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Pace or not to pace.
This is a case of an 80 year old alert and oriented times three. They had a witnessed episode of syncope and vomiting. Only history they reported is hypertension. Which they take amlodipine and carvedilol. On arrival she was pale, diaphoretic, nauseous, & occasionally vomiting. Initial pressure was 67/45 at a heart rate of 45. However, with her varying rate her pressure would be 103/50, at one point, when her rate went up to the 60’s-80’s. But next moment it’s back to the 70s systolic when her rate would drop. We did start a bonus of lactated ringers with minimal change in her pressure and 4mg of Zofran. There was some discussion about pacing them and giving ketamine on top of it over versed for the better effects on blood pressure. Since pacing is mostly performed during ACLS renewal just seeing on some insight on this case. I’ve only paced a few times where the rate was regular. I also figured if we paced we would of received a bed in the ER sooner rather than later.
Not legitimately not arguing with you at all, I’m just asking because now I’m legitimately curious and want to read up more. What federal law allows for you to just offload onto an open bed and hand the run sheet off to the charge nurse?
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HIPAA? I’ve never heard of any part of HIPAA mandating anything about actual patient care and instead just covers how to handle protected health information and what to do when breaches occur? I think you mean under EMTALA instead of HIPAA right?