unleashedfury
Forum Asst. Chief
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Have we all reached the same conclusion? She's altered to the point where she can't protect her own airway.
Okay. My first guess was a bleed, second was an OD.
So, here's what happened. I realized nothing going was going to come of just sitting around, so I started a line, drew bloods and she then was intubated with our standard RSI cocktail; Etomidate, Succinylcholine, Versed and Fentanyl. (I did not use additional paralytics). No issues. 7.5 tube placed on first attempt.
Transported to the hospital, with effective ventilation and stable vital signs.
CT was unremarkable. PT remained on the vent and transferred to ICU.
On follow up ... Benzo OD. The PT had anxiety and depression issues and had begged/borrowed/stolen Ativan from a friend. Took "a bunch" (at least 10 2mg tabs). She was discharged a couple of days later.
Nice job all.
The hospitals in your area will use the blood you drew?? We used to do that around here until the ED's would trash them and get their own labs. So it turned into a wasted expense for us