Had an interesting call the other day, curious what you guys would have done.
25 yo m presented with severe chest px following 25-35 hits off his MDI. PMHx of asthma, multiple suicide attempts, bi-polar (stated he took his other meds as prescribed). Initial vitals: 150's systolic, HR: 140's, sat-ing okay, all other exam unremarkable. Got him in the rig, o2, iv, monitor (sinus tach without ectopy or ST elevation). Go en route, pt c/o dizziness, light-headedness, vitals: HR 170's, BP: 100 systolic, still sinus w/o ectopy. Started a fluid bolus, then arrived at the ED.
My question (new medic here). Would you have done anything pharmacologically. And, I know albuterol / atrovent has some side effects, but how far could this have gone? PVC's? Coded?
Have you seen this before?
stever