Dispatched to a 39 yo male, Diabetic Emergency.
First Responders arrive on scene and report pt is incoherent, BP 214/104, R 14 and labored, Pulse 114. They are also reporting pt had a shunt placed in the Rt arm approx 4 weeks ago. HX of MI x 2, HTN, IDDM, Hep C, renal failure.
Arrive on scene FR placed pt on o2 via NC at 5 lpm. PT laying supine in living room floor. Many families members present. Some clear fluid draining from Rt arm where the shunt was placed. PT has a blood glucose of 36. IV access nill. EJ started and 1 amp D50 pushed. No change. 2mg Narcan pushed due to evidence in the house as well as PT is a known drug user. Still no change.Loaded pt in unit. Cardiac moniter show Tachycardia. BP now up to 220/134. Pt combative. Pupils 6mm(rt) and 3mm(lft)and sluggish. Air medical contacted and en route. Pt continues to become more aggressive/combative. Pt intubated per Dr at recieving hospital. Any guesses as to what is going on with this pt?
Need anymore info let me know.
First Responders arrive on scene and report pt is incoherent, BP 214/104, R 14 and labored, Pulse 114. They are also reporting pt had a shunt placed in the Rt arm approx 4 weeks ago. HX of MI x 2, HTN, IDDM, Hep C, renal failure.
Arrive on scene FR placed pt on o2 via NC at 5 lpm. PT laying supine in living room floor. Many families members present. Some clear fluid draining from Rt arm where the shunt was placed. PT has a blood glucose of 36. IV access nill. EJ started and 1 amp D50 pushed. No change. 2mg Narcan pushed due to evidence in the house as well as PT is a known drug user. Still no change.Loaded pt in unit. Cardiac moniter show Tachycardia. BP now up to 220/134. Pt combative. Pupils 6mm(rt) and 3mm(lft)and sluggish. Air medical contacted and en route. Pt continues to become more aggressive/combative. Pt intubated per Dr at recieving hospital. Any guesses as to what is going on with this pt?
Need anymore info let me know.