Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 lithium toxicity In a message dated 8/4/2010 1:40:42 P.M. Central America Standard Ti, wes.ogilvie@... writes: You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. Attorney at Law/Licensed Paramedic Austin, Texas Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 Definitely NOT . . . High Anxiety Sent from my BlackBerry® smartphone with Nextel Direct Connect Re: New challenge lithium toxicity In a message dated 8/4/2010 1:40:42 P.M. Central America Standard Ti, wes.ogilvie@... writes: You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. Attorney at Law/Licensed Paramedic Austin, Texas Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 Definitely NOT . . . High Anxiety Sent from my BlackBerry® smartphone with Nextel Direct Connect Re: New challenge lithium toxicity In a message dated 8/4/2010 1:40:42 P.M. Central America Standard Ti, wes.ogilvie@... writes: You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. Attorney at Law/Licensed Paramedic Austin, Texas Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 Definitely NOT . . . High Anxiety Sent from my BlackBerry® smartphone with Nextel Direct Connect Re: New challenge lithium toxicity In a message dated 8/4/2010 1:40:42 P.M. Central America Standard Ti, wes.ogilvie@... writes: You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. Attorney at Law/Licensed Paramedic Austin, Texas Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 No but you are in the neighborhood. Wes Sent from my iPhone > lithium toxicity > > > In a message dated 8/4/2010 1:40:42 P.M. Central America Standard Ti, > wes.ogilvie@... writes: > > You and your partner have been sent to the Psychoneurotic Institute for the > Very Very Nervous on an unknown call. Upon arrival, you and your partner > are greeted by the charge nurse who informs you that they have a 47 year old > female patient who is receiving inpatient therapy for bipolar disorder. > She went back to her room after a therapy session. The patient normally has a > manic phase lasting several days, but during her manic phase, she returned > to her room and has, according to the staff, " passed out. " The nurse is > unable to provide much more information about the patient other than the > bipolar diagnosis. Upon patient contact, you observe a 47 year old female who > is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone > who catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > Sent from my iPad > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 No but you are in the neighborhood. Wes Sent from my iPhone > lithium toxicity > > > In a message dated 8/4/2010 1:40:42 P.M. Central America Standard Ti, > wes.ogilvie@... writes: > > You and your partner have been sent to the Psychoneurotic Institute for the > Very Very Nervous on an unknown call. Upon arrival, you and your partner > are greeted by the charge nurse who informs you that they have a 47 year old > female patient who is receiving inpatient therapy for bipolar disorder. > She went back to her room after a therapy session. The patient normally has a > manic phase lasting several days, but during her manic phase, she returned > to her room and has, according to the staff, " passed out. " The nurse is > unable to provide much more information about the patient other than the > bipolar diagnosis. Upon patient contact, you observe a 47 year old female who > is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone > who catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > Sent from my iPad > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 No but you are in the neighborhood. Wes Sent from my iPhone > lithium toxicity > > > In a message dated 8/4/2010 1:40:42 P.M. Central America Standard Ti, > wes.ogilvie@... writes: > > You and your partner have been sent to the Psychoneurotic Institute for the > Very Very Nervous on an unknown call. Upon arrival, you and your partner > are greeted by the charge nurse who informs you that they have a 47 year old > female patient who is receiving inpatient therapy for bipolar disorder. > She went back to her room after a therapy session. The patient normally has a > manic phase lasting several days, but during her manic phase, she returned > to her room and has, according to the staff, " passed out. " The nurse is > unable to provide much more information about the patient other than the > bipolar diagnosis. Upon patient contact, you observe a 47 year old female who > is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone > who catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > Sent from my iPad > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 Nice differential diagnosis sir! Sent from my iPhone > Definitely NOT . . . High Anxiety > Sent from my BlackBerry® smartphone with Nextel Direct Connect > > Re: New challenge > > lithium toxicity > > > In a message dated 8/4/2010 1:40:42 P.M. Central America Standard Ti, > wes.ogilvie@... writes: > > > > > You and your partner have been sent to the Psychoneurotic Institute for the > Very Very Nervous on an unknown call. Upon arrival, you and your partner > are greeted by the charge nurse who informs you that they have a 47 year old > female patient who is receiving inpatient therapy for bipolar disorder. > She went back to her room after a therapy session. The patient normally has a > manic phase lasting several days, but during her manic phase, she returned > to her room and has, according to the staff, " passed out. " The nurse is > unable to provide much more information about the patient other than the > bipolar diagnosis. Upon patient contact, you observe a 47 year old female who > is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone > who catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > Sent