JUNE 2015 CASE STUDY

You and your partner are working for an urban ALS service. You are dispatched to a Priority 1 Overdose involving an unconscious person. O/A to the scene you note no hazards. You approach the pt, who is found to only moan to deep painful stimuli. Pt was lying face first in a puddle of vomit with a potent smell of ETOH. Pt cannot open his eyes, moans with deep painful stimuli and is initially flaccid. Pt has been outside for approx. two hours per his fiance on scene; she states that they were involved in a verbal altercation in which he threatened to harm himself. The fiance found two empty bottles of Cogentin that were recently filled. The pt’s skin is hot/flush/moist. Pupils are extremely dilated/= bilaterally. BP is 130/70 w/a HR of 72/regular. Respirations are 4 and irregular w/significant snoring noted. Pt has defecated down both legs. Coarse rhonchi noted on auscultation. You are 5 minutes away from a facility that can handle critical med calls. What do you do? Would your tx change if you were 20 minutes away?

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s