Dustdevil Posted November 27, 2007 Posted November 27, 2007 Dust - why do you disagree with the fluid? For the same reason I disagree with the MAST. It promotes exsanguination and offers the patient no benefits. Establishing lines? Sure! Top of the list! But "pumping him full" of crystalloid fluids, washing out his clots, filing up his thorax, and diluting his remaining haemoglobin is not anything I want to do unless I'm just wanting to punish him for his stupidity.
Niftymedi911 Posted November 27, 2007 Posted November 27, 2007 You are the only ambulance in a rural area of about 1500 square miles. You get a call of a man who has fallen over 200 feet down a cliff and hill. The scene is supposedly 4 miles into rough terrain and it's 11pm at night There is one person who meets you where he called you which is a convenience store about 4 miles from the scene but this person does not remember how he got to the store due to alcohol being involved. What do you do? I'll check back on this later today, I've got shopping to do with my wife (OH JOY) Tell dispatch to clear the unit unable to locate, have FD advise EMS if the person has been located. Being the only unit within 1500 miles, you can't just go find a needle in a hay stack if you got someone else with chest pain, (a situation where treatment can have a good outcome). And if FD is able to locate some drunk and he is still alive, I would want to be his best friend.
mrmeaner Posted November 27, 2007 Posted November 27, 2007 But permissive hypotension doesn't sound like a cool treatment!
mediccjh Posted November 28, 2007 Posted November 28, 2007 I'd disagree with the MAST and the fluids both. Use to MAST to splint the extremities, not to inflate them.
Just Plain Ruff Posted November 28, 2007 Author Posted November 28, 2007 half way up the winch he codes. he dies enroute to the hospital
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