Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 She is very adamant about not being pregnant. Alyssa Woods, NREMT-B CPR Instructor > Is she worried about the next 9 months? Or what comes at the end of same? > > Louis N. Molino, Sr. CET > FF/NREMT/FSI/EMSI > Typed by my fingers on my iPhone. > Please excuse any typos. > (Cell) > LNMolino@... > > > > > What, cute athletes can't be gay? Gee, thanks! > > > > Kidding! > > > > She has had the same boyfriend since she was 14. > > > > Alyssa Woods, NREMT-B > > CPR Instructor > > > > > > > > > > > >> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > >> > >> - Brad Sattler > >> > >> > >> > >>> > >>> Subject: EMS Challenge > >>> To: texasems-l > >>> Date: Thursday, January 6, 2011, 1:16 PM > >>> I think we're about due for another > >>> challenge, if anyone is up for it. > >>> > >>> You're dispatched to an 18 year old woman experiencing > >>> seizures. Upon arrival, you find a young woman who appears > >>> to be having a panic attack, and states that she experienced > >>> a few " shocks " . She's diaphoretic and tachycardic at a rate > >>> of 140 resting, with a blood pressure of 142/98, and a > >>> respiratory rate of 26. She has notable tremor. She reports > >>> no medical history, no medications, and no allergies, and > >>> her parents state that she's perfectly healthy, and couldn't > >>> be on drugs, as she's active in high school sports and is > >>> drug tested routinely. > >>> > >>> The patient states that she doesn't think that she's > >>> experiencing an emergency, and insists that her parents are > >>> overreacting and she simply wants to go back to bed. > >>> > >>> > >>> > >>> Alyssa Woods, NREMT-B > >>> CPR Instructor > >>> > >>> > >>> > >>> > >>> > >>> ------------------------------------ > >>> > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). Alyssa Woods, NREMT-B CPR Instructor > Diagnosis= Teenager........ > > Also Kidding (I can just hear the bad medic comments) > > Events leading up to ? > Where is she at right now? > Has she had this before? > Been Sick in the past few weeks? > > > > > What, cute athletes can't be gay? Gee, thanks! > > > > Kidding! > > > > She has had the same boyfriend since she was 14. > > > > Alyssa Woods, NREMT-B > > CPR Instructor > > > > > > > > > > > >> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > >> > >> - Brad Sattler > >> > >> > >> > >>> > >>> Subject: EMS Challenge > >>> To: texasems-l > >>> Date: Thursday, January 6, 2011, 1:16 PM > >>> I think we're about due for another > >>> challenge, if anyone is up for it. > >>> > >>> You're dispatched to an 18 year old woman experiencing > >>> seizures. Upon arrival, you find a young woman who appears > >>> to be having a panic attack, and states that she experienced > >>> a few " shocks " . She's diaphoretic and tachycardic at a rate > >>> of 140 resting, with a blood pressure of 142/98, and a > >>> respiratory rate of 26. She has notable tremor. She reports > >>> no medical history, no medications, and no allergies, and > >>> her parents state that she's perfectly healthy, and couldn't > >>> be on drugs, as she's active in high school sports and is > >>> drug tested routinely. > >>> > >>> The patient states that she doesn't think that she's > >>> experiencing an emergency, and insists that her parents are > >>> overreacting and she simply wants to go back to bed. > >>> > >>> > >>> > >>> Alyssa Woods, NREMT-B > >>> CPR Instructor > >>> > >>> > >>> > >>> > >>> > >>> ------------------------------------ > >>> > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). Alyssa Woods, NREMT-B CPR Instructor > Diagnosis= Teenager........ > > Also Kidding (I can just hear the bad medic comments) > > Events leading up to ? > Where is she at right now? > Has she had this before? > Been Sick in the past few weeks? > > > > > What, cute athletes can't be gay? Gee, thanks! > > > > Kidding! > > > > She has had the same boyfriend since she was 14. > > > > Alyssa Woods, NREMT-B > > CPR Instructor > > > > > > > > > > > >> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > >> > >> - Brad Sattler > >> > >> > >> > >>> > >>> Subject: EMS Challenge > >>> To: texasems-l > >>> Date: Thursday, January 6, 2011, 1:16 PM > >>> I think we're about due for another > >>> challenge, if anyone is up for it. > >>> > >>> You're dispatched to an 18 year old woman experiencing > >>> seizures. Upon arrival, you find a young woman who appears > >>> to be having a panic attack, and states that she experienced > >>> a few " shocks " . She's diaphoretic and tachycardic at a rate > >>> of 140 resting, with a blood pressure of 142/98, and a > >>> respiratory rate of 26. She has notable tremor. She reports > >>> no medical history, no medications, and no allergies, and > >>> her parents state that she's perfectly healthy, and couldn't > >>> be on drugs, as she's active in high school sports and is > >>> drug tested routinely. > >>> > >>> The patient states that she doesn't think that she's > >>> experiencing an emergency, and insists that her parents are > >>> overreacting and she simply wants to go back to bed. > >>> > >>> > >>> > >>> Alyssa Woods, NREMT-B > >>> CPR Instructor > >>> > >>> > >>> > >>> > >>> > >>> ------------------------------------ > >>> > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 She reports no irregularity in her menstrual cycles, and no intercourse for the last three months or so. Alyssa Woods, NREMT-B CPR Instructor > Or worried about what hasn't come for the last 36-40 weeks? > > > > >> > > >>> > > >>> Subject: EMS Challenge > > >>> To: texasems-l > > >>> Date: Thursday, January 6, 2011, 1:16 PM > > >>> I think we're about due for another > > >>> challenge, if anyone is up for it. > > >>> > > >>> You're dispatched to an 18 year old woman > > experiencing > > >>> seizures. Upon arrival, you find a young woman > > who appears > > >>> to be having a panic attack, and states that > > she experienced > > >>> a few " shocks " . She's diaphoretic and > > tachycardic at a rate > > >>> of 140 resting, with a blood pressure of > > 142/98, and a > > >>> respiratory rate of 26. She has notable > > tremor. She reports > > >>> no medical history, no medications, and no > > allergies, and > > >>> her parents state that she's perfectly > > healthy, and couldn't > > >>> be on drugs, as she's active in high school > > sports and is > > >>> drug tested routinely. > > >>> > > >>> The patient states that she doesn't think that > > she's > > >>> experiencing an emergency, and insists that > > her parents are > > >>> overreacting and she simply wants to go back > > to bed. > > >>> > > >>> > > >>> > > >>> Alyssa Woods, NREMT-B > > >>> CPR Instructor > > >>> > > >>> > > >>> > > >>> > > >>> > > >>> ------------------------------------ > > >>> > > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 She reports no irregularity in her menstrual cycles, and no intercourse for the last three months or so. Alyssa Woods, NREMT-B CPR Instructor > Or worried about what hasn't come for the last 36-40 weeks? > > > > >> > > >>> > > >>> Subject: