musicislife Posted May 22, 2012 Posted May 22, 2012 (edited) A biathalon participant flags you down and claims she is not feeling well. She is very sweaty and pale. Her breathing is deep and rapid. A and O times 3...prepare to treat for heat exhaustion (it is 75 degrees outside.) She is wearing a baseball cap, so you remove it. Time is 0800 Airway is clear Breathing: Deep and rapid Circulation: Pulse is rapid and weak, skin is cool and clammy Signs: Mentioned above and she is slightly dizzy Allergies: None Medications: None Past history: Nothing significant Last oral intake: around 1900 the previous night ate dinner, drank a bottle of water at 0630, no food that morning. Events: Running Vitals: BP 90/65 , Pulse: 120 Resp: 25 per mon. Interventions: Apply cold compress, spray pt with cold water. She suddenly shouts after youre done taking her vials "who are you? where am I? Whats going on? why am I all wet? You note this change in consciousness, and administer oral glucouse....no gatorade or anything like that is around, just water. Radio for an EMT crew to transport (i am a first responder) In this hypothetical scenario, would I have taken the correct course of action? Edited May 22, 2012 by musicislife
DartmouthDave Posted May 22, 2012 Posted May 22, 2012 Hello, Sounds like a good job to me. A temperature would be nice as well. Cheers
Fenta Posted May 22, 2012 Posted May 22, 2012 Sounds like a good job. oral Compensation of electrolyte and fluid loss and the oral administration of glucose is a great thing.
paramedicmike Posted May 22, 2012 Posted May 22, 2012 Why don't you tell us what you were thinking, why you did what you did and why you thought that was correct. What part of your actions (this isn't hypothetical at all, is it?) are you questioning?
Fenta Posted May 22, 2012 Posted May 22, 2012 He was just now before 30 min in the chat.... and asked us something about.....
Eydawn Posted May 27, 2012 Posted May 27, 2012 Hyponatremia? Could be she's depleted her Na+ as well as her glucose... I want to see more! More info? More on what happened next? As someone who does event standby, I've seen funky athletes before... my favorite was the gal who came up from Utah to CO (elevation increase), and decided to try 5 hour energy FOR THE FIRST TIME as she came over a pass. Oops. She didn't feel real good. Wendy CO EMT-B
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