letmesleep Posted August 15, 2008 Share Posted August 15, 2008 Is Mom insulin dependant? Is she breast feeding? Link to comment Share on other sites More sharing options...
medic_texas Posted August 15, 2008 Share Posted August 15, 2008 Has anyone checked lung sounds, heart sounds, bowel sounds, pupils, and also the fontanels? Why did he get seen in Mexico? What sign and symptoms were they seeing to have him assessed there? Where was he born, America or Mexico? Need to find out about his/her immunization status as well. Thats a good start I think, too bad I saw this scenario several posts too late Link to comment Share on other sites More sharing options...
fallout Posted August 15, 2008 Share Posted August 15, 2008 After reading everything, I would be inclined to believe that this child has undiagnosed neonatal hypoglycemia. Now, why the kid has that? Endocrine disorder? First-time parents not aware of how to properly feed a child? Link to comment Share on other sites More sharing options...
ERDoc Posted August 15, 2008 Share Posted August 15, 2008 So we have a hypoglycemic newborn with a temp of 100.2 (hmmmm). He looks sick so we've intubated him. We've given him an inadequate fluid bolus and he doesn't seem to be improving. What are we missing? What else are we going to do? Link to comment Share on other sites More sharing options...
AnthonyM83 Posted August 15, 2008 Share Posted August 15, 2008 Can we give him antipyretics? Not doing a type of focal febrile seizure right? Not sure what else we can do for temp...like said earlier could be septic...but what can we do for that... And like reaper said, Ruff, after the interventions, expect baby to pink up and VS to stablize . . .? Link to comment Share on other sites More sharing options...
p3medic Posted August 15, 2008 Share Posted August 15, 2008 more fluid. Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted August 15, 2008 Author Share Posted August 15, 2008 Intubation was definately one of the right steps Fluid bolus given with mild results You are about 6 blocks from the hospital and your ambulance struck on the passenger door side by a driver who had the green light and you had the red. (you were running L&S though). Your ambulance is dead in the road. No injuries to you, mom or baby or partner but what happens now? Remember we have a 5 day old tubed, scalp veined and very very sick What happens now. (You didn't think I was gonna let you get to the hospital that easy did you??????) Link to comment Share on other sites More sharing options...
reaper Posted August 15, 2008 Share Posted August 15, 2008 Give second fluid bolus. If another unit is not close, then have you partner grab equipment bag and start hoofing the 6 blocks! Link to comment Share on other sites More sharing options...
mobey Posted August 15, 2008 Share Posted August 15, 2008 Give second fluid bolus. If another unit is not close, then have you partner grab equipment bag and start hoofing the 6 blocks! Or just grab the closest vehicle, when the driver sees you bagging an infant I think they'll have no problem driving you to the hospital! Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted August 15, 2008 Author Share Posted August 15, 2008 Did anyone question the D25 dosage given earlier? What do you want to check after being hit by the car. Is there something you want to immediately check? Link to comment Share on other sites More sharing options...
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