Conservative management of concussions is standard practice. Physical and cognitive rest is recommended for at least 24 hours pending cessation of symptoms. Gradual return to work, school, and physical activity is also endorsed. For a…
One common consequence of concussion is the post-concussion syndrome (PCS), which is a group of symptoms that includes headache, dizziness, decreased concentration, memory problems, irritability, fatigue, visual disturbances, sensitivity to noise, judgment problems, depression, and…
The initial diagnosis of concussion is based on evaluation of the symptoms a person reports, or someone else observes, after sustaining the injury. Concussion is commonly divided into three different types: Grade 1, Grade 2,…
When a bump, jolt, or blow to the head causes a change in the way the brain works, it is called a concussion. A concussion is a type of traumatic brain injury (TBI) that causes…
The following case scenario is an examples of the use of chemical restraint: Mr. Jones is a 65 year old man who is being evaluated in the emergency room after a fall with a possible…
Policies should be in place to help providers make decisions about impaired patients. The legal matters to consider in developing a policy are breach of confidentiality (Part I, last week), duty to warn, duty to report,…
Policies should be in place to help providers make decisions about impaired patients. The legal matters to consider in developing a policy are breach of confidentiality (Part I, today), duty to warn, duty to report,…
One of the most important actions for medical providers in the situation described last week is meticulous and frequent documentation of every interaction with the patient. All treatment, instructions, evaluations, physical observations, and advice not to leave…
In July, our monthly topic was a typical scenario that a patient will go through when they call 911. This month, we are going to see what happens when a severely intoxicated patient comes into…
Mrs. Smith receives an EKG, CT scan of the head, a chest x-ray and multiple lab tests that reveal she has had a myocardial infarction (MI), commonly known as a heart attack. A cardiologist is…
“Hello base, this is Medic 62 inbound with 49 year old female, status post syncope and emesis, complaining now of shortness of breath. Denies chest pain. She is currently A&Ox4, vital signs are stable and…
To read the first part of the case scenario, please see last week’s blog post by clicking here. <BEEP> “Medical call at 555 Oak St, cross of Adams Ave and Chester Ln for Paramedic Engine 65…
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