Fairly new EMT at the time, curious to see comments/thoughts.
BLS unit called to SNF for "difficulty breathing".
UA 72 y/o F sitting fowlers in bed unresponsive to verbal/painful stimuli.
(To the best of my recollection) Vitals:
PR 130 strong/irr
BP 202/(90?)
RR 30s shallow chunky
Flush/warm/normal
Pupils equal/constricted
Lungs L wheeze IIRC
Hx HTN, DM, arrhythmia, pacemaker
NKA
Pt. daughter claims rapid onset ~20 minutes ago pt. was AO.
Maintained fowlers, applied 6LPM NC, got ALS involved promptly (why SNF staff called in BLS, we still don't know - little scary). Fire shows up and says we handled everything well, waits for ambulance medic - medic walks in and a sternal rub induces a flexion response <_< he thanks and dismisses us. We were posted back in the area, went down to ED, got there a while before the medic unit did so they were on scene for a bit.
I'll let a couple guesses fly before I say what fire and the medic seemed to immediately peg.
BLS unit called to SNF for "difficulty breathing".
UA 72 y/o F sitting fowlers in bed unresponsive to verbal/painful stimuli.
(To the best of my recollection) Vitals:
PR 130 strong/irr
BP 202/(90?)
RR 30s shallow chunky
Flush/warm/normal
Pupils equal/constricted
Lungs L wheeze IIRC
Hx HTN, DM, arrhythmia, pacemaker
NKA
Pt. daughter claims rapid onset ~20 minutes ago pt. was AO.
Maintained fowlers, applied 6LPM NC, got ALS involved promptly (why SNF staff called in BLS, we still don't know - little scary). Fire shows up and says we handled everything well, waits for ambulance medic - medic walks in and a sternal rub induces a flexion response <_< he thanks and dismisses us. We were posted back in the area, went down to ED, got there a while before the medic unit did so they were on scene for a bit.
I'll let a couple guesses fly before I say what fire and the medic seemed to immediately peg.