The Chemicals Between Us

[scubanurse]

Dear lord his BP is sky high.

[chbare]

A tad elevated for sure.

[scubanurse]

Start a line, draw labs, BGL, right now just KVO rate. O2 sat? CO2?

[Kiwiology]

If he is in no overt distress then without taking the piss, put child in ambulance and take to hospital; status is three - not life threatening nor time critical/safe to wait up to one hour to be seen by a Doctor.

I'm just no fun anymore am I?

[ERDoc]

Call the helicopter and clear the scene (sorry, couldn't resist).

[chbare]

Pulse oximetry is unchanged. Temp is 101.2 F. IV placed and BGL is slightly elevated. Sidestream capnography indicates a plateau shaped waveform with an EtCO2 of 22 mmHg.

[scubanurse]

Am heading to bed, but chbare... please change that avatar, I think I'm going to have nightmares.

I'm going to let others try and chime in

[chbare]

Am heading to bed, but chbare... please change that avatar, I think I'm going to have nightmares.

I'm going to let others try and chime in

Sorry, can't help it. I am going through a bout of nostalgia.

[Eydawn]

What kind of medications do the parents take? Can we see all medication bottles in the house? With that temperature and the resps, I'm really thinking he got into a bottle of aspirin... ugh. How responsive is the kiddo with assessment questions? What's his orientaiton level? Breath sounds? Let's get a line in and be ready to support respirations with how fast he's breathing...

Wendy

CO EMT-B

RN-ADN

[chbare]

No medications in the house. The family recently moved in and have not unpacked any pharmaceuticals. The breath sounds are clear and in all lobes. The patient is very agitated and not at all oriented, but is awake. An IV has been placed and the patient is becoming more agitated.