{"id":4160,"date":"2018-08-01T05:31:41","date_gmt":"2018-08-01T05:31:41","guid":{"rendered":"https:\/\/wilkeywhatwhat.com\/?page_id=4160"},"modified":"2025-05-23T13:54:52","modified_gmt":"2025-05-23T13:54:52","slug":"hexagram-18-%e8%a0%b1-gu-correcting","status":"publish","type":"page","link":"https:\/\/wilkeywhatwhat.com\/?page_id=4160","title":{"rendered":"Hexagram 18:\u00a0\u8831 Gu \/\u00a0 Correcting"},"content":{"rendered":"

\"\"<\/p>\n

\u8831<\/span><\/strong><\/em><\/span><\/p>\n

“Call Rec Chart”<\/strong><\/em><\/span><\/h1>\n

<\/h2>\n

Launch: Unknown Medical<\/b><\/span><\/em><\/span><\/h2>\n

Depart:<\/b><\/span><\/em><\/span><\/h2>\n

Land on scene:<\/b><\/span><\/em><\/span><\/h2>\n

Arrive Scene:<\/b><\/span><\/em><\/span><\/h2>\n

Assessment:<\/b><\/span> Unconscious patient with EMS assisted ventilations. Bradycardic pulses with ineffective perfusion.<\/span><\/em><\/span><\/h2>\n

Intervention: <\/b><\/span> CPR compressions initiated. Chest visibly rising with unobstructed assisted ventilations.<\/span><\/em><\/span><\/h2>\n

Assessment:<\/b><\/span> Glasgow 3 Pupils fixed, dilated, unresponsive without withdrawal.<\/span><\/em><\/span><\/h2>\n

Intervention:<\/b><\/span> Monitored<\/span><\/em><\/span><\/h2>\n

Assessment: <\/b><\/span> Junctional bradycardia\u00a0<\/span><\/em><\/span><\/h2>\n

Intervention:<\/span> #18<\/span>\u00a0<\/b><\/span>IV established and fluids opened. Atropine 1mg administered. BS 345<\/span><\/em><\/span><\/h2>\n

Assessment:<\/b><\/span> Monitor with atrial fib with tachycardia rate 113 . Pulses palpated and radially strong. BP 145\/66 Airway clear without gag response<\/span><\/em><\/span><\/h2>\n

Intervention:<\/b> <\/span>ET intubation accomplished. (see RT notes)\u00a0<\/span><\/em><\/span><\/h2>\n

Assessment:<\/b> <\/span>ET placement confirmed without abdominal sounds, bilateral breath sounds, ETCo2 gold, exhalation mist noted in ET. Easily ventilated. Monitor sats 98%.<\/span><\/em><\/span><\/h2>\n

Intervention: <\/strong><\/span>ET tube secured. Transferred to transport stretcher. Vitals as noted and unchanged. Fluids to KO.<\/span><\/em><\/span><\/h2>\n

History:<\/strong><\/span> Patient found by relative. Relative states could not contact patient, last known contact late previous afternoon. PMHx of COPD, HTN, Etohism. MD practices at St Elsewhere<\/span><\/em><\/span>.<\/span><\/em><\/span><\/h2>\n

Departed Scene:<\/b><\/span><\/em><\/span><\/h2>\n

Loaded: <\/b><\/span> Without incident<\/span><\/em><\/span><\/h2>\n

Lifted: <\/b><\/span><\/em><\/span><\/h2>\n

Assessment:<\/b><\/span> Vitals as noted. Monitor atrial fibrillation rate 100s.<\/span><\/em><\/span><\/h2>\n

Report to receiving ED<\/span><\/em><\/span><\/h2>\n

Landed: <\/b><\/span><\/em><\/span><\/h2>\n

Unloaded: <\/b><\/span>Without incident<\/span><\/em><\/span><\/h2>\n

Admitted to ED. Report to staff.\"\"<\/span><\/em><\/span><\/h2>\n

<\/h3>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

\u8831 “Call Rec Chart” Launch: Unknown Medical Depart: Land on scene: Arrive Scene: Assessment: Unconscious patient with EMS assisted ventilations. Bradycardic pulses with ineffective perfusion. Intervention: CPR compressions initiated. Chest visibly rising with unobstructed assisted ventilations. Assessment: Glasgow 3 Pupils fixed, dilated, unresponsive without withdrawal. Intervention: Monitored Assessment: Junctional bradycardia\u00a0 Intervention: #18\u00a0IV established and fluids […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3943,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-fullwidth.php","meta":{"_crdt_document":"","footnotes":""},"class_list":["post-4160","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=\/wp\/v2\/pages\/4160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4160"}],"version-history":[{"count":12,"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=\/wp\/v2\/pages\/4160\/revisions"}],"predecessor-version":[{"id":7847,"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=\/wp\/v2\/pages\/4160\/revisions\/7847"}],"up":[{"embeddable":true,"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=\/wp\/v2\/pages\/3943"}],"wp:attachment":[{"href":"https:\/\/wilkeywhatwhat.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}