• Equipment failure
• Cerebral palsy
• Cohen syndrome
• Kidney failure
• Developmental delay
• Caregiver states – that the G-J tube started leaking while they were giving pt his meds and it needs to be replaced promptly so that meds and nutrition can be given to the pt.
• Pt was acting normal per mom.
• Oxygen typically fluctuates, per mom; today is a bit lower than usual.
• Found a clamp on tube to stop leaking
• B/P – did not check because it does not feel good to the pt
• GCS – 4-1-5 this is normal for pt
• CBG – N/A
• EKG – N/A
The paramedics asked about the patient’s baseline vitals while obtaining the history. With children with special healthcare needs, it is essential to engage the parent for a detailed and accurate history. Key points are to evaluate for dehydration and any alteration of vital signs.
-Dr. David Spiro
Prehospital Assessment of Patients with Physical Disabilities
• Gender: Male
• Age: 17 years
• Height: Not Available
• Weight: Not Available
• Temperature: 98.8 F/37.1 C
• Blood Pressure: Not Available
• Heart Rate: 107
• Respiratory Rate: 16
• Pulse Oximetry: 94% RA
Caregiver not able to give meds or feedings
• PMH: Epilepsy, scoliosis, cerebral palsy, Cohen syndrome, kidney failure, osteoporosis; unable to walk or talk; developmental age of 2-3. • Allergies: Many, but mom did not have the list.
• Dispatch info: G-J tube not operational.
• Patient lives at home where mom and a caregiver take care of him; has a bed in the living room; home is very well kept. Medications • Kepra, Klonipin, magnesium, citra 3, potassium, Lamictal, iron, Carafate