EMS Challenge > > >>> To: texasems-l > > >>> Date: Thursday, January 6, 2011, 1:16 PM > > >>> I think we're about due for another > > >>> challenge, if anyone is up for it. > > >>> > > >>> You're dispatched to an 18 year old woman > > experiencing > > >>> seizures. Upon arrival, you find a young woman > > who appears > > >>> to be having a panic attack, and states that > > she experienced > > >>> a few " shocks " . She's diaphoretic and > > tachycardic at a rate > > >>> of 140 resting, with a blood pressure of > > 142/98, and a > > >>> respiratory rate of 26. She has notable > > tremor. She reports > > >>> no medical history, no medications, and no > > allergies, and > > >>> her parents state that she's perfectly > > healthy, and couldn't > > >>> be on drugs, as she's active in high school > > sports and is > > >>> drug tested routinely. > > >>> > > >>> The patient states that she doesn't think that > > she's > > >>> experiencing an emergency, and insists that > > her parents are > > >>> overreacting and she simply wants to go back > > to bed. > > >>> > > >>> > > >>> > > >>> Alyssa Woods, NREMT-B > > >>> CPR Instructor > > >>> > > >>> > > >>> > > >>> > > >>> > > >>> ------------------------------------ > > >>> > > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 any athletics today? drink plenty of fluids? skin conditions upon assessment other than what initially noted? > She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > > Alyssa Woods, NREMT-B > CPR Instructor > > > > > >> Diagnosis= Teenager........ >> >> Also Kidding (I can just hear the bad medic comments) >> >> Events leading up to ? >> Where is she at right now? >> Has she had this before? >> Been Sick in the past few weeks? >> >> >> >>> What, cute athletes can't be gay? Gee, thanks! >>> >>> Kidding! >>> >>> She has had the same boyfriend since she was 14. >>> >>> Alyssa Woods, NREMT-B >>> CPR Instructor >>> >>> >>> >>> >>> >>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? >>>> >>>> - Brad Sattler >>>> >>>> >>>> >>>>> >>>>> Subject: EMS Challenge >>>>> To: texasems-l >>>>> Date: Thursday, January 6, 2011, 1:16 PM >>>>> I think we're about due for another >>>>> challenge, if anyone is up for it. >>>>> >>>>> You're dispatched to an 18 year old woman experiencing >>>>> seizures. Upon arrival, you find a young woman who appears >>>>> to be having a panic attack, and states that she experienced >>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate >>>>> of 140 resting, with a blood pressure of 142/98, and a >>>>> respiratory rate of 26. She has notable tremor. She reports >>>>> no medical history, no medications, and no allergies, and >>>>> her parents state that she's perfectly healthy, and couldn't >>>>> be on drugs, as she's active in high school sports and is >>>>> drug tested routinely. >>>>> >>>>> The patient states that she doesn't think that she's >>>>> experiencing an emergency, and insists that her parents are >>>>> overreacting and she simply wants to go back to bed. >>>>> >>>>> >>>>> >>>>> Alyssa Woods, NREMT-B >>>>> CPR Instructor >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> ------------------------------------ >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 any athletics today? drink plenty of fluids? skin conditions upon assessment other than what initially noted? > She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > > Alyssa Woods, NREMT-B > CPR Instructor > > > > > >> Diagnosis= Teenager........ >> >> Also Kidding (I can just hear the bad medic comments) >> >> Events leading up to ? >> Where is she at right now? >> Has she had this before? >> Been Sick in the past few weeks? >> >> >> >>> What, cute athletes can't be gay? Gee, thanks! >>> >>> Kidding! >>> >>> She has had the same boyfriend since she was 14. >>> >>> Alyssa Woods, NREMT-B >>> CPR Instructor >>> >>> >>> >>> >>> >>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? >>>> >>>> - Brad Sattler >>>> >>>> >>>> >>>>> >>>>> Subject: EMS Challenge >>>>> To: texasems-l >>>>> Date: Thursday, January 6, 2011, 1:16 PM >>>>> I think we're about due for another >>>>> challenge, if anyone is up for it. >>>>> >>>>> You're dispatched to an 18 year old woman experiencing >>>>> seizures. Upon arrival, you find a young woman who appears >>>>> to be having a panic attack, and states that she experienced >>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate >>>>> of 140 resting, with a blood pressure of 142/98, and a >>>>> respiratory rate of 26. She has notable tremor. She reports >>>>> no medical history, no medications, and no allergies, and >>>>> her parents state that she's perfectly healthy, and couldn't >>>>> be on drugs, as she's active in high school sports and is >>>>> drug tested routinely. >>>>> >>>>> The patient states that she doesn't think that she's >>>>> experiencing an emergency, and insists that her parents are >>>>> overreacting and she simply wants to go back to bed. >>>>> >>>>> >>>>> >>>>> Alyssa Woods, NREMT-B >>>>> CPR Instructor >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> ------------------------------------ >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 Blood glucose, capnography, and EKG, please? Wes Ogilvie Sent from my iPad > What, cute athletes can't be gay? Gee, thanks! > > Kidding! > > She has had the same boyfriend since she was 14. > > Alyssa Woods, NREMT-B > CPR Instructor > > > > > >> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? >> >> - Brad Sattler >> >> >> >>> >>> Subject: EMS Challenge >>> To: texasems-l >>> Date: Thursday, January 6, 2011, 1:16 PM >>> I think we're about due for another >>> challenge, if anyone is up for it. >>> >>> You're dispatched to an 18 year old woman experiencing >>> seizures. Upon arrival, you find a young woman who appears >>> to be having a panic attack, and states that she experienced >>> a few " shocks " . She's diaphoretic and tachycardic at a rate >>> of 140 resting, with a blood pressure of 142/98, and a >>> respiratory rate of 26. She has notable tremor. She reports >>> no medical history, no medications, and no allergies, and >>> her parents state that she's perfectly healthy, and couldn't >>> be on drugs, as she's active in high school sports and is >>> drug tested routinely. >>> >>> The patient states that she doesn't think that she's >>> experiencing an emergency, and insists that her parents are >>> overreacting and she simply wants to go back to bed. >>> >>> >>> >>> Alyssa Woods, NREMT-B >>> CPR Instructor >>> >>> >>> >>> >>> >>> ------------------------------------ >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 Blood glucose, capnography, and EKG, please? Wes Ogilvie Sent from my iPad > What, cute athletes can't be gay? Gee, thanks! > > Kidding! > > She has had the same boyfriend since she was 14. > > Alyssa Woods, NREMT-B > CPR Instructor > > > > > >> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? >> >> - Brad Sattler >> >> >> >>> >>> Subject: EMS Challenge >>> To: texasems-l >>> Date: Thursday, January 6, 2011, 1:16 PM >>> I think we're about due