MadMedic
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OK, we have been talking about this call for weeks now, so I thought I would put out to EMTLIFE.
1620, 110 degree dry heat, Call for a 16y/o female seizure.
Caller states that the seizure has been going on for 20min, and that is unlike the PT.
House is mid-class, 2 story, well air-conditioned (house temp at about 76-78 degrees)
O/A PT is prone on second floor carpeted hallway convulsing, Brother and neighbor states this has been going on for approx. 20min now that is why they called. We move PT to an open area, and start getting vitals, place PT on NRB @ 15, and prepare for a line.
About a 45 sec into this dance, the PT comes to, surprising us! PT is A&Ox4, pale/diaphoretic, c/o a heavy weight on chest. Recalls feeling weak, and then waking up now.
Vitals:
1st set 2nd set
BP - 150/88 143/84
P- 123SR 116SR
Resp 18NL 18NL
Skin Pale/warm/diaphoretic
Pupils PERRL
Cap Refil <2
GCS 15
02 * 99-RA * 100-RA
Blood Glucose 76
20g in R-AC with NS, total infused 500cc
EKG - Sinus Tach no ectopy @ 120bpm
Findings were minimal, bruise on forehead from ground level fall, otherwise everything else was negative.
The kicker here is the PT had 3 more episodes lasting about 30 sec. each while we were working on her, she would tell us she was not feeling good and then start to convulse. She would continue breathing, come to alert to surroundings, no postictal stage, dizzy and a bit more soar. If your thinking she's faking, We tried to drop her hand onto her face and it hit, sorry. We got the mother on the phone, she stated the PT had multiple episodes each day, but no longer than 5min, they have been gaining frequency and length lately. PT is on Midodrine, Florinef, Oxycodone,
I just got off 48 hours, so forgive me if its scattered or incomplete, Ask if you need more info on something.
What are your thoughts on this call, what would you have done different.
1620, 110 degree dry heat, Call for a 16y/o female seizure.
Caller states that the seizure has been going on for 20min, and that is unlike the PT.
House is mid-class, 2 story, well air-conditioned (house temp at about 76-78 degrees)
O/A PT is prone on second floor carpeted hallway convulsing, Brother and neighbor states this has been going on for approx. 20min now that is why they called. We move PT to an open area, and start getting vitals, place PT on NRB @ 15, and prepare for a line.
About a 45 sec into this dance, the PT comes to, surprising us! PT is A&Ox4, pale/diaphoretic, c/o a heavy weight on chest. Recalls feeling weak, and then waking up now.
Vitals:
1st set 2nd set
BP - 150/88 143/84
P- 123SR 116SR
Resp 18NL 18NL
Skin Pale/warm/diaphoretic
Pupils PERRL
Cap Refil <2
GCS 15
02 * 99-RA * 100-RA
Blood Glucose 76
20g in R-AC with NS, total infused 500cc
EKG - Sinus Tach no ectopy @ 120bpm
Findings were minimal, bruise on forehead from ground level fall, otherwise everything else was negative.
The kicker here is the PT had 3 more episodes lasting about 30 sec. each while we were working on her, she would tell us she was not feeling good and then start to convulse. She would continue breathing, come to alert to surroundings, no postictal stage, dizzy and a bit more soar. If your thinking she's faking, We tried to drop her hand onto her face and it hit, sorry. We got the mother on the phone, she stated the PT had multiple episodes each day, but no longer than 5min, they have been gaining frequency and length lately. PT is on Midodrine, Florinef, Oxycodone,
I just got off 48 hours, so forgive me if its scattered or incomplete, Ask if you need more info on something.
What are your thoughts on this call, what would you have done different.