Tuesday, March 21, 2006

Co2 retainer

Started off with a nursing home patient I had a week or so ago -- a C02 retainer, who was lethargic. Same deal again today. Her vitals were okay. I put her on the end tidal cannula to monitor her, which was interesting. Her number was 44-50. She had hypoventilation syndrome as well. A couple times the apnea alarm went off briefly. Then we did a lady who fell and bruised her knees, and a man from a diaylsis center having chest pain that was resolved by our arrival.

This afternoon we got called for a fall at a housing construction site. The worker fell through the first floor to the basement when the plywood gave way. He landed on his head, but was only knocked out for about thirty seconds. He had head, neck, back, chest and leg pain. He had some blood coming out of one ear and had a nasty lac on his femur about 3 inches right through the fatty tissue. We boarded him, and took him in of an easy priority because of the mechanism. He was Mexican and didn't speak an English. I ended up translating in the trauma room.

Later we went out for a dog bite.