FL_Medic Posted March 8, 2009 Author Share Posted March 8, 2009 lets run some saline in those IV's 20cc/kg cold packs on back of necks, armpits and groins.. get them inside the ambulance with the a/c on Ok, you're doing that. No changes with treatment other than cooler skin temp. I take it you are thinking heat stroke? Or just ruling that out. Link to comment Share on other sites More sharing options...
FireMedic65 Posted March 8, 2009 Share Posted March 8, 2009 I was thinking heat stroke. Link to comment Share on other sites More sharing options...
WelshMedic Posted March 8, 2009 Share Posted March 8, 2009 I was thinking heat stroke. Whilst heat stroke is a plausible diagnosis, it does not sit well with me that they are both suffering from it. It's too much of a coincidence. One of the other possibllities is an (?accidental) overdose of XTC or GHB. Both of these drugs are connected with hyperthermia and, if untreated, DIC (Disseminated intravascular coagulation). Read all about it here WM Link to comment Share on other sites More sharing options...
Katiebug Posted March 8, 2009 Share Posted March 8, 2009 Check their pockets. Any dope or maybe a rag used for huffing? Do a quick look on the monitor for both. If both have same or similar dysrhythmia, it's definitely ingestion of something bad. Any chemicals/fertilizers around the pool or garden? Link to comment Share on other sites More sharing options...
FL_Medic Posted March 8, 2009 Author Share Posted March 8, 2009 Check their pockets. Any dope or maybe a rag used for huffing? Do a quick look on the monitor for both. If both have same or similar dysrhythmia, it's definitely ingestion of something bad. Any chemicals/fertilizers around the pool or garden? No chems or fertilizers. Whilst heat stroke is a plausible diagnosis, it does not sit well with me that they are both suffering from it. It's too much of a coincidence. One of the other possibllities is an (?accidental) overdose of XTC or GHB. Both of these drugs are connected with hyperthermia and, if untreated, DIC (Disseminated intravascular coagulation). Read all about it here WM On the right track. What would be easily accessible for a teen to OD on. HOT, DRY, DILATED PUPILS Link to comment Share on other sites More sharing options...
Katiebug Posted March 8, 2009 Share Posted March 8, 2009 No chems or fertilizers. On the right track. What would be easily accessible for a teen to OD on. HOT, DRY, DILATED PUPILS OTC stuff would be easily accessible. Link to comment Share on other sites More sharing options...
FireMedic65 Posted March 8, 2009 Share Posted March 8, 2009 some sort of barbiturate Link to comment Share on other sites More sharing options...
FL_Medic Posted March 8, 2009 Author Share Posted March 8, 2009 Good guesses. Let's look at the big picture. They are outside Flushed, Hot, Dry skin Tachycardia Dilated pupils What kind of reaction are we looking at, I know there are a few that would make sense but one should stand out. Link to comment Share on other sites More sharing options...
FireMedic65 Posted March 8, 2009 Share Posted March 8, 2009 Sounds a lot like anticholinergentic overdose, aside from them not hallucinating due to the unconsciousness. Was the grass cut recently? Any weed whacking? Maybe some plants got chewed up and caused it. (Jimson weed for example) I will stick with my treatment with o2, monitor. Keep an eye out for vomiting. Try some Narcan just in case. It won't hurt. Transport and let the Dr figure it out Link to comment Share on other sites More sharing options...
Katiebug Posted March 8, 2009 Share Posted March 8, 2009 Mushrooms? Link to comment Share on other sites More sharing options...
Recommended Posts