Record High/Lows

NPO

NPO

Forum Deputy Chief
Messages
1,831
Reaction score
897
Points
113
Everyone has a cool story from the time when their patients BP was 1Mill over 1 Thousand, or their BGL was 1500... Heaviest patient?

What are some "records", either high or low, that you have seen that made you go :o It would also be cool if you knew the outcome of the patient(s), like if they recovered from the episode.

I'll start off, I'm sure someone will top it.

Highest BGL: >1000mgdl, limited by hospital blood lab equipment.
Highest BP: 210/120, confirmed by multiple automated and manual attempts.
Highest Troponin: 650. Ok. This one isnt real, but the sending nurse mistakenly said Troponin, and it had my partner and I mouths wide open. :unsure:
 
Last edited by a moderator:
Heaviest pt, a routine dialysis tx we did every other day, he weighed ~600lbs. Still ambulatory too...

Highest BP was a few weeks ago, like 280 /160.
 
Troponin T: 246, in complete heart block with a temporary pacemaker s/p 3 stents to the RCA.
PO2: 37, In APE, One of the few times I actually used a NRB. Then Bipap and Nitro gtt
Systolic BP: 302 (on an A line), herniated shortly there after
 
Last edited by a moderator:
Chase said:
Troponin T: 246, in complete heart block with a temporary pacemaker s/p 3 stents to the RCA.
PO2: 37, In APE, One of the few times I actually used a NRB. Then Bipap and Nitro gtt
Systolic BP: 302 (on an A line), herniated shortly there after
Click to expand...

Your BP wins (or loses, dependent on perspective). The other values are none too shabby either...
 
Highest BP: 310/210. Actively herniating, it was bad. I doubt that she survived.
 
BAC, .428
BIB 911 Ambulance, Responsive to verbal
Confirmed BAC by ER labs

I transported for inpatient psych admission the next day
Chronic alcoholic attempted suicide with alcohol
 
Last edited by a moderator:
Bp 300/200 ish. Manual and auto.
Pt was actively seizing when she came in but did not herniate. I went up to the ICU the next day I was at the hospital and visited her. She was intubated and on a vent but they had brought her blood pressure down and were expecting her to make a full recovery.

Also treated a 20 yo male with a BAC of .59 (according to his chart in the icu the next day). Medics intubated him and pumped his stomach prehospital. He too made a full recovery.... Although I'm not sure his parents ever let him go back to college :rofl:
 
Last edited by a moderator:
I have heard and seen very high BACs before, but biggest thing that shocked me was .428 & alert to verbal, i had to double check with a nurse who took the triage the night prior

but .59 is up there
 
I don't know the exact number, but when my father-in-law went in for CHF, it took 12 hrs before they could even read a blood pressure in the ER.
 
Oldest patient. She was born in 1910... The year I met her was 2011 :o
 
Me and another medic had a walking, talking, asymptomatic patient with a VP of 300/220 and that was the limit of my cuff, pretty sure his systolic was higher than that.

We have a frequent flyer that weighs ~675.
 
BAC .573

BGL 1600ish
 
I've had a walking/talking pt with a BAC of .502. They are still alive and I see them weekly.
 
Sandog said:
Oldest patient. She was born in 1910... The year I met her was 2011 :o
Click to expand...

I was on a call for a 100 y/o female born in 1912. The officer that first responded wrote down information and Gave it to one of our training members. She looked at me and said the DOB was wrong because it was 2/16/12. I said she is 100 so she was born in 1912. She was pretty embarrassed.
 
Highest BGL 1300ish

Greatest amount of fluids / products given: >60 liters of IVF and 40+ units of various blood products during a liver transplant.

Highest doses of IV narcs: 1000 mcg/hr of fentanyl and 200 mcg/kg/min of propofol WITH boluses of Fent and Versed prn for dressing changes, in an intubated patient with TENS in the ICU.

Also 60mg of MS, 400 mcg fent, and 10 mg versed in a non-intubated patient with an arterial occlusion in transport.

Highest dose of pressors: 600 mcg/min of neo AND 30 mcg/kg/min of levo in a septic patient...for several days. He actually lived, though he did lose some digits.
 
nwhitney said:
I've had a walking/talking pt with a BAC of .502. They are still alive and I see them weekly.
Click to expand...

We've got a few of those.

Always makes me smile when they walk by when we're scraping some drunk college kid off a bench and they just start talking crap about how they need to hold their liquor so they don't waste our time. "At least when they pick me up my blood is toxic!" Is the best line I've heard.
 
BGL (at the lab at the hospital) over 2200 survived, left hospital 2 weeks later.

Weight: 2 or 3 patients over 1000lbs. 1 pt gave birth at 750lbs.

BAC .484 (never bet on BAC with ED docs: they always win).
 
You must log in or register to reply here.
Back
Top