mobey

I think we may be agreeing!!!

I concur with your statement, it is more reason to include the monitor. However a irregular pulse in this situation is not the ONLY reason for the strip like the question implies.

Peace

Mobey

The pt.

My argument is whether or not an irregular rythm is present or not, an 81 y/o in an unexplained MVA, with a chest injury is gonna get a monitor @ sometime. We have no idea why this accident occured, hypoglycemia, seizure, syncope episode d/t poor preload... But if I am not sure I want to look at all the systems, Irregular pulse or not.

So I unlike some of the other students say FALSE

Hey everyone!!

Got a case study question for ya all.

It got me arguing with almost the whole class...again.

81 y/o male MVA

Truck impacted on drivers door then frontal into tree. Pt. unrestrained lying across front seat, steering wheel is bent.

alert to voice..otherwise disoriented, inconsistantly obeys commands.

R-22 reg, Breath sounds = faint wheezes in bases, Skin pale, cool, dry, Radial pulse irregular @ 80. BP112/82 no complaints of pain.

PMHx Hypertension, and "Heart problems"

Lasix, Lanoxin, Slow k, Micronase.

Bruise on sternum, pain on left chest wall on palpation. No crepitus. ABD soft non tender, Deformity of ankle.

Question reads.."How do Karl's pre-existing problems affect your assesment?"

A: Finding the irreg pulse means the cardiac monitor must now be included in the assesment @ some point.

TRUE OR FALSE

I am finishing off my PCP (EMT) this nov. and have the opportunity to go into ICP(EMT-A) the next month, part time. Thoughts? should I go for the ALS before working BLS, I do have experience as EMR, not like Ive never done a call. Would I be better off working full time PCP while schooling ICP or would I get too frusterated by knowledge vs scope? anyone who has worked one level while learning another I would appreciate your thoughts.