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Dispatched to 555 Chest Pain Dr.


DFIB

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I had a patient who usually had the hypertension episodes intermittently maybe once a week or so. After he had a new Foley put in, he said he noticed urine leaking through, and was waiting for Monday to get to his doctor again (he was paraplegic from a GSW). Somehow the Foley problems were causing episodes of the dysreflexia every few minutes (way more frequently than usual, for him).

He had one of the episodes during a blood pressure check and you could see the BP rising live. Pretty crazy. It would also give him those goose bumps mentioned in the scenario during each wave of HTN. Lasted usually 2 to 3 minutes or less.

We have trauma centers left and right, so took him to one, non-emergent, figuring those docs would be more familiar with his disorder.

Edited by AnthonyM83
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