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Ask A Medic

Discussion in 'Off-Topic Discussion' started by medic2230, Jun 2, 2011.

Page 23 of 83
  1. Jan 4, 2012 at 9:01 AM
    #441
    TacoMX

    #441
    TacoMX TW's Official anti body-lift pundit

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    First time I tubed someone...awesome...

    and the first time I stuck someone with a 16 gauge...awesome...lol
     
    TacoMX, Jan 4, 2012
    #441
  2. Jan 4, 2012 at 9:06 AM
    #442
    Oat

    #442
    Oat Well-Known Member

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    What do you do for someone complaining of pain under heart/around heart, very hot torso, and collarbone pain, with a fast heart rate?
     
    Oat, Jan 4, 2012
    #442
  3. Jan 4, 2012 at 9:08 AM
    #443
    Krazie Sj

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    Krazie Sj Resident Jackass

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    Pericarditis?
     
    Krazie Sj, Jan 4, 2012
    #443
  4. Jan 4, 2012 at 9:09 AM
    #444
    SACTOWN

    #444
    SACTOWN Well-Known Member

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    What is the rate?!? Afib, SVT?!?
    Pt Alert?!? Any other skin signs?!?!
     
    SACTOWN, Jan 4, 2012
    #444
  5. Jan 4, 2012 at 9:09 AM
    #445
    TacoMX

    #445
    TacoMX TW's Official anti body-lift pundit

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    Need more info.

    Age? Med Hx? Pain scale 1-10, what does the pain feel like? Onset/Duration? Anything provoke the pain? Does the pain radiate anywhere?

    How fast is the HR?
     
    TacoMX, Jan 4, 2012
    #445
  6. Jan 4, 2012 at 9:10 AM
    #446
    SACTOWN

    #446
    SACTOWN Well-Known Member

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    What is the blood pressure?
     
    SACTOWN, Jan 4, 2012
    #446
  7. Jan 4, 2012 at 2:32 PM
    #447
    Mitch

    #447
    Mitch Somebody call for a Wambulance?

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    Sounds like a possible AAA. Drive fast. Get IVs. Drop a shit load of fluid in them.

    They need a cold blade and hot lights
     
    Mitch, Jan 4, 2012
    #447
  8. Jan 4, 2012 at 2:44 PM
    #448
    68Whiskey

    #448
    68Whiskey Well-Known Member

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    Slam then with morphine , then 5minutes later slam them with Narcan and if their heart rate drops then you stab them with Epi via IM inj

    :eek::eek:
     
    68Whiskey, Jan 4, 2012
    #448
  9. Jan 4, 2012 at 2:56 PM
    #449
    Krazie Sj

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    Krazie Sj Resident Jackass

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    Doesn't to me. Pain around the heart? Abdominal Aortic Aneurysm? If it doesn't feel like it's tearing I doubt it's a Triple A. And that pain sounds like it's too high up.
     
    Krazie Sj, Jan 4, 2012
    #449
  10. Jan 4, 2012 at 5:17 PM
    #450
    68Whiskey

    #450
    68Whiskey Well-Known Member

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    Did we rule out Angina too soon? Remember Angina carries similiar signs and symptoms but is triggered by exercise which could contribute to your elevated heart rate
     
    68Whiskey, Jan 4, 2012
    #450
  11. Jan 4, 2012 at 5:29 PM
    #451
    Mitch

    #451
    Mitch Somebody call for a Wambulance?

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    Never mind. I read the question wrong. Collar bones are not scapula's which I was thinking. Pericarditis sounds possible, but the hot belly gets me.



    EKG, 12-Lead, call into OLMC and ask about nitro/ASA.
     
    Mitch, Jan 4, 2012
    #451
  12. Jan 4, 2012 at 5:36 PM
    #452
    SACTOWN

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    SACTOWN Well-Known Member

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    I am thinking OLMC is online medical consult. If so you have to call to give nitro and Asa?!? Are you an Emt-2 or something?!?!
     
    SACTOWN, Jan 4, 2012
    #452
  13. Jan 4, 2012 at 5:40 PM
    #453
    Mitch

    #453
    Mitch Somebody call for a Wambulance?

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    Yes, OLMC is Online Medical Consult. No, my patch says Paramedic on it.

    And I would call in to ask what to do since they are having chest pain and a "hot belly". Those two things should not be happening together.
     
    Mitch, Jan 4, 2012
    #453
  14. Jan 4, 2012 at 5:41 PM
    #454
    SACTOWN

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    SACTOWN Well-Known Member

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    Oh I see. :)
     
    SACTOWN, Jan 4, 2012
    #454
  15. Jan 4, 2012 at 5:42 PM
    #455
    Mitch

    #455
    Mitch Somebody call for a Wambulance?

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    More of a CYA issue
     
    Mitch, Jan 4, 2012
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  16. Jan 4, 2012 at 5:45 PM
    #456
    SACTOWN

    #456
    SACTOWN Well-Known Member

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    Sorry
     
    SACTOWN, Jan 4, 2012
    #456
  17. Jan 4, 2012 at 5:46 PM
    #457
    Mitch

    #457
    Mitch Somebody call for a Wambulance?

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    For what? You did nothing wrong
     
    Mitch, Jan 4, 2012
    #457
  18. Jan 4, 2012 at 6:03 PM
    #458
    Hardtaco17

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    Hardtaco17 New Member

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    Possibly cholecystitis? Gallstone obstruction could cause abd pain (don't know about the hot part), bad indigestion feeling which could feel like chest pain, referred pain in the collarbone/shoulder area by way of the phrenic nerve, and be tachy from a pain response......course always have to rule out the rhinos first!
     
    Hardtaco17, Jan 4, 2012
    #458
  19. Jan 4, 2012 at 8:45 PM
    #459
    68Whiskey

    #459
    68Whiskey Well-Known Member

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    I have a patch too


    but mine says Airborne for some reason :eek:
     
    68Whiskey, Jan 4, 2012
    #459
  20. Jan 4, 2012 at 8:46 PM
    #460
    Mitch

    #460
    Mitch Somebody call for a Wambulance?

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    Showoff
     
    Mitch, Jan 4, 2012
    #460
Page 23 of 83

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