Woman with psychogenic seizures transported to hospital
Heard on:
Lucas OH LCMED 8 STV (Hospital) Group Calls
02:14
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an official report and may change.
00:00
Hey, we're in route. We have a 29-year-old female.
00:03
She's currently alert.
00:04
She's in and out of psychogenic, non-epileptic seizures.
00:10
Patient's known to us, leave your facility as well.
00:14
When we arrived, people in her group home stated she'd been on the ground for approximately an hour, in and out of these seizures.
00:24
We gave 10 milligrams of Versed IM.
00:30
Seizure stopped.
00:32
We are en route, currently searching for an IV.
00:37
We are not able to obtain access at this point.
00:40
Our protocol is silent on a repeat dosage of Versed without an IV.
00:46
We are questioning if the need arises, if we can administer additional
00:53
Versed dosage.
00:57
Currently, the patient's blood pressure is 113 over seventy-one.
01:02
Her heart rate is 107 and regular, normal sinus rhythm.
01:06
Blood sugar is 100 and twenty-one.
01:08
SpO two is ninety-eight percent.
01:10
We have her on oxygen.
01:15
Again, our question to you was if we need to give additional meds for these seizures.
01:22
What would be our preferred route? We have versed and ketamine at our disposal, but no IV access.
01:30
19, stand by for attending.
01:33
Medic 19, can you do intranasal Versed?
01:38
Nasal versus is an option.
01:40
Again, the muscular is also available to us, but we just wanted to know the preferred route and dosage.
01:49
Um, for Dr.
01:51
Sorette, if you need to, 4 mg per said IN would be the preferred route.
01:58
Copy that, 4 mg intramuscularly if necessary.
02:02
At this point, it is not needed.
02:03
We are approximately
02:05
four or 5 min from your facility.
02:09
Any questions for us?
02:12
Nothing further.
02:13
Room assignment on arrival, V is clear.
Medical Emergency
