Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Probably a divorce lawyer.... or a lazy state agency attorney. ;-) -Wes In a message dated 6/10/2010 6:31:51 P.M. Central Daylight Time, adam.johnson@... writes: Sounds like she just get her lawyer bill to me.... =) ________________________________ From: _texasems-l _ (mailto:texasems-l ) [mailto:_texasems-l _ (mailto:texasems-l ) ] On Behalf Of _ExLngHrn@..._ (mailto:ExLngHrn@...) Sent: Thursday, June 10, 2010 18:15 To: _Paramedicine _ (mailto:Paramedicine ) ; _texasems-l _ (mailto:texasems-l ) Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Probably a divorce lawyer.... or a lazy state agency attorney. ;-) -Wes In a message dated 6/10/2010 6:31:51 P.M. Central Daylight Time, adam.johnson@... writes: Sounds like she just get her lawyer bill to me.... =) ________________________________ From: _texasems-l _ (mailto:texasems-l ) [mailto:_texasems-l _ (mailto:texasems-l ) ] On Behalf Of _ExLngHrn@..._ (mailto:ExLngHrn@...) Sent: Thursday, June 10, 2010 18:15 To: _Paramedicine _ (mailto:Paramedicine ) ; _texasems-l _ (mailto:texasems-l ) Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Your scene is a fairly normal office building. Blood sugar is 128 mg/dL. Pupils unequal. Obvious weakness left side when you check a stroke scale. No medical alert tag. No obvious signs of trauma. The only medicine you find on scene is a box containing a drug called Enbrel. -Wes In a message dated 6/10/2010 6:29:32 P.M. Central Daylight Time, lrichardson@... writes: Ok Professor Wes! Some clues please! scene findings? other VS's? Blood Sugar? Stroke Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? ________________________________ From: texasems-l [texasems-l ] On Behalf Of ExLngHrn@... [ExLngHrn@...] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Your scene is a fairly normal office building. Blood sugar is 128 mg/dL. Pupils unequal. Obvious weakness left side when you check a stroke scale. No medical alert tag. No obvious signs of trauma. The only medicine you find on scene is a box containing a drug called Enbrel. -Wes In a message dated 6/10/2010 6:29:32 P.M. Central Daylight Time, lrichardson@... writes: Ok Professor Wes! Some clues please! scene findings? other VS's? Blood Sugar? Stroke Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? ________________________________ From: texasems-l [texasems-l ] On Behalf Of ExLngHrn@... [ExLngHrn@...] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas [Non-text portions of this message have been removed] ------------------------------------ Yahoo! Groups Links Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Ok Professor Wes! Some clues please! scene findings? other VS's? Blood Sugar? Stroke Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? ________________________________ From: texasems-l [texasems-l ] On Behalf Of ExLngHrn@... [ExLngHrn@...] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Ok Professor Wes! Some clues please! scene findings? other VS's? Blood Sugar? Stroke Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? ________________________________ From: texasems-l [texasems-l ] On Behalf Of ExLngHrn@... [ExLngHrn@...] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Ok Professor Wes! Some clues please! scene findings? other VS's? Blood Sugar? Stroke Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? ________________________________ From: texasems-l [texasems-l ] On Behalf Of ExLngHrn@... [ExLngHrn@...] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Sounds like she just get her lawyer bill to me.... =) ________________________________ From: texasems-l [mailto:texasems-l ] On Behalf Of ExLngHrn@... Sent: Thursday, June 10, 2010 18:15 To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Sounds like she just get her lawyer bill to me.... =) ________________________________ From: texasems-l [mailto:texasems-l ] On Behalf Of ExLngHrn@... Sent: Thursday, June 10, 2010 18:15 To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Since Enbrel can cause demyelinating cns disorders I am going to guess neuro issues from the Enbrel Rick Sent via Blackberry ________________________________ From: texasems-l texasems-l > To: texasems-l texasems-l > Sent: Thu Jun 10 18:35:40 2010 Subject: Re: EMS challenge Your scene is a fairly normal office building. Blood sugar is 128 mg/dL. Pupils unequal. Obvious weakness left side when you check a stroke scale. No medical alert tag. No obvious signs of trauma. The only medicine you find on scene is a box containing a drug called Enbrel. -Wes In a message dated 6/10/2010 6:29:32 P.M. Central Daylight Time, lrichardson@... writes: Ok Professor Wes! Some clues please! scene findings? other VS's? Blood Sugar? Stroke Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? ________________________________ From: texasems-l [texasems-l ] On Behalf Of ExLngHrn@... [ExLngHrn@...] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Since Enbrel can cause demyelinating cns disorders I am going to guess neuro issues from the Enbrel Rick Sent via Blackberry ________________________________ From: texasems-l texasems-l > To: texasems-l texasems-l > Sent: Thu Jun 10 18:35:40 2010 Subject: Re: EMS challenge Your scene is a fairly normal office building. Blood sugar is 128 mg/dL. Pupils unequal. Obvious weakness left side when you check a stroke scale. No medical alert tag. No obvious signs of trauma. The only medicine you find on scene is a box containing a drug called Enbrel. -Wes In a message dated 6/10/2010 6:29:32 P.M. Central Daylight Time, lrichardson@... writes: Ok Professor Wes! Some clues please! scene findings? other VS's? Blood Sugar? Stroke Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? ________________________________ From: texasems-l [texasems-l ] On Behalf Of ExLngHrn@... [ExLngHrn@...] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine ; texasems-l Subject: EMS challenge Since it's been a while since Professor Gandy offered a challenge (and the prize-winner's trip to Ladonia), I present the following brain-teaser for all of y'all. Alas, there are no prizes since the half-star hotel resort in Ladonia is closed for fumigation. On to the challenge...... you are dispatched to an altered mental status call. Upon arrival, you find a middle-aged female laying on the floor of an office. She is semi-coherent and semi-combative, with slurred speech. Her co-workers know that she has an extensive medical history, but they can't remember what it is. Oddly, while the patient is breathing and speaking (although abnormally), you cannot obtain a radial pulse or a blood pressure. You do find a palpable carotid pulse at 72 bpm. What is happening to the patient and what is the underlying etiology? -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. -Attorney at Law/Licensed Paramedic -Austin, Texas Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Transport. Go to next call. Since Enbrel can cause demyelinating cns disorders I am going to guess neuro issues from the Enbrel Rick Sent via Blackberry ________________________________ From: texasems-l texasems-l > To: texasems-l < texasems-l > Sent: Thu Jun 10 18:35:40 2010 Subject: Re: EMS challenge Your scene is a fairly normal office building. Blood sugar is 128 mg/dL. Pupils unequal. Obvious... lrichardson@... > writes: Ok Professor W... From: texasems-l > [ texasems-l >] On Behalf Of ExLngHrn@... > [ExLngHrn@... >] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine >; texasems-l > Subject: EMS challenge Since it's been a while since Professor Gandy offered a challe... Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Transport. Go to next call. Since Enbrel can cause demyelinating cns disorders I am going to guess neuro issues from the Enbrel Rick Sent via Blackberry ________________________________ From: texasems-l texasems-l > To: texasems-l < texasems-l > Sent: Thu Jun 10 18:35:40 2010 Subject: Re: EMS challenge Your scene is a fairly normal office building. Blood sugar is 128 mg/dL. Pupils unequal. Obvious... lrichardson@... > writes: Ok Professor W... From: texasems-l > [ texasems-l >] On Behalf Of ExLngHrn@... > [ExLngHrn@... >] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine >; texasems-l > Subject: EMS challenge Since it's been a while since Professor Gandy offered a challe... Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Transport. Go to next call. Since Enbrel can cause demyelinating cns disorders I am going to guess neuro issues from the Enbrel Rick Sent via Blackberry ________________________________ From: texasems-l texasems-l > To: texasems-l < texasems-l > Sent: Thu Jun 10 18:35:40 2010 Subject: Re: EMS challenge Your scene is a fairly normal office building. Blood sugar is 128 mg/dL. Pupils unequal. Obvious... lrichardson@... > writes: Ok Professor W... From: texasems-l > [ texasems-l >] On Behalf Of ExLngHrn@... > [ExLngHrn@... >] Sent: Thursday, June 10, 2010 6:14 PM To: Paramedicine >; texasems-l > Subject: EMS challenge Since it's been a while since Professor Gandy offered a challe... Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Nope. Wes Sent from my iPhone > Since Enbrel can cause demyelinating cns disorders I am going to > guess neuro issues from the Enbrel > Rick > Sent via Blackberry > > ________________________________ > From: texasems-l texasems-l > > To: texasems-l texasems-l > > Sent: Thu Jun 10 18:35:40 2010 > Subject: Re: EMS challenge > > > > Your scene is a fairly normal office building. Blood sugar is 128 mg/ > dL. > Pupils unequal. Obvious weakness left side when you check a stroke > scale. > No medical alert tag. No obvious signs of trauma. The only medicine > you find on scene is a box containing a drug called Enbrel. > > -Wes > > > In a message dated 6/10/2010 6:29:32 P.M. Central Daylight Time, > lrichardson@... %40ci.duncanville.tx.us> writes: > > Ok Professor Wes! > > Some clues please! scene findings? other VS's? Blood Sugar? Stroke > Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? > ________________________________ > From: texasems-l %40yahoogroups.com> [texasems-l %40yahoogroups.com>] On Behalf Of > ExLngHrn@... > [ExLngHrn@...] > Sent: Thursday, June 10, 2010 6:14 PM > To: Paramedicine %40yahoogroups.com>; texasems-l %40yahoogroups.com> > Subject: EMS challenge > > Since it's been a while since Professor Gandy offered a challenge > (and the > prize-winner's trip to Ladonia), I present the following brain- > teaser for > all of y'all. Alas, there are no prizes since the half-star hotel > resort > in Ladonia is closed for fumigation. > > On to the challenge...... you are dispatched to an altered mental > status > call. Upon arrival, you find a middle-aged female laying on the > floor of an > office. She is semi-coherent and semi-combative, with slurred > speech. Her > co-workers know that she has an extensive medical history, but they > can't > remember what it is. > > Oddly, while the patient is breathing and speaking (although > abnormally), > you cannot obtain a radial pulse or a blood pressure. You do find a > palpable carotid pulse at 72 bpm. > > What is happening to the patient and what is the underlying etiology? > > -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > -Attorney at Law/Licensed Paramedic > -Austin, Texas > > Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Nope. Wes Sent from my iPhone > Since Enbrel can cause demyelinating cns disorders I am going to > guess neuro issues from the Enbrel > Rick > Sent via Blackberry > > ________________________________ > From: texasems-l texasems-l > > To: texasems-l texasems-l > > Sent: Thu Jun 10 18:35:40 2010 > Subject: Re: EMS challenge > > > > Your scene is a fairly normal office building. Blood sugar is 128 mg/ > dL. > Pupils unequal. Obvious weakness left side when you check a stroke > scale. > No medical alert tag. No obvious signs of trauma. The only medicine > you find on scene is a box containing a drug called Enbrel. > > -Wes > > > In a message dated 6/10/2010 6:29:32 P.M. Central Daylight Time, > lrichardson@... %40ci.duncanville.tx.us> writes: > > Ok Professor Wes! > > Some clues please! scene findings? other VS's? Blood Sugar? Stroke > Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? > ________________________________ > From: texasems-l %40yahoogroups.com> [texasems-l %40yahoogroups.com>] On Behalf Of > ExLngHrn@... > [ExLngHrn@...] > Sent: Thursday, June 10, 2010 6:14 PM > To: Paramedicine %40yahoogroups.com>; texasems-l %40yahoogroups.com> > Subject: EMS challenge > > Since it's been a while since Professor Gandy offered a challenge > (and the > prize-winner's trip to Ladonia), I present the following brain- > teaser for > all of y'all. Alas, there are no prizes since the half-star hotel > resort > in Ladonia is closed for fumigation. > > On to the challenge...... you are dispatched to an altered mental > status > call. Upon arrival, you find a middle-aged female laying on the > floor of an > office. She is semi-coherent and semi-combative, with slurred > speech. Her > co-workers know that she has an extensive medical history, but they > can't > remember what it is. > > Oddly, while the patient is breathing and speaking (although > abnormally), > you cannot obtain a radial pulse or a blood pressure. You do find a > palpable carotid pulse at 72 bpm. > > What is happening to the patient and what is the underlying etiology? > > -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > -Attorney at Law/Licensed Paramedic > -Austin, Texas > > Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Nope. Wes Sent from my iPhone > Since Enbrel can cause demyelinating cns disorders I am going to > guess neuro issues from the Enbrel > Rick > Sent via Blackberry > > ________________________________ > From: texasems-l texasems-l > > To: texasems-l texasems-l > > Sent: Thu Jun 10 18:35:40 2010 > Subject: Re: EMS challenge > > > > Your scene is a fairly normal office building. Blood sugar is 128 mg/ > dL. > Pupils unequal. Obvious weakness left side when you check a stroke > scale. > No medical alert tag. No obvious signs of trauma. The only medicine > you find on scene is a box containing a drug called Enbrel. > > -Wes > > > In a message dated 6/10/2010 6:29:32 P.M. Central Daylight Time, > lrichardson@... %40ci.duncanville.tx.us> writes: > > Ok Professor Wes! > > Some clues please! scene findings? other VS's? Blood Sugar? Stroke > Scale? Pupils? Obvious trauma? medical alert tags? meds on scene? > ________________________________ > From: texasems-l %40yahoogroups.com> [texasems-l %40yahoogroups.com>] On Behalf Of > ExLngHrn@... > [ExLngHrn@...] > Sent: Thursday, June 10, 2010 6:14 PM > To: Paramedicine %40yahoogroups.com>; texasems-l %40yahoogroups.com> > Subject: EMS challenge > > Since it's been a while since Professor Gandy offered a challenge > (and the > prize-winner's trip to Ladonia), I present the following brain- > teaser for > all of y'all. Alas, there are no prizes since the half-star hotel > resort > in Ladonia is closed for fumigation. > > On to the challenge...... you are dispatched to an altered mental > status > call. Upon arrival, you find a middle-aged female laying on the > floor of an > office. She is semi-coherent and semi-combative, with slurred > speech. Her > co-workers know that she has an extensive medical history, but they > can't > remember what it is. > > Oddly, while the patient is breathing and speaking (although > abnormally), > you cannot obtain a radial pulse or a blood pressure. You do find a > palpable carotid pulse at 72 bpm. > > What is happening to the patient and what is the underlying etiology? > > -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > -Attorney at Law/Licensed Paramedic > -Austin, Texas > > Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Wes, Would you describe this patient as " thin " by any chance? -Brad Sent via BlackBerry, the office that follows you. EMS challenge > > Since it's been a while since Professor Gandy offered a challenge > (and the > prize-winner's trip to Ladonia), I present the following brain- > teaser for > all of y'all. Alas, there are no prizes since the half-star hotel > resort > in Ladonia is closed for fumigation. > > On to the challenge...... you are dispatched to an altered mental > status > call. Upon arrival, you find a middle-aged female laying on the > floor of an > office. She is semi-coherent and semi-combative, with slurred > speech. Her > co-workers know that she has an extensive medical history, but they > can't > remember what it is. > > Oddly, while the patient is breathing and speaking (although > abnormally), > you cannot obtain a radial pulse or a blood pressure. You do find a > palpable carotid pulse at 72 bpm. > > What is happening to the patient and what is the underlying etiology? > > -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > -Attorney at Law/Licensed Paramedic > -Austin, Texas > > Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 Wes, Would you describe this patient as " thin " by any chance? -Brad Sent via BlackBerry, the office that follows you. EMS challenge > > Since it's been a while since Professor Gandy offered a challenge > (and the > prize-winner's trip to Ladonia), I present the following brain- > teaser for > all of y'all. Alas, there are no prizes since the half-star hotel > resort > in Ladonia is closed for fumigation. > > On to the challenge...... you are dispatched to an altered mental > status > call. Upon arrival, you find a middle-aged female laying on the > floor of an > office. She is semi-coherent and semi-combative, with slurred > speech. Her > co-workers know that she has an extensive medical history, but they > can't > remember what it is. > > Oddly, while the patient is breathing and speaking (although > abnormally), > you cannot obtain a radial pulse or a blood pressure. You do find a > palpable carotid pulse at 72 bpm. > > What is happening to the patient and what is the underlying etiology? > > -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > -Attorney at Law/Licensed Paramedic > -Austin, Texas > > Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 No. The patient is actually overweight. Wes Ogilvie Sent from my iPad > Wes, > > Would you describe this patient as " thin " by any chance? > > -Brad > > Sent via BlackBerry, the office that follows you. > > EMS challenge > > > > Since it's been a while since Professor Gandy offered a challenge > > (and the > > prize-winner's trip to Ladonia), I present the following brain- > > teaser for > > all of y'all. Alas, there are no prizes since the half-star hotel > > resort > > in Ladonia is closed for fumigation. > > > > On to the challenge...... you are dispatched to an altered mental > > status > > call. Upon arrival, you find a middle-aged female laying on the > > floor of an > > office. She is semi-coherent and semi-combative, with slurred > > speech. Her > > co-workers know that she has an extensive medical history, but they > > can't > > remember what it is. > > > > Oddly, while the patient is breathing and speaking (although > > abnormally), > > you cannot obtain a radial pulse or a blood pressure. You do find a > > palpable carotid pulse at 72 bpm. > > > > What is happening to the patient and what is the underlying etiology? > > > > -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > > -Attorney at Law/Licensed Paramedic > > -Austin, Texas > > > > Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 No. The patient is actually overweight. Wes Ogilvie Sent from my iPad > Wes, > > Would you describe this patient as " thin " by any chance? > > -Brad > > Sent via BlackBerry, the office that follows you. > > EMS challenge > > > > Since it's been a while since Professor Gandy offered a challenge > > (and the > > prize-winner's trip to Ladonia), I present the following brain- > > teaser for > > all of y'all. Alas, there are no prizes since the half-star hotel > > resort > > in Ladonia is closed for fumigation. > > > > On to the challenge...... you are dispatched to an altered mental > > status > > call. Upon arrival, you find a middle-aged female laying on the > > floor of an > > office. She is semi-coherent and semi-combative, with slurred > > speech. Her > > co-workers know that she has an extensive medical history, but they > > can't > > remember what it is. > > > > Oddly, while the patient is breathing and speaking (although > > abnormally), > > you cannot obtain a radial pulse or a blood pressure. You do find a > > palpable carotid pulse at 72 bpm. > > > > What is happening to the patient and what is the underlying etiology? > > > > -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > > -Attorney at Law/Licensed Paramedic > > -Austin, Texas > > > > Quote
Guest guest Posted June 10, 2010 Report Posted June 10, 2010 No. The patient is actually overweight. Wes Ogilvie Sent from my iPad > Wes, > > Would you describe this patient as " thin " by any chance? > > -Brad > > Sent via BlackBerry, the office that follows you. > > EMS challenge > > > > Since it's been a while since Professor Gandy offered a challenge > > (and the > > prize-winner's trip to Ladonia), I present the following brain- > > teaser for > > all of y'all. Alas, there are no prizes since the half-star hotel > > resort > > in Ladonia is closed for fumigation. > > > > On to the challenge...... you are dispatched to an altered mental > > status > > call. Upon arrival, you find a middle-aged female laying on the > > floor of an > > office. She is semi-coherent and semi-combative, with slurred > > speech. Her > > co-workers know that she has an extensive medical history, but they > > can't > > remember what it is. > > > > Oddly, while the patient is breathing and speaking (although > > abnormally), > > you cannot obtain a radial pulse or a blood pressure. You do find a > > palpable carotid pulse at 72 bpm. > > > > What is happening to the patient and what is the underlying etiology? > > > > -Wes Ogilvie, MPA, JD, NREMT-P/Lic.P. > > -Attorney at Law/Licensed Paramedic > > -Austin, Texas > > > > Quote
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