from my iPad > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2010 Report Share Posted August 5, 2010 Not gonna hazard a guess on field diagnosis, but if she is unresponsive I would probably initiate CPR first. My guess for movie reference is " Shutter Island " Just my 2 cents' worth. Trousdale, EMT-I > > You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > > Sent from my iPad > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2010 Report Share Posted August 5, 2010 Not gonna hazard a guess on field diagnosis, but if she is unresponsive I would probably initiate CPR first. My guess for movie reference is " Shutter Island " Just my 2 cents' worth. Trousdale, EMT-I > > You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > > Sent from my iPad > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2010 Report Share Posted August 5, 2010 Not gonna hazard a guess on field diagnosis, but if she is unresponsive I would probably initiate CPR first. My guess for movie reference is " Shutter Island " Just my 2 cents' worth. Trousdale, EMT-I > > You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > > Sent from my iPad > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2010 Report Share Posted August 6, 2010 I wouldn't start CPR just because the patient is unresponsive. A patient can be unresponsive with a pulse present. > > > > You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. > > > > What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. > > > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > > Attorney at Law/Licensed Paramedic > > Austin, Texas > > > > > > Sent from my iPad > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2010 Report Share Posted August 6, 2010 Oh my God, you're the guy! You know how you always hear stories from " a guy who knows a guy who's brother's sister is a medic... " . I've heard this story for years and with variations including varying locations and patient descriptions. In fact, seems like they used this scenario in an episode of St. Elsewhere or ER or something. Hope you got royalties! Sent on the Sprint® Now Network from my BlackBerry® Re: Re: New challenge > > Without checking a pulse??? Which by the way is present. > > Sent from my iPhone > > On Aug 5, 2010, at 11:45, trousdale_david trousdale_david@... > >; > wrote: > > > Not gonna hazard a guess on field diagnosis, but if she is > unresponsive I would probably initiate CPR first. My guess for movie > reference is " Shutter Island " > > Just my 2 cents' worth. > > > > Trousdale, EMT-I > > > > > > > > > > You and your partner have been sent to the Psychoneurotic > Institute for the Very Very Nervous on an unknown call. Upon arrival, > you and your partner are greeted by the charge nurse who informs you > that they have a 47 year old female patient who is receiving inpatient > therapy for bipolar disorder. She went back to her room after a > therapy session. The patient normally has a manic phase lasting > several days, but during her manic phase, she returned to her room and > has, according to the staff, " passed out. " The nurse is unable to > provide much more information about the patient other than the bipolar > diagnosis. Upon patient contact, you observe a 47 year old female who > is completely unresponsive. > > > > > > What is your treatment plan and field diagnosis? Bonus points to > anyone who catches the movie reference. > > > > > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > > > Attorney at Law/Licensed Paramedic > > > Austin, Texas > > > > > > > > > Sent from my iPad > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2010 Report Share Posted August 6, 2010 Oh my God, you're the guy! You know how you always hear stories from " a guy who knows a guy who's brother's sister is a medic... " . I've heard this story for years and with variations including varying locations and patient descriptions. In fact, seems like they used this scenario in an episode of St. Elsewhere or ER or something. Hope you got royalties! Sent on the Sprint® Now Network from my BlackBerry® Re: Re: New challenge > > Without checking a pulse??? Which by the way is present. > > Sent from my iPhone > > On Aug 5, 2010, at 11:45, trousdale_david trousdale_david@... > >; > wrote: > > > Not gonna hazard a guess on field diagnosis, but if she is > unresponsive I would probably initiate CPR first. My guess for movie > reference is " Shutter Island " > > Just my 2 cents' worth. > > > > Trousdale, EMT-I > > > > > > > > > > You and your partner have been sent to the Psychoneurotic > Institute for the Very Very Nervous on an unknown call. Upon arrival, > you and your partner are greeted by the charge nurse who informs you > that they have a 47 year old female patient who is receiving inpatient > therapy for bipolar disorder. She went back to her room after a > therapy session. The patient normally has a manic phase lasting > several days, but during her manic phase, she returned to her room and > has, according to the staff, " passed out. " The nurse is unable to > provide much more information about the patient other than the bipolar > diagnosis. Upon patient contact, you observe a 47 year old female who > is completely unresponsive. > > > > > > What is your treatment plan and field diagnosis? Bonus points to > anyone who catches the movie reference. > > > > > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > > > Attorney at Law/Licensed Paramedic > > > Austin, Texas > > > > > > > > > Sent from my iPad > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2010 Report Share Posted August 7, 2010 On Friday, August 6, 2010 22:49, kelley@... said: > Oh my God, you're the guy! You know how you always hear stories from " a guy who > knows a guy who's brother's sister is a medic... " . I've heard this story for years > and with variations including varying locations and patient descriptions. In fact, > seems like they used this scenario in an episode of St. Elsewhere or ER or > something. Hope you got royalties! LOL! It happened to me only once, back in 1979, long before St Elsewhere (remember when Howie Mandel had hair?). 