medibrat

still digging....but I can tell you that the weather was cloudy and fairly warm (for up here anyway)...maybe -15C...and that we had gotten a couple inches of snow...but that's it...I will keep my ears to the ground. Brat :angel8:

Then why give them glucose? If they can't take a sugar, it's just taking up space in the bag. You can teach a child to take a sugar and treat the result...just a thought. btw: I"m not disagreeing with the rapid transport...you DO NOT wait around...you get in and get out. No screwing around on scene. Brat :angel8:

thank you Brat :angel8:

I never said anything about policy. I did say that if you do not have a legit life/limb in the back of your rig, here you are bound by the law to stop while on duty. Not policy. Law. That being said, isn't every call we stop at, that we haven't been dispatched to, considered a gamble? Brat :angel8:

Ok Dust, then instead of giving them another tool, I propose 2 solutions. Either give them a glucometer or take away their oral glucose. You shouldn't have one without the other. Point being, if Basic school is the bane of all EMS (don't flame me, I don't believe that) then why not give it to them a little at a time? Or, if you don't believe they should be advanced enough to carry glucose (in this situation it IS a medication) then take it away from them. You're the guru. Make it happen. Brat :angel8:

If I'm not mistaken, what tniuqs said was "if there was a death on scene" not a dead body. Of course you wouldn't know either way unless you stopped. He also said, in the same sentence that the only exception for not stopping being a truly life/limb patient in the back. I think we are all in agreeance that an actively seizing pt is a life threat. And that quote was not an assumption. If you are not running hot with your patient, and you pass up another scene, and someone dies at that scene as a direct result of a delay in care which you may have been able to provide, under our laws, if you are identified, you can be charged with criminal negligence. On that note, if I'm not allowed to poke the dead bodies with a stick, noone else should be allowed to!! Brat :angel8:

That's what I was going to say. At the very least, a blood sugar reading will help with your assessment...just because someone is exhibiting hypoglycemic symptoms doesn't automatically make glucose the right option... Brat :angel8:

I used to work up there....it's still only a little over an hour from here...I'm doing some more digging to see if I can get names of the crew...one of the medics has already been released...waiting to hear on the pilots and 2nd medic...small world...we know everyone up here... Brat :angel8:

Glory Days -Bruce Springstein

Who's bed have your boots been under? -Shania Twain

You Spin Me Round ~Dead or Alive

How do you Sleep ~ John Lennon

roobis

ok, back to the pee. What does it SMELL like?? PMHx: did siblings or parents have something similar when they were kids???? Brat :angel8:

dhowes, we're thinking the same thing at the same time!!! Brock, I have less than an hour and a half left on my shift....I will not sleep tonight! Give us another hint. You know I';ve always loved you, right? Brat :angel8:

You never said that the mom was passing something BAD in the breast milk. So the baby has a genetic defect, decreased loa, seizure activity, poor perfusion and dark urine...does the baby have the genetic inablility to metabolize the protiens in the breast milk (there is a name for it, but without google, I can't remember what it is) Brat :angel8:

Take my Breath Away ~Belinda Carlisle

What colour is the urine that the child has been putting out? Is it winter? Has mom been eating a lot more meat that usual or did she take any extra pre/post natal vitamins? Brat :angel8:

heart sounds? and I don't think we ever did get a pulse or try for a BP on this poor child...this is going to drive me nuts!!! Was the child born at home? Was it a normal delivery?? Were there any problems? (like cord around the neck, etc?) Did the mom deliver a normal, whole placenta? Has mom been sick? Brat :angel8:

"Bovine Spongiform Encephalopathy" fancy word for 'mad cow' (sorry, farm girl talking here) Ok, so it's not animals. You mentioned no masses on the head...how 'bout on the abdomen? And while we're at it, let's listen, heart sounds? Bowel sounds? Something is causing decreased perfusion....but it's not infection or there would be a fever....thinking out loud... Brat :angel8:

Ok, so mom is passing something in the breast milk, something that she doesn't seem to be reacting to...at least not yet...is there a possibility that their farm, or the neighbours farms have had an incidence of sick animals...namely COWS??? (I have to check to see if BSE can be passed through breast milk...) Brat :angel8:

Family is amish...so no vaccinations...you mentioned a farm, how 'bout mom drinking unpasturized milk? Sugar is normal, cap refill is delayed, so perfusion is slow. What were O2 sats with blow-by? I think you said afebrile at 99 degrees, loose stool...are they on a cow farm??? Brat :angel8:

Love Bites ~Nazareth

I googled it, and got 70-120 for a norm...so taking that, the baby's sugar is normal...what about pupillary response? Chest sounds? urinary output? Why did they take so long to seek help? Brat :angel8:

Blood sugar??? (please state normal range since I can't remember the US norms). Has anyone else been looking after the baby lately? Other siblings? Do mom or dad have history of violent angry outbursts? Has mom been assessed for post partum? Brat :angel8: