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"Rapid Transport"

Rapid Transport •Well arrived on scene and the patient was APNEIC •We saw all the bees yea she was ANAPHYLACTIC •I grabbed the EPI PEN •And I shoved it right in •She was stung a hundred times and had a bad REACTION •Fell and broke her FEMUR but we got her in TRACTION •Our first call of the day •Has gone DIESEL THERAPY •But we cant hesitate no more •She cant await RAPID TRANSPORT •We will need to INTUBATE Im sure •Shes gone full code RAPID TRANSPORT •Well next call out we had an ALTERED MENTAL STATUS •Cant tell if hes drunk or if its just plain madness •Hes got no CHEIF COMPLAINT •So we get the restraint •Get the VITALS , SAMPLE HISTORY, OPQRS & T •No DCAP BTLS to see •Hes got no right to refuse •So lets ROLL, ROLL, ROLL, ROLL, ROOOOOOOOOOLL •Cause we cant hesitate no more •He cant await RAPID TRANSPORT ASSUMPTIONS OF THE SONG FOR Keith Frank , Instructor, Yavpai College, EMS 131 Emergency Medical Technician, Basic 1.The epinephrine injection pen was either; A. Prescribed to the patient , current, not discolored , and was the correct dose ; or B. It was off the EMS Unit. 2.The EMT received Medical Direction for said injection via patch received from dispatch. 3.The comment regarding the patient broken femur was not diagnosed in the field but rather commented on in retrospect after the patient was admitted and x-rayed at the admitting hosipital. This comment was not included in the EMTs field report. 4.The need to intubate the first patient was a call out for ALS backup or based on the assumption that a Paramedic was either on the rig , or on scene with the EMT. The EMT at no time exceeded his scope of practice. 5.The comment on the Altered Mental Status patient possibly being drunk or if its just plain madness was based upon an informal general impression of the patient prior to any other assessment made following. This comment would not be included in The General Impression of any official documentation. 6.Restraint was required to treat the combative second patient for which Law Enforcement was called. This was not attempted by the EMT alone. 7.Vitals, Sample History, OPQRST and DCAP BTLS revealed nothing that was an obvious indicator for the Altered Mental Status such as trauma or Hypoglycemia. As such, the patient was denied the right to refuse and transported code due his combative behavior and lack of any obvious disease related signs . Pertinent negatives were noted as were vitals and the patient was transported STAT due to the sheer ambiguity of his presentation. 8.GENERAL NOTE: Implied consent for care was taken with regard to both patients.