people learned what "O2 stats" (seems a lot of the general public says it this way) were, but never learned the abbreviations. It also created an epidemic of people checking their own vitals and freaking out because they don't know how to interpret them.
My husband has COPD so it seemed wise to have a pulse oximeter, covid being a respiratory illness for the most part. He never got covid, thankfully. (Or yet, anyway, it's not like it's gone.)
And yet my crew will rely on the little piece of shit in the first in bag as an excuse for why we don’t need to take the monitor in, among other things
My RHR has been ~110 literally my entire life. I asked about it a lot in my early 20s and have been given the all clear. I’m fit, sometimes people have sinus tachycardia their whole lives. It’s worth checking out but it could just be your meds.
It’s almost like someone with a resting HR 20-40 bpm above normal that takes a stimulant and has a pertinent comorbidity is different than someone who says they don’t take a stimulant or have a pertinent comorbidity.
It's medication related. I have to take a stimulant and Wellbutrin in order to be a functional human, and my resting rate is anywhere from 90-110. Is it ideal? No, but that's the trade off I make bc I want to be able to feed and house my family.
The 1/100 for "low O2 stat" from our favorite neighborhood SNF, the PT was unresponsive and borderline agonal respirations when we arrived. Coded right after ER arrival and then shot 3 liters of blood out of the ETT.
My last one was low SpO2 which was correct (94) and they even had all the vitals for me too with a time stamp from an hour ago too! Anyway on arrival, she had Cushing's triad with PVCs in bigemony that did not produce a pulse. But the low SpO2 was indeed correct, it was 94!
I work part-time in a hyperbaric clinic, and we have patients who come see us every day for months. Some of these people obsess over their vitals. We had one guy who wanted an explanation for why his SpO2 wasn't 100% every time. Every time, like Groundhog Day, I told him it doesn't work like that.
It actually just counts as hypertensive. BP should be below 120/80. 120/80 is taught in EMS because the focus is on acute stabilization. But, in a clinic setting, a diastolic BP of 87 is not good and could warrant further scrutiny.
Lol at the MA trying to tell me 90/60 is low. I remind her the 90 is WNL and tries to argue that it's still "low" because it's in the bottom of the normal range.
Okay, so now we're allowed to make things up just because we have an Epic password?
Meanwhile my husband went to walk in and it took them 16 hours to realize his resting HR was 130. By then it was no longer an issue due to the antibiotics
I'm just surprised when I've got a patient without COPD that even knows what SPO2 is.
Did that not increase in covid times?
people learned what "O2 stats" (seems a lot of the general public says it this way) were, but never learned the abbreviations. It also created an epidemic of people checking their own vitals and freaking out because they don't know how to interpret them.
My husband has COPD so it seemed wise to have a pulse oximeter, covid being a respiratory illness for the most part. He never got covid, thankfully. (Or yet, anyway, it's not like it's gone.)
Good to have, but just as important to know the limitations. The little finger clip ones make me so mad because half the readings are fake.
And they always feel the shortness of breath only after they see a low spo2 (which is usually fake).
And yet my crew will rely on the little piece of shit in the first in bag as an excuse for why we don’t need to take the monitor in, among other things
I like how they don't seem to be concerned about arresting heart rate being 99 however
Edit: meant to say resting heart rate. However, I will leave the typo both for comedic value and because the reply made me giggle.
Everyone’s arresting heart rate is 0
Akshually My last 2 arrests have both had underlying HRs of like 30-60 depending on how well the code was going lol
Last time I got arrested my HR was in the 80's.
Alright Mr cold operator
Chuck Norris has a radial of 48 during VF
Arresting heart rate is probably still 0 with this guy. Or 300.
It’s fine, it’s nearly at 100%
/s
My resting HR is in the low 100s-110s. not sure why honestly. I don't drink anything caffeine and my only mx are two SSRIs for ADHD.
Is one of those an SNRI, by chance? Cause that’d make more sense.
I'd have to double check tbh
If it’s Strattera, that’s an SNRI. It increases your NE and can cause tachycardia.
I had to check but yeah it is. I honestly never bothered to check and assumed it was an SSRI because of the -ine. Problem solved
SNRIs work by preventing reuptake of norepinephrine, not epinephrine; I'm not seeing anything about it having an effect on epinephrine levels.
