Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 What about a hx of alcohol abuse? -Wes In a message dated 6/14/2010 9:58:56 P.M. Central Daylight Time, aggiesrwe03@... writes: Correct chronic problem Rick!! What is his acute problem? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 21:48, _rick.moore@..._ (mailto:rick.moore@...) wrote: > Esophageal spasm? > Rick > Sent via Blackberry > > ________________________________ > From: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > > To: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > > Sent: Mon Jun 14 17:32:40 2010 > Subject: Re: FW: EMS Challenge (3) > > > > Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? > > -Chris > > Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone > > On Jun 14, 2010, at 16:46, _shawn.binkley@..._ (mailto:shawn.binkley@...) wrote: > >> Detailed exam shows what? >> Sent from my Verizon Wireless BlackBerry >> >> -----Original Message----- >> From: _aggiesrwe03@..._ (mailto:aggiesrwe03@...) > >> Date: Mon, 14 Jun 2010 16:40:53 >> To: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > >> Subject: Re: FW: EMS Challenge (3) >> >> Initial impression is a young man not fat but seems to be overweight he is alert to person place time and event he answers your questions appropriately however you can sense anxiousness in his voice he tell you he was watching when tv his arm began to feel " heavy " and he felt a " fluttering " in his chest. He has no prior history of heart problems and it does not run in his family his pulse is palpated and is strong yet he is tachycardic at 101. Blood pressure is slightly elevated at 140/90 which he tells you is high for him he has no history of HTN. He has been hospitalized several times once for an upper GI bleed 7 years ago, once for a cervical spine injury which was repaired with disc replacement surgery, and he went to the ER several weeks ago for " almost passing out " in the grocery store. He has taken adderol and prevacid in the past. He describes this feeling as an anxious feeling in his chest and he gets " extremely tired " after this episode. When place in the ECG he is >> sinus tach at 101 with no abnormalities per protocol you run a 12 lead which is unremarkable. >> >> -Chris >> >> >> >> Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone >> >> On Jun 14, 2010, at 16:12, _ExLngHrn@..._ (mailto:ExLngHrn@...) wrote: >> >>> Start with the beginning. >>> >>> Complete set of vitals, EKG, and a SAMPLE/OPQRST workup. >>> >>> -Wes Ogilvie >>> >>> >>> In a message dated 6/14/2010 4:03:38 P.M. Central Daylight Time, >>> _mhudson@..._ (mailto:mhudson@...) writes: >>> >>> >>> >>> >>> >>> ________________________________ >>> From: [__aggiesrwe03@..._ (mailto:_aggiesrwe03@...) _ (mailto:_aggiesrwe03@..._ (mailto:aggiesrwe03@...) ) ] >>> Sent: Monday, June 14, 2010 1:15 PM >>> To: Hudson >>> Subject: EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >>> chair in his living he room he say he is having a funny feeling in his >>> chest and he feels very weak what else you wanna know >>> >>> -Chris >>> >>> >>> >>> >>> >>> [Non-text portions of this message have been removed] >>> >>> >>> >>> ------------------------------------ >>> >>> Yahoo! Groups Links >>> >>> >>> >> >> >> >> [Non-text portions of this message have been removed] >> >> >> >> ------------------------------------ >> >> Yahoo! Groups Links >> >> >> > > > > > [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 June 14, 2010 Report Share Posted June 14, 2010 What about a hx of alcohol abuse? -Wes In a message dated 6/14/2010 9:58:56 P.M. Central Daylight Time, aggiesrwe03@... writes: Correct chronic problem Rick!! What is his acute problem? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 21:48, _rick.moore@..._ (mailto:rick.moore@...) wrote: > Esophageal spasm? > Rick > Sent via Blackberry > > ________________________________ > From: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > > To: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > > Sent: Mon Jun 14 17:32:40 2010 > Subject: Re: FW: EMS Challenge (3) > > > > Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? > > -Chris > > Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone > > On Jun 14, 2010, at 16:46, _shawn.binkley@..._ (mailto:shawn.binkley@...) wrote: > >> Detailed exam shows what? >> Sent from my Verizon Wireless BlackBerry >> >> -----Original Message----- >> From: _aggiesrwe03@..._ (mailto:aggiesrwe03@...) > >> Date: Mon, 14 Jun 2010 16:40:53 >> To: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > >> Subject: Re: FW: EMS Challenge (3) >> >> Initial impression is a young man not fat but seems to be overweight he is alert to person place time and event he answers your questions appropriately however you can sense anxiousness in his voice he tell you he was watching when tv his arm began to feel " heavy " and he felt a " fluttering " in his chest. He has no prior history of heart problems and it does not run in his family his pulse is palpated and is strong yet he is tachycardic at 101. Blood pressure is slightly elevated at 140/90 which he tells you is high for him he has no history of HTN. He has been hospitalized several times once for an upper GI bleed 7 years ago, once for a cervical spine injury which was repaired with disc replacement surgery, and he went to the ER several weeks ago for " almost passing out " in the grocery store. He has taken adderol and prevacid in the past. He describes this feeling as an anxious feeling in his chest and he gets " extremely tired " after this episode. When place in the ECG he is >> sinus tach at 101 with no abnormalities per protocol you run a 12 lead which is unremarkable. >> >> -Chris >> >> >> >> Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone >> >> On Jun 14, 2010, at 16:12, _ExLngHrn@..._ (mailto:ExLngHrn@...) wrote: >> >>> Start with the beginning. >>> >>> Complete set of vitals, EKG, and a SAMPLE/OPQRST workup. >>> >>> -Wes Ogilvie >>> >>> >>> In a message dated 6/14/2010 4:03:38 P.M. Central Daylight Time, >>> _mhudson@..._ (mailto:mhudson@...) writes: >>> >>> >>> >>> >>> >>> ________________________________ >>> From: [__aggiesrwe03@..._ (mailto:_aggiesrwe03@...) _ (mailto:_aggiesrwe03@..._ (mailto:aggiesrwe03@...) ) ] >>> Sent: Monday, June 14, 2010 1:15 PM >>> To: Hudson >>> Subject: EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >>> chair in his living he room he say he is having a funny feeling in his >>> chest and he feels very weak what else you wanna know >>> >>> -Chris >>> >>> >>> >>> >>> >>> [Non-text portions of this message have been removed] >>> >>> >>> >>> ------------------------------------ >>> >>> Yahoo! Groups Links >>> >>> >>> >> >> >> >> [Non-text portions of this message have been removed] >> >> >> >> ------------------------------------ >> >> Yahoo! Groups Links >> >> >> > > > > > [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 June 14, 2010 Report Share Posted June 14, 2010 What about a hx of alcohol abuse? -Wes In a message dated 6/14/2010 9:58:56 P.M. Central Daylight Time, aggiesrwe03@... writes: Correct chronic problem Rick!! What is his acute problem? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 21:48, _rick.moore@..._ (mailto:rick.moore@...) wrote: > Esophageal spasm? > Rick > Sent via Blackberry > > ________________________________ > From: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > > To: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > > Sent: Mon Jun 14 17:32:40 2010 > Subject: Re: FW: EMS Challenge (3) > > > > Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? > > -Chris > > Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone > > On Jun 14, 2010, at 16:46, _shawn.binkley@..._ (mailto:shawn.binkley@...) wrote: > >> Detailed exam shows what? >> Sent from my Verizon Wireless BlackBerry >> >> -----Original Message----- >> From: _aggiesrwe03@..._ (mailto:aggiesrwe03@...) > >> Date: Mon, 14 Jun 2010 16:40:53 >> To: _texasems-l _ (mailto:texasems-l ) _texasems-l _ (mailto:texasems-l ) > >> Subject: Re: FW: EMS Challenge (3) >> >> Initial impression is a young man not fat but seems to be overweight he is alert to person place time and event he answers your questions appropriately however you can sense anxiousness in his voice he tell you he was watching when tv his arm began to feel " heavy " and he felt a " fluttering " in his chest. He has no prior history of heart problems and it does not run in his family his pulse is palpated and is strong yet he is tachycardic at 101. Blood pressure is slightly elevated at 140/90 which he tells you is high for him he has no history of HTN. He has been hospitalized several times once for an