CaptainPanic
Former EMT...
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It is 6pm and you and your station crew are sitting down to eat a nice meal, when suddenly you are dispatched to SMITTYS GROCERY.
According to the dispatch report there is a 16 year old girl who has gone through the grocery store eating everything off the shelves, and the police have stated that she looks gravely malnourished, and are guesstimating her weight to be less than 70 pounds.
You and your mate take the call thinking this is likely a psych call with a possible history of anorexia and schizophrenia.
You arrive on-scene to see this 16 y/o female huddled in the back of the patrol car with a thick blanket covering her. She appears frieghtened and scared.
You extend your hand out and introduce yourself as a Paramedic and you have been called to take her to the ER for an evaluation on her health. At first she just looks at you then she takes your hand as you help her out of the patrol car, her hand is like ice to the touch.
Once inside the rig, under the light she looks very pale, with bones jutting out at every point, you turn the pt. compartment heater on although it is 65 degrees outside. You guesstimate her weight to be 50 pounds.
You go through your SAMPLE history
Signs/Symptoms - Feels cold, pain in her abdomen, weakness, dizziness, significant loss of muscle mass.
Allergies - none
Medical history - no history of mental disorders related to anorexia or others, and no medical condition to cause loss of muscle mass such as parkinsons or MS.
Past Pertinent history - she tells you that she and her 11 year old brother have been locked in a bathroom for 5 years and were allowed to eat only every few days. There are other well-cared for children in the house as well.
Last oral intake - before the grocery spree she states it has been almost a week since she last ate, and it was a small bowl of dried cereal which she shared with her brother.
Events leading to incident - Her grandmother had come to go the bathroom, which she pushed out of the way to escape and she ran to the grocery store to find some food to eat.
You take her V/S as follows-
BP - 80/56
Pulse - 53
Resps - 22
Pulse Ox - 88%
Capillary refill - slow
Skin - pale, cold, dry to touch
pupils - slow, but reactive
What is your treatment for this girl, and what would do in this situation? Do you suspect abuse? Do you suspect undiagnosed mental disorders? Would you notify authorities?
:unsure:
-CP
According to the dispatch report there is a 16 year old girl who has gone through the grocery store eating everything off the shelves, and the police have stated that she looks gravely malnourished, and are guesstimating her weight to be less than 70 pounds.
You and your mate take the call thinking this is likely a psych call with a possible history of anorexia and schizophrenia.
You arrive on-scene to see this 16 y/o female huddled in the back of the patrol car with a thick blanket covering her. She appears frieghtened and scared.
You extend your hand out and introduce yourself as a Paramedic and you have been called to take her to the ER for an evaluation on her health. At first she just looks at you then she takes your hand as you help her out of the patrol car, her hand is like ice to the touch.
Once inside the rig, under the light she looks very pale, with bones jutting out at every point, you turn the pt. compartment heater on although it is 65 degrees outside. You guesstimate her weight to be 50 pounds.
You go through your SAMPLE history
Signs/Symptoms - Feels cold, pain in her abdomen, weakness, dizziness, significant loss of muscle mass.
Allergies - none
Medical history - no history of mental disorders related to anorexia or others, and no medical condition to cause loss of muscle mass such as parkinsons or MS.
Past Pertinent history - she tells you that she and her 11 year old brother have been locked in a bathroom for 5 years and were allowed to eat only every few days. There are other well-cared for children in the house as well.
Last oral intake - before the grocery spree she states it has been almost a week since she last ate, and it was a small bowl of dried cereal which she shared with her brother.
Events leading to incident - Her grandmother had come to go the bathroom, which she pushed out of the way to escape and she ran to the grocery store to find some food to eat.
You take her V/S as follows-
BP - 80/56
Pulse - 53
Resps - 22
Pulse Ox - 88%
Capillary refill - slow
Skin - pale, cold, dry to touch
pupils - slow, but reactive
What is your treatment for this girl, and what would do in this situation? Do you suspect abuse? Do you suspect undiagnosed mental disorders? Would you notify authorities?
:unsure:
-CP
