Leaderboard

Lets get him loaded and into the back of our office. Get a line and epi on board then head towards the hospital & intercept. 12 lead and good airway control are necessary here. Not very familiar with Morquio Syndrome IV, but if I remember from past reading it has similar issue as Marfans when it comes to cardiac and CNS issues. This is not someone I want to be sitting with for 15 minutes for the ALS intercept to arrive. What if the ALS truck has a mechanical problem or accident. Then you waited for naught. always get headed towards definitive care.The Paramedic isn't going to have a whole lot in their bag of tricks to add to ILS protocols other than Benydryl &intubation if it comes to that , Something you can manage with a king airway if needed.

I have to agree with ruff. Basing on NH nurses isn't always the answer. The facility I work has mostly BSN nurses so we aren't idiots. I have fought time and again on the phone with doctors when they just want to send a patient out for no good reason, but ultimately, I have to listen to that physician. If they give the order for the resident to be sent out then we have to send them. An example: I call physician to get haldol orders for a combative patient. This is common for the patient and the regular doc has decided to just rely on on-call for orders when they get like this instead of a standing prn order for IM haldol. I get some random on-call doc who was not with the program and refused to order IM haldol and told me to send the patient to the ER emergent for altered mental status. I tried to get different orders, but ultimately I had to send this guy out. It sucked. I called the ER and talked with the charge nurse and explained the situation, patient rolled in combative, ER doc gave IM haldol, wrote an order for 48 hours of IM haldol q6h and called it a night sending the much calmer patient back to us within an hour. We have a great relationship with our local EMS and ER's so this worked out. I know my facility isn't like most LTC facilities though as we have PICC lines placed and have several patients on vents, but sometimes it isn't on the nursing staff.

Looks like a severe case of NJ whacker to me. Bet he has 47 flashing lights on his 1992 dodge neon also. Wait ::: I know who that is::: He's the webmaster from that other website about life