• Scene – EKG, IV, CBG, VS
• En Route – EKG VS, further exam, Zofran 4mg IV
• Hospital – unknown
• Response to treatment – Zofran helped with nausea
• Disposition – unknown
• Mark Shelton Paramedic Woodburn Ambulance
• David Tauber, EMT Editorial Board
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Migraine headache
• Migraine
• Hypertension
• Depression
• Meningitis
• Closed head injury
• AVM
• Neoplasm
• TIA
• Conversion disorder
• Pain seeking behavior
• Patient states – 2 months history of severe migraine; “abnormal” MRI with no conclusive diagnosis; unable to afford prescribed migraine medications
• Light-sensitive
• Hypertension
• EKG – SR
• CBG – 112
• GCS – 15
Headache can be a challenging diagnosis in the prehospital setting. This patient seemed to exhibit photophobia. -Dr. David Spiro. • Consider lowering the lights in ambulance or give her a towel to cover her eyes. In addition to the anti-emetic, I would feel comfortable giving an analgesic: Toradol or Fentanyl
~ David Tauber, Director of Paramedic Education, Yale New Haven Sponsored Hospital
• Gender: Female
• Age: 49 years
• Height: Not Available
• Weight: Not Available
• Temperature: Not Available
• Blood Pressure: 171/115
• Heart Rate: 75
• Respiratory Rate: 16
• Pulse Oximetry: 98% RA
Severe headache, shortness of breath
• PMH: 2-month history of depression; migraine; hypertension; asthma
• Allergies: None
• Dispatch info: Severe migraine, shortness of breath.
• Lives with spouse; runs an adult foster care home.
• Albuterol, lisinopril, Depakote
© 2023 Elite Medical Training Solutions
