brock8024 Posted February 1, 2008 Share Posted February 1, 2008 You are dispatched to a rural community for a 5 day old that is difficult to wake up. Someone start the fun!!!! Link to comment Share on other sites More sharing options...
mobey Posted February 1, 2008 Share Posted February 1, 2008 How far are we? Any first responders available for first responce? (I assume we are not within a few mins of this baby) Link to comment Share on other sites More sharing options...
brock8024 Posted February 1, 2008 Author Share Posted February 1, 2008 How far are we? Any first responders available for first responce? (I assume we are not within a few mins of this baby) 20 mins and first responders are dispatched. Link to comment Share on other sites More sharing options...
chbare Posted February 1, 2008 Share Posted February 1, 2008 Size up of the scene and general patient impression? Assess responsiveness and then move into the primary ABC survey. Take care, chbare. Link to comment Share on other sites More sharing options...
brock8024 Posted February 1, 2008 Author Share Posted February 1, 2008 Size up of the scene and general patient impression? Assess responsiveness and then move into the primary ABC survey. Take care, chbare. Scene size up is a well kept house. Mother is frantic that her baby will not wake up. A- baby has a open airway B- resp. rate is 48-50. C- 4 second cap refill. rapid pulse. When you tap babies feet you get no response. Baby will open eyes for a few seconds and that about it. What else. Link to comment Share on other sites More sharing options...
chbare Posted February 1, 2008 Share Posted February 1, 2008 Color and skin condition, signs of trauma, history of present problem, any past medical history, problems during the pregnancy or during child birth? Lung , heart, and abdominal assessment? Any history of vomiting, loose stools, or fever? Need to have the resuscitation equipment ready to use and we should abtain a blood sugar. Take care, chbare. Link to comment Share on other sites More sharing options...
brock8024 Posted February 1, 2008 Author Share Posted February 1, 2008 Color and skin condition, signs of trauma, history of present problem, any past medical history, problems during the pregnancy or during child birth? Lung , heart, and abdominal assessment? Any history of vomiting, loose stools, or fever? Need to have the resuscitation equipment ready to use and we should abtain a blood sugar. Skin is mottled in extemities. No trauma. Baby been vomiting started vomiting last night. has not been eatting well since yesterday. Normal child birth. Lung sounds are normal just rapid, heart is tachy, abd is soft and baby shows some signs of pain. FSBS is 76mg/dL Take care, chbare. Link to comment Share on other sites More sharing options...
brock8024 Posted February 1, 2008 Author Share Posted February 1, 2008 some loose stools and no fevers that she has noticed. Link to comment Share on other sites More sharing options...
chbare Posted February 1, 2008 Share Posted February 1, 2008 Fontanelle assessment? Pulse oximetry may be difficult at this time. Do we have a core temp? Any abdominal masses or abnormal findings? We need to provide some blow by oxygen and start working on vascular or IO access depending on the situation. Pull out the good old Broselow scale. A full term kiddo should be around 3.5 kilograms Take care, chbare. Link to comment Share on other sites More sharing options...
brock8024 Posted February 1, 2008 Author Share Posted February 1, 2008 Fontanelle assessment? Pulse oximetry may be difficult at this time. Do we have a core temp? Any abdominal masses or abnormal findings? We need to provide some blow by oxygen and start working on vascular or IO access depending on the situation. Pull out the good old Broselow scale. A full term kiddo should be around 3.5 kilograms Take care, chbare. No masses, temp is 99.0 rectal. Ok so get in a IO. Link to comment Share on other sites More sharing options...
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