So get the guy in the back of the truck. His EKG looks good. Start him out on an albuterol Neb. By the time that one has finished his chest pressure has lessened, and his cough is still productive but no longer black, it is white. He continues to wheeze only now it is strictly expiratory and there is much better airmovement heard. After his 2nd albuterol neb his chest tightness has gone away and his wheezing is scattered. After a few hours of observation in the ER, the patient was discharged. Thankfully there was no significant airway burns, no injuries from the fire, and no pulmonary edema.
Thanks for giving me your input. I really like to see how other providers would have treated him and especially how providers in other countries would have treated him. I think we all learn from each other and hashing out calls like this one help.
Thanks for giving me your input. I really like to see how other providers would have treated him and especially how providers in other countries would have treated him. I think we all learn from each other and hashing out calls like this one help.