The other thread got me thinking about this. Luckily (hopefully) our emergencies are few and far between but when we have them, they can be doozies! Share them here!
I mentioned on the other thread the first time I had a kid with a broken arm. He came in from PE with an extra bend. Broke both his Radius and ulna running into the wall with an outstretched arm.
I had a staff member slip on ice in the parking lot and he ankle was twisted in an unnatural way. Thank goodness for cell phones or who knows how long she would have been laying in the snow since she had run out on her break to get a coffee.
I have given an epi pen once. A student with severe allergies came in from the bus where another student had been eating candy with peanuts in it (day after Halloween). Student's O2 sat was in the 70s and she was wheezing. The principal had mom on her cell phone and the AP was calling 911 while I administered the epi and got another epi ready in case it was needed before EMS arrived. Scary.
Had a kids come into my office bouncing off the walls because he couldn't walk a straight line. He had blood all over his hands and face. He fell in gym and hit his head, left the gym to go to the bathroom to wash up and started feeling out of it. He said afterwards "All I could think was I needed to get to your office!" After he came into my office he made his way over to my sink but wasn't responding appropriately to my questions. I got up to meet him and he passed out. I caught him (he's a little fella thank goodness) and lowered him to the floor as he had seizure-like activity x 5 seconds or so. Then he came to and tried to stand up immediately. Got him to my bed, called 911 while assessing student. Neuro exam was OK other than the PASSING OUT and SEIZURE!! EMS looked at me like I was crazy when I told them about the seizure-like activity. I know what I saw. That one scared me because I figured head injury, but to what extent? And I couldn't get a hold of a parent, either (dad was vacuuming and never heard the phone ring).
I had a student with a dislocated patella, called 911 on that one as well because I couldn't move her. They drugged her up and were at least able to get her to roll from prone-ish side-lying to supine for the ride.
I had a heck of a year one year with one student who had non-epileptic seizures and another student who liked to randomly pass out and be unresponsive. I must have called 911 8-10 times that year.
Epi-pens x 3 now (one to my own kid!!- oops) All good results.
Do you know if she suffers from migraines? I had a student about a year and a half ago that presented with neuro symptoms (aphasia, confusion, numbness and tingling to extremities) and was originally thought to have had a stroke (he was 11!) but later the neuro said it was migraine instead.
She doesn't, nor did she complain of a headache at the time. She does have a brain malformation (won't go into specifics). Our EMS took her to the nearest hospital which I used to work at but they aren't big in neuro. I urged her and her husband to contact her neurologist in case he wanted her transferred but they never did.
I usually end up call 911 2-3 times per year. Mostly for seizure activity if I cannot get the parents. I have had a few broken arms, and a few large gashes that require stitches, but otherwise I have never had to use an epi-pen, or call for an asthma attack. Thank God!
I have had to call for emergency psych several times.
At another district I worked in, I had to call 911 at dismissal time because a parent had OD'd right in the parent pick up line!! Also, at the same school, a 6 th grader put his head thru the banister rail on the stair case and we couldn't get it out, we had to call for the firemen to come.
She doesn't, nor did she complain of a headache at the time. She does have a brain malformation (won't go into specifics). Our EMS took her to the nearest hospital which I used to work at but they aren't big in neuro. I urged her and her husband to contact her neurologist in case he wanted her transferred but they never did.
Interesting. Though migraines do not always present with pain. I occasionally get aura with no pain.
Also, at the same school, a 6 th grader put his head thru the banister rail on the stair case and we couldn't get it out, we had to call for the firemen to come.
I am the one who started the original thread regarding my first emergency scare and it was similar to this! I had a girl come in for a super small paper cut with just a scant amount of blood. I put a band aid on it and she said she didn't feel good. She said she had a headache. She fell backwards hit her head and started seizing for 5-10 seconds and then came back to. 911 was called. The EMS too looked at me like I was crazy when I said she had seizure like activity (no history of seizures). They didn't believe me either. Turns out he doesn't do well with blood and has at least passed out before (parents never mentioned that to us of course lol). Apparently this is vasovagal syncope and when they pass out they look like they are having a seizure, but it is not actually an epileptic seizure. Pretty interesting. I couldn't believe a tiny paper cut cause that to happen! It was definitely scary in the moment though.
