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That is the scary part about medicine. Not everyone follows the textbook. I had a guy this past summer who was a roofer and was roofing in 90+ degree, humid weather. He developed a heachache that got progressively worse and was feeling nauseous. No h/o migraine or other headaches. Gave him fluids and meds with some improvement. Decided to CT him since he still had a headache. CT was normal. Gave some more pain meds. Decided to bite the bullet and LP him. Can back with a large amount of blood. Dude ended up with a sentinel bleed some a small aneurysm. This guy could easily have been sent home.

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That is the scary part about medicine. Not everyone follows the textbook. I had a guy this past summer who was a roofer and was roofing in 90+ degree, humid weather. He developed a heachache that g

That is the scary part about medicine. Not everyone follows the textbook. I had a guy this past summer who was a roofer and was roofing in 90+ degree, humid weather. He developed a heachache that got progressively worse and was feeling nauseous. No h/o migraine or other headaches. Gave him fluids and meds with some improvement. Decided to CT him since he still had a headache. CT was normal. Gave some more pain meds. Decided to bite the bullet and LP him. Can back with a large amount of blood. Dude ended up with a sentinel bleed some a small aneurysm. This guy could easily have been sent home.

And that is why you are an ER god.

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We could fix that...

It's more trusting your instincts that something just isn't right. I had a doc ask me a while back, "Well does she look sick" I replied, yes, very. Doc: "Ok send her out to the ER"

I like doc's like that.

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So this scenario was more of a "Would you leave this kid at home" poll than an actual scenario in EMTCity terms.

In that case, no. If a child is at all unwell I always transport or have the parent transport.

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