Quote:
Originally Posted by NurseTim
What about 1Gm rocephin IM bid, sucks but less exposure and more mobile force. But vanc is only good po for cdiff so they need the IV anyway. Or maybe Subq? You can leave a Subq button in for days. Connect and disconnect easily. Just an idea.
|
Good ideas, but you have 3 different groups to deal with: (1) 3 patients with active disease. No question these 3 need IV Rocephin and Vancomycin; (2) an exposed population and lets say that is the 20-30 guys that slept in crowded quarters when the AC was out; and (3) the rest of the NG company that are possible exposures. Brush Okie mentioned decontamination procedures. What about quarantine proceedures: Who? How? I agree with the reticence for prophylactic antibiotics, but in this case it would be warranted. Who should receive prophylactic antibiotics? What? Dosage and dosing regimen?
The tactical situation has dramatically changed now. The NG company has just, in effect, sustained 20%-30% casualties and is no longer an effective combat ready unit. The likelihood of a major engagement with an equivalent sized enemy force is imminent. The NG CO is not going to like this assessment. He may be in denial when you inform him of this ugly fact. How do respond to that possibility?
Up to now your Team has just been co-located at the FOB with the NG company. Does this situation change that dynamic? Remember your an Special Forces A-Team. How can your Team change the dynamic and avert a pending disaster?
No one has mentioned the Junior medic on the Team. What should he be doing?
I realize that this is a medical thread and this started out as a medical scenario, but the situations we face as SF medics and the problems we have to solve when on an operational mission rarely, if ever, compartmentalize into problems that are solely medical in nature.
No one has mentioned anything related to stockpiling medical supplies that would be useful when there are combat casualties. Your supplies were sufficient for your Team. That is no longer the situation is it?