ERDoc Posted August 24, 2008 Share Posted August 24, 2008 You are called to the residence of a 3y/o female. The mother tells you that she began vomiting about 30 minutes ago. She seemed fine when she picked her up from the babysitter a few hours ago. Mom figured it was just a GI bug and didn't think much of it until she noted some bloody streaks. What do you want to know? Link to comment Share on other sites More sharing options...
mobey Posted August 24, 2008 Share Posted August 24, 2008 How is the child acting? How many times has she vomited since she picked her up? Any liquids (outside of puke) on the childs cloths? Babysitter report anything strange? Link to comment Share on other sites More sharing options...
ERDoc Posted August 24, 2008 Author Share Posted August 24, 2008 How is the child acting? How many times has she vomited since she picked her up? Any liquids (outside of puke) on the childs cloths? Babysitter report anything strange? The child is quiet but does not seem to be in any distress. She has vomited 4 or 5 times. No liquids noted on the clothes. Mom will try to contact the babysitter while you load the pt. As you get her in the ambulance she vomits a fair amount of blood and becomes lethargic. Link to comment Share on other sites More sharing options...
SANDMEDIC Posted August 24, 2008 Share Posted August 24, 2008 HMM 3 y/o pretty active age. Generic Hx/ Meds/ Allergies. Was there any time where the 3 y/o was unattended? Access into areas under the sink or playing with any of the older childrens toys at the babysitter? Legos seem to make their way into some interesting places. Definately load and go. I never did mess around with kids, they can go down hill very quick. Poison ingestion vs Foreign body (toy) The blood streaks kinda keyed me up to this DD. Link to comment Share on other sites More sharing options...
ERDoc Posted August 24, 2008 Author Share Posted August 24, 2008 Generic Hx/ Meds/ Allergies. No PMH, PSH, meds or allergies. Mom is trying to contact the baby sitter but is distracted from the phone by her sick looking daughter. Link to comment Share on other sites More sharing options...
SANDMEDIC Posted August 24, 2008 Share Posted August 24, 2008 Aspirin comes to mind Vomiting Hemataemesis lethargy Seizures Coma Not good! Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted August 24, 2008 Share Posted August 24, 2008 what does the vomit smell like? ARe there pill fragments in the vomit? Link to comment Share on other sites More sharing options...
Eydawn Posted August 24, 2008 Share Posted August 24, 2008 What's the kid's temperature? Blood pressure? Is this bloody vomit red streaky, or black icky? Agreed with asking about anything else in the vomit. Screw having mom call the babysitter, give me that telephone... Any respiratory distress? Head to toe exam reveals? Wendy CO EMT-B Link to comment Share on other sites More sharing options...
WendyT Posted August 24, 2008 Share Posted August 24, 2008 Probably drank liquid cleaner, depending on the symptoms, the babysitter wasn't watching the child. Link to comment Share on other sites More sharing options...
mshow00 Posted August 24, 2008 Share Posted August 24, 2008 I agree with Windy here... the girls(both) got into a caustic liquid and drank it... talking to the babysitter is important have to find out what they drank... after obtaining V/S and talking with babysitter call poison control and inform them of S/S, V/S and suspitions... possible NG/OG tube( pump the stomach?)... activated charcoal or other neutralizer (per poison control)... grow wings on the side of the rig transport to the nearest childern's hospital (or have bird in the air to transport to nearest childern's hospital) consider sending additional unit to babysitters house for her child (after talking to her of course) Link to comment Share on other sites More sharing options...
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