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Frank frankerson ESQ

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70 something.. 80/40. RR 16. CHF. RVR afib/RVR aflutter here and there. Mental status ok when laying flat. No chief complaint.
 
A lot of information left out. 70’s something male or female? What was the chief complaint or reason we were called out? Was it an A-Fib or A-Flutter and by “here and there” are you meaning it was not a sustained rhythm? RVR just means a ventricular rate over 100, so it could be RVR at 102 or RVR at 200. Any EKG you can upload? How are his/her skins? Mental status “ok while laying down”, what happens when they sit up? Any other medical history aside from CHF? How long have they had the cough? Is it productive or non-productive?
 
Call the coroner. *Mic drop*
 
DesertMedic66 said:
A lot of information left out. 70’s something male or female? What was the chief complaint or reason we were called out? Was it an A-Fib or A-Flutter and by “here and there” are you meaning it was not a sustained rhythm? RVR just means a ventricular rate over 100, so it could be RVR at 102 or RVR at 200. Any EKG you can upload? How are his/her skins? Mental status “ok while laying down”, what happens when they sit up? Any other medical history aside from CHF? How long have they had the cough? Is it productive or non-productive?
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Doesnt matter. i gave the pertinent info. Do you give push dose or fluid wide open? Thats the jeopardy question when you have 15 seconds as in real life. Rate 140 Here And There. Skin so what
 
Frank frankerson ESQ said:
Doesnt matter. i gave the pertinent info. Do you give push dose or fluid wide open? Thats the jeopardy question when you have 15 seconds as in real life. Rate 140 Here And There. Skin so what
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You gave some pertinent information but no where near what could have been provided or obtained.

Do I give fluids or do I give medication or do I go with another treatment route all revolves around a decent assessment, which has not been provided. I have witnessed providers attempt to cardiovert a septic patient because the patients heart rate was 160 but their piss poor assessment didn’t take into account anything else.

15 seconds? You have got to be kidding me with that line of BS. This patient is not going to die in the next 15 seconds and probably not in the next 15 minutes.
 
DesertMedic66 said:
You gave some pertinent information but no where near what could have been provided or obtained.

Do I give fluids or do I give medication or do I go with another treatment route all revolves around a decent assessment, which has not been provided. I have witnessed providers attempt to cardiovert a septic patient because the patients heart rate was 160 but their piss poor assessment didn’t take into account anything else.

15 seconds? You have got to be kidding me with that line of BS. This patient is not going to die in the next 15 seconds and probably not in the next 15 minutes.
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How do you know that?
 
DesertMedic66 said:
You gave some pertinent information but no where near what could have been provided or obtained.

Do I give fluids or do I give medication or do I go with another treatment route all revolves around a decent assessment, which has not been provided. I have witnessed providers attempt to cardiovert a septic patient because the patients heart rate was 160 but their piss poor assessment didn’t take into account anything else.

15 seconds? You have got to be kidding me with that line of BS. This patient is not going to die in the next 15 seconds and probably not in the next 15 minutes.
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With all due respect, have you been given a handoff with no info and the watch is ticking fast? Theres not alot of time for 20 questions
 
Frank frankerson ESQ said:
Rarely
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Then you either don’t have a lot of experience, a lot of patient contacts, work in the 911 system, or don’t work in a high call volume system. I’ve had way more patients say they are going to die who were completely stable than vice versa. By way more I am talking about well over triple in 10 years
 
Frank frankerson ESQ said:
With all due respect, have you been given a handoff with no info and the watch is ticking fast? Theres not alot of time for 20 questions
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Based on what you presented, a matter of seconds is not going to make any difference in the patients outcome. It is very easy to give a decent hand over in under a minute. If you are rolling into your hospitals and just providing them with that report then you really need to work on giving better reports.
 
DesertMedic66 said:
Then you either don’t have a lot of experience, a lot of patient contacts, work in the 911 system, or don’t work in a high call volume system. I’ve had way more patients say they are going to die who were completely stable than vice versa. By way more I am talking about well over triple in 10 years
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********. When someone says they think they are going to die its rare. I could care less about 30 years of 2 calls a day avg or whatever fundraiser youre doinf
DesertMedic66 said:
Then you either don’t have a lot of experience, a lot of patient contacts, work in the 911 system, or don’t work in a high call volume system. I’ve had way more patients say they are going to die who were completely stable than vice versa. By way more I am talking about well over triple in 10 years
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go blow country smoke up someone elses but
 
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