CAUTION: THESE NOTES CONTAIN SPOILERS!!!
You are working a shift at EM Clerkship General when EMS calls you on the radio… “Hey doc we’re bringing a young female who drowned in a pool ETA 1 minute”.
- Temp 95.0F
- HR 55
- RR 5-6
- BP 110/82
- O2 90%
- Evaluate for traumatic injury (and/or place C-Collar)
- Intubate the patient
- Identify Long QT Syndrome on ECG
- Treat Pulseless Polymorphic VTach with defibrillation and IV magnesium
- Treat Polymorphic VTach (pulse present) with overdrive pacing (transcutaneous pacing or isoproterenol)