vquintessence
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You are a dual Paramedic unit.
Approximately at 13:00 you're dispatched to intercept with a FD BLS Rescue already en route to local level 3 facility. Call comes in as syncope. En route the Rescue provides no updates, but asks you to continue.
U/A you find a 37 y/o female AOx3 speaking full sentences and semi-fowler. Woman presents very pale and notably lethargic; pt has to be continually prompted to answer questions and remain alert. Pt only offers a complaint of abd pain.
BLS relays pt was about to under go a biopsy in a physicians medical office for endometrial hyperplasia. They state the physician had ordered/given: diazepam 10 mg PO (this morning self administered by pt) and demerol 50 mg IM.
About twenty minutes after demerol, pt found by staff to be profoundly lethargic, at which point EMS was activated.
BLS relays pts only PMHx is "thickened uterus", takes no medicates, denies allergies. Their vitals prior your arrival: 120/62, 72 HR, 15 RR. The EMT teching denies any changes in status while in their care, and the driver offers a nearly inaudible apology for "wasting your time".
How would you proceed based on your initial findings, and the story relayed to you? Transport time is completely irrelevant...
[After a few treatments and options are followed, I'll go with the crews actual findings and field treatment.]
Approximately at 13:00 you're dispatched to intercept with a FD BLS Rescue already en route to local level 3 facility. Call comes in as syncope. En route the Rescue provides no updates, but asks you to continue.
U/A you find a 37 y/o female AOx3 speaking full sentences and semi-fowler. Woman presents very pale and notably lethargic; pt has to be continually prompted to answer questions and remain alert. Pt only offers a complaint of abd pain.
BLS relays pt was about to under go a biopsy in a physicians medical office for endometrial hyperplasia. They state the physician had ordered/given: diazepam 10 mg PO (this morning self administered by pt) and demerol 50 mg IM.
About twenty minutes after demerol, pt found by staff to be profoundly lethargic, at which point EMS was activated.
BLS relays pts only PMHx is "thickened uterus", takes no medicates, denies allergies. Their vitals prior your arrival: 120/62, 72 HR, 15 RR. The EMT teching denies any changes in status while in their care, and the driver offers a nearly inaudible apology for "wasting your time".
How would you proceed based on your initial findings, and the story relayed to you? Transport time is completely irrelevant...
[After a few treatments and options are followed, I'll go with the crews actual findings and field treatment.]