for another >>> challenge, if anyone is up for it. >>> >>> You're dispatched to an 18 year old woman experiencing >>> seizures. Upon arrival, you find a young woman who appears >>> to be having a panic attack, and states that she experienced >>> a few " shocks " . She's diaphoretic and tachycardic at a rate >>> of 140 resting, with a blood pressure of 142/98, and a >>> respiratory rate of 26. She has notable tremor. She reports >>> no medical history, no medications, and no allergies, and >>> her parents state that she's perfectly healthy, and couldn't >>> be on drugs, as she's active in high school sports and is >>> drug tested routinely. >>> >>> The patient states that she doesn't think that she's >>> experiencing an emergency, and insists that her parents are >>> overreacting and she simply wants to go back to bed. >>> >>> >>> >>> Alyssa Woods, NREMT-B >>> CPR Instructor >>> >>> >>> >>> >>> >>> ------------------------------------ >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 So was the 15 year old we had in Gloucester City as she was crowning. That kid is about 15 herself now. Yes, history can repeat itself b Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos. (Cell) LNMolino@... > She is very adamant about not being pregnant. > > Alyssa Woods, NREMT-B > CPR Instructor > > > > > >> Is she worried about the next 9 months? Or what comes at the end of same? >> >> Louis N. Molino, Sr. CET >> FF/NREMT/FSI/EMSI >> Typed by my fingers on my iPhone. >> Please excuse any typos. >> (Cell) >> LNMolino@... >> >> >> >>> What, cute athletes can't be gay? Gee, thanks! >>> >>> Kidding! >>> >>> She has had the same boyfriend since she was 14. >>> >>> Alyssa Woods, NREMT-B >>> CPR Instructor >>> >>> >>> >>> >>> >>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? >>>> >>>> - Brad Sattler >>>> >>>> >>>> >>>>> >>>>> Subject: EMS Challenge >>>>> To: texasems-l >>>>> Date: Thursday, January 6, 2011, 1:16 PM >>>>> I think we're about due for another >>>>> challenge, if anyone is up for it. >>>>> >>>>> You're dispatched to an 18 year old woman experiencing >>>>> seizures. Upon arrival, you find a young woman who appears >>>>> to be having a panic attack, and states that she experienced >>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate >>>>> of 140 resting, with a blood pressure of 142/98, and a >>>>> respiratory rate of 26. She has notable tremor. She reports >>>>> no medical history, no medications, and no allergies, and >>>>> her parents state that she's perfectly healthy, and couldn't >>>>> be on drugs, as she's active in high school sports and is >>>>> drug tested routinely. >>>>> >>>>> The patient states that she doesn't think that she's >>>>> experiencing an emergency, and insists that her parents are >>>>> overreacting and she simply wants to go back to bed. >>>>> >>>>> >>>>> >>>>> Alyssa Woods, NREMT-B >>>>> CPR Instructor >>>>> >>>>> >>>>> >>>>> >>>>> >>>>> ------------------------------------ >>>>> >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 Oh no I can't type what I'm thinking Bad Basic Bad Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos. (Cell) LNMolino@... > She reports no irregularity in her menstrual cycles, and no intercourse for the last three months or so. > > Alyssa Woods, NREMT-B > CPR Instructor > > > > > >> Or worried about what hasn't come for the last 36-40 weeks? >> >> >>>>> >>>>>> >>>>>> Subject: EMS Challenge >>>>>> To: texasems-l >>>>>> Date: Thursday, January 6, 2011, 1:16 PM >>>>>> I think we're about due for another >>>>>> challenge, if anyone is up for it. >>>>>> >>>>>> You're dispatched to an 18 year old woman >>> experiencing >>>>>> seizures. Upon arrival, you find a young woman >>> who appears >>>>>> to be having a panic attack, and states that >>> she experienced >>>>>> a few " shocks " . She's diaphoretic and >>> tachycardic at a rate >>>>>> of 140 resting, with a blood pressure of >>> 142/98, and a >>>>>> respiratory rate of 26. She has notable >>> tremor. She reports >>>>>> no medical history, no medications, and no >>> allergies, and >>>>>> her parents state that she's perfectly >>> healthy, and couldn't >>>>>> be on drugs, as she's active in high school >>> sports and is >>>>>> drug tested routinely. >>>>>> >>>>>> The patient states that she doesn't think that >>> she's >>>>>> experiencing an emergency, and insists that >>> her parents are >>>>>> overreacting and she simply wants to go back >>> to bed. >>>>>> >>>>>> >>>>>> >>>>>> Alyssa Woods, NREMT-B >>>>>> CPR Instructor >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> ------------------------------------ >>>>>> >>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 True but even a high class athlete can have a bad night while having a good night. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos. (Cell) LNMolino@... > having delivered more than a few babies to teen moms, generally the girls > who deny being pg are NOT high class athletes.... > > that being said, the youngest mom I delivered a baby to is now about > 35....and the oldest mom I delivered is about 75. > > ck > > > In a message dated 01/06/11 13:50:48 Central Standard Time, > lnmolino@... writes: > > So was the 15 year old we had in Gloucester City as she was crowning. That > kid is about 15 herself now. Yes, history can repeat itself b > > Louis N. Molino, Sr. CET > FF/NREMT/FSI/EMSI > Typed by my fingers on my iPhone. > Please excuse any typos. > (Cell) > LNMolino@... > > > >> She is very adamant about not being pregnant. >> >> Alyssa Woods, NREMT-B >> CPR Instructor >> >> >> >> >> >>> Is she worried about the next 9 months? Or what comes at the end of > same? >>> >>> Louis N. Molino, Sr. CET >>> FF/NREMT/FSI/EMSI >>> Typed by my fingers on my iPhone. >>> Please excuse any typos. >>> (979) 412-0890 (Cell) >>> LNMolino@... >>> >>> On Jan 6, 2011, at 13:29, Alyssa Woods amwoods8644@...> wrote: >>> >>>> What, cute athletes can't be gay? Gee, thanks! >>>> >>>> Kidding! >>>> >>>> She has had the same boyfriend since she was 14. >>>> >>>> Alyssa Woods, NREMT-B >>>> CPR Instructor >>>> >>>> >>>> >>>> >>>> >>>>> Not that I'm cynical, but does she have a history of boyfriend over > the last 9 months? >>>>> >>>>> - Brad Sattler >>>>> >>>>> >>>>> >>>>>> >>>>>> Subject: EMS Challenge >>>>>> To: texasems-l >>>>>> Date: Thursday, January 6, 2011, 1:16 PM >>>>>> I think we're about due for another >>>>>> challenge, if anyone is up for it. >>>>>> >>>>>> You're dispatched to an 18 year old woman experiencing >>>>>> seizures. Upon arrival, you find a young woman who appears >>>>>> to be having a panic attack, and states that she experienced >>>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate >>>>>> of 140 resting, with a blood pressure of 142/98, and a >>>>>> respiratory rate of 26. She has notable tremor. She reports >>>>>> no medical history, no medications, and no allergies, and >>>>>> her parents state that she's perfectly healthy, and couldn't >>>>>> be on drugs, as she's active in high school sports and is >>>>>> drug tested routinely. >>>>>> >>>>>> The patient states that she doesn't think that she's >>>>>> experiencing an emergency, and insists that her parents are >>>>>> overreacting and she simply wants to go back to bed. >>>>>> >>>>>> >>>>>> >>>>>> Alyssa Woods, NREMT-B >>>>>> CPR Instructor >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> >>>>>> ------------------------------------ >>>>>> >>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 Nothing out of the ordinary. She's drank plenty of fluids - half gatorade, half water. Cap refill is normal. She's warm, pink, and diaphoretic. Blood glucose is 109. Capnography is 32. EKG is normal except for inverted t-wiaves. Alyssa Woods, NREMT-B CPR Instructor > any athletics today? > drink plenty of fluids? > skin conditions upon assessment other than what initially noted? > > > > > She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > > > > Alyssa Woods, NREMT-B > > CPR Instructor > > > > > > > > > > > >> Diagnosis= Teenager........ > >> > >> Also Kidding (I can just hear the bad medic comments) > >> > >> Events leading up to ? > >> Where is she at right now? > >> Has she had this before? > >> Been Sick in the past few weeks? > >> > >> > >> > >>> What, cute athletes can't be gay? Gee, thanks! > >>> > >>> Kidding! > >>> > >>> She has had the same boyfriend since she was 14. > >>> > >>> Alyssa Woods, NREMT-B > >>> CPR Instructor > >>> > >>> > >>> > >>> > >>> > >>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > >>>> > >>>> - Brad Sattler > >>>> > >>>> > >>>> > >>>>> > >>>>> Subject: EMS Challenge > >>>>> To: texasems-l > >>>>> Date: Thursday, January 6, 2011, 1:16 PM > >>>>> I think we're about due for another > >>>>> challenge, if anyone is up for it. > >>>>> > >>>>> You're dispatched to an 18 year old woman experiencing > >>>>> seizures. Upon arrival, you find a young woman who appears > >>>>> to be having a panic attack, and states that she experienced > >>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate > >>>>> of 140 resting, with a blood pressure of 142/98, and a > >>>>> respiratory rate of 26. She has notable tremor. She reports > >>>>> no medical history, no medications, and no allergies, and > >>>>> her parents state that she's perfectly healthy, and couldn't > >>>>> be on drugs, as she's active in high school sports and is > >>>>> drug tested routinely. > >>>>> > >>>>> The patient states that she doesn't think that she's > >>>>> experiencing an emergency, and insists that her parents are > >>>>> overreacting and she simply wants to go back to bed. > >>>>> > >>>>> > >>>>> > >>>>> Alyssa Woods, NREMT-B > >>>>> CPR Instructor > >>>>> > >>>>> > >>>>> > >>>>> > >>>>> > >>>>> ------------------------------------ > >>>>> > >>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 Define plenty? Sent from my iPhone > Nothing out of the ordinary. > She's drank plenty of fluids - half gatorade, half water. > Cap refill is normal. She's warm, pink, and diaphoretic. > > Blood glucose is 109. > Capnography is 32. > EKG is normal except for inverted t-wiaves. > > > > Alyssa Woods, NREMT-B > CPR Instructor > > > > > >> any athletics today? >> drink plenty of fluids? >> skin conditions upon assessment other than what initially noted? >> >> >> >>> She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). >>> >>> Alyssa Woods, NREMT-B >>> CPR Instructor >>> >>> >>> >>> >>> >>>> Diagnosis= Teenager........ >>>> >>>> Also Kidding (I can just hear the bad medic comments) >>>> >>>> Events leading up to ? >>>> Where is she at right now? >>>> Has she had this before? >>>> Been Sick in the past few weeks? >>>> >>>> >>>> >>>>> What, cute athletes can't be gay? Gee, thanks! >>>>> >>>>> Kidding! >>>>> >>>>> She has had the same boyfriend since she was 14. >>>>> >>>>> Alyssa Woods, NREMT-B >>>>> CPR Instructor >>>>> >>>>> >>>>> >>>>> >>>>> >>>>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? >>>>>> >>>>>> - Brad Sattler >>>>>> >>>>>> >>>>>> >>>>>>> >>>>>>> Subject: EMS Challenge >>>>>>> To: texasems-l >>>>>>> Date: Thursday, January 6, 2011, 1:16 PM >>>>>>> I think we're about due for another >>>>>>> challenge, if anyone is up for it. >>>>>>> >>>>>>> You're dispatched to an 18 year old woman experiencing >>>>>>> seizures. Upon arrival, you find a young woman who appears >>>>>>> to be having a panic attack, and states that she experienced >>>>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate >>>>>>> of 140 resting, with a blood pressure of 142/98, and a >>>>>>> respiratory rate of 26. She has notable tremor. She reports >>>>>>> no medical history, no medications, and no allergies, and >>>>>>> her parents state that she's perfectly healthy, and couldn't >>>>>>> be on drugs, as she's active in high school sports and is >>>>>>> drug tested routinely. >>>>>>> >>>>>>> The patient states that she doesn't think that she's >>>>>>> experiencing an emergency, and insists that her parents are >>>>>>> overreacting and she simply wants to go back to bed. >>>>>>> >>>>>>> >>>>>>> >>>>>>> Alyssa Woods, NREMT-B >>>>>>> CPR Instructor >>>>>>> >>>>>>> >>>>>>> >>>>>>> >>>>>>> >>>>>>> ------------------------------------ >>>>>>> >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 She reports drinking approximately 64 oz of fluid throughout the day. Alyssa Woods, NREMT-B CPR Instructor Sent from the itty bitty keyboard on my iPhone > Define plenty? > > Sent from my iPhone > > > > > Nothing out of the ordinary. > > She's drank plenty of fluids - half gatorade, half water. > > Cap refill is normal. She's warm, pink, and diaphoretic. > > > > Blood glucose is 109. > > Capnography is 32. > > EKG is normal except for inverted t-wiaves. > > > > > > > > Alyssa Woods, NREMT-B > > CPR Instructor > > > > > > > > > > > >> any athletics today? > >> drink plenty of fluids? > >> skin conditions upon assessment other than what initially noted? > >> > >> > >> > >>> She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > >>> > >>> Alyssa Woods, NREMT-B > >>> CPR Instructor > >>> > >>> > >>> > >>> > >>> > >>>> Diagnosis= Teenager........ > >>>> > >>>> Also Kidding (I can just hear the bad medic comments) > >>>> > >>>> Events leading up to ? > >>>> Where is she at right now? > >>>> Has she had this before? > >>>> Been Sick in the past few weeks? > >>>> > >>>> > >>>> > >>>>> What, cute athletes can't be gay? Gee, thanks! > >>>>> > >>>>> Kidding! > >>>>> > >>>>> She has had the same boyfriend since she was 14. > >>>>> > >>>>> Alyssa Woods, NREMT-B > >>>>> CPR Instructor > >>>>> > >>>>> > >>>>> > >>>>> > >>>>> > >>>>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > >>>>>> > >>>>>> - Brad Sattler > >>>>>> > >>>>>> > >>>>>> > >>>>>>> > >>>>>>> Subject: EMS Challenge > >>>>>>> To: texasems-l > >>>>>>> Date: Thursday, January 6, 2011, 1:16 PM > >>>>>>> I think we're about due for another > >>>>>>> challenge, if anyone is up for it. > >>>>>>> > >>>>>>> You're dispatched to an 18 year old woman experiencing > >>>>>>> seizures. Upon arrival, you find a young woman who appears > >>>>>>> to be having a panic attack, and states that she experienced > >>>>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate > >>>>>>> of 140 resting, with a blood pressure of 142/98, and a > >>>>>>> respiratory rate of 26. She has notable tremor. She reports > >>>>>>> no medical history, no medications, and no allergies, and > >>>>>>> her parents state that she's perfectly healthy, and couldn't > >>>>>>> be on drugs, as she's active in high school sports and is > >>>>>>> drug tested routinely. > >>>>>>> > >>>>>>> The patient states that she doesn't think that she's > >>>>>>> experiencing an emergency, and insists that her parents are > >>>>>>> overreacting and she simply wants to go back to bed. > >>>>>>> > >>>>>>> > >>>>>>> > >>>>>>> Alyssa Woods, NREMT-B > >>>>>>> CPR Instructor > >>>>>>> > >>>>>>> > >>>>>>> > >>>>>>> > >>>>>>> > >>>>>>> ------------------------------------ > >>>>>>> > >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 what do her eyeballs do when she tenses up? ck In a message dated 01/06/11 20:14:47 Central Standard Time, amwoods8644@... writes: When you question her further, she is quick to dismiss the shocks as " nothing " , " just a weird feeling in my head " , and then flat-out says she's just having headaches. If you're really paying attention, you will notice a relation between shocks and activity, - she claims that she's not having them anymore, though every few minutes you notice her tense abruptly. Detailed physical is normal, except for mild dizziness, fatigue, tremor, and nausea. Reflexes are on the low end of normal, and she seems to be experiencing some mild ataxia. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 On Old Olympus Tipmost Top, A Finn and A German Viewed Some Hops.... which one is the most difficult to test? ck In a message dated 01/06/11 20:28:52 Central Standard Time, wegandy1938@... writes: Assuming she will allow us, we should now do an evaluation of her cranial nerves. GG Re: EMS Challenge what do her eyeballs do when she tenses up? ck In a message dated 01/06/11 20:14:47 Central Standard Time, amwoods8644@... writes: When you question her further, she is quick to dismiss the shocks as " nothing " , " just a weird feeling in my head " , and then flat-out says she's just having headaches. If you're really paying attention, you will notice a relation between shocks and activity, - she claims that she's not having them anymore, though every few minutes you notice her tense abruptly. Detailed physical is normal, except for mild dizziness, fatigue, tremor, and nausea. Reflexes are on the low end of normal, and she seems to be experiencing some mild ataxia. [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 On Old Olympus Tipmost Top, A Finn and A German Viewed Some Hops.... which one is the most difficult to test? ck In a message dated 01/06/11 20:28:52 Central Standard Time, wegandy1938@... writes: Assuming she will allow us, we should now do an evaluation of her cranial nerves. GG Re: EMS Challenge what do her eyeballs do when she tenses up? ck In a message dated 01/06/11 20:14:47 Central Standard Time, amwoods8644@... writes: When you question her further, she is quick to dismiss the shocks as " nothing " , " just a weird feeling in my head " , and then flat-out says she's just having headaches. If you're really paying attention, you will notice a relation between shocks and activity, - she claims that she's not having them anymore, though every few minutes you notice her tense abruptly. Detailed physical is normal, except for mild dizziness, fatigue, tremor, and nausea. Reflexes are on the low end of normal, and she seems to be experiencing some mild ataxia. [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 No drugs at all for the patient? With her being an athlete, is it possible that the inverted t waves come from left ventricular hypertrophy? Wes Ogilvie Sent from my iPad > She reports drinking approximately 64 oz of fluid throughout the day. > > Alyssa Woods, NREMT-B > CPR Instructor > > > Sent from the itty bitty keyboard on my iPhone > > > > > Define plenty? > > > > Sent from my iPhone > > > > > > > > > Nothing out of the ordinary. > > > She's drank plenty of fluids - half gatorade, half water. > > > Cap refill is normal. She's warm, pink, and diaphoretic. > > > > > > Blood glucose is 109. > > > Capnography is 32. > > > EKG is normal except for inverted t-wiaves. > > > > > > > > > > > > Alyssa Woods, NREMT-B > > > CPR Instructor > > > > > > > > > > > > > > > > > >> any athletics today? > > >> drink plenty of fluids? > > >> skin conditions upon assessment other than what initially noted? > > >> > > >> > > >> > > >>> She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > > >>> > > >>> Alyssa Woods, NREMT-B > > >>> CPR Instructor > > >>> > > >>> > > >>> > > >>> > > >>> > > >>>> Diagnosis= Teenager........ > > >>>> > > >>>> Also Kidding (I can just hear the bad medic comments) > > >>>> > > >>>> Events leading up to ? > > >>>> Where is she at right now? > > >>>> Has she had this before? > > >>>> Been Sick in the past few weeks? > > >>>> > > >>>> > > >>>> > > >>>>> What, cute athletes can't be gay? Gee, thanks! > > >>>>> > > >>>>> Kidding! > > >>>>> > > >>>>> She has had the same boyfriend since she was 14. > > >>>>> > > >>>>> Alyssa Woods, NREMT-B > > >>>>> CPR Instructor > > >>>>> > > >>>>> > > >>>>> > > >>>>> > > >>>>> > > >>>>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > > >>>>>> > > >>>>>> - Brad Sattler > > >>>>>> > > >>>>>> > > >>>>>> > > >>>>>>> > > >>>>>>> Subject: EMS Challenge > > >>>>>>> To: texasems-l > > >>>>>>> Date: Thursday, January 6, 2011, 1:16 PM > > >>>>>>> I think we're about due for another > > >>>>>>> challenge, if anyone is up for it. > > >>>>>>> > > >>>>>>> You're dispatched to an 18 year old woman experiencing > > >>>>>>> seizures. Upon arrival, you find a young woman who appears > > >>>>>>> to be having a panic attack, and states that she experienced > > >>>>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate > > >>>>>>> of 140 resting, with a blood pressure of 142/98, and a > > >>>>>>> respiratory rate of 26. She has notable tremor. She reports > > >>>>>>> no medical history, no medications, and no allergies, and > > >>>>>>> her parents state that she's perfectly healthy, and couldn't > > >>>>>>> be on drugs, as she's active in high school sports and is > > >>>>>>> drug tested routinely. > > >>>>>>> > > >>>>>>> The patient states that she doesn't think that she's > > >>>>>>> experiencing an emergency, and insists that her parents are > > >>>>>>> overreacting and she simply wants to go back to bed. > > >>>>>>> > > >>>>>>> > > >>>>>>> > > >>>>>>> Alyssa Woods, NREMT-B > > >>>>>>> CPR Instructor > > >>>>>>> > > >>>>>>> > > >>>>>>> > > >>>>>>> > > >>>>>>> > > >>>>>>> ------------------------------------ > > >>>>>>> > > >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 Apart from inverted t waves, the EKG is normal. No apparent LVH. And no drugs - she hadn't so much as had the flu since she was six. Alyssa Woods, NREMT-B CPR Instructor Sent from the itty bitty keyboard on my iPhone > No drugs at all for the