Jump to content


R.Dunne

Member Since 11 Oct 2018
Offline Last Active Today, 04:24 PM
-----

Posts I've Made

In Topic: Emergency Department

24 March 2019 - 07:26 AM

'She was injured in an accident several years back. It caused an injury to T10.' 

 

*I watch somewhat curiously as the doc does his physical assessment. I don't often watch other providers, especially higher level ones, and I take the opportunities when I can; and it keeps my mind calm and not thinking about my sister. He asks me a couple more questions and I try to keep the answers as concise as possible.*

 

'I'm not sure when she changed it last - she is usually good at following her treatment instructions and she usually changes it every couple weeks. Besides the paralysis and associated issues she's healthy. She is allergic to penicillin and sulfa, nothing else. No surgeries. She does take gabapentin and tramadol; I'm not sure of the doses. I'm not sure about her immunizations. I am, however, fairly certain she isn't pregnant.' 

 

*As he finishes up his exam and asks if it's alright for them to do antibiotic therapy, I nod.* 

 

'Absolutely. I understand. I think I'm good on questions and I'll just.. hang out here until we know where she is going to.' 

 

*The doctor extends his hand and introduces himself and I meet his hand with a firm shake.* 

 

'I'm Rory Dunne. I wish we had met under better circumstances - I'm sure I'll be seeing more of you though.'

 

*I watch as he walks out and I take a seat in the room with a sigh. I know she'll be okay, I just hate waiting.*


In Topic: Emergency Department

22 March 2019 - 06:47 AM

*We transfer Aubrey onto the ER bed, and the doc asks what initial vitals were. Without even thinking, I answer him.*

 

'Her initial vitals were a heart rate of 138, SpO2 of 95%, respirations 34 with capno at 22 and a blood pressure of 98/53.'

 

*I rattle them off, watching the exam curiously and critically, my sister still looking very out of it. When the doc asks why she has a cath bag I answer him again.*

 

'She is paralyzed from the waist down, roughly, and has minimal bladder control. She also follows a bowel program.'

 

*I watch as Aubrey struggles to answer the doctor's questions.*

 

'I.. I don't know.. my..my whole body hurts.. who are you, what's going on...?'

 

*She looks confused and very disoriented to me, and I don't like seeing her like this. I watch at the doc does a bit more of a physical exam and her face wrinkles slightly in what looks like a grimace when the doc inspects her back.*


In Topic: Altered Mental Status

22 March 2019 - 05:02 AM

'yeah, county.'

 

*We start heading into the hospital and I'm glad it's a relatively short transport. It seems like only moments later we're pulling into the ambulance bay*


In Topic: Altered Mental Status

22 March 2019 - 04:01 AM

*I hear Alyssa comment with shock about my sister being a paraplegic and I choose to ignore the comment - I don't have anything to say to it since I told dispatch and I told her when it became relevant. We get her moved into the living room and put her on the stretcher - I get the monitor loaded up and get her strapped in. When Alyssa asks whether I'll be riding in or driving in I answer.*

 

'I'll ride in with you guys.'

 

*I follow them out to the truck and climb into the jump seat, leaving Breslin the bench to do her thing.*


In Topic: Altered Mental Status

21 March 2019 - 04:41 PM

'Nothing interesting'.

 

*I connect the cannula to the tank in the ALS kit, setting the flow at 4 and watching her. She's breathing slightly easier but still tachypneic - and capno is still hovering low - metabolic rather than purely respiratory acidosis. I hear Alyssa curse as she makes an IV attempt and blows the vein. She makes a comment on my sister's veins and I shrug ever so slightly.*

 

'I know.'

 

*I hear her go for the second attempt and I get the glucometer prepped; as she finishes the IV I ask her for the needle. Taking the blood from the chamber I place some on the test strip as I hear her ask about diabetes. I finish up with the glucometer and look at the screen as it registers at a 63.*

 

'Only medical history is an accident resulting in her being paralyzed with a T10 injury. She has a cath bag. Her bgl is 63, by the way.'

 

*I hear sirens approaching finally outside and a knock on the door. I leave Alyssa with my sister and walk to the door to see the two EMTs.*

 

'Good you're here. You're not going to be able to fit a stretcher into her room, but we have a monitor and IV started on her - probably would be good to get her out of the room and on the stretcher in the living room so we don't have to carry as much out to the truck. Get what you need and the Lieutenant and I will get everything packed up.'

 

*I walk back to the room as the EMTs get everything together and let Alyssa know they're here. I start putting supplies together so we can bring it all out with us.*