irme

I'm not all done, I want to go back to some more basics here, Why did he seizure, that is the question - > Was it hypoxic? We have not yet grasped his Sats, does he look cyanosed? Did the temp cause it? What is causing this lack of perfusion -> low BP or is it some kind of anemia, chuck him on Capnography, BSL, skin tenting? Hx of seizures? Obviously you cant answer all these, so in an easyier format, Sats BSL Capnography Clothes off, cool the pt Raise those legs for some cerebral perfusion Lets try get to the bottom of what the cause of the problem (seizure) is!

I knew we were a taxi service!!

Was there any indications of a skull # ?? There was MOI that is for sure but wat about symptoms of a basal # such as echymiosis or CSF or battle signs.. These are all very late signs anyway and are highly unlikely.. (this is persuming it was basal which again is unlikely) I dont think you did anything wrong, and i dont know that an ALS crew would have had a lot more to offer.. Like has already been stated the O2 at 6L should be substituted for a NRB or at least a hudson.. Also what was your indication for c spine immobalization? I see it done often and the pt has absolutley no complaints of central neck or back pain..

Yes they really are!! http://www.medsafe.govt.nz/Profs/datasheet...bsyrinjsupp.htm Thanks for your answer dust, it was my thoughts that it was being given too cautiously.. Guess i'll have to wait until i have a little more experience!

thanks for the info; forgot to say that might be a far south name for the same drug! So in all of your opinions would you be giving this drug to an extremely uncomfortable nauseated patient with abdo pain who hasn’t had a bowel motion in 2 days? Transport time at most where I am is an hour (and that is very much *at most*) and while I’m not saying give the drug for our benefit (less reaching!) and leave the consequences for the ER room doc to fix I am actually talking about making the patient more comfortable. Maxalon is the ONLY antiemetic that we carry so there are no other choices. I just get the feeling that nausea is in many ways like pain; and a lot of the time goes unmanaged to the degree it could be, pre-hospitaly. I guess what I am really trying to say is it so dangerous as a drug that extreme caution should be taken, so much so to mean that any pt stating they have been unable to have a bowel motion in 24 hrs or state they have been “a bit constipated” should not be given this drug..? Thanks for all info guys

Hi there, I am a student paramedic in my second year of my degree and am aloud to give maxalon under supervision. Obviously before i do this i want a firm understanding of the drug. On my ride alongs' i have noted many paramedics are cautious with this drug. - They do not give it to the patient if the pt states they have not been able to have a bowel motion recently - They do not give it for patients with diarrhea Upon reading my guidelines *note: not protocols!* they state maxalon is contra-indicated in diagnosed bowel obstruction... So are these paramedics right to be withholding maxalon? I understand the rational through not giving the drug to someone with diarrhea - your only going to push it through faster.. but so fast they lose control of there bowels?? Just a newbie after some answers! Regards

Skin tenting present? Not some kind of electrolyte imbalance caused by dehydration causing muscle spasms? Maybe increased hypernatremia?

Excellent thanks for that info, will slot beautifully into my case study!

Everybody states that the ETT is the gold standard, why is that? I am currently doing a case study on the combi tube and if i didnt read the success stats i would wonder how someone can not get it right if fully trained..