's description of his incident sounded almost exactly like mine, which was also in-hospital. We actually revived him several times, but he finally expired after running about a dozen codes on him. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2010 Report Share Posted August 7, 2010 On Friday, August 6, 2010 22:49, kelley@... said: > Oh my God, you're the guy! You know how you always hear stories from " a guy who > knows a guy who's brother's sister is a medic... " . I've heard this story for years > and with variations including varying locations and patient descriptions. In fact, > seems like they used this scenario in an episode of St. Elsewhere or ER or > something. Hope you got royalties! LOL! It happened to me only once, back in 1979, long before St Elsewhere (remember when Howie Mandel had hair?). 's description of his incident sounded almost exactly like mine, which was also in-hospital. We actually revived him several times, but he finally expired after running about a dozen codes on him. Rob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2010 Report Share Posted August 8, 2010 The pt. is not at SHUTTER ISLAND is she? ________________________________ To: texasems-l ; Paramedicine Sent: Wed, August 4, 2010 2:40:04 PM Subject: New challenge  You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. Attorney at Law/Licensed Paramedic Austin, Texas Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2010 Report Share Posted August 8, 2010 The pt. is not at SHUTTER ISLAND is she? ________________________________ To: texasems-l ; Paramedicine Sent: Wed, August 4, 2010 2:40:04 PM Subject: New challenge  You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. Attorney at Law/Licensed Paramedic Austin, Texas Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2010 Report Share Posted August 8, 2010 The pt. is not at SHUTTER ISLAND is she? ________________________________ To: texasems-l ; Paramedicine Sent: Wed, August 4, 2010 2:40:04 PM Subject: New challenge  You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. Attorney at Law/Licensed Paramedic Austin, Texas Sent from my iPad Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2010 Report Share Posted August 8, 2010 No. Sent from my iPad > The pt. is not at SHUTTER ISLAND is she? > > ________________________________ > > To: texasems-l ; Paramedicine > Sent: Wed, August 4, 2010 2:40:04 PM > Subject: New challenge > > > You and your partner have been sent to the Psychoneurotic Institute for the Very > Very Nervous on an unknown call. Upon arrival, you and your partner are greeted > by the charge nurse who informs you that they have a 47 year old female patient > who is receiving inpatient therapy for bipolar disorder. She went back to her > room after a therapy session. The patient normally has a manic phase lasting > several days, but during her manic phase, she returned to her room and has, > according to the staff, " passed out. " The nurse is unable to provide much more > information about the patient other than the bipolar diagnosis. Upon patient > contact, you observe a 47 year old female who is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone who > catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > Sent from my iPad > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2010 Report Share Posted August 8, 2010 Fast reply, Wes! Thanks! I'll keep trying............................. ________________________________ To: " texasems-l " texasems-l > Sent: Sun, August 8, 2010 11:00:31 AM Subject: Re: New challenge  No. Sent from my iPad > The pt. is not at SHUTTER ISLAND is she? > > ________________________________ > > To: texasems-l ; Paramedicine > Sent: Wed, August 4, 2010 2:40:04 PM > Subject: New challenge > > > You and your partner have been sent to the Psychoneurotic Institute for the >Very > > Very Nervous on an unknown call. Upon arrival, you and your partner are greeted > > by the charge nurse who informs you that they have a 47 year old female patient > > who is receiving inpatient therapy for bipolar disorder. She went back to her > room after a therapy session. The patient normally has a manic phase lasting > several days, but during her manic phase, she returned to her room and has, > according to the staff, " passed out. " The nurse is unable to provide much more > information about the patient other than the bipolar diagnosis. Upon patient > contact, you observe a 47 year old female who is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone who > catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > Sent from my iPad > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2010 Report Share Posted August 8, 2010 Fast reply, Wes! Thanks! I'll keep trying............................. ________________________________ To: " texasems-l " texasems-l > Sent: Sun, August 8, 2010 11:00:31 AM Subject: Re: New challenge  No. Sent from my iPad > The pt. is not at SHUTTER ISLAND is she? > > ________________________________ > > To: texasems-l ; Paramedicine > Sent: Wed, August 4, 2010 2:40:04 PM > Subject: New challenge > > > You and your partner have been sent to the Psychoneurotic Institute for the >Very > > Very Nervous on an unknown call. Upon arrival, you and your partner are greeted > > by the charge nurse who informs you that they have a 47 year old female patient > > who is receiving inpatient therapy for bipolar disorder. She went back to her > room after a therapy session. The patient normally has a manic phase lasting > several days, but during her