TheLocalMedic
Grumpy Badger
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- 44
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Had a hypertensive crisis this evening. Younger guy with a history of BP spikes, taking metoprolol and called for a headache, dizziness and nausea. Pressure was over 250 systolic.
Called in for an order for nitro (because we don't carry any beta blockers) and got denied by base. I painted as clear a picture as I could, but they just shut me down. GRRRRRRRRR.... I asked to speak with the doc afterwards and she wouldn't give me the time of day. I think I've been in EMS since before she even started med school, but...
I even explained to her that when I call in for orders that I'm not so much asking for permission as telling them what I plan to do and following our "protocols" by contacting base first, but got stonewalled...
Called in for an order for nitro (because we don't carry any beta blockers) and got denied by base. I painted as clear a picture as I could, but they just shut me down. GRRRRRRRRR.... I asked to speak with the doc afterwards and she wouldn't give me the time of day. I think I've been in EMS since before she even started med school, but...
I even explained to her that when I call in for orders that I'm not so much asking for permission as telling them what I plan to do and following our "protocols" by contacting base first, but got stonewalled...