FL_Medic

Ahh, ABD distention is present.

Gag reflex intact there is more to do, you have done a rapid assessment, what about focused? What about the HR?

Perl, no mottling

just diaphoretic, I'd give you the night sweats, but she wasn't a picture perfect... as you know you don't allways have all the S/S of an illness for it to be accuring.

They are unable to hold their own airway open, but they are breathing ok with head-tilt chin lift. your NPA is in place and 15 lpm NR. Lungs cl VS - BP 110/82, HR- 156, SaO2 - 92%RA, 100% NR, BS - 70 Rapid survey you notice he is a little diaphoretic, a palor Allergies? unknown Surgeries? no Recent problems or complaints? CP from time to time, and spurts of ABD pain in the past couple months Cannot find the meds? (Do we know what the meds are for?) one is for the arrythmia, and she thinks the other is for stress Past medical problems?arrythmia unknown type

I'm getting toned out for standby, I will be back in a few

No signs of trauma, wasn't a witnessed fall though.

Wife greets you at the door and takes you to the pt. Wife states that they were arguing and she left about an hour ago, when she got home he was lying on the floor unresponsive. Hx - Cardiac arrythmia unknown type Rx - can't find but she says he is on 2 meds. First responders objective: Airway - unable to maintain holding head-tilt Breathing - Normal P - rapid at radial

absolutely, I was guessing that's what ace was getting the large bores in her for.

Oh Ace, you would only be ALS my friend, don't think you're getting out of this the BLS way. pretty liberal protocols, ask for it, and I will let you know.

The scene was called safe by first responding, a local FD with two EMTs at the scene. You have PD at your disposal with an averaged 4 min. response, closest additional unit is 15 min. away, and your flight unit can be there in 10 min. if put on standby. Closest ER is 15 min. away in light traffic.

You are dispatched to an unresponsive 48 y/o male. Dispatch advises you that the scene is safe and the wife is the caller. At pt.'s residence.

And I also agree with the benzos, not only for the purpose you stated but if you decide to cardiovert it would take care of your sedation for pt. comfort.

I'd probably do the same, the patient isn't severly unstable, but valsalva's probably won't work concidering the reason behing the tachycardia... I'd probably have her try though. Other than that I agree making sure at least one of my lines is at the AC or closer. the ASA as profalactic tx is great, and expidition of transport is critical. Dx - Ectopic pregnancy and SVT due to substance abuse. I made this one up but I did have a drunk teenager a week ago who told me she was drinking because she thaught she was pregnant and wanted to kill the baby, pretty sick huh? I thought that this scenario would keep an open mind to situations similar to that.

Im on shift and have to go prepare dinner so I will be back in a few, start your Tx and I will get back.

not to say I am a good speller I just didn't make out the word.

Oh, watch your spelling, no just looks like ischemia.. probably do to the rythm.

no this became ALS a while ago, palpitations, HR -160, hypotensive... fallow Ace's lead.

Good catch I recall my last post. when you remove the pt. you get a better Hx. Cocain Last menstration was 10 weeks ago.

Let me know when you need a hint, maybe something you would think about at the scene, but not sitting at your PC.

Pt. denies using any drugs, or ingesting anything toxic. what does reciprocial mean?

Sx - SOB, Light - Headed, CP, ABD pain NKDA Rx- none Hx - none LOI - chicken at lunch E- pt. just got home from being out with friends since lunch time and told her mom she didn't feel good

ABD O - Gradual P - palpitation Q - diffuse R - No radiation R - none S - 9/10 at times T - all day CP O - Sudden P - none Q - palpitations R - none R - none S - 10/10 T - 2 hours

Pt. is on 02, as requested with no relief

LOL, finally no meds VS - BP 98/palp bilaterally, HR - 170, ECG shows SVT, a little depression in your inferior leads, o2 sat 98% on RA Sx - light-headed, CP, ABD pain, SOB Pt. denies reffered pain other that pain in ABD, LOC, dysuria, BM