I didn't know it was a race, and I was merely posting
based on what I knew. It was known fairly early, in the absence of any mention of abnormal neurological symptoms that it was extra-dural rather than sub-dural, but I hadn't heard anyone use either term at the time of posting. I was just doing a standard EMT work-up from the information supplied. She wouldn't have been a Code 4 transport, and barely qualifies as a Code 3. Code 4 is lights, siren, and hell for leather. Code 3 is quick transport obeying the traffic laws. Code 2 is a leisurely trip with a thorough history being taken.
Posting prematurely on minimal information, particularly given the press' difficulty with medical information and communicating it clearly and a desire to make everything into a disaster, isn't helpful.
What we knew first. That she was in hospital, that she had been diagnosed with a clot, that she had no neurological symptoms. All of that says Extra-dural. There would have been greater confusion and greater urgency if she had shown some neurological symptoms, but information would have been less clear.
First thing to look for, Unequal pupil size and reactivity otherwise referred to as a "blown pupil". That can be the only symptom, but does indicate something intra-cranial and likely sub-dural. Second, mild or more serious weakness on one side or another. Third, slurring of speech, difficulty finding words for things, or confusion. Fourth, decreased level of consciousness. In the absence of those 4, or any hint of those 4, I said what I said.
I was not repeating what I had heard on the TV except insofar as the clot was discovered on MRI. As I understood it during the reporting, it was from an MRI done earlier that week, not as a result of an MRI done following her admission to hospital. As I understood it, the admission to hospital came after the MRI had been checked and reported.
Was this reply helpful? (0) (0)