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AnthonyM83

Unconcious Male At Bus Stop

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Called to bus stop for approximately 50 year-old male sitting up, but slumped back on bus stop bench. You show up. Bus driver who called tells you he found him like that 5 minutes prior. No one else was around. Go.

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Scene safety;

Evidence of a violent crime? Anybody lurking?

Any obvious signs of illness or injury?

BSI, gloves and goggles.

General impression: How is he dressed? Does he look like a commuter, or a homeless person? What state of health is he in? Does the bus driver know what led up to this event?

C-spine precautions if there is a suspicion of trauma

Attempt to rouse with verbal, then noxious stimuli. If no response, check for breathing and pulse.

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Clearly he was on the Santa Monica flyer down to the beach and couldn't handle the hyped up coeds from UCLA so had some sort of cardiac event

What does an examination of the scene and a primary survey tell us?

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Evidence of drug or ETOH abuse?

Whats the surrounding temp like?

Im assuming hes a big faker, so ill just yell at him to get up... should work.

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After evaluation breathing, pulse and the other things that have been mentioned above. Open airway, apply high flow O2 and pulse ox.

Titrate 02 to correct SPO2.

Are there any obvious injuries?

Is he bleeding?

What is the condition, color and temperature of his skin?

What is his peripheral pulse rate and quality?

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regarding the O2 - premature.. until we get answers to the preceding (excellent) questions. We don't have an initial impression yet.. so no treatment yet

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Assuming all else normal, breathing, pulse, no DCAP-BTLS,

Assuming no ability to communicate or show response to stimuli

Inclined to believe brain damage or stroke

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At this point I would lean towards ETOH or polysubstance abuse.

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W/o a response from Anthony yet, I'd have to go with ETOH or drug OD. Have we checked a BGL? I'm with CM here, if he's breathing normally, I'd pass on the O2 until further assessment is done.

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Cool, so we have saved this guy from free radicals.

Waiting for Anthony.

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