My RHR has been ~110 literally my entire life. I asked about it a lot in my early 20s and have been given the all clear. I’m fit, sometimes people have sinus tachycardia their whole lives. It’s worth checking out but it could just be your meds.
There’s no way that’s your resting HR. Maybe it is when you take it, but you can’t have a true resting HR in the 100s and be okay
Im sitting down typing this rn and my left radial pulse of 100 disagrees
Dude go to the doctor wtf
My resting is around the same, but I'm on vyvanse & have POTs
I'm the same way. Ehlers-Danlos syndrome but family history of POTs as well.
K… that is a completely different circumstance
It's almost like "go to the hospital" isn't an appropriate response for everyone outside of an emergency who has non standard vitals
No shit. Where did I say go to the hospital?
It’s almost like someone with a resting HR 20-40 bpm above normal that takes a stimulant and has a pertinent comorbidity is different than someone who says they don’t take a stimulant or have a pertinent comorbidity.
"Dude go to the doctor wtf" is what you said
It's medication related. I have to take a stimulant and Wellbutrin in order to be a functional human, and my resting rate is anywhere from 90-110. Is it ideal? No, but that's the trade off I make bc I want to be able to feed and house my family.
They said they take an SSRI, that’s not a stimulant.
They were mistaken. They take Atomoxetine, which is a SNRI.
It will absolutely affect both heart rate and blood pressure since it primarily effects norepinephrine.
K. Yeah that obviously changes things.
prob bc its so common, almost all my patients are hr > 90
Doesn't matter, SNF will still call for HyPoXiA.
99/100 this is just stupid. That one time you are making jokes about it "Oh SHOOT"
The 1/100 for "low O2 stat" from our favorite neighborhood SNF, the PT was unresponsive and borderline agonal respirations when we arrived. Coded right after ER arrival and then shot 3 liters of blood out of the ETT.
My last one was low SpO2 which was correct (94) and they even had all the vitals for me too with a time stamp from an hour ago too! Anyway on arrival, she had Cushing's triad with PVCs in bigemony that did not produce a pulse. But the low SpO2 was indeed correct, it was 94!
But their O2 stat is low!!!
/s
"He's 92% on our Temu pulse oximeter!"
I work acute care at high altitude, we're just happy when people can be >90% on RA; if it's with activity then even better.
I used to work Ski Patrol at 11k feet while living closer to 5k. My SpO2 was consistently mid-80s at work 🤷
That's crazy
I work part-time in a hyperbaric clinic, and we have patients who come see us every day for months. Some of these people obsess over their vitals. We had one guy who wanted an explanation for why his SpO2 wasn't 100% every time. Every time, like Groundhog Day, I told him it doesn't work like that.
That's mental illness
100 percent it's penis cancer.
Lol tell bro to yawn
thankfully his heart rate is at 99%
Low grade fever too :(
Also hypertensive crisis and SVT.
“128/87? Yeah, that’s high for me…”
I think that counts as pre-pre hypertensive
It actually just counts as hypertensive. BP should be below 120/80. 120/80 is taught in EMS because the focus is on acute stabilization. But, in a clinic setting, a diastolic BP of 87 is not good and could warrant further scrutiny.
AHA moved it to SBP < 110.
110
lol
Lol at the MA trying to tell me 90/60 is low. I remind her the 90 is WNL and tries to argue that it's still "low" because it's in the bottom of the normal range.
Okay, so now we're allowed to make things up just because we have an Epic password?
Did they actually? lmao well fuck me, I guess I'll never be normotensive?
I could have sworn I saw them move it to 110 before. Everything I see still says <120.
In any case 121-129 is considered pre-hypertensive
"It's normally much lower, like 121/85"
Meanwhile my husband went to walk in and it took them 16 hours to realize his resting HR was 130. By then it was no longer an issue due to the antibiotics
Here in Colorado, that’s looking fantastic!
Woah. He better be careful he is also normotensive and is probably in sinus rhythm. I'm afraid it's all terminal.
He’s only got like 70 years to live
And he's .1 degree hotter than normal. I'm afraid he's going to be discharged
His temperature is usually 97, thats running a fever for him
That’s one of my favorite 3am calls!
8000’ here, sats look good to me!
Lowkey tachin away
He just needs to get topped off. It starts leaking when we get older.
I’m sorry, I have to cackle at this.
Bad O2 STATS! Circling the drain!