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87F vomiting dark red blood.
Vitals: HR 100 BP 78/36 O2 96%
Upper abdominal pain
Iv access obtained
500ml normal saline 2hr
5% dextrose
Maintained BP 110/66
Dx upper gi bleed
Transport time 25minChest painA question I often get is what is a day in the life of a EMT like. I am going to tell you a example day.
7:00pm = get ready
8:00pm = get snacks,drive, get coffee
8:50pm= arrive 10min early
9:00pm= check ambulance
9:28pm= get a call
9:57pm= finish call
10:17pm= get another call
10:44pm= finish call
11:00pm= finish first calls chart
11:05pm= 3rd call
11:30= finish call
11:55 finish second call chart
12:00am =snack and more coffee
12:22am= finish 3rd chart
12:44am= new call 4th
1:20am= finish call
1:40am= finish chart
2:50am= 5th call
3:20am= finished call
3:50am= finished chart
4:55am= new call 6th
5:20am= finished 6th call
6:00am= 7th call
6:30am= finished call
6:45am= finished 6th chart
7:30am= finished 7th chart
8:20am= 8th call
8:40am= finished call
9:10am= fashionly late to finish chart
9:12am= clocked outChest painHey Yall,
So question, I'm a brand new paramedic and have been on the streets for 2 months and I had a call today that has bugged me so much and I would like to hear yall thoughts.
29M called 911 for SOB. Pt states he has hx of asthma, covid 3 weeks ago and started feel SOB yesterday and believes it's his asthma attacks as he had in the past. Pt has tried his inhaler with no improvement. Pt is diaphoretic and appears SOB. BP 133/86, HR 110 SPO2 93(room air) End tidal(N/A). Lungs sounds revealed diminished bilateral wheeze. He was then started on a duo neb and pt stated that he feels a little better and SPO2 becomes 100%. While enroute to hospital pt states he is getting worse and becomes more agitated and SOB. He doesn't want a IV but says that he has had issues before and he was given a shot. Terbutiline .25mg subq was given and with no affect, Duo nebs were repeated. Wheb arrived at hospital pt was changed from a yellow to a red stabilization case and pt was intubated.
My question is why was he SPO2 didnt reflect his symptoms. Is this a case of a VQ mismatch?Cardiac Arrest Algorhithm In ACLS | ACLS & BLS certification Program | EMSIntroduction to ACLS & BLS courseManagement of Shock in emergency department (ICU)Adult bradycardia algorhythm By ACLS (AHA 2015)Synchronized Cardioversion procedure: Defibrillation in Action