Diabetic Prisoner

We got called to the jail because they had a prisoner there who had diabetes and they wanted us to check him. There was nothing wrong with him and he had no complaints. We checked his sugar 200. He said he wanted to eat before he took his insulin so we left and they called us back and hour later after he'd eaten his Burger King breakfast. They handed him his insulin and syringe and he drew up his dose, injected himself and that was that. About once a year a sargent decides we have to be there when a prisoner injects himself.

We got called for an asthma. Old skinny guy we pick up all the time. he ran out of his albuterol. We gave him a treatment, and then he said he was fine and didn't want to go. We left him a couple treatments -- he said his meds were coming that day. An hour later he called us back and said he was having trouble breathing again so we took him in.

We did another diabetic. Guy got out of diaylsis went to a friend's house, became semi-concious. She gave him OJ. We found him cool and clammy sitting on the toilet. He had lost his bowels. His sugar was 90, so I thought maybe something else was going on, but he muttered he thought it was his sugar. His vitals were fine and he had no neuro deficits. I gave some D50, but he was slow to come around. We took him in. Only once he was in the hospital did he seem back to normal. He said he didn't eat as much as usual.

Last call was for a 95-year old lady with stomach CA and a rectal bleed.

Tomorrow I am teaching a class on the new CPR and AHA guidelines so I worked on my powerpoint presentation today. I have never done one before, but have really enjoyed putting it together.

I also signed up for a class in capnography being taught at a volunteer ambulance building in another town on Thursday. I'm excited about that.