pediatric overdose

mofiremedic

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about two months ago i ran a pediatric overdose on an approx 6 y/o male. this was my first ped overdose and also the first time i have ever requested CISD in the 6 years i have been in EMS.
we were called to a section 8 apartment complex on a pediatric respiratory distress. upon arrival we found the pt sitting on the couch. pt appeared very lethargic, bp was 96/p, RR 36/min and very shallow, pulse of 140, pupils were reactive but slow.
pt's mother stated that she gave her son a full dose of her ambien(10mg) because he was hyper @ 2300 hrs, even though she only takes half the dose because it "just wipes her out if she takes the full dose". to make a long story short, the kid started to go into respiratory failure, we ran him hot to the hospital and the police arrested the mom for distribution of a controlled substance to a minor and felony child endangerment.
this is the one call that almost ended my career as i wanted to bash the pt's moms face in(but what a glorious end of a career it would have been :) ).
So heres the million dollar question what treatment regimen would you follow on this pt and why???:wacko:
 
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i_drive_code3

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wow - that sucks! i would've had a hell of a time being civil to the mom on that call - glad she got busted!

this would definetely be handled by my partner but i'm thinking high flow o2, put the kid on the monitor and strip a line...the rest would be up to my medic and i'm sure we'd grab a rider in case he codes.

sometimes i get frustrated with caregivers - we have one g-ster that i KNOW his family is just waiting for him to die and it pisses me off everytime we have to go out to his house. they leave him half falling out of his wheelchair and call us for "weakness" or they over-medicate him then call us for "lethargy" - he is ALWAYS a transport and i don't know why they just don't either put him in a home or hire someone to care for him if they refuse to!

glad you're still in the business!
kate
 
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