Color_Hawk

I had a likely TIA patient that i was taking to the hospital when they suffered another stroke during transport. (Vomited on themselves, stoped responding to commands, quickly developed clear right sided facial droop with a right eye gaze with head turned to the right) 10-15 minutes go by (3ish minutes from the hospital) they have a tonic clonic seizure (no history of seizures and BGL was fine). I drew up and gave IV versed and seizure terminated. She seized for about around 2 minutes. Doctor at the ER said I should have let them seize because we were so close to the hospital and was mad they couldn’t do a nero assessment on my now GCS 3 potato. QI said I should have waited the 5 minutes per

I just had a 91yo patient who has been living in a complete block for 6 months without complication after declining a pacemaker. He is fully ambulatory, takes care of his wife and even still takes his BP medication. It’s just kinda wild to be vibing at 30-40bpm in full A-V disassociation, a rhythm thats generally taught as an immediate life threatening rhythm that requires immediate care. Always find exceptions to everything.

Recently had what i thought was a normal diabetic low BGL call but I’m left a little confused.

77 yo male found unresponsive slumped in a chair at home. Hx diabetes T2, Heart failure, hypertension, and kidney disease. Last known well 45 minutes prior and family says he was acting normally without complaints. New onset leg swelling with red waxy appearance X1 week. Patient does not take any medication for his diabetes and supposedly there is no insulin in the house at all to accidentally or intentionally take.

Fire department gets on scene and finds a CBG of 34 (18:54ish). We arrive on scene and get a CBG of 28 (19:00). I get a line and administer 25ml d50 wait 5 minutes cbg is 62 (19:12)