Case Study (29/4/2022)

🚨CASE STUDY🚨

You are dispatched to 27 year old male patient who is vomiting.

You arrive on scene and find the patient outside waiting for you and walks into the ambulance and lays on the stretcher.

He says he’s been vomiting constantly for 6 hours and can’t stop.

He says he’s in a lot of abdominal pain, and you notice he has a very distinct “skunk” smell.

❓Vitals are all in normal ranges with the exception of his HR which is at 128
❓What treatment would you like to do for this patient?
❓Is there a specific antiemetic you’d like to use for this patient? Why?

Geoff is going live with members and on Facebook at 11AM MST (10PST, 1EST)!

#paramedicstudent #emtstudent #emtschool #emt #emtlife #paramedic #paramedicschool #paramedicos #paramediclife #paramedicscience #paramedical #shorts

[jpc]

Haloperidol, Benadryl, NS bolus. For treatment of CHS.
You asked for antiemetic so... Zofran (probably not going to work), Reglan (might work). Benadryl (probably work)

[bobbyeger]

Marijuana induced hyperemesis. Reglan for GI motility because overstimulation of the Marijuana receptors in the abdomen cause gastroporesis. Otherwise, cardiac monitoring while he's tachy and give fluids

[jeepinbanditrider]

IV access. 4mg zofran if the pt isnt allergic as that's all we carry and all our protocol allows us to do with nausea/vomiting. I may call med control and see about a small 200ml fluid bolus.

I'm guessing the pt got hosed by a skunk at some point. That will definitely cause vomiting.