RedAirplane
Forum Asst. Chief
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It's about 80 degrees out, and you're working a festival. You have some heat-related patients, but it's unusually cool, so you've been pretty quiet on that front.
Called out to the scene for a 40 y.o. M "not feeling well," c/o N/V and dizziness, throwing up in the trash can. Skin is flush and wet, on scene the BP is 120/P and HR is around 100.
Move him to the treatment area and he rests for a bit. After 5-10 minutes, repeat V/S are HR 52 IRR, BP 200/100. 3-lead EKG shows A-Fib. Pt and family deny any conditions and medications, except for "hypotension" or "hypertension," they don't know the difference and are not sure which one he has.
Pt ends up getting transported ALS.
What's the progression here? No Hx of A-Fib, it just showed up? Secondary to possible heat exhaustion, or is that just a red herring?
(And I'm sure something got lost, there was the whole daisy chain of ALS field unit triages to BLS field txp unit to BLS field tx area back to an ALS event medicine crew and finally an ALS ambulance... just wanted to ask about A-Fib... I'm used to it as something on the medical history, not an acute problem)
Called out to the scene for a 40 y.o. M "not feeling well," c/o N/V and dizziness, throwing up in the trash can. Skin is flush and wet, on scene the BP is 120/P and HR is around 100.
Move him to the treatment area and he rests for a bit. After 5-10 minutes, repeat V/S are HR 52 IRR, BP 200/100. 3-lead EKG shows A-Fib. Pt and family deny any conditions and medications, except for "hypotension" or "hypertension," they don't know the difference and are not sure which one he has.
Pt ends up getting transported ALS.
What's the progression here? No Hx of A-Fib, it just showed up? Secondary to possible heat exhaustion, or is that just a red herring?
(And I'm sure something got lost, there was the whole daisy chain of ALS field unit triages to BLS field txp unit to BLS field tx area back to an ALS event medicine crew and finally an ALS ambulance... just wanted to ask about A-Fib... I'm used to it as something on the medical history, not an acute problem)
