brock8024

Another clue she is on no anticoagulants. No warfin, ASA , or plavix and she is in A.Fib and recent hip surgery.

Hip surgery and A fib. She has PE right there. IV, O2, Monitor. She needs Diesel to get to ER. Get ready to work a CODE

She has a PE.

What her meds?

What pt hx? Lung Sounds?

1) Exacerbation of COPD 2) Exacerbation of CHF 3) AMI 4) PE

Does she have a DNR? That would have been my first question. LOL

yeah i just noticed that. I was typing fast. LOL

Thanks Timmy. I am looking at NZ and Australia. I am not for sure what parts I would like to live in. I want to be able to enjoy the culture and life. I think it would be a good way to further my skills. I would also like to further my education if possible. I do not mind starting at the bottom of the food chain again as long as I would be able to move up and people respected what I knew.

I found a migration website and it is asking what area I want to live in. I am not for sure at the moment and need imput on good areas for american paramedics. Thanks

Why did you not give oral glucose. I mean you can rub a little around on gums and under tongue. that a very vascular place. SO you did do two ekg's right to check for right sided mi

It all depends on the pt. Is the BP 102 or 110? If I have a iv then I can fix a pressure problem if needed. Both MS and Nitro are going to lower pressure. I treat all patients separate. It is a critical thinking skill. You have to be able to look at the whole picture not just, Ok his bp is 100 or greater going to give the nitro.LOL

So you done two ekg's on this man and sent both of them to the ER? So what level are you? Just wondering. So he did or did not give the nitro? I am lost now. Did he give any other meds or treatments for his pt. At your level if you know how to check for a right sided MI but not know how to read a EKG then you should take a class. It would help in the future. It also show that u have motivation to learn.

Did you do a V4R on this pt. IF not then it is my understanding that you cannot tell that they are having a right side MI. I was taught never to trust they writing at the top of the paper. With that BP and heart rate I would not have giving the nitro but I was not there. Did he ever get the IV started?

I agree Ruff. The service would be out of business if that happened. I think that there should better schooling and programs to help people with these disease processes so they can work.