First call of the morning was for a cardiac arrest to a well known address. Its an apt tower of older folks. Enroute advised no CPR in progress. Doesn't bode to well for the patient. Called him onscene.
Was assigned to the box with my station captain due to some policy in effect right now. It was a good shift, I have a great captain.
Called out later for a 24 yo female with chest pain. We get there and we have a pretty large girl curled up on the couch complaining of a severe toothache, her head hurts, her chest hurts, everything on her hurts. After checking her out and getting some history (there was none) I called for a basic unit. She is intent on repeatedly showing me this nasty cavity in her tooth that has obviously been there for a while and why cant I give her anything for it. She says she feels feverish... there is none, but of course it is 90 outside and she has on a sweater that would be perfect for skiing the Alps.
I ask her if she can walk outside to the other ambulance that is on its way and she gives a good show on the dramatics. I truly dont think I am being overly callous here, you just should have seen the performance. Anyways, we get outside and she asks can she sit in our box, she feels nauseous. Sure. Then she announces that she may be pregnant. She has felt movement in her belly for the past few months but had a period about a week or two ago. I asked about a pregnancy test. She says she took one, and it turned out negative but, "it was one of the cheap ones" . By this time I cant decide what to put down for the chief complaint!
I cancel the basic and take her in myself. Hmmmm... toothache, chest pain, movement in belly (the rest of us call that gas), ... I give report to the RN and say emphatically, thank YOU (apologizing with my eyes)... , "No... thank YOU" she says.
Ran another cardiac arrest at 3am, to which we arrive to a guy bright-eyed and bushy-tailed in bed. He might have had a seizure, he had a good lac to his tongue, although wasnt postictal. Denied any drug use, but he was very diaphoretic in the cool air and his pressure was 220/118. Convinced him to let us take him in. Hands were shaking like he had Parkinsons, but still denied any medical hx, no meds, no allergies, or recreational supplements. Still better than working an arrest.
Tuesday, October 10, 2006
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment