Summary Of Clinical Reflection

My day started off with meeting the two individuals I would be spending most of my day with which was Kat and Will who were both paramedics. Kat took me to the ambulance and showed me the things we would need in each case that we would go to and no matter what the case was the two things they would need is the medicine bag and the stretcher. Then we went through the ambulance and she showed me where most of the equipment was and the medications. As she was showing them to me she was checking their expiration dates and how much was left of each medication that they used often. We then had our first case in the city of Newburgh courthouse. We were called due to a 48 year old man having chest pains radiating to his back and arm. Patient claimed …show more content…
The nurse had gave midazolam as prescribed and the patient was on her left side when we walked in. They said they called mobile life when she didn’t come out of the seizure when they gave her midazolam. The little girl had a history of epilepsy and a cardiac hypertrophy. We transferred her into the ambulance, we then noticed that her respirations were 4 breaths/min. The patient was nasal flaring and abdominally breathing meaning she was in respiratory distress. We switched her from the nasal cannula to a 100% non-rebreather at 10 L/min with end-tidal capnography measurements. It looked like a nasal cannula under the non-rebreather. The paramedic then opened the clamp on the normal saline that she had started in school to midway. The patient’s heart rate was 296 the monitor was reading. We got the heart rate down to 196 with constant pushes of midazolam. We noticed that her respirations only went up to about 6 breaths/min so the paramedic used an ambu bag to help her breathe. The mom was able to ride with us in the ambulance in the front seat. While the paramedic was using the ambu bag on the little girl she was explaining to the mom that she was using the ambu bag to help her little girl breathe and that she was breathing on her own which was good. Kat then tried to use a nasal trumpet so that she could have a clearer airway however, she fought it going in. We then arrived at the hospital where everyone was getting things ready for her to come. They hooked her up to the monitor her heart rate kept going from sinus tachycardia to supraventricular tachycardia. Since the heart rate was anywhere from 120-170 bpm. The doctor ended up intubating her, giving her an OG tube, and was on a Propofol drip. Her mother said that she had been intubated before and her last seizure was in