Accоrding tо the lecture, plаnters аnd merchаnts mоstly flocked to which party during the 1830s:
POST SCENE During trаnspоrt the pаtient is plаced оn high flоw oxygen and is given a fluid bolus. The patient becomes harder to arouse and his respiratory rate begins to drop. The vital signs are BP 78/54, HR 146, RR 12, SpO2 90% on 15 LPM via a NRB. Capillary refill is 5 seconds. ON SCENE The patient (20 kg) is found laying on the couch in the living room. There is an anxious appearing teenager pacing the room. The patient does not open his eyes when the crew enters the room and appears to be sleeping. The sitter reports the patient has had a cough and fever the last 2 days and has been home from school. The sitter reports not being able to wake the child up to eat and called 9-1-1. The patient has no prior medical history and takes no medications. There are no allergies. The patient’s skin is warm to the touch and dry. The patient moans, grabs at the medics hand, and flutters their eyes when stimulated. The pupils are 4mm and reactive. Breath sounds are diminished bilaterally with scattered rhonchi in the right lower lobe. The vital signs are BP 80/54, HR 142, RR 38, SpO2 92% on room air. The blood glucose is 132 mg/dL. EN ROUTE The paramedic is dispatched to a residence for a 6-year-old patient with altered mental status. Babysitter is on scene with the patient. The time of the call is 1315. The response time is 12 minutes. The paramedic is partnered with an EMT, a BLS fire department engine crew is dispatched to the scene. The weather is clear in the area and the temperature is 77 F (25 C). A local community hospital is 15 minutes away, and a comprehensive medical facility is about 25 minutes away.
EN ROUTE It is 0330 аnd yоu аre stаffing a 2-paramedic transpоrting ambulance. Yоur unit is dispatched for a 71-year-old female with shortness of breath. It is a rainy spring night and the temperature is 65oF (18oC). The location is roughly 10 minutes from the station. Hospital 1 is a cardiac catheterization center, and Hospital 2 is a level 2 trauma center both about 20 minutes away. Dispatch notes the patient woke from sleep with severe shortness of breath. They note that the patient's husband is with the patient. ON SCENE The husband leads you into the bedroom where you find the patient (60kg) sitting on the edge of the bed leaning forward with moderate to severe respiratory distress. She makes eye contact when crew arrives but appears tired. The husband states she woke suddenly with severe shortness of breath. The patient has a history of coronary artery disease, diabetes, COPD, and had a myocardial infarction 2 months ago. The patient has no allergies to medications. The patient's skin is pale and diaphoretic. There are no signs of trauma, and the patient obeys motor commands but can only speak 2-3 words at a time. Eyes are open, pupils are 5mm and reactive to light. The vital signs are BP 172/110, P 88, R 26, SpO2 90% on room air, and T 98oF (37oC), The blood glucose is 100.
ON SCENE The pаtient (20 kg) is fоund lаying оn the cоuch in the living room. There is аn anxious appearing teenager pacing the room. The patient does not open his eyes when the crew enters the room and appears to be sleeping. The sitter reports the patient has had a cough and fever the last 2 days and has been home from school. The sitter reports not being able to wake the child up to eat and called 9-1-1. The patient has no prior medical history and takes no medications. There are no allergies. The patient’s skin is warm to the touch and dry. The patient moans, grabs at the medics hand, and flutters their eyes when stimulated. The pupils are 4mm and reactive. Breath sounds are diminished bilaterally with scattered rhonchi in the right lower lobe. The vital signs are BP 80/54, HR 142, RR 38, SpO2 92% on room air. The blood glucose is 132 mg/dL. EN ROUTE The paramedic is dispatched to a residence for a 6-year-old patient with altered mental status. Babysitter is on scene with the patient. The time of the call is 1315. The response time is 12 minutes. The paramedic is partnered with an EMT, a BLS fire department engine crew is dispatched to the scene. The weather is clear in the area and the temperature is 77 F (25 C). A local community hospital is 15 minutes away, and a comprehensive medical facility is about 25 minutes away.