patient? > > With her being an athlete, is it possible that the inverted t waves come from left ventricular hypertrophy? > > Wes Ogilvie > > Sent from my iPad > > > > > She reports drinking approximately 64 oz of fluid throughout the day. > > > > Alyssa Woods, NREMT-B > > CPR Instructor > > > > > > Sent from the itty bitty keyboard on my iPhone > > > > > > > > > Define plenty? > > > > > > Sent from my iPhone > > > > > > > > > > > > > Nothing out of the ordinary. > > > > She's drank plenty of fluids - half gatorade, half water. > > > > Cap refill is normal. She's warm, pink, and diaphoretic. > > > > > > > > Blood glucose is 109. > > > > Capnography is 32. > > > > EKG is normal except for inverted t-wiaves. > > > > > > > > > > > > > > > > Alyssa Woods, NREMT-B > > > > CPR Instructor > > > > > > > > > > > > > > > > > > > > > > > >> any athletics today? > > > >> drink plenty of fluids? > > > >> skin conditions upon assessment other than what initially noted? > > > >> > > > >> > > > >> > > > >>> She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > > > >>> > > > >>> Alyssa Woods, NREMT-B > > > >>> CPR Instructor > > > >>> > > > >>> > > > >>> > > > >>> > > > >>> > > > >>>> Diagnosis= Teenager........ > > > >>>> > > > >>>> Also Kidding (I can just hear the bad medic comments) > > > >>>> > > > >>>> Events leading up to ? > > > >>>> Where is she at right now? > > > >>>> Has she had this before? > > > >>>> Been Sick in the past few weeks? > > > >>>> > > > >>>> > > > >>>> > > > >>>>> What, cute athletes can't be gay? Gee, thanks! > > > >>>>> > > > >>>>> Kidding! > > > >>>>> > > > >>>>> She has had the same boyfriend since she was 14. > > > >>>>> > > > >>>>> Alyssa Woods, NREMT-B > > > >>>>> CPR Instructor > > > >>>>> > > > >>>>> > > > >>>>> > > > >>>>> > > > >>>>> > > > >>>>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > > > >>>>>> > > > >>>>>> - Brad Sattler > > > >>>>>> > > > >>>>>> > > > >>>>>> > > > >>>>>>> > > > >>>>>>> Subject: EMS Challenge > > > >>>>>>> To: texasems-l > > > >>>>>>> Date: Thursday, January 6, 2011, 1:16 PM > > > >>>>>>> I think we're about due for another > > > >>>>>>> challenge, if anyone is up for it. > > > >>>>>>> > > > >>>>>>> You're dispatched to an 18 year old woman experiencing > > > >>>>>>> seizures. Upon arrival, you find a young woman who appears > > > >>>>>>> to be having a panic attack, and states that she experienced > > > >>>>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate > > > >>>>>>> of 140 resting, with a blood pressure of 142/98, and a > > > >>>>>>> respiratory rate of 26. She has notable tremor. She reports > > > >>>>>>> no medical history, no medications, and no allergies, and > > > >>>>>>> her parents state that she's perfectly healthy, and couldn't > > > >>>>>>> be on drugs, as she's active in high school sports and is > > > >>>>>>> drug tested routinely. > > > >>>>>>> > > > >>>>>>> The patient states that she doesn't think that she's > > > >>>>>>> experiencing an emergency, and insists that her parents are > > > >>>>>>> overreacting and she simply wants to go back to bed. > > > >>>>>>> > > > >>>>>>> > > > >>>>>>> > > > >>>>>>> Alyssa Woods, NREMT-B > > > >>>>>>> CPR Instructor > > > >>>>>>> > > > >>>>>>> > > > >>>>>>> > > > >>>>>>> > > > >>>>>>> > > > >>>>>>> ------------------------------------ > > > >>>>>>> > > > >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 actually, smell (CN I, the olfactory nerve) is the most difficult one to test. One of the Neurologists I worked with years ago carried a bottle of vanilla powder (no alcohol, which is actually a noxious stimulant of other nerves) to test CN I. anosmia can be caused by something as simple as trauma, nasal congestion or a zinc deficiency, or as complex as a brain or nasal tumor. ck In a message dated 01/06/11 20:38:09 Central Standard Time, amwoods8644@... writes: My instinct would say taste, because it's mostly smell, but ultimately, I don't know. Alyssa Woods, NREMT-B CPR Instructor (210) 842-6428 > On Old Olympus Tipmost Top, A Finn and A German Viewed Some Hops.... > > which one is the most difficult to test? > > ck > > > In a message dated 01/06/11 20:28:52 Central Standard Time, > wegandy1938@... writes: > > Assuming she will allow us, we should now do an evaluation of her cranial > nerves. > > GG > > -----Original Message----- > From: krin135@... > To: texasems-l > Sent: Thu, Jan 6, 2011 7:22 pm > Subject: Re: EMS Challenge > > what do her eyeballs do when she tenses up? > > ck > > In a message dated 01/06/11 20:14:47 Central Standard Time, > amwoods8644@... writes: > > When you question her further, she is quick to dismiss the shocks as > " nothing " , " just a weird feeling in my head " , and then flat-out says > she's just > having headaches. If you're really paying attention, you will notice a > relation between shocks and activity, - she claims that she's not having > them > anymore, though every few minutes you notice her tense abruptly. > > Detailed physical is normal, except for mild dizziness, fatigue, tremor, > and nausea. Reflexes are on the low end of normal, and she seems to be > experiencing some mild ataxia. > > [Non-text portions of this message have been removed] > > [Non-text portions of this message have been removed] > > ------------------------------------ > > Yahoo! Groups Links > > [Non-text portions of this message have been removed] > > [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 actually, smell (CN I, the olfactory nerve) is the most difficult one to test. One of the Neurologists I worked with years ago carried a bottle of vanilla powder (no alcohol, which is actually a noxious stimulant of other nerves) to test CN I. anosmia can be caused by something as simple as trauma, nasal congestion or a zinc deficiency, or as complex as a brain or nasal tumor. ck In a message dated 01/06/11 20:38:09 Central Standard Time, amwoods8644@... writes: My instinct would say taste, because it's mostly smell, but ultimately, I don't know. Alyssa Woods, NREMT-B CPR Instructor (210) 842-6428 > On Old Olympus Tipmost Top, A Finn and A German Viewed Some Hops.... > > which one is the most difficult to test? > > ck > > > In a message dated 01/06/11 20:28:52 Central Standard Time, > wegandy1938@... writes: > > Assuming she will allow us, we should now do an evaluation of her cranial > nerves. > > GG > > -----Original Message----- > From: krin135@... > To: texasems-l > Sent: Thu, Jan 6, 2011 7:22 pm > Subject: Re: EMS Challenge > > what do her eyeballs do when she tenses up? > > ck > > In a message dated 01/06/11 20:14:47 Central Standard Time, > amwoods8644@... writes: > > When you question her further, she is quick to dismiss the shocks as > " nothing " , " just a weird feeling in my head " , and then flat-out says > she's just > having headaches. If you're really paying attention, you will notice a > relation between shocks and activity, - she claims that she's not having > them > anymore, though every few minutes you notice her tense abruptly. > > Detailed physical is normal, except for mild