Bongy
Forum Crew Member
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Hello my dear collegues!
Aftel short break and few arguments with forum administration,I'm back. As a result of my written conversation with few forum members,I have to clarify some points:
1. All cases that presented by me here happened in real with me or my collegues in Israel EMS(Dan region).
2.Don't let to the name "Quiz" to feel you like in exam - "via mistakes truth will rise" - fell free to post whatever you think.
3.All cases are not trivial... Othervise,life will be boring
So.. Another one..
Time:18:30
Complain:10 month old baby,difficulty to breath
Om arrival:Baby,10 month old,mild cianotic,marked stridor,RR40(using abdominal muscles),Sat O2-95%,HR160
Anamnesis:Fever for last 3 days,average 39.5C(103.1F),family doctor said,that this is a viral and prescribed only paracetamol(supp)....
Difficulty of breath had a sudden onset - infant played on a floor...
So...You hold a baby to check him up... In lungs you can hear clearly stridor, but suddenly you start to hear much loder noises from right lung... HR drops to 90...
So.. Possible diagnosis,DD and treatment tactics.. Estimate transportation time - 45 min.
Good luck!
Aftel short break and few arguments with forum administration,I'm back. As a result of my written conversation with few forum members,I have to clarify some points:
1. All cases that presented by me here happened in real with me or my collegues in Israel EMS(Dan region).
2.Don't let to the name "Quiz" to feel you like in exam - "via mistakes truth will rise" - fell free to post whatever you think.
3.All cases are not trivial... Othervise,life will be boring
So.. Another one..
Time:18:30
Complain:10 month old baby,difficulty to breath
Om arrival:Baby,10 month old,mild cianotic,marked stridor,RR40(using abdominal muscles),Sat O2-95%,HR160
Anamnesis:Fever for last 3 days,average 39.5C(103.1F),family doctor said,that this is a viral and prescribed only paracetamol(supp)....
Difficulty of breath had a sudden onset - infant played on a floor...
So...You hold a baby to check him up... In lungs you can hear clearly stridor, but suddenly you start to hear much loder noises from right lung... HR drops to 90...
So.. Possible diagnosis,DD and treatment tactics.. Estimate transportation time - 45 min.
Good luck!