manic phase, she returned to her room and has, > according to the staff, " passed out. " The nurse is unable to provide much more > information about the patient other than the bipolar diagnosis. Upon patient > contact, you observe a 47 year old female who is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone who > catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > Sent from my iPad > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2010 Report Share Posted August 8, 2010 Fast reply, Wes! Thanks! I'll keep trying............................. ________________________________ To: " texasems-l " texasems-l > Sent: Sun, August 8, 2010 11:00:31 AM Subject: Re: New challenge  No. Sent from my iPad > The pt. is not at SHUTTER ISLAND is she? > > ________________________________ > > To: texasems-l ; Paramedicine > Sent: Wed, August 4, 2010 2:40:04 PM > Subject: New challenge > > > You and your partner have been sent to the Psychoneurotic Institute for the >Very > > Very Nervous on an unknown call. Upon arrival, you and your partner are greeted > > by the charge nurse who informs you that they have a 47 year old female patient > > who is receiving inpatient therapy for bipolar disorder. She went back to her > room after a therapy session. The patient normally has a manic phase lasting > several days, but during her manic phase, she returned to her room and has, > according to the staff, " passed out. " The nurse is unable to provide much more > information about the patient other than the bipolar diagnosis. Upon patient > contact, you observe a 47 year old female who is completely unresponsive. > > What is your treatment plan and field diagnosis? Bonus points to anyone who > catches the movie reference. > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > Attorney at Law/Licensed Paramedic > Austin, Texas > > Sent from my iPad > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2010 Report Share Posted August 27, 2010 I'd like ABC's, vitals, Skin temp/color/appearance (rashes, etc) and a temp if the skin temp feels out of whack, a cardiac strip, preferably a 12 lead, a blood glucose and O2 sat, meds/treatments and when they were last administered, allergies, last meal, Ask about recent trauma, does it look like she's fallen? was this episode witnessed? PMH/Past surgical HX and past psych HX just incase they've left something out for $50 . Then I'd like a complete physical exam....most curious about pupils. I'd also be curious about lung sounds and heart sounds/tones especially if there is something funky on the ECG. Personally I'm thinking OD but it could be metabolic (thyroid, diabetes, an electrolyte imbalance), drug interaction, hyperventilation, cardiac, Neurologic (TIA, CVA, Seizure, a Brain tumor, a bleed), even an infection is possible. And without more information I can't narrow that list much. As far as treatment plan....well I'll wait for more information to do much more than add o2 to my above requests... By the way what is it with people assuming that because someone is unresponsive they aren't breathing and don't have a pulse. I see that way too much these days. > > > > > > You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. > > > > > > What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. > > > > > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > > > Attorney at Law/Licensed Paramedic > > > Austin, Texas > > > > > > > > > Sent from my iPad > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2010 Report Share Posted August 27, 2010 I'd like ABC's, vitals, Skin temp/color/appearance (rashes, etc) and a temp if the skin temp feels out of whack, a cardiac strip, preferably a 12 lead, a blood glucose and O2 sat, meds/treatments and when they were last administered, allergies, last meal, Ask about recent trauma, does it look like she's fallen? was this episode witnessed? PMH/Past surgical HX and past psych HX just incase they've left something out for $50 . Then I'd like a complete physical exam....most curious about pupils. I'd also be curious about lung sounds and heart sounds/tones especially if there is something funky on the ECG. Personally I'm thinking OD but it could be metabolic (thyroid, diabetes, an electrolyte imbalance), drug interaction, hyperventilation, cardiac, Neurologic (TIA, CVA, Seizure, a Brain tumor, a bleed), even an infection is possible. And without more information I can't narrow that list much. As far as treatment plan....well I'll wait for more information to do much more than add o2 to my above requests... By the way what is it with people assuming that because someone is unresponsive they aren't breathing and don't have a pulse. I see that way too much these days. > > > > > > You and your partner have been sent to the Psychoneurotic Institute for the Very Very Nervous on an unknown call. Upon arrival, you and your partner are greeted by the charge nurse who informs you that they have a 47 year old female patient who is receiving inpatient therapy for bipolar disorder. She went back to her room after a therapy session. The patient normally has a manic phase lasting several days, but during her manic phase, she returned to her room and has, according to the staff, " passed out. " The nurse is unable to provide much more information about the patient other than the bipolar diagnosis. Upon patient contact, you observe a 47 year old female who is completely unresponsive. > > > > > > What is your treatment plan and field diagnosis? Bonus points to anyone who catches the movie reference. > > > > > > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > > > Attorney at Law/Licensed Paramedic > > > Austin, Texas > > > > > > > > > Sent from my iPad > > > > > > Quote Link to comment Share on other sites More sharing options...
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