Child breaks arm, school calls parent instead of ambulance - thoughts?

[-bogart-]

OOOOOOOHGOHOOHOHOHOHOHOH ~WAVES HAND IN AIR LIKE A KID~

I have a question , If a patient is seizing does the Ambulance sit there until they stop and get an IV?


not really the topic , but I know several Chazzers are EMTS or have training.

I was wondering if ti is the same everywhere or not?

[darkchild16]

They did with Morgan. They were getting ready to give Ativan before he stopped. (FL)

Jeremy said no seizing when you transport. (training in NC)

MI is the same as well. Jeremy had one in Meijers and they had to stabalize him before taking him.

[sparks19]

Originally Posted by -bogart-

OOOOOOOHGOHOOHOHOHOHOHOH ~WAVES HAND IN AIR LIKE A KID~

I have a question , If a patient is seizing does the Ambulance sit there until they stop and get an IV?


not really the topic , but I know several Chazzers are EMTS or have training.

I was wondering if ti is the same everywhere or not?

The EMTs at safety day here didn't specify what they would
Do but they said if someone is siezing don't try to hold them down. Clean te area around them so they won't hit anything and let them
Have their seizure and call 911

I don't know how one could start an IV in someone that can't be still

[yoko]

I kind of understand calling parents. When I tore my knee out of socket and broke a chunk of my kneecap off I still took myself to the hospital. Over night stays are covered by my insurance ambulance rides aren't and they are pretty expensive.

[MafiaPrincess]

Ontario has intranasal benzos for ACPs. Midazolam stops the majority of seizures. If you can't get a line on site before you move the patient, and it's pretty critical, you don't wait. As you can give it without an IV, it's not the need an IV for pain meds is, though Ontario has gone back to morphine from fentanyl and morphine can be give rectally if needed.. though personally I'd prefer to not need to try, lol.

With my preceptor, we'd be on route with a critical patient, we'd pull out everything needed prep, look for the best vein, and possibly slow to a stop if a light was red and hang on for a second to see if we could get it. One shot, see what you could accomplish.

[-bogart-]

Intresting all around. Here they won't move until they have an iv in . The one time he has had them at school the driver refused to move until he had an iv in. Took them 5 mins. His dad was there and was on the verge of taking him in our truck. Thankfully they finally got it in .


In this instance he would have been to the hospital 10 minutes earlier. Which in his case is literally life and death sometimes. I don't fault them it is there training , I was just curious how other place care differ .

Thanks for all the answers.

[darkchild16]

Morgan didnt get a IV until he was in the hospital. It took them 10 tries to get it in because he was dehydrated.

Jeremy thinks they did with him.

[-bogart-]

Well if I could I would have it set to not have an ambulance come and just call us to take him. But it was a compromise between his neurologist , the school board and I. If i change it the school would require him to have a nurse to come to our house in the a.m. and ride in a cab with him to school , go to all his classes all day , catch a cab home with him . Everyday due to his doc. Prescribing Diastat , which is a gel Valium the school requires a nurse to adminstior if he had one. Way to much so i just deal with holping he is ok at school and if not we get the good teams for EMTs .

[darkchild16]

the school nurse cant administer it?

[-bogart-]

It is a school nurse and here the nurses rotate schools. The elem. Has a nurse on Tuesday's. The middle Wed. And high. Friday. Budget restraints. The school that has a nurse all the time does not have the level special ed class he is in. He is levels above the classes at the staffed school. So he has to go the the other school.