Presentation is loading. Please wait.

Presentation is loading. Please wait.

Emergency Dept Case Studies Change in MS You receive a call on C-med radio- 5-minute ETA with a 32 yo male found in his car, responding to painful stimuli.

Published byAdam Gillam Modified over 9 years ago

Similar presentations

Presentation on theme: "Emergency Dept Case Studies Change in MS You receive a call on C-med radio- 5-minute ETA with a 32 yo male found in his car, responding to painful stimuli."— Presentation transcript:

1 Emergency Dept Case Studies Change in MS You receive a call on C-med radio- 5-minute ETA with a 32 yo male found in his car, responding to painful stimuli only. Skin cool and diaphoretic. VS 90/p..HR 120..RR 12. What causes could be causing this patient’s unresponsiveness? Hypoglycemia, drug/etoh overdose, CVA, seizure, head trauma How would you prepare for this patient (including medications you anticipate this patient may receive)? Notify ED attending, prepare for IV insertion and IVF (#18 or 16 if possible), check suction, EKG machine in room, glucometer in room. Possible Meds? D50, narcan

2 Patient arrives, what 3 things must be assessed immediately? ABC’s Airway Breathing Circulation What lab studies would you send on this patient? SMA-7, CBC, toxic screen (serum and urine if possible). Possible ABG, Fingerstick

3 The FS was 107. The patient was given narcan with no improvement. The patient’s respiratory rate is 10, shallow. How would you prepare for intubation? Make sure attending aware of patient status, notify respiratory therapy. Open black intubation box in room and check contents. Prepare for Rapid Sequence Intubation. Meds: Etomidate (20mg) Succs (100 – 140mg) Possible Lidocaine Follow up Fentanyl / Versed

Download ppt "Emergency Dept Case Studies Change in MS You receive a call on C-med radio- 5-minute ETA with a 32 yo male found in his car, responding to painful stimuli."

Similar presentations

Nephrologic Emergencies

Nephrologic Emergencies
ED Approach to the Trauma Patient

ED Approach to the Trauma Patient
Chapter 30 Putting It All Together for the Trauma Patient

Chapter 30 Putting It All Together for the Trauma Patient
INTERACTIVE CASE DISCUSSION Acid-Base Disorders (Part I)

INTERACTIVE CASE DISCUSSION Acid-Base Disorders (Part I)
PATIENT ASSESSMENT.

PATIENT ASSESSMENT.
DOCUMENTATION Takes, or verbalizes, body substance isolation precautions Determines the scene is safe Dispatched to the above location for shortness of.

DOCUMENTATION Takes, or verbalizes, body substance isolation precautions Determines the scene is safe Dispatched to the above location for shortness of.
Emergency Medical Response You Are the Emergency Medical Responder Your ambulance unit is the first to arrive on an isolated road where an 18-year-old.

Emergency Medical Response You Are the Emergency Medical Responder Your ambulance unit is the first to arrive on an isolated road where an 18-year-old.
Anesthetic Management of The Trauma Patient. Baseline Prior To OR BP 90/40 | HR 130s | Intubated CV Left chest ant & post wounds/ left calf wound Right.

Anesthetic Management of The Trauma Patient. Baseline Prior To OR BP 90/40 | HR 130s | Intubated CV Left chest ant & post wounds/ left calf wound Right.
Automated Surveillance for Adverse Drug Events at Duke University Health System Peter M. Kilbridge, M.D. Washington University School of Medicine AHRQ.

Automated Surveillance for Adverse Drug Events at Duke University Health System Peter M. Kilbridge, M.D. Washington University School of Medicine AHRQ.
Recognising the Deteriorating Patient

Recognising the Deteriorating Patient
Christopher P. Brandt M.D. Associate Professor of Surgery Case Western Reserve University BURNS Initial Evaluation & Management.

Christopher P. Brandt M.D. Associate Professor of Surgery Case Western Reserve University BURNS Initial Evaluation & Management.
Complications of IV drug Therapy March 2006. Site of administration Benefits?Complications?

Complications of IV drug Therapy March Site of administration Benefits?Complications?
A history of blackouts. Presentation 69 yo man with a history of blackouts BIBA to ED following loss of consciousness and partial seizure. Now stable,

A history of blackouts. Presentation 69 yo man with a history of blackouts BIBA to ED following loss of consciousness and partial seizure. Now stable,
Stroke Workshop Case Scenario.

Stroke Workshop Case Scenario.
Emergency Dept Case Studies C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted.

Emergency Dept Case Studies C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted.
Emergency Dept Case Studies Overdose: A 20 yo female is brought by EMS after roommate called after patient stated she overdosed on unknown meds. Per EMT’s,

Emergency Dept Case Studies Overdose: A 20 yo female is brought by EMS after roommate called after patient stated she overdosed on unknown meds. Per EMT’s,
Emergency Dept Case Studies Chest Pain Mr. G is a 51 yo male with a history of MI, CAD. Patient is c/o substernal chest pain, left arm pain. Wife drove.

Emergency Dept Case Studies Chest Pain Mr. G is a 51 yo male with a history of MI, CAD. Patient is c/o substernal chest pain, left arm pain. Wife drove.
Overdose prevention and response Presentation 16.

Overdose prevention and response Presentation 16.
Environmental Emergency “A Swimmer Disappears”

Environmental Emergency “A Swimmer Disappears”
EMT 052 – Winter 2004 Assessment Review Scene Size-Up  Determine the # of Patients  Call for additional help if necessary  Can my unit handle this.

EMT 052 – Winter 2004 Assessment Review Scene Size-Up  Determine the # of Patients  Call for additional help if necessary  Can my unit handle this.

Similar presentations

Ads by Google