Called for a Fall

[phideux]

Pt. has altered LOC. I would think of a head bleed. He is on Coumadin.

Yeah, BP up, Pulse up, How is his breathing at 16-18bpm? Normal, labored, erratic?
Got up out of bed, FDGB, hit head.

 

[MrBrown]

i would have called ALS because of that BP.

And what is a[n Intensive Care] Paramedic going to do for that BP? Jack is what.

Sounds to Brown like he has a head bleed.

Put patient on stretcher, take to hospital.

 

[Rubles]

How to check breathing rate?

For a person lying in a curled-up position on the floor, how would you check breathing rate if you didnt have a stethoscope? (since we wudnt be able to see the rise and fall of the chest and might not easily hear him breath).

Checking breathing rate might not be important in certain cases if support is on the way, but what if we're performing a triage; we wud have to check breathing rate (among other things), assign a tag and then move on to the next casualty.

 

[Rubles]

^^^

Im guessing the only solution would be to move the patient into a supine position

 

[usalsfyre]

For a person lying in a curled-up position on the floor, how would you check breathing rate if you didnt have a stethoscope? (since we wudnt be able to see the rise and fall of the chest and might not easily hear him breath).

Checking breathing rate might not be important in certain cases if support is on the way, but what if we're performing a triage; we wud have to check breathing rate (among other things), assign a tag and then move on to the next casualty.

An actual number is really pretty useless, look for adequacy and labor of respiratory effort.

 

[Rubles]

so even for that, we wud have to move the patient into supine position, wouldnt we?

 

[Anjel]

so even for that, we wud have to move the patient into supine position, wouldnt we?

well ur not gonna leave him curled up in a ball.

so yes

 

[NomadicMedic]

Too many unknowns to even hazard a guess.

BGL? Temp? Skin? Pupils? Posturing?

 

[firetender]

For a person lying in a curled-up position on the floor, how would you check breathing rate if you didnt have a stethoscope? (since we wudnt be able to see the rise and fall of the chest and might not easily hear him breath).

Checking breathing rate might not be important in certain cases if support is on the way, but what if we're performing a triage; we wud have to check breathing rate (among other things), assign a tag and then move on to the next casualty.

a mirror or polished metal surface under the nostrils will show vapor condensation, therefore breathing if you don't want to move the patient

 

[bigbaldguy]

Yeah BGL would have been one of the the first things I checked, but as a basic we can do that here in Texas. Was there any sign of possible drug use? Environmental causes? Condition of the home, type of neighborhood?