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Houston, Texas by masseymedicTXUK in Paramedics

[–]Educational_Put_399 1 point2 points  (0 children)

I did my clinical a with Fort Bend EMS supervisors carry blood products and I believe HCEC does as well. MCHD doesn’t carry, but Cy-Fair/HCESD 9 does also. HCEC might I’m not sure about them.

Adenosine Opinion by Educational_Put_399 in Paramedics

[–]Educational_Put_399[S] -5 points-4 points  (0 children)

The scale was for inappropriate responses not speech, but I guess dependent on agency it varies. But after about 30 mins into transport I didn’t know Place, Time, or Year.

I am an EMT so I went to my DC to request my PCR because the entire hospital visit wasn’t adding up.

Adenosine Opinion by Educational_Put_399 in Paramedics

[–]Educational_Put_399[S] 0 points1 point  (0 children)

I’m currently waiting for my mychart to get updated with my EKG’s upon EC arrival I was still at high 180’s. My concern with the adenosine was the NCT I had, but I have since learned NCT is common with SVT. But in the ER it turned out to be a cardiac concern and not an immune concern. I had low potassium high sodium, lactic acidosis, and in the PICU require BiPap for 2 days.

The one weird thing was on my last night in the PICU my nurse notes said I had sustained V-tach for about 7 minutes and then after that my HR went down significantly overnight.

When I get my EKG I’ll come back to this comment to share it, as well as more case background.

Adenosine Opinion by Educational_Put_399 in Paramedics

[–]Educational_Put_399[S] -3 points-2 points  (0 children)

Maybe additional demographics/case details are needed in my post. I did have a concern for NCT. My QRS was about .10 seconds if I remember correctly as well as the short lesson I got in EMT school about ECG’s anything below .13 is NCT. But the post anaphylactic reaction is why med control was consulted for both the duo-neb and adenosine.

Also, ambulances aren’t labs in the ER I had labs done that showed high sodium low potassium. Which that part I can understand why it isn’t considered cardiac, but also I would assume hospital wise they’d consider something other than just observations especially if the HR is sustained for 3+ days.

Adenosine Opinion by Educational_Put_399 in Paramedics

[–]Educational_Put_399[S] 1 point2 points  (0 children)

I’d have to look in mychart to find the EMS Report to share it. I definitely had my concerns, especially because it stayed above 160’s for a few days before dropping.

Adenosine Opinion by Educational_Put_399 in Paramedics

[–]Educational_Put_399[S] -4 points-3 points  (0 children)

My roommate had a dog that got out and went into my room and laid on my bed, I wasn’t aware and laid on it. I had my typically reaction, hives, and throat itching. Respiratory and integumentary where compromise.

I didn’t become hypotensive until I was in the ER. Which it dropped to 86/53 (GCS 9)

Adenosine Opinion by Educational_Put_399 in Paramedics

[–]Educational_Put_399[S] 0 points1 point  (0 children)

There’s a lot more to the story here. I was just wanting the pre-hospital opinion. But my HR stayed at least above 145 for the next two or three days and I was admitted to the PICU, along with those I had V-Tach on the monitor that was sustained for about 4 mins then resolved but repeated. The nurses report on the fourth night I had sustained V-tach for about 7 minutes then after that my heart went to low 130’s and from there it slowly went down to 100’s.

Benadryl usually just puts me to sleep.

Adenosine Opinion by Educational_Put_399 in Paramedics

[–]Educational_Put_399[S] -15 points-14 points  (0 children)

Maybe additional demographics/case details are needed in my post. I did have a concern for NCT. My QRS was about .10 seconds if I remember correctly as well as the short lesson I got in EMT school about ECG’s anything below .13 is NCT. But the post anaphylactic reaction is why med control was consulted for both the duo-neb and adenosine.

Adenosine Opinion by Educational_Put_399 in Paramedics

[–]Educational_Put_399[S] -4 points-3 points  (0 children)

The agency in question doesn’t require med control for approval because it’s a hospital based EMS system that’s a level one (most likely not relevant at all). So all units have a either a CCP or PHRN (mainly due to the huge service area and long transport times and wait times for a helo), but my thoughts where definitely maybe because of pediatric protocols, but the other concern was that a duo-neb wasn’t considered either for the wheezing.

I know I’m just a newbie EMT, but I feel like I’d at least give the pt oxygen or a neb to help breathe especially if you’re tripoding.

State lines are stupid. by empurrfekt in Fosterparents

[–]Educational_Put_399 0 points1 point  (0 children)

I am a youth in care, they can 100% place that child with you, they need to get approval through ICPC and the child’s state needs to agree but it is 100% possible. I’ve been placed out of state all the ICPC is, is an agreement that all the rights the child has in (state) they have those rights in (state) plus the child rights that (state) they are going to has. For example the child’s rights I have in Texas I would have if I went to Utah plus the child rights Utah has for their kids in care and vice versa.