rhan101277
Forum Deputy Chief
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Call comes in as 22 y/o male seizure. You arrive at residence to find the pt in a postictal state. He has no incontinence that you can tell but has a small tongue laceration. The patient is slow to respond but alert GCS 14.
Vitals:
B/P: 128/88
Pulse Ox: 100%
RR: 20
HR: 180
CBG: 122
Family reports patient he has a seizure hx but has never been diagnosed. The pt takes no meds has no allergies. After getting patient to the truck he comes around and is more coherent to his surroundings, he vomits x 4, emesis bag was grabbed fast enough. More hx of what transpired throughout the day is gathered.
2 redbulls with in the last hour + 2 cokes
4 Excedrin migraine in the last 8 hours
Pt continues to show rapid heart rate in the truck but it drops to 160's with some calming techniques, vagal maneuvers are not successful. Heart rate in between vomiting peaks in the 180's. Pt feels fine.
How do you treat this patient?
Vitals:
B/P: 128/88
Pulse Ox: 100%
RR: 20
HR: 180
CBG: 122
Family reports patient he has a seizure hx but has never been diagnosed. The pt takes no meds has no allergies. After getting patient to the truck he comes around and is more coherent to his surroundings, he vomits x 4, emesis bag was grabbed fast enough. More hx of what transpired throughout the day is gathered.
2 redbulls with in the last hour + 2 cokes
4 Excedrin migraine in the last 8 hours
Pt continues to show rapid heart rate in the truck but it drops to 160's with some calming techniques, vagal maneuvers are not successful. Heart rate in between vomiting peaks in the 180's. Pt feels fine.
How do you treat this patient?