EPT
Status Epilepticus
| Blogs > Snet |
|
Snet
United States3573 Posts
| ||
|
Crais
Canada2136 Posts
| ||
BLinD-RawR
ALLEYCAT BLUES50931 Posts
good blog! | ||
|
GTPGlitch
5061 Posts
Love these blogs, you're a fantastic person <3 | ||
|
Incze
Romania2058 Posts
| ||
|
Adersick
United States216 Posts
| ||
|
Antimatterz
United States1010 Posts
So many TL people just saving lives everyday | ||
|
LeafMeAlone
United States301 Posts
| ||
|
pevergreen
Australia252 Posts
If you're willing, a question? I'm possibly about to enter a relationship with a girl who occasionally has seizures. If I'm present during one, what would be the best thing to do? | ||
|
Bill Murray
United States9292 Posts
| ||
|
swim224
Botswana368 Posts
On August 30 2012 14:51 Snet wrote: (1= dying, 2=verge of dying, 3=OK, 4=dead). Is there any reason behind why it's ordered like this? It would usually be 1=Dead, 2=Dying, 3=Verge of dying, 4=OK (worst to best). | ||
|
spinesheath
Germany8679 Posts
On August 30 2012 17:22 swim224 wrote: Is there any reason behind why it's ordered like this? It would usually be 1=Dead, 2=Dying, 3=Verge of dying, 4=OK (worst to best). It's priority. There's no point in rushing to transport a dead person to the hospital. However, if they are close to death, you have to be as fast as possible. | ||
|
MeteorRise
Canada611 Posts
| ||
Pandemona
Charlie Sheens House51493 Posts
 Well done :D Man your such a great man  | ||
|
Sephy90
United States1785 Posts
| ||
|
kollin
United Kingdom8380 Posts
| ||
|
surfinbird1
Germany999 Posts
| ||
|
nttea
Sweden4353 Posts
| ||
|
a9arnn
United States1537 Posts
| ||
|
Rkie
United States1278 Posts
| ||
|
s.a.y
Croatia3840 Posts
| ||
|
Torenhire
United States11681 Posts
On August 31 2012 01:40 Rkie wrote: That dude was way too calm for a 35 minute seizing of his wife. I guess it's better than having a panic attack, but doesn't matter now. Snet is the hero once again. Well done. if she has a history of seizures maybe he was just accustomed to it...isk *shrug* Snet too awesome. Forgot you were in the area, if you're not too busy saving lives and stuff we should try and meet up sometime! | ||
|
OpticalShot
Canada6330 Posts
| ||
|
y0su
Finland7871 Posts
| ||
|
AnachronisticAnarchy
United States2957 Posts
| ||
|
docvoc
United States5491 Posts
. | ||
|
GhandiEAGLE
United States20754 Posts
| ||
|
Aerisky
United States12129 Posts
 But heck yeah | ||
|
ParkwayDrive
United States328 Posts
| ||
|
UmbraaeternuS
Chile476 Posts
| ||
|
B.I.G.
3251 Posts
| ||
|
klibrt
United States533 Posts
but still gj bro, keep up the good work. | ||
|
Tatari
United States1179 Posts
Just seems like a random time to sleep. x) | ||
|
snively
United States1159 Posts
-_- | ||
|
mastrblastr
United States5 Posts
On August 30 2012 14:51 Snet wrote: I enjoy what I like to call the pre-sleep nap. When it is 7-8pm I like to take a quick 1 hour nap then stay awake until 10-11pm then go to sleep. That's my normal schedule. This certain day I was enjoying a fantastic pre-sleep nap. BZZZZ BZZZZ BZZZZ Medical box 815, 22104 Rodey RD, Sweetsville, MD, 51810. Ambulance 191 you are responding to 22104 Rodey RD, Sweetsville, MD, 51810, for the female in active seizures. Okay, seizures. I feel like this is going to be an easy call. Either you show up and they are seizing, or you show up and they are not seizing. So you give one medication or you transport the patient routinely, I show up to this persons house to find a relatively calm old man stating, "My wife is seizing." I walk in the house and find a middle aged female on her bed seizing. Big woop, this is not the first seizure I've ever seen. I ask the husband, "How long has she been seizing?" "35 minutes." This call suddenly went from being routine to life threatening. The patient was in what is called status epilepticus, which is the state of seizing for more than 30 minutes. During a seizure the brain is deprived of oxygen. Every second deprives the body of vital nutrients. Typically I would assess the patient's vital sings and place them on oxygen. This call I knew, every second counted. We placed the patient on a portable stretcher and moved her to the ambulance ASAP. Transport began priority 2. (1= dying, 2=verge of dying, 3=OK, 4=dead) During transport we reassessed the patient frequently. The patient was pretty consistent. She was seizing but was maintaining vital organs. It's very easy to get a patient on your ambulance and slack on re-exams until you get to the hospital. Say you have a seizing patient like we have in this story, they look the same... in and out of