Just one thing...

Dispatched to 37 yo female who has fallen...

On scene, first responders are administering oxygen and getting information from the patient's family.

Allergic to Penecillin/Amoxicillin, took sulfamethoxazole 5 minutes before passing out in the bathroom.

And she is flushed...like really flushed, lobster red flushed...pressure soft, pulse tachy, lungs wheezing and unresponsive.

No urticaria but I guess you can't have everything. Her lower lip is swollen, but it is also bleeding, she probably knocked it on the way down.


0.3 mg IM epi 1:1000, Abuterol nebulizer in a mask, another epi shot. Her sp02 is high nineties with high flow 02.

On the board and on our way. She starts coming to, and her pressure/pulse improves. Once in the back of the ambulance, she has the old 'Eau de Etoh'.

She says she had 2 glasses of wine before going to bed. Her repeated questioning leads me to believe she is concussed. She doesn't remember anything, she said she had gone to bed(it was 6:00 pm in the afternoon).

Oh, she is on Lovenox and Warfarin as well, prone to clots apparently. Did I mention she had an -ostemy bag?

She was somewhat evasive and confrontation about how much she had to drink. She chased that with Flexiril and Oxycodone, she takes that to sleep.

Jeez, maybe the allergic reaction wasn't causing the altered mental status.


Her color improved, her vitals got better, we made it to the hospital.

I'll have to keep this one in my head for training purposes.