AZCEP Posted July 22, 2008 Share Posted July 22, 2008 Brain needs sugar and oxygen, so no I would not withhold the dextrose. I might use a more dilute concentration, like D10, but not treating the problem will only make things worse. Link to comment Share on other sites More sharing options...
jwraider Posted July 22, 2008 Share Posted July 22, 2008 Thanks I agree. Dilution seems a good way to work around the possible head bleed. Link to comment Share on other sites More sharing options...
Christopher.Collins Posted July 22, 2008 Share Posted July 22, 2008 *Try to calm and reassure patient, explain situation *Maintain c-spine (duh) with collar *Request ALS if not on an ALS unit or not already en-route *Rapid physical exam *Extrication; while taking into consideration and preparing any arterial and internal bleeding, especially of lower extremeties (femoral) when dashboard is rolled *Consider medevac due to MOI, LOC and time out from closest hospital, especialy if said hospital is not a trauma center *Have PD or other available personel question bystander on his initial findings of the incident Link to comment Share on other sites More sharing options...
Christopher.Collins Posted July 22, 2008 Share Posted July 22, 2008 no etoh bg is 70 can't remember when last ate insulin 1 hour ago VS - 140 pulse, cap refill 4, bp 80/60, RR 12 shallow, total GCS 10 Oh yea, I forgot about monitoring vitals.... Link to comment Share on other sites More sharing options...
Richard B the EMT Posted July 22, 2008 Share Posted July 22, 2008 Local protocols here in New York City/New York State would have us putting the patient on O2 @ 10-15 LPM via Non Re-Breather (NRB) mask, not a Nasal Canula, unless the patient is unable to tolerate the NRB. Other than that, I generally concur with treatments given, with me being unable to comment on ALS as I am BLS. Link to comment Share on other sites More sharing options...
firedoc5 Posted July 23, 2008 Share Posted July 23, 2008 Brain needs sugar and oxygen, so no I would not withhold the dextrose. I might use a more dilute concentration, like D10, but not treating the problem will only make things worse. DITTO Link to comment Share on other sites More sharing options...
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