upper GI bleed 7 years ago, once for a cervical spine injury which was repaired with disc replacement surgery, and he went to the ER several weeks ago for " almost passing out " in the grocery store. He has taken adderol and prevacid in the past. He describes this feeling as an anxious feeling in his chest and he gets " extremely tired " after this episode. When place in the ECG he is >> sinus tach at 101 with no abnormalities per protocol you run a 12 lead which is unremarkable. >> >> -Chris >> >> >> >> Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone >> >> On Jun 14, 2010, at 16:12, _ExLngHrn@..._ (mailto:ExLngHrn@...) wrote: >> >>> Start with the beginning. >>> >>> Complete set of vitals, EKG, and a SAMPLE/OPQRST workup. >>> >>> -Wes Ogilvie >>> >>> >>> In a message dated 6/14/2010 4:03:38 P.M. Central Daylight Time, >>> _mhudson@..._ (mailto:mhudson@...) writes: >>> >>> >>> >>> >>> >>> ________________________________ >>> From: [__aggiesrwe03@..._ (mailto:_aggiesrwe03@...) _ (mailto:_aggiesrwe03@..._ (mailto:aggiesrwe03@...) ) ] >>> Sent: Monday, June 14, 2010 1:15 PM >>> To: Hudson >>> Subject: EMS Challenge (3) >>> >>> For some reason I can't send to the list right now but if you would please >>> forward this!!! >>> >>> -Chris >>> >>> Ok I got one it is not as involved as alyssa's but may be something you >>> see pretty often in this case I am actually the person this is loosely based >>> on. >>> >>> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >>> chair in his living he room he say he is having a funny feeling in his >>> chest and he feels very weak what else you wanna know >>> >>> -Chris >>> >>> >>> >>> >>> >>> [Non-text portions of this message have been removed] >>> >>> >>> >>> ------------------------------------ >>> >>> Yahoo! Groups Links >>> >>> >>> >> >> >> >> [Non-text portions of this message have been removed] >> >> >> >> ------------------------------------ >> >> Yahoo! Groups Links >> >> >> > > > > > [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 June 14, 2010 Report Share Posted June 14, 2010 Heart sounds are normal Pt. tells you he has never seen a cardiologist for this problem but he has had a stress test done in the past year for a work physical and it all was normal. He also had full cardiac workup " afew weeks ago " when he went to the ER and all was normal. He sees his PCP once every few months but has not followed up with him since his last ER visit. How about heart sounds? Has the patient ever seen a cardiologist? -Wes Ogilvie In a message dated 6/14/2010 5:32:37 P.M. Central Daylight Time, aggiesrwe03@... writes: Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 16:46, _shawn.binkley@..._ (mailto:shawn.binkley@...) wrote: > Detailed exam shows what? > Sent from my Verizon Wireless BlackBerry > > EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 Heart sounds are normal Pt. tells you he has never seen a cardiologist for this problem but he has had a stress test done in the past year for a work physical and it all was normal. He also had full cardiac workup " afew weeks ago " when he went to the ER and all was normal. He sees his PCP once every few months but has not followed up with him since his last ER visit. How about heart sounds? Has the patient ever seen a cardiologist? -Wes Ogilvie In a message dated 6/14/2010 5:32:37 P.M. Central Daylight Time, aggiesrwe03@... writes: Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 16:46, _shawn.binkley@..._ (mailto:shawn.binkley@...) wrote: > Detailed exam shows what? > Sent from my Verizon Wireless BlackBerry > > EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 Heart sounds are normal Pt. tells you he has never seen a cardiologist for this problem but he has had a stress test done in the past year for a work physical and it all was normal. He also had full cardiac workup " afew weeks ago " when he went to the ER and all was normal. He sees his PCP once every few months but has not followed up with him since his last ER visit. How about heart sounds? Has the patient ever seen a cardiologist? -Wes Ogilvie In a message dated 6/14/2010 5:32:37 P.M. Central Daylight Time, aggiesrwe03@... writes: Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 16:46, _shawn.binkley@..._ (mailto:shawn.binkley@...) wrote: > Detailed exam shows what? > Sent from my Verizon Wireless