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How would you have dealt with this call???


CheekyEMT

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I get that most of you would not have taken this transfer. I also get that you wouldn't let another crew member "push" you around.

Ok cool. So what exactly are you asking us to comment on? I think you did a good job handling the patient once you were on the transfer. I may have chemically sedated him,, if his vitals were stable enough. However it seems you were able to talk him down without incident.

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Where I work we typically get and order for Midazolam if pt becomes anxious and combative during transfer. This usually comes as a written pt specific order that accompanies the pt. I agree with some of the comments here...that the Midazolam or Lorazepam would probably have helped out.

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Wow. This would NOT have happened in Southern AZ. Too many problems with HIPAA for one...no one likes a 6 figure lawsuit against the attending AND the service. I agree with taking equipment from hospitals. NEVER do it unless you have had training on it. If the patient on that monitor codes and you can't figure it out...its your butt in a sling. Sorry about the harassment issues. He just needs to go away. Maybe play with the polar bears? :) Also, with the agitation, it is most prudent to assume hypoxia until ruled out (ie. O2 via mask with a pulse ox over 95% with a good wave form). Once that is done, then move on to chemical restraints. It could be something like a CVA which would not alter the PO, so O2 is always good.

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