trauma1534
Forum Captain
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Hello people! I ran into yet another strange event this weekend on a call. I want your ideas on what it could have been. The ER was floored and had no idea what was going on with him.
I recieved a call to a 27 year old male patient with severe abd pain, migrane-like headache with pain radiating down his spine.
UOA, his wife met us outside, reporting that she came in a found him just laying on the couch not responding much at all. He had just been taken to the ER the Wed. before this for the exact same thing, was admited and had been discharged 2 days ago. At the ER Wed, they did a spinal tap to check for Miningitis, it was negative.
When I approached this patient, I found him laying in fetal position on couch, very lethargic. He was moaning and not able to answere me much at all. No PMHx, other than childhood spinal miningitis.
Signs/symptoms - lethargic, skin: cool, dry, pale, PERL
Alergies: nkda
m: vikodin (spelling???)
p: childhood spinal miningitis
l: water, that morning and the day before, very very little bits of food that morning
e: unknown
Patient denies any drug use other than 1 Rx vikodine that morning. Denies ETOH, no signs of it on board.
Patient was placed on 02 and loaded into truck. In the truck, his eyes rolled back and he was out of it for aprox. 3 min, still maintaining his 02 sats at 97%, and resp rate. Vitals: B/P 130/88, HR:64, Resp: 20
Patient did start shivering, I covered him with more blankets.
IV established, normal saline @ KVO. Patient was responsive by painfull stimuli.
Any ideas?
I recieved a call to a 27 year old male patient with severe abd pain, migrane-like headache with pain radiating down his spine.
UOA, his wife met us outside, reporting that she came in a found him just laying on the couch not responding much at all. He had just been taken to the ER the Wed. before this for the exact same thing, was admited and had been discharged 2 days ago. At the ER Wed, they did a spinal tap to check for Miningitis, it was negative.
When I approached this patient, I found him laying in fetal position on couch, very lethargic. He was moaning and not able to answere me much at all. No PMHx, other than childhood spinal miningitis.
Signs/symptoms - lethargic, skin: cool, dry, pale, PERL
Alergies: nkda
m: vikodin (spelling???)
p: childhood spinal miningitis
l: water, that morning and the day before, very very little bits of food that morning
e: unknown
Patient denies any drug use other than 1 Rx vikodine that morning. Denies ETOH, no signs of it on board.
Patient was placed on 02 and loaded into truck. In the truck, his eyes rolled back and he was out of it for aprox. 3 min, still maintaining his 02 sats at 97%, and resp rate. Vitals: B/P 130/88, HR:64, Resp: 20
Patient did start shivering, I covered him with more blankets.
IV established, normal saline @ KVO. Patient was responsive by painfull stimuli.
Any ideas?