BlackBerry > > EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 No Wes not in this case. His respirations are now 24 LOC has not changed however the " heavyness and tigling " in his arms and hands is getting is worse and the " funny axious " feeling in his chest is not any better. A hint lies in the days events that he has already told you!! -Chris Any chance of mitral valve prolapse? -Wes In a message dated 6/14/2010 7:53:50 P.M. Central Daylight Time, aggiesrwe03@... writes: Heart sounds are normal Pt. tells you he has never seen a cardiologist for this problem but he has had a stress test done in the past year for a work physical and it all was normal. He also had full cardiac workup " afew weeks ago " when he went to the ER and all was normal. He sees his PCP once every few months but has not followed up with him since his last ER visit. On Jun 14, 2010, at 07:43 PM, _ExLngHrn@..._ (mailto:ExLngHrn@...) wrote: How about heart sounds? Has the patient ever seen a cardiologist? -Wes Ogilvie In a message dated 6/14/2010 5:32:37 P.M. Central Daylight Time, _aggiesrwe03@..._ (mailto:aggiesrwe03@...) writes: Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 16:46, __shawn.binkley@..._ (mailto:_shawn.binkley@...) _ (mailto:_shawn.binkley@..._ (mailto:shawn.binkley@...) ) wrote: > Detailed exam shows what? > Sent from my Verizon Wireless BlackBerry > > EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 No Wes not in this case. His respirations are now 24 LOC has not changed however the " heavyness and tigling " in his arms and hands is getting is worse and the " funny axious " feeling in his chest is not any better. A hint lies in the days events that he has already told you!! -Chris Any chance of mitral valve prolapse? -Wes In a message dated 6/14/2010 7:53:50 P.M. Central Daylight Time, aggiesrwe03@... writes: Heart sounds are normal Pt. tells you he has never seen a cardiologist for this problem but he has had a stress test done in the past year for a work physical and it all was normal. He also had full cardiac workup " afew weeks ago " when he went to the ER and all was normal. He sees his PCP once every few months but has not followed up with him since his last ER visit. On Jun 14, 2010, at 07:43 PM, _ExLngHrn@..._ (mailto:ExLngHrn@...) wrote: How about heart sounds? Has the patient ever seen a cardiologist? -Wes Ogilvie In a message dated 6/14/2010 5:32:37 P.M. Central Daylight Time, _aggiesrwe03@..._ (mailto:aggiesrwe03@...) writes: Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 16:46, __shawn.binkley@..._ (mailto:_shawn.binkley@...) _ (mailto:_shawn.binkley@..._ (mailto:shawn.binkley@...) ) wrote: > Detailed exam shows what? > Sent from my Verizon Wireless BlackBerry > > EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 No Wes not in this case. His respirations are now 24 LOC has not changed however the " heavyness and tigling " in his arms and hands is getting is worse and the " funny axious " feeling in his chest is not any better. A hint lies in the days events that he has already told you!! -Chris Any chance of mitral valve prolapse? -Wes In a message dated 6/14/2010 7:53:50 P.M. Central Daylight Time, aggiesrwe03@... writes: Heart sounds are normal Pt. tells you he has never seen a cardiologist for this problem but he has had a stress test done in the past year for a work physical and it all was normal. He also had full cardiac workup " afew weeks ago " when he went to the ER and all was normal. He sees his PCP once every few months but has not followed up with him since his last ER visit. On Jun 14, 2010, at 07:43 PM, _ExLngHrn@..._ (mailto:ExLngHrn@...) wrote: How about heart sounds? Has the patient ever seen a cardiologist? -Wes Ogilvie In a message dated 6/14/2010 5:32:37 P.M. Central Daylight Time, _aggiesrwe03@..._ (mailto:aggiesrwe03@...) writes: Detailed exam is unremarkable however several mins into the transport your pt. Feels the " Flutter " again and his respirations increase and he now has a " pain " in his chest EKG is Now tachy at 118 however rhythm is sinus with no ectopy an 12-lead remains unchanged after several mins the " flutter " subsides yet he now has tingling in his hands and the " anxious " feeling has returned. How would you treat him and what is going on? -Chris Sorry for the spelling and punctuation this was typed on tge tiny keyboard on my iPhone On Jun 14, 2010, at 16:46, __shawn.binkley@..._ (mailto:_shawn.binkley@...) _ (mailto:_shawn.binkley@..._ (mailto:shawn.binkley@...) ) wrote: > Detailed exam shows what? > Sent from my Verizon Wireless BlackBerry > > EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 House have any possible gas leaks? Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 House have any possible gas leaks? Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 House have any possible gas leaks? Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 Nope no gas leaks in the house and no exposures to any chemicals. Ill give you a bigger hint that others here won't get but a similar event happened to me when I worked with you TWICE!! -Chris House have any possible gas leaks? Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 You know how long ago that has been Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 On Monday, June 14, 2010 20:01, " aggiesrwe03 " aggiesrwe03@...> said: > A hint lies in the days events that he has already told you!! Watching TV? Let me know what show it was so I don't make that same mistake! Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 lol Rob I think it was an Obama speech enough to make us all sick lol!!!! -Chris On Jun 14, 2010, at 08:33 PM, " rob.davis@... " rob.davis@...> wrote: On Monday, June 14, 2010 20:01, " aggiesrwe03 " aggiesrwe03@...> said: > A hint lies in the days events that he has already told you!! Watching TV? Let me know what show it was so I don't make that same mistake! Rob ------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 about 4 years for what I'm talking about lol!!!! -Chris You know how long ago that has been Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 It wouldn't be the time you was holding a can of lysol would it Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 It wouldn't be the time you was holding a can of lysol would it Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 It wouldn't be the time you was holding a can of lysol would it Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 lol nope and at the risk of embarassing myself I hate to ask this but I dont remember that?!?!?!?!? It wouldn't be the time you was holding a can of lysol would it Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 lol nope and at the risk of embarassing myself I hate to ask this but I dont remember that?!?!?!?!? It wouldn't be the time you was holding a can of lysol would it Sent from my Verizon Wireless BlackBerry EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 Does he take anacids on a regular basis? Any suggestion of injury to the diaphragm during the GI surgery? Does a forced exhale or cough cause sudden pain? -Brad Sent via BlackBerry, the office that follows you. EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 Yes he takes antacids several times a week, No history of GI surgery, however, he has had two Upper endoscopies in the past no Pain upon cough or exhalation. -Chirs Does he take anacids on a regular basis? Any suggestion of injury to the diaphragm during the GI surgery? Does a forced exhale or cough cause sudden pain? -Brad Sent via BlackBerry, the office that follows you. EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2010 Report Share Posted June 14, 2010 Yes he takes antacids several times a week, No history of GI surgery, however, he has had two Upper endoscopies in the past no Pain upon cough or exhalation. -Chirs Does he take anacids on a regular basis? Any suggestion of injury to the diaphragm during the GI surgery? Does a forced exhale or cough cause sudden pain? -Brad Sent via BlackBerry, the office that follows you. EMS Challenge (3) >> >> For some reason I can't send to the list right now but if you would please >> forward this!!! >> >> -Chris >> >> Ok I got one it is not as involved as alyssa's but may be something you >> see pretty often in this case I am actually the person this is loosely based >> on. >> >> dispatched to a 30 y/o male for weakness upon arrival pt. Is sitting in a >> chair in his living he room he say he is having a funny feeling in his >> chest and he feels very weak what else you wanna know >> >> -Chris >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
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