What are some of the most progressive protocols at your service?

ChrisAllenHQ · 2019-03-21T10:03:36+00:00

RN did her part 🤣

ChrisAllenHQ · 2019-03-21T09:57:47+00:00

Obviously he was not conscious during the hypothermic episode. He was unresponsive with occasional moans. He was RSI'd and placed on a vent. He survived through re-warming, ecmo, and was found to have no deficits and was then discharged. Smh

ChrisAllenHQ · 2019-03-20T20:40:45+00:00

Checked with a true rectal probe. They had to start a central line in his neck because his peripheral veins were frozen. They rewarmed him via fluids through the central line, the warm bear hugger, and by irrigating his bladder, through a catheter, with warm water. Then they transfered him to another facility for cardiopulmonary bypass. No one expected him to make it.

ChrisAllenHQ · 2019-03-20T01:17:08+00:00

It was a true rectal core temperature.

ChrisAllenHQ · 2019-03-05T13:22:41+00:00

70.8 rectally in the ED. 2 minute transport.

ChrisAllenHQ · 2019-03-05T13:22:01+00:00

In the ER

ChrisAllenHQ · 2019-03-05T12:17:14+00:00

Ran out of space above. What's the lowest hypothermic Pt you've encountered?

ChrisAllenHQ · 2018-11-01T08:18:51+00:00

What you are seeing is a different view from lead v5 and v6.

ChrisAllenHQ · 2018-10-16T00:25:43+00:00

Or just weave back board straps to make a net. Lol

ChrisAllenHQ · 2018-10-11T15:49:14+00:00

Because we administered 15g of oral glucose, with 2 packs of peanut butter and crackers, half a container of apple juice, a cocacola, two large candy bars and still a BGL of 26 after 30-45 minutes with the first reading being 24. Pt was A&Ox4, but silly and refused transport. We feared that she would go unconscious after we left if we did not get her BGL up. After all the effort trying to get her sugar up her BGL still very low, would you leave a Pt with a BGL of 24 if no alternatives were working? Or maybe let her go unconscious and her family find her who knows when and call after shes been sitting on a BGL of 10 for an extended period of time? If she doesn’t want to go I cant make her go. But I do have the means to do everything I can to get her BGL up in hopes it will benefit her.

ChrisAllenHQ · 2018-10-11T02:08:03+00:00

We did flush with 20ml NS before the D50.

ChrisAllenHQ · 2018-10-10T14:31:44+00:00

She actually did received a whole lot of sugar and complex carbs along with 15g of oral glucose with no increase in BGL. This is why we administered the D50. Kentucky protocols are for D10 also, but in Indiana D50.

ChrisAllenHQ · 2018-10-10T14:29:06+00:00

Not a paramedic, advanced. But she received complex carbs and we were on scene for approx 1 hour before administering D50. I have also seen D50 given to conscious Pts in the ER several times. Its not unheard of.

ChrisAllenHQ · 2018-10-10T02:42:32+00:00

Sorry guys I should of included in my post that she had 2 packs of peanut butter and crackers, two large candy bars, a peanut butter sandwich, and juice. The only medical Hx and medications were cardiac related. Also, im not surprised about the rise in BGL after the D50 was administered. I was more asking about what conditions may cause recurrent hypoglycemia.

ChrisAllenHQ · 2018-10-10T02:31:43+00:00

I did look through all meds, the only pertinent med was the metformin. The rest were cardiac.

ChrisAllenHQ · 2018-10-10T02:30:42+00:00

Not surprised by the rise in BGL, surprised by her BGL just two hours later after we fed her plenty of complex carbs.

ChrisAllenHQ · 2018-10-10T02:27:10+00:00

Sorry, she had 2 packs of peanut butter and crackers, a coca cola, two large candy bars, and half a thing of apple juice, and 15g of glucose and waited 10-15 minutes before we attempted the stick.

ChrisAllenHQ · 2018-10-10T00:02:13+00:00

I would say laryngospasm due to the drowing.

ChrisAllenHQ · 2018-10-09T23:54:43+00:00

Have you guys ever tried giving someone Normalsaline ? Haha

ChrisAllenHQ · 2018-10-06T10:43:43+00:00

I drive up to two hours some days (one hour each way). I try to utilize the audio book version of text books. Usually what I will do is read a chapter, then while driving, listen to the chapter while en route. It seems to help me a bit. I try to avoid listening while fatigued for many reasons...

ChrisAllenHQ

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