Leaderboard

Yes, anyone over 65 does not qualify for the exclusion according to either NEXUS or Canadian C-Spine, I don't recall off the top of my head. That is the one time I will really push the limits though. I often contact OLMC to discuss a 'hybrid' type of SMR I enjoy using. I basically put on a collar and scoop them onto the cot. Keeping the cot flat, I use a blanket roll and tape to secure them to the frame of the cot. Then I move the straps on the cot to the criss-cross fasion, and bam...... Spinal motion restriction on a mattress!. One way I get away with this if I call OLMC, 9 times out of 10 they will say "Why don't you just pad the board with blankets?", my standard answer is "Thin flannels don't really add padding as you can imagine, How about if I put the backboard under my cot mattress and use the 3" foam as padding" By that time they get the point, and succumb to "Mobey's hybrid Selective Comfort Spinal Motion Restriction" (patent pending). Edit for spelling

She's on a propofol drip with normal coags. As chbare said, this lady is on positive pressure ventilation so a tension pneumo is almost a guarantee. This lady requires a chest tube. A pigtail would be acceptable if your facility had them. So, the ICU accepts the pt and off she goes. As others have said, the moral of the story is to be gentle with the narcan, especially in people on chronic narcs. It may be funny to slam them just before they get to the ER to watch them puke all over the staff (I'm not saying that is what happened in this case) but you can also cause some real problems. There is no guarantee that this case would have turned out differently but something as simple as pushing a huge dose of narcan caused this poor woman to require intubation, a central line and a chest tube as well as a hugely expensive visit to the ICU billed to the generous taxpayers of the state.