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What interventions did you perform?
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What interventions did you perform?
stating there was nothing more they would have done besides start an iv, which they did try 1 time in there rig but blew out the vein.
pulse ox 94 on 4 lpm n/c....
We put pt on cot and give 12lpm.
... Our sop for any transport to an emergency room is to call medical control first, give report of findings and interventions, and give our closest and then desired er.
...
The difference is between a technician and clinician. A technician responds with X, Y, Z in presence of B. A Clinician asks why is B presenting itself, who caused it, and what can be done Pre-hospital to fix things.
The flip side of this is that the prehospital treatment and workup is very limited. For a primary seizure, EMS won't come close to a cause just because of the technical limitations involved with no access to labs outside of POC glucose and no ability to image. As you pointed out, however, the value of EMS, and paramedics in particular, is the vigilance of being prepared in case badness happens.
In this sense, EMS is a combination of EM as minutemen and anesthesiology motto of vigilance.
On a side note, the symbolism that goes into specialty board seals is very interesting.
Completely agree! However, I do love that pre-hospital ultrasounds are gaining headway and popularity. Although far-fetched as you would only find POC labs on CCU buggies, it's not beyond the realm of EMS to incorporate both of the items you described. But in this case the POC labs would of taken 15 mins, not very practical in this scenario or any metro based system with short transport times.
Completely agree! However, I do love that pre-hospital ultrasounds are gaining headway and popularity. Although far-fetched as you would only find POC labs on CCU buggies, it's not beyond the realm of EMS to incorporate both of the items you described. But in this case the POC labs would of taken 15 mins, not very practical in this scenario or any metro based system with short transport times.
But in this case the POC labs would of taken 15 mins, not very practical in this scenario or any metro based system with short transport times.
Apparently, you guys might need to step away from the computer for a minute so you can re-read my post. I said that neither of these are practical in THIS scenario.
We are not beyond the possibility of EMS having these diagnostic tools, which are just that DIAGNOSTIC. Anything that can shorten the diagnostic time of a patient in the ED, can lead to better patient care. Which is what it's all about right?!?
Good gravy. Good thing I have firefighter friends, they were able to put down the flames you guys threw at me. Only singed a couple of nose hairs.
Apparently, you guys might need to step away from the computer for a minute so you can re-read my post. I said that neither of these are practical in THIS scenario.
First off kurtemt, it sounds like you did a good job. Don't get too sucked in to the glucometer reading, though. When the only tool you have is a hammer, every problem looks like a nail! Read up some more on hypoglycemia and on seizures (biiiiig topic!), and keep on at it. You've got the right attitude.
Thank you I appreciate that, and I will look into and study up on low bgl and its relation to seizures.
Thank you I appreciate that, and I will look into and study up on low bgl and its relation to seizures.
what can ALS do? Benzos, although I would argue, while you might stop the seizure activity, the underlying cause is still there.
If paramedics were on-scene with a primary seizure patient, then they need to go along. I agree with not waiting if they weren't on scene, but disagree with any sort of emergent transport for a patient who is presenting as stable at this time.