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Anxiety


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28 replies to this topic

#1 Bieber

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Posted 22 October 2012 - 07:42 PM

You are working on a dual paramedic truck when you are dispatched to a patient complaining of anxiety. You are about 15 miles out from the nearest hospital in a suburban/semi-rural part of your response area.

When you arrive on scene you are led inside a large, newer house to the living room where you find your patient, an approximately 35 year old man sitting on the couch appearing to be in moderate distress.

Go.
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#2 cscboulder11

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Posted 22 October 2012 - 08:39 PM

Who called 911? If someone else did, are they present?
How long ago did he/they call 911? Any distress before that?
Pain level?
Ability to breathe? Breath sounds?
Any allergies? Specifically, food ones?
Is he hot/cold? Pale, sweaty, clammy?
Is he in shape?
Any clues that you can see?
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#3 Bieber

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Posted 22 October 2012 - 09:13 PM

Who called 911? If someone else did, are they present?

Family called for the patient.

How long ago did he/they call 911? Any distress before that?

About thirty seconds before you were dispatched. They've been feeling shitty for the last fifteen minutes.

Pain level?

10/10.

Ability to breathe? Breath sounds?

Patient reports shortness of breath, lung sounds are clear bilaterally.

Any allergies? Specifically, food ones?

Penicillin.

Is he hot/cold? Pale, sweaty, clammy?

A little cool, pale, clammy.

Is he in shape?

Looks to be on the thin side. 140lbs, 5'10".

Any clues that you can see?

Nothing that stands out.
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#4 Mateo_1387

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Posted 22 October 2012 - 09:51 PM

I ask this with the utmost seriousness. How does the wife look? Describe her and her interaction with the hubby...

Ok, maybe not the utmost seriousness, but I still ask it as a valid question.

Otherwise,

Vitals with temp
EKG
Medical history
Medicines
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#5 Bieber

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Posted 22 October 2012 - 10:07 PM

I ask this with the utmost seriousness. How does the wife look? Describe her and her interaction with the hubby...

Ok, maybe not the utmost seriousness, but I still ask it as a valid question.

Otherwise,

Haha... wife looks normal. Not an obvious druggie or alcoholic, looks genuinely concerned, all of that good stuff. These folks are obviously upper middle-class.

Vitals with temp

HR: 280
BP: 138/88
RR: 20 non-labored
BGL: 78
Temp: 98.5

EKG

Posted Image

Medical history

ADHD, anxiety.

Medicines

Xanax, Adderall.

Edited by Bieber, 22 October 2012 - 10:08 PM.

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