dizziness, fatigue, tremor, > and nausea. Reflexes are on the low end of normal, and she seems to be > experiencing some mild ataxia. > > [Non-text portions of this message have been removed] > > [Non-text portions of this message have been removed] > > ------------------------------------ > > Yahoo! Groups Links > > [Non-text portions of this message have been removed] > > [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 Any recent trauma? Wes Sent from my iPad > Apart from inverted t waves, the EKG is normal. No apparent LVH. > > And no drugs - she hadn't so much as had the flu since she was six. > > Alyssa Woods, NREMT-B > CPR Instructor > > > Sent from the itty bitty keyboard on my iPhone > > > > > No drugs at all for the patient? > > > > With her being an athlete, is it possible that the inverted t waves come from left ventricular hypertrophy? > > > > Wes Ogilvie > > > > Sent from my iPad > > > > > > > > > She reports drinking approximately 64 oz of fluid throughout the day. > > > > > > Alyssa Woods, NREMT-B > > > CPR Instructor > > > > > > > > > Sent from the itty bitty keyboard on my iPhone > > > > > > > > > > > > > Define plenty? > > > > > > > > Sent from my iPhone > > > > > > > > > > > > > > > > > Nothing out of the ordinary. > > > > > She's drank plenty of fluids - half gatorade, half water. > > > > > Cap refill is normal. She's warm, pink, and diaphoretic. > > > > > > > > > > Blood glucose is 109. > > > > > Capnography is 32. > > > > > EKG is normal except for inverted t-wiaves. > > > > > > > > > > > > > > > > > > > > Alyssa Woods, NREMT-B > > > > > CPR Instructor > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >> any athletics today? > > > > >> drink plenty of fluids? > > > > >> skin conditions upon assessment other than what initially noted? > > > > >> > > > > >> > > > > >> > > > > >>> She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > > > > >>> > > > > >>> Alyssa Woods, NREMT-B > > > > >>> CPR Instructor > > > > >>> > > > > >>> > > > > >>> > > > > >>> > > > > >>> > > > > >>>> Diagnosis= Teenager........ > > > > >>>> > > > > >>>> Also Kidding (I can just hear the bad medic comments) > > > > >>>> > > > > >>>> Events leading up to ? > > > > >>>> Where is she at right now? > > > > >>>> Has she had this before? > > > > >>>> Been Sick in the past few weeks? > > > > >>>> > > > > >>>> > > > > >>>> > > > > >>>>> What, cute athletes can't be gay? Gee, thanks! > > > > >>>>> > > > > >>>>> Kidding! > > > > >>>>> > > > > >>>>> She has had the same boyfriend since she was 14. > > > > >>>>> > > > > >>>>> Alyssa Woods, NREMT-B > > > > >>>>> CPR Instructor > > > > >>>>> > > > > >>>>> > > > > >>>>> > > > > >>>>> > > > > >>>>> > > > > >>>>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > > > > >>>>>> > > > > >>>>>> - Brad Sattler > > > > >>>>>> > > > > >>>>>> > > > > >>>>>> > > > > >>>>>>> > > > > >>>>>>> Subject: EMS Challenge > > > > >>>>>>> To: texasems-l > > > > >>>>>>> Date: Thursday, January 6, 2011, 1:16 PM > > > > >>>>>>> I think we're about due for another > > > > >>>>>>> challenge, if anyone is up for it. > > > > >>>>>>> > > > > >>>>>>> You're dispatched to an 18 year old woman experiencing > > > > >>>>>>> seizures. Upon arrival, you find a young woman who appears > > > > >>>>>>> to be having a panic attack, and states that she experienced > > > > >>>>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate > > > > >>>>>>> of 140 resting, with a blood pressure of 142/98, and a > > > > >>>>>>> respiratory rate of 26. She has notable tremor. She reports > > > > >>>>>>> no medical history, no medications, and no allergies, and > > > > >>>>>>> her parents state that she's perfectly healthy, and couldn't > > > > >>>>>>> be on drugs, as she's active in high school sports and is > > > > >>>>>>> drug tested routinely. > > > > >>>>>>> > > > > >>>>>>> The patient states that she doesn't think that she's > > > > >>>>>>> experiencing an emergency, and insists that her parents are > > > > >>>>>>> overreacting and she simply wants to go back to bed. > > > > >>>>>>> > > > > >>>>>>> > > > > >>>>>>> > > > > >>>>>>> Alyssa Woods, NREMT-B > > > > >>>>>>> CPR Instructor > > > > >>>>>>> > > > > >>>>>>> > > > > >>>>>>> > > > > >>>>>>> > > > > >>>>>>> > > > > >>>>>>> ------------------------------------ > > > > >>>>>>> > > > > >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 Patient reports no recent trauma. Alyssa Woods, NREMT-B CPR Instructor My itty bitty iPhone keyboard makes me jealous of your iPad. Forgive any spelling errors or Freudian gits. > Any recent trauma? > > Wes > > Sent from my iPad > > > > > Apart from inverted t waves, the EKG is normal. No apparent LVH. > > > > And no drugs - she hadn't so much as had the flu since she was six. > > > > Alyssa Woods, NREMT-B > > CPR Instructor > > > > > > Sent from the itty bitty keyboard on my iPhone > > > > > > > > > No drugs at all for the patient? > > > > > > With her being an athlete, is it possible that the inverted t waves come from left ventricular hypertrophy? > > > > > > Wes Ogilvie > > > > > > Sent from my iPad > > > > > > > > > > > > > She reports drinking approximately 64 oz of fluid throughout the day. > > > > > > > > Alyssa Woods, NREMT-B > > > > CPR Instructor > > > > > > > > > > > > Sent from the itty bitty keyboard on my iPhone > > > > > > > > > > > > > > > > > Define plenty? > > > > > > > > > > Sent from my iPhone > > > > > > > > > > > > > > > > > > > > > Nothing out of the ordinary. > > > > > > She's drank plenty of fluids - half gatorade, half water. > > > > > > Cap refill is normal. She's warm, pink, and diaphoretic. > > > > > > > > > > > > Blood glucose is 109. > > > > > > Capnography is 32. > > > > > > EKG is normal except for inverted t-wiaves. > > > > > > > > > > > > > > > > > > > > > > > > Alyssa Woods, NREMT-B > > > > > > CPR Instructor > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >> any athletics today? > > > > > >> drink plenty of fluids? > > > > > >> skin conditions upon assessment other than what initially noted? > > > > > >> > > > > > >> > > > > > >> > > > > > >>> She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > > > > > >>> > > > > > >>> Alyssa Woods, NREMT-B > > > > > >>> CPR Instructor > > > > > >>> > > > > > >>> > > > > > >>> > > > > > >>> > > > > > >>> > > > > > >>>> Diagnosis= Teenager........ > > > > > >>>> > > > > > >>>> Also Kidding (I can just hear the bad medic comments) > > > > > >>>> > > > > > >>>> Events leading up to ? > > > > > >>>> Where is she at right now? > > > > > >>>> Has she had this before? > > > > > >>>> Been Sick in the past few weeks? > > > > > >>>> > > > > > >>>> > > > > > >>>> > > > > > >>>>> What, cute athletes can't be gay? Gee, thanks! > > > > > >>>>> > > > > > >>>>> Kidding! > > > > > >>>>> > > > > > >>>>> She has had the same boyfriend since she was 14. > > > > > >>>>> > > > > > >>>>> Alyssa Woods, NREMT-B > > > > > >>>>> CPR Instructor > > > > > >>>>> > > > > > >>>>> > > > > > >>>>> > > > > > >>>>> > > > > > >>>>> > > > > > >>>>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > > > > > >>>>>> > > > > > >>>>>> - Brad Sattler > > > > > >>>>>> > > > > > >>>>>> > > > > > >>>>>> > > > > > >>>>>>> > > > > > >>>>>>> Subject: EMS Challenge > > > > > >>>>>>> To: texasems-l > > > > > >>>>>>> Date: Thursday, January 6, 2011, 1:16 PM > > > > > >>>>>>> I think we're about due for another > > > > > >>>>>>> challenge, if anyone is up for it. > > > > > >>>>>>> > > > > > >>>>>>> You're dispatched to an 18 year old woman experiencing > > > > > >>>>>>> seizures. Upon arrival, you find a young woman who appears > > > > > >>>>>>> to be having a panic attack, and states that she experienced > > > > > >>>>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate > > > > > >>>>>>> of 140 resting, with a blood pressure of 142/98, and a > > > > > >>>>>>> respiratory rate of 26. She has notable tremor. She reports > > > > > >>>>>>> no medical history, no medications, and no allergies, and > > > > > >>>>>>> her parents state that she's perfectly healthy, and couldn't > > > > > >>>>>>> be on drugs, as she's active in high school sports and is > > > > > >>>>>>> drug tested routinely. > > > > > >>>>>>> > > > > > >>>>>>> The patient states that she doesn't think that she's > > > > > >>>>>>> experiencing an emergency, and insists that her parents are > > > > > >>>>>>> overreacting and she simply wants to go back to bed. > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> Alyssa Woods, NREMT-B > > > > > >>>>>>> CPR Instructor > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> ------------------------------------ > > > > > >>>>>>> > > > > > >>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2011 Report Share Posted January 6, 2011 I may have missed it, but what were the events leading up to the “attackâ€. You said she was getting ready for bed, but was there any altercation with anyone…parent(s), friend, herself? How is school? Exams passed or upcoming? Report cards? What took place that day? Any nausea/vomiting/diarrhea? From: texasems-l [mailto:texasems-l ] On Behalf Of Alyssa Woods Sent: Thursday, January 06, 2011 3:56 PM To: texasems-l Subject: Re: EMS Challenge Patient reports no recent trauma. Alyssa Woods, NREMT-B CPR Instructor My itty bitty iPhone keyboard makes me jealous of your iPad. Forgive any spelling errors or Freudian gits. On Jan 6, 2011, at 3:50 PM, Wes Ogilvie wes.ogilvie@... > wrote: > Any recent trauma? > > Wes > > Sent from my iPad > > On Jan 6, 2011, at 15:44, Alyssa Woods amwoods8644@... > wrote: > > > Apart from inverted t waves, the EKG is normal. No apparent LVH. > > > > And no drugs - she hadn't so much as had the flu since she was six. > > > > Alyssa Woods, NREMT-B > > CPR Instructor > > > > > > Sent from the itty bitty keyboard on my iPhone > > > > On Jan 6, 2011, at 3:41 PM, Wes Ogilvie wes.ogilvie@... > wrote: > > > > > No drugs at all for the patient? > > > > > > With her being an athlete, is it possible that the inverted t waves come from left ventricular hypertrophy? > > > > > > Wes Ogilvie > > > > > > Sent from my iPad > > > > > > On Jan 6, 2011, at 15:07, Alyssa Woods amwoods8644@... > wrote: > > > > > > > She reports drinking approximately 64 oz of fluid throughout the day. > > > > > > > > Alyssa Woods, NREMT-B > > > > CPR Instructor > > > > > > > > > > > > Sent from the itty bitty keyboard on my iPhone > > > > > > > > On Jan 6, 2011, at 2:59 PM, Wes Ogilvie wes.ogilvie@... > wrote: > > > > > > > > > Define plenty? > > > > > > > > > > Sent from my iPhone > > > > > > > > > > On Jan 6, 2011, at 14:46, Alyssa Woods amwoods8644@... > wrote: > > > > > > > > > > > Nothing out of the ordinary. > > > > > > She's drank plenty of fluids - half gatorade, half water. > > > > > > Cap refill is normal. She's warm, pink, and diaphoretic. > > > > > > > > > > > > Blood glucose is 109. > > > > > > Capnography is 32. > > > > > > EKG is normal except for inverted t-wiaves. > > > > > > > > > > > > > > > > > > > > > > > > Alyssa Woods, NREMT-B > > > > > > CPR Instructor > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >> any athletics today? > > > > > >> drink plenty of fluids? > > > > > >> skin conditions upon assessment other than what initially noted? > > > > > >> > > > > > >> > > > > > >> > > > > > >>> She was preparing for bed. She's in her residence. She's never experienced this before, and she hasn't been ill in the last few weeks (and she has the trophies to prove it). > > > > > >>> > > > > > >>> Alyssa Woods, NREMT-B > > > > > >>> CPR Instructor > > > > > >>> > > > > > >>> > > > > > >>> > > > > > >>> > > > > > >>> > > > > > >>>> Diagnosis= Teenager........ > > > > > >>>> > > > > > >>>> Also Kidding (I can just hear the bad medic comments) > > > > > >>>> > > > > > >>>> Events leading up to ? > > > > > >>>> Where is she at right now? > > > > > >>>> Has she had this before? > > > > > >>>> Been Sick in the past few weeks? > > > > > >>>> > > > > > >>>> > > > > > >>>> > > > > > >>>>> What, cute athletes can't be gay? Gee, thanks! > > > > > >>>>> > > > > > >>>>> Kidding! > > > > > >>>>> > > > > > >>>>> She has had the same boyfriend since she was 14. > > > > > >>>>> > > > > > >>>>> Alyssa Woods, NREMT-B > > > > > >>>>> CPR Instructor > > > > > >>>>> > > > > > >>>>> > > > > > >>>>> > > > > > >>>>> > > > > > >>>>> > > > > > >>>>>> Not that I'm cynical, but does she have a history of boyfriend over the last 9 months? > > > > > >>>>>> > > > > > >>>>>> - Brad Sattler > > > > > >>>>>> > > > > > >>>>>> > > > > > >>>>>> > > > > > >>>>>>> From: Alyssa Woods amwoods8644@... > > > > > > >>>>>>> Subject: EMS Challenge > > > > > >>>>>>> To: texasems-l > > > > > >>>>>>> Date: Thursday, January 6, 2011, 1:16 PM > > > > > >>>>>>> I think we're about due for another > > > > > >>>>>>> challenge, if anyone is up for it. > > > > > >>>>>>> > > > > > >>>>>>> You're dispatched to an 18 year old woman experiencing > > > > > >>>>>>> seizures. Upon arrival, you find a young woman who appears > > > > > >>>>>>> to be having a panic attack, and states that she experienced > > > > > >>>>>>> a few " shocks " . She's diaphoretic and tachycardic at a rate > > > > > >>>>>>> of 140 resting, with a blood pressure of 142/98, and a > > > > > >>>>>>> respiratory rate of 26. She has notable tremor. She reports > > > > > >>>>>>> no medical history, no medications, and no allergies, and > > > > > >>>>>>> her parents state that she's perfectly healthy, and couldn't > > > > > >>>>>>> be on drugs, as she's active in high school sports and is > > > > > >>>>>>> drug tested routinely. > > > > > >>>>>>> > > > > > >>>>>>> The patient states that she doesn't think that she's > > > > > >>>>>>> experiencing an emergency, and insists that her parents are > > > > > >>>>>>> overreacting and she simply wants to go back to bed. > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> Alyssa Woods, NREMT-B > > > > > >>>>>>> CPR Instructor > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> > > > > > >>>>>>> ------------------------------------ > > > > > >>>>>>> > > > > > >>>>>>> Quote Link to comment Share on other sites More sharing options...
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