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I worked at a hospital where my glucose was LITERALLY 2 points above Their own hospital "normal" range and i was considered unhealthy and given a writeup for it IN ORIENTATION. Stupid, yes. Most flight providers have strict weight limits due to their job obviously (sorta goes with the BMI...

Here we go.

So Fluid wouldnt have HURT but that wasnt the main problem likely , but a heatstroke / dehydration thing wasnt a concern. Pt stated he was in the garage BRIEFLY and then went back into cool home. It appeared enough to cause asthma exacerbation but that was about all. Pt was placed on nasal...

Hey, so this was a tricky one for me so figured would be good to post it here and get some more feedback! 50yo M, A&0X4. Sitting in chair complaining of difficulty breathing that was exaccerbated by going out to his garage with physical exertion. History of asthma and hypertension. He's...

I mean, Every ambulance has more than sufficient lighting. Especially our new ones....

Im sorry, And im most likely mis-interperting your verbiage here....... but how will versed NOT affect someones breathing / cause resp depression? Since when? What am i missing here?

I completely agree with you combat doc. However, RSI isnt in our protocols so that wasnt an option. He definately had multi-system trauma to be sure.

Thanks for the replies everyone. Also, No RSI capabilities here so that wasn't an option. Pt WAS almost immediately intubated at trauma center and Confirmed Skull fracture with subdural AND epidural Bleed. Overall i think it was sorta a "doesnt really hurt him either way" sorta thing...

Oh trust me. ive gotten plenty of **** too. Heres another i forgot about! Gave Versed & went code for a lady having an APPARENT psudo seizure. She was DAMN good at it, extremely convincing, took sternal rubs like a champ. History of brain tumor's, it all added up. Seemed very straight...

great idea Akflightmedic on reading it out loud. And when the person in my company did the med error, We all gave a ton of ****. I went up and was like "hey! What color is that bag your holding? RED?!? Like FENtANYL VIALS?!" Alot of color blind jokes and You cant read jokes. Good times. All...

1: Epi was WAAY too agressive a treatment Imho. 2: She stood up and Remained asymptomatic which just screams inaccurate BP. Likely would have DFO'd from + orthostatics or something. 3: Sure, I'd start a line and give a 250 bolus to be on the safe side, but def not lights and sirens. ESPECIALLY...

i dunno why this thought popped into my head. Thought it would be interesting. Tell a brief one sentence summary of "**** ups" on calls. I'll go first. Applied a Traction splint to a femur fracture with No distal pulse. Cap Refill was restored but afterwards saw a semi-small lac to Thigh...

Because id Like to think that i was trained to treat my pt, and not the monitor. The interpretation of a 12 lead (computer) is a TOOL that i read as well and then verify. We've ALL had artifact that reads as a stemi and We can easily say "nope, thats wrong, do it again" and Maybe computer...

So! Scenario time sorta. 39yo M, A&0X0 GCS approx 12 (language barrier) involved in a quad accident with no helmet or gear. Mutiple system trauma but most notably GCS that declines about halfway enroute to trauma center, Pt has a LARGE hematoma to L-aspect of head that nearly doubles in size...

Dont know outcome once pt was flown to PCI center an hour later. Sorry! Thanks everyone for your positivity and input on the case!

Update, Pt was hyperkalemic (unknown exact level, heard it 3rd person) and flow to a local PCI capable cardiac center within an hour of Bringing her in. Typically they arent flown unless they have drips that we cant take or its someone highly unstable so im assuming ST elevations may have...

Computer interpertation was Inferior stemi alert, i believe sinus tach as well since she converted down to 120's / 130's shortly after run of vtach. Vtach strip was TEXTBOOK and i didnt include because it was so obvious that there was literally no point in attaching the photo.

Female in her 50s with acute onset of dizziness, shortness of breath and nausea. Denies chest pain, syncope vomiting or further. Only hx is hypertension and Prior MI 7 years ago. She's cool, pale diaphoretic skin signs, get into back of rig and 4 lead shows run of V-tach with pulses @ 200bpm...

Because we dont have com's with Fire directly. Its 2 differnt dispatch systems. And communication through there is SLOW. Im talking a good 5 minutes slow. Going that route would have actually been a WORSE option than me or my partner running outside.

I get that people are chronically in the 200's to 300's, I see it all the time. But i never realized that could be someones MINIMUM level to function at. Thats my whole point. Was just educational for me and a cool call i thought.