"I think it still has a place in EMS. Rather than removing it because some are not staying on top of their education we should require people to stay up or get out. But it seems way to often instead of removing those that are poor patient…"
"By definition under the GCS, someone who cannot talk because of ETI or trach gets 1T for the verbal. I'm in the trauma ICU right now and have a couple of patients who get E4 V1T M6 = 11T. Some add a P if they're paralyzed, but that's…"
"The patient is alert to the pain, not to the environment.
My condolences on the PSP, but PacMan had a similar effect a generation ago. ;-)
the GCS is a measure of the patient's alertness to the environment, therefore I do believe that it is…"
"I'm trying to figure out how I'm misreading this, but several readings don't result in anything but a clunk as my mental processes stop right there and this misuse of GCS. So if someone is in pain is so focused on their pain that it…"
In the ambulance, we do not have as much need for an alert patient. We have already assessed the level of consciousness. We know that the patient is responsive to pain, or we would not have used an opioid.
How much more alert was…"
"I would disagree with you last statement. I agree titrated to respiratory rather than slamming large amounts trying for full reversal. If I misunderstood the point you were making sorry.
Thanks for the links to those posting them.
Or the doctor may titrate in just enough antagonist to avoid the need for a scan.
In the hospital, there are so many more options that can be considered. In the ambulance, the patient should not need opioid/benzodiazepine reversal."
Thanks for always sending out messages! It's nice to know someone out there is thinking about ya and hoping you're safe! I had to work a 24 hour shift...everything went well and my crew finished safely! I hope you have a good and safe rest of the weekend!