Hypotensive Geriatric Male Suffers from GI Bleed

 

 
 
 

Photos Kevin Link | From the July 2013 Issue | Friday, June 21, 2013


A crew from Wheatland EMS in Strathmore, Alberta, Canada treats an 87-year-old male patient in his home. The man’s chief complaint was chest and abdominal pain, but on arrival, the responders discovered he was hypotensive and suffering from an upper gastrointestinal bleed. He had taken five sublingual nitroglycerin sprays before the team reached him, which made the cause of the hypotension difficult to detect. The crew wasn’t sure if the cause was due to hypovolemia from blood loss, vasodilation from the nitroglycerin or pump failure from a myocardial infarction. The patient’s regular beta-blocker medication also meant his heart was unable to respond appropriately to his hypotension. The crew performed a 12-lead ECG, applied oxygen and treated the patient with a normal saline fluid bolus before transporting him to a rural ED in stable condition.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Patient Care, Special Patients, wheatland ems, vasodilation, sublingual nitroglycerin spray, saline fluid bolus, pump failure, hypovolemia, hypotension, GI bleed, chest pain, beta blockers, abdominal pain, 12 lead, Jems EMS in Action

 
What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS





 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Innovation & Progress

Follow in the footsteps of these inspirational leaders of EMS.
More >

Multimedia Thumb

Four Killed in New Mexico Medical Plane Crash

Crash near fairgrounds claims patient and crew of three.
Watch It >


Multimedia Thumb

Texas Ambulance Involved in Crash

Odessa ambulance and car collide during response.
Watch It >


Multimedia Thumb

Las Vegas Fire, AMR Reach New Deal

Tentative agreement reached over ambulance calls.
Watch It >


Multimedia Thumb

Fire Damages Several Homes in California Earthquake

Four homes destroyed and others damaged after quake rattles Napa.
Watch It >


Multimedia Thumb

New Mexico Air Ambulance Crash

NTSB investigates crash that killed four.
More >


Multimedia Thumb

Where in the World of EMS is A.J.? Scranton

JEMS Editor-in-Chief visits his hometown of Scranton, Pa.
More >


Multimedia Thumb

Over 100 Injured in California Earthquake

172 patients treated at Napa hospital after 6.0-magnitude earthquake.
More >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


More Product Videos >