Epi-do
I see dead people
- 1,947
- 9
- 38
Granted, I was precepting, so I wasn't 100% on my own. We only had two ALS runs, and both were pretty straight forward.
The first one was a GI bleed that was hemodynamically stable and had a very long history. She is currently awaiting a transplant, has a history of seizures, a g-tube, a duel lumen access port (not sure exactly what type it was), and lots of other stuff. I put her on high flow oxygen, dexed her due to a possible syncopal episode prior to our arrival, and put her on the monitor. Other than that, I just monitored her condition for any changes until we got to the ER.
The second run was an 8yo girl that fell off the monkey bars and fractured her arm. There was obvious deformity, and she didn't want us anywhere near that arm. After getting her medical history from the school nurse, I was able to give her some fentanyl. We then splinted the arm and transported.
All in all, a pretty good start.
The first one was a GI bleed that was hemodynamically stable and had a very long history. She is currently awaiting a transplant, has a history of seizures, a g-tube, a duel lumen access port (not sure exactly what type it was), and lots of other stuff. I put her on high flow oxygen, dexed her due to a possible syncopal episode prior to our arrival, and put her on the monitor. Other than that, I just monitored her condition for any changes until we got to the ER.
The second run was an 8yo girl that fell off the monkey bars and fractured her arm. There was obvious deformity, and she didn't want us anywhere near that arm. After getting her medical history from the school nurse, I was able to give her some fentanyl. We then splinted the arm and transported.
All in all, a pretty good start.