Re: What happened in the ER?


"just Ed" <just_ed53spam@xxxxxxxxx> wrote in message
news:1134111528.964677.232990@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> On 11/27 I crashed while riding my bicycle.
> Apparently I don't fall well, three ribs and a collarbone
> are fractured, slight concussion and a bit of collapsed
> lung. The helmet probably saved me.
>
> In the ambulance and the ER my BP ran about 165/135.
> The ER gave me morphine in an IV drip. This brought
> my BP down to 128/77 (better than my daily normal
> since my 10 mg Altace doesn't get me that low).
> 52yom.
>
> After about three hours in the ER (at least an hour after
> the IV had run out) they have me discharge papers to sign.
> As they started unhooking the monitor I felt myself
> becoming very much warmer (I was under four light
> blankets to relieve my earlier shivering).
>
> I pulled off the blankets but the nurse noticed how I'd
> started sweating heavily & went for help. The doc
> cancelled the release and ordered the chest and head
> CAT scans that he'd passed on before. These found
> nothing (the head's empty) that the xray hadn't found.
> serum cell counts and creatinine were tested, I never
> heard anything about these results.
>
> I didn't see it, but my wife was shown that the monitor
> had recorded a BP of 90/25 !?! during the episode.
>
> I had not felt unusually bad considering the circumstance.
> Was this a valid reading?
> a reaction to morphine? -how unusual is that?
> how close did I get to dying?

I doubt you were close to dying at all. Evaluation of hemodynamic status
doesn't just rely on blood pressure. An an individual parameter, it can be
variable and be basically unrelated to your actual volume status, which is
the determiner of hypovolemic shock.

HMc



.

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