Lifeline Activation

[Swimfinn]

You are called on scene to a lifeline activation. after about 10 mins of ****ing around outside looking for a key, PD arrives and kicks in the door.

After searching the house, you find a woman 85 years old in the TV room on the floor. She is altered and thrashing around on the floor trying to get up. No matter how hard you try you cannot get her to stay still.

 

[STXmedic]

 

[Medic Tim]

why did you wait for the police? did you feel the old lady was a safety threat?

 

[usalsfyre]

Gonna need a little more to go on...

General condition of the residence? Impression of the patient? Vitals? History?

 

[DPM]

Break dancing.

Next scenario please.

 

[Meursault]

why did you wait for the police? did you feel the old lady was a safety threat?

In my experience, because people expect police to kick in doors and because police departments, unlike EMS agencies, are willing to protect their employees from frivolous legal action. That, and I probably couldn't kick an exterior door without making a fool of myself.

Around here, fire does it more often, and do they ever get excited about it.

 

[Swimfinn]

we waited for police because the engine was 30 min out...

bp was 100/60
hr of 78
responsive to painful stimuli
blood glucose of 31
spO2 of 93% on room air



sorry about that i thought i had added the vitals

Edit: unknown history

 

[Aidey]

Give her glucose.

 

[Doczilla]

Blood sugar of 31, eh? ......................

 

[Doczilla]

Arrrrgh got beat to it again!

 

[DesertMedic66]

Give her glucose.

Same. Reassess after glucose and see how she is. AOx4 with no complaints, doesn't want to go to the hospital, have her eat something that will keep her sugar up, and then AMA.

 

[Swimfinn]

blood sugar raises up to 91 after an amp of D-50. Got her packaged and into the rescue. Did another vitals.

bp: minimal change
hr: 77
blood sugar: 40
alert and orientedx2

 

[DesertMedic66]

Someone correct me if I'm wrong but does IM glucagon last longer (ie keeps blood sugar levels up longer) then dextrose?

 

[Anjel]

blood sugar raises up to 91 after an amp of D-50. Got her packaged and into the rescue. Did another vitals.

bp: minimal change
hr: 77
blood sugar: 40
alert and orientedx2

Her BGL went up 9 with an entire amp of D50? Strange.

And I was told glucagon is great, but if she was to sign AMA, she would no longer have any back up glucose storage in her liver. I hope I am making sense with that.

We don't have it. So I'm not sure.

 

[Medic Tim]

In my experience, because people expect police to kick in doors and because police departments, unlike EMS agencies, are willing to protect their employees from frivolous legal action. That, and I probably couldn't kick an exterior door without making a fool of myself.

Around here, fire does it more often, and do they ever get excited about it.

We only get fire if we are in a city. The volly rural departments here do fires and accidents( if we are lucky) Police will not come to kick a door in for us... they will come once we do kick it in to secure it. If we need in before a keyholder can be found. we get in. Most times though we do not kick the door in. whatever is safest and makes the most logistical sense(cut screen, break window, kick in door, etc) We don't do this alot just when we know for sure someone is locked in and there is immediate need to get to them.

where I work in the US, we are to call for police and or fire but we can kick it in if we feel it is in the pts best interest.

Both have SOPs/SOGs

 

[Medic Tim]

..... blood sugar raises up to 91.....



bp: minimal change
hr: 77
blood sugar: 40
alert and orientedx2

so which is it......91 or 40?

 

[Doczilla]

Glucagon dosent increase it as fast. It's only for unattainable I.V access to buy time. Plus, I'd their liver is tapped, it won't work.

 

[STXmedic]

Giver her another amp an tell her to lay off the insulin when it's not needed :unsure:

 

[Anjel]

Glucagon dosent increase it as fast. It's only for unattainable I.V access to buy time. Plus, I'd their liver is tapped, it won't work.

Oh! Oh! I was kinda right!

 

[NomadicMedic]

You can't use glucagon in kids or alcoholics, their glycogen stores have been reduced and you won't have anything to convert.

This this sounds like a call I just went on. Woman was only supposed to take a couple units of insulin and wound up giving herself 20. I'd give her D50 and her sugar would only go up a couple of points. So, we took her to the hospital and they put her on a drip and waited for the insulin to wear off.