i wonder what it could be
- Thread starter emtjoe10
- Start date
I'm sorry for the scenario that was given to me. I apoligize that i was 2 weeks out of school when this annoying scenario was given to me. Trust me if i had the choice i would have had a different scenario, maybe i wouldn't have failed it. I'm looking for a possible solution, if say it were to happen. Its the medical field isn't it? Anything can happen. correct? But appreciate your feedback.
yea thanks i'm well aware of that.
well i see your from mass i am also so cmed is how i learned it. did some bmc trauma work also. Local cmed
do they require a phlebotomy/ekg certification that you know of?
In Mass, this is NOT correct. CMED (more correctly the CMED operator) connects you to the hospital that you get medical control from, and further requests an MD to run your orders/ requests through....
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ok... so regardless of how the system operates, we contact cmed , we get our orders.. i know that when contacting boston cmed we go directly to boston medical center E.R. Thanks for the input..
I dont believe they do, they do a lot of on the job training. On the floor at least when i was there at nights there were two phlebotomists, and a paramedic who could do blood draws as well. Im not sure if the techs did draws or not but i dont think you need it. Youd have to take a course there most likely. Also they have you take some other quick course about how to use their pt. records system on the computer (everything is electronic).
i think the main problem is you are not suppose to perform backslaps to an unresponsive with a fbao, same as with a +1 year old and the heimlich. just cpr. i am guessing they went into cardiac arrest because the obstruction was not cleared quick enough. its probably their way of saying you messed up. i dont what else you could do, just transport as quickly as possible, continue to try to intercept with als, maybe try epinephrine if all else fails. practical assessments suck because its hard to visualize things with a dummy or imaginary patient.
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18G
Paramedic
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That's a pretty open-ended scenario which leaves many possibilities.
Having some sort of history and knowing what the kids was doing before being found not breathing helps.
Some possibilities...
FBAO? Where was the kid and what was within his reach?
Toxicological... did the child ingest some of the caregivers pills left laying around? Illicit drugs perhaps kid got a hold of? Get into any chemicals?
Infectious Illness? Has child been sick? Some URI's in very young kids can alter stimulation to breathe and cause respiratory arrest. Meningitis?
Severe Electrolyte Abnormality? Recent fluid loss - vomiting, diarrhea, diaphoresis and fever? Decreased intake?
Trauma/Abuse? How were the caregivers acting? Any signs of injury? How do the eyes look? What is the general appearance of the home? Signs of head bleed?
Seizures? Seizures can lead to respiratory arrest.
Cardiac? Rate too fast? Too slow?
At the point you were at intervention is where your focus needs to be. MAKE SURE you have a patent airway. If you do not see any chest rise at all despite head repositioning, then its safe to assume a FBAO. Get a flashlight and do a good look into the airway... and try to get an accurate history from the caregivers.
For a one year old FBAO, technique is supposed to be CPR for an unconscious patient.
Having some sort of history and knowing what the kids was doing before being found not breathing helps.
Some possibilities...
FBAO? Where was the kid and what was within his reach?
Toxicological... did the child ingest some of the caregivers pills left laying around? Illicit drugs perhaps kid got a hold of? Get into any chemicals?
Infectious Illness? Has child been sick? Some URI's in very young kids can alter stimulation to breathe and cause respiratory arrest. Meningitis?
Severe Electrolyte Abnormality? Recent fluid loss - vomiting, diarrhea, diaphoresis and fever? Decreased intake?
Trauma/Abuse? How were the caregivers acting? Any signs of injury? How do the eyes look? What is the general appearance of the home? Signs of head bleed?
Seizures? Seizures can lead to respiratory arrest.
Cardiac? Rate too fast? Too slow?
At the point you were at intervention is where your focus needs to be. MAKE SURE you have a patent airway. If you do not see any chest rise at all despite head repositioning, then its safe to assume a FBAO. Get a flashlight and do a good look into the airway... and try to get an accurate history from the caregivers.
For a one year old FBAO, technique is supposed to be CPR for an unconscious patient.
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