Plastic Bag Over the Face Again

Started off the day with a stroke patient. 90-year old lady left sided paraylsis, left sided facial droop, slurred speech. Was undertreatment for a DVT. The cop got there and put the patient on a nonrebreather at 15 lpm. The attending nurse told him to turn it down to 4 liters, which is where we found it when we came in, just as the nurse was saying, "She's getting more lethargic." I almost said, it's because you've got a plastic bag over her head. Instead I just explained that the 02 needed to be at at least 10-12 to use the mask. She apologized and said she didn't know.

Then did a COPDer at a doctor's office. No acute distress.

Quiet day. I washed the ambulance, cleaned up the supply cabinet, did some phone errands, worked on some regional EMS policies.

At six we got sent out to check a woman who was found asleep in her car in the driveway of her house after being spotted driving erratically. She denied drinking, but had peed on herself and had poor balance. Her blood sugar was fine and she was totally alert with no neuro deficits. Her neighbor said this wasn't like her. She told me she peed herself because she had to go. She said her gait was due to new shoes. We took her in for evaluation.

Got a flu shot and a TB test at the fire station on the way back.

16 hours, 3 calls, back at six in the morning for a four hour day. I have to go to annual skill sessions.