complex, but they are much smaller proportionately.
Also keep in mind that it is statistically unlikely to have more than one acute episode of Bell’s palsy, and a history of Bell’s palsy certainly does not exclude the possibility of acute stroke.
If a patient had an acute episode of chest pain one month ago and was diagnosed with costochondritis...
There are several studies and case reports of thrombotic events. I think it important to keep in mind that a lot of the early data on TXA was coming out of the military which has a relatively young and healthy population compared to civilians.
Tranexamic acid and thrombosis. Prescrire Int. 2013...
The finding of an acute focal neurological deficit should be treated as an emergency until adequately evaluated and proven otherwise.
Bell’s palsy is the result of a viral infection of the facial nerve. It is not unreasonable for a patient to have bells or another non-stroke related facial...