the 100% directionless thread

bigbaldguy said:
I don't know at least in this case there was a very significant moi. It's when they backboard a fender bender that makes me chuckle.
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Generally if it was a simple rear-ender, if the patient is ambulatory, or if there is no immediate pain or tenderness, we can eliminate c-spine by just verifying the pt can turn their head left and right. (Some exceptions apply.)

I would hate to have to try to explain to some guy that I want to backboard him while he's ambulatory and more concerned about the damage to his bumper. Hahaha.
 
I just had a guy with sudden onset acute abdominal pain, radiating to his back. Abdomen distended and 10/10 if I as much as touched him.

"Hail Mary, fulla grace... Let this IV slide inta place..."

I'll admit, I was a little nervous. The BLS guy said, "wow. I've never seen you sweat before..."

I got him to the ED alive.
 
n7lxi said:
I just had a guy with sudden onset acute abdominal pain, radiating to his back. Abdomen distended and 10/10 if I as much as touched him.

"Hail Mary, fulla grace... Let this IV slide inta place..."

I'll admit, I was a little nervous. The BLS guy said, "wow. I've never seen you sweat before..."

I got him to the ED alive.
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Always a start.


I had a TCA OD the other day. He didn't want to go to the hospital - at all. 2 of Ativan changed his level of resistance.

Got him there alive, although I was more than a little nervous. He had an impressive R-wave on his 12-lead at the ED. Someone bought a Unit bed.
 
Went on a call for a lady with a chest tube. She was transferred to an ECF that did not have the equipment for the tube. We got there and he was hypoxic and she had rales in lower lobes.

We would of had a 20min transport time. So I called for ALS. Since we don't even have a pulse ox to monitor. They only had a 3min response time. And the lady started complaining of cheat pain.

My partner got pissed. An said " I don't see the big deal. We can just hook her up to the suction in the truck".

Lord help me.
 
Anjel1030 said:
Went on a call for a lady with a chest tube. She was transferred to an ECF that did not have the equipment for the tube. We got there and he was hypoxic and she had rales in lower lobes.

We would of had a 20min transport time. So I called for ALS. Since we don't even have a pulse ox to monitor. They only had a 3min response time. And the lady started complaining of cheat pain.

My partner got pissed. An said " I don't see the big deal. We can just hook her up to the suction in the truck".

Lord help me.
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What was the chest tube connected to? Was it a water seal unit?
atriu%20ocean%20desktop%20resolution.jpg
 
Gotta love those Ill equipped BLS IFT trucks. :(

And my abdo guy... Any guesses?
 
ChaseZ33 said:
What was the chest tube connected to? Was it a water seal unit?
atriu%20ocean%20desktop%20resolution.jpg
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It wasn't connected anything. It had a cap on the end. It was supposed To be sealed for transport and reconnected upon arrival. But they didn't have anything.
 
n7lxi said:
Gotta love those Ill equipped BLS IFT trucks. :(

And my abdo guy... Any guesses?
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Ya tell me about it. And I say AAA
 
That was my first guess. But, no.

This malady often mimics more catastrophic abdominal issues, like the AAA. (and makes paramedics sweat...)

Another guess?
 
n7lxi said:
That was my first guess. But, no.

This malady often mimics more catastrophic abdominal issues, like the AAA. (and makes paramedics sweat...)

Another guess?
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Gas? Lol
 
Diverticulitis?
 
Dammit, someone beat me to it! I'm voting for gas also
 
Hahah. Nope. Not gas. (although that was in my rule out on the PCR)


Severe Pancreatitis.
 
n7lxi said:
Hahah. Nope. Not gas. (although that was in my rule out on the PCR)


Severe Pancreatitis.
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The great imitator, Almost as bad a dig toxicity!
 
n7lxi said:
Gotta love those Ill equipped BLS IFT trucks. :(

And my abdo guy... Any guesses?
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Anything else to go on? Fever, chills, HPI?

Peritonitis or ischemic colitis sounds more likely than an AAA.
 
Is a supraglottic airway the same thing as a extraglottic airway?
 
JPINFV said:
Anything else to go on? Fever, chills, HPI?

Peritonitis or ischemic colitis sounds more likely than an AAA.
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That's the kicker! Claimed sudden onset, extreme diaphoresis, hypotensive, distended belly and 10/10 "worst pain ever" through to the back ... denied any bowel changes, denied fatty food or EtOH. No medical HX, no meds, NKDA.

He got two lines and a super fast ride to the ED. I was thinking either AAA or ischemic bowel. Part of me was thinking I was bringing in a Priority 1 that needed to fart. :( But he looked like death... and I was ready to pour the fluid to him if things went downhill...

I got caught by a mimic. Oh well. Now I know.

"Patients usually have pain in the epigastrium that typically radiates through to the back. It is often associated with nausea and vomiting. Severe attacks often mimic other abdominal catastrophes such as perforated or ischaemic bowel and ruptured aortic aneurysm. Abdominal distension with or without a vague palpable epigastric mass is common in severe attacks."
 
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