seizures. They thrash around constantly. However, this time was different. She had been seizing 30+ minutes already. During transport I noticed the patient stopped breathing. Fuck. I yelled to my partner: "Grab a bag valve mask!" She grabbed the mask and we started breathing for the patient. At the hospital the doctor took over. After stabilizing the patient, the doctor stated that without early intervention in the field this patient would have died. Excuse my language, but... HELL YEA. Snet, I just recently discovered your blog and I've been reading some posts. I can't help but observe how dramatic you make some of these situations appear, and how you appear to over emphasize the role ems plays in "saving a life.". I am a paramedic and pre medical student and while I acknowledge that we often play a part in pt outcome, I can't help but notice that you appear to thrive on the attention you receive from those who respond to these posts. I don't intend to be bm here and I find your blog incredibly entertaining but just some food for thought. Keep on keeping on and stay safe out there. | ||
|
Grobyc
Canada18410 Posts
On August 30 2012 17:43 spinesheath wrote: It's priority. There's no point in rushing to transport a dead person to the hospital. However, if they are close to death, you have to be as fast as possible. Maybe dumb question, but what's the difference between dying and verge of dying? Can you give some examples? | ||
|
marttorn
Norway5211 Posts
| ||
|
spinesheath
Germany8679 Posts
On September 02 2012 06:57 mastrblastr wrote: Snet, I just recently discovered your blog and I've been reading some posts. I can't help but observe how dramatic you make some of these situations appear, and how you appear to over emphasize the role ems plays in "saving a life.". I am a paramedic and pre medical student and while I acknowledge that we often play a part in pt outcome, I can't help but notice that you appear to thrive on the attention you receive from those who respond to these posts. I don't intend to be bm here and I find your blog incredibly entertaining but just some food for thought. Keep on keeping on and stay safe out there. Even if he is overemphasizing his role (I wouldn't say he is, at least not intentionally), I would say: That's perfectly fine. He is definitely doing a good thing out there and nobody is hurt if he gets more appreciation than he would if it was a just a neutral and analytical description of the situation. The more appreciation you get, the more likely you are to do well in your job. And we want Snet to do well. On September 02 2012 11:41 Grobyc wrote: Maybe dumb question, but what's the difference between dying and verge of dying? Can you give some examples? I hope you didn't mean to ask me there. Because I have not the slightest idea at all. | ||
|
jackstitties
United States43 Posts
| ||
|
Zariel
Australia1308 Posts
One day I'll write a blog on 'how I saved a customer's dying hard drive'. | ||
|
Renent
Canada302 Posts
On September 03 2012 06:38 jackstitties wrote: What's the difference between a paramedic and an EMT? In Canada it goes Emergency Medical Responder (EMR) - BLS level skills including, initial trauma management, hemmorhage control, spinal immobilization/restriction, basic airway management (OPAs NPAs), CPR with AED, and patient interaction.... Emergency Medical Technician (EMT) - Above skills plus intravenous therapy, cardiac monitoring, wider scope of drug administration, blind airway insertions (LMA, KingLT, etc) and a more in depth understanding of A and P, Patho, and pharmacology. Emergency Medical Technologist - Paramedic (EMT-P) - All above plus surgical airways/intubations/, cardiac defibrillation/external pacing, advanced wound care, ALS skills, way bigger scope of medication administration/ Introsseous infusions, cathetors, monitoring chest tubes, needle decompressions and much more! EMR - Two weeks EMT - 6 months to a year EMT-P - Usually a two year diploma/undergrad in some cases. Just a couple of quick questions for SNET a fellow EMT. do you guys run a three man car? I noticed you asked your partner for the BVM while en route to the hospital, I would kill to run 3 man car. As well, was there trismus or some other reason preventing you from popping an OPA in, and starting to ventilate on scene? Was she a known epileptic? What was her sugar level? Did she continue to seize en route? What medication are you referring to that is given? I think all we have is Versed/Midaz (ALS level) for pts actively seizing. Elaborate for us fellow HCPs! :D | ||
| ||