Had a kids come into my office bouncing off the walls because he couldn't walk a straight line. He had blood all over his hands and face. He fell in gym and hit his head, left the gym to go to the bathroom to wash up and started feeling out of it. He said afterwards "All I could think was I needed to get to your office!" After he came into my office he made his way over to my sink but wasn't responding appropriately to my questions. I got up to meet him and he passed out. I caught him (he's a little fella thank goodness) and lowered him to the floor as he had seizure-like activity x 5 seconds or so. Then he came to and tried to stand up immediately. Got him to my bed, called 911 while assessing student. Neuro exam was OK other than the PASSING OUT and SEIZURE!! EMS looked at me like I was crazy when I told them about the seizure-like activity. I know what I saw. That one scared me because I figured head injury, but to what extent? And I couldn't get a hold of a parent, either (dad was vacuuming and never heard the phone ring).
I had a student with a dislocated patella, called 911 on that one as well because I couldn't move her. They drugged her up and were at least able to get her to roll from prone-ish side-lying to supine for the ride.
I had a heck of a year one year with one student who had non-epileptic seizures and another student who liked to randomly pass out and be unresponsive. I must have called 911 8-10 times that year.
Epi-pens x 3 now (one to my own kid!!- oops) All good results.
6th grader having a seizure on the basketball court fell forward while having the seizure huge knot on forehead they called to the office for me on walkie talkie in the process of heading towards basketball court only to meet an 8th grader carrying the child whose having a seizure in his arms told him to lay her down on ground now call 911 just because of the size knot on her head she was ok other than the huge knot on forehead and a few broken arms d/t kids playing on this thing at recess called the zip line which all students get hurt on
Specializes in Psych, Corrections, Med-Surg, Ambulatory.
I've had a student with a broken arm, nice and bendy.
Back when I subbed I had a call to come out to the football field (talk about a run!) a kid was horse-playing and fell off of the pole volt mat, when I arrived he was unresponsive to verbal stimuli, got himself a nice sternal rub, woke right up. Ambulance ride. Concussion.
I had a kid last year with a skull fracture that happened here, but I knew nothing about it because he was never sent to my office for his repeated falling asleep. Mom gets him after school and takes him straight to the ER. 3 days in the ICU. Teachers will send me a kid for their earring falling out but not a kid that can't stay awake.
The biggest and scariest would have to be one that occurred a couple of weeks ago. I was called into a classroom as I was told the teacher wasn't acting right. I walk in and she is sitting in the chair, the IA tells me that she started dragging her leg and then just couldn't communicate. I go over and try to talk to her and she was just deer in headlights. Slurring, word salad. Grips equal, no facial dropping, but still very scary. She got a ride in the ambulance with me in the front seat. A slew of tests later (all the while she still isn't making sense, talking out her head, talking to students while sitting in the ER) and everything was negative. Very odd. And she is in her 30's. She is back and okay.
If it looks like a stroke but isn't a stroke, it might be an atypical migraine.
ohiobobcat
887 Posts
Had a kids come into my office bouncing off the walls because he couldn't walk a straight line. He had blood all over his hands and face. He fell in gym and hit his head, left the gym to go to the bathroom to wash up and started feeling out of it. He said afterwards "All I could think was I needed to get to your office!" After he came into my office he made his way over to my sink but wasn't responding appropriately to my questions. I got up to meet him and he passed out. I caught him (he's a little fella thank goodness) and lowered him to the floor as he had seizure-like activity x 5 seconds or so. Then he came to and tried to stand up immediately. Got him to my bed, called 911 while assessing student. Neuro exam was OK other than the PASSING OUT and SEIZURE!! EMS looked at me like I was crazy when I told them about the seizure-like activity. I know what I saw. That one scared me because I figured head injury, but to what extent? And I couldn't get a hold of a parent, either (dad was vacuuming and never heard the phone ring).
I had a student with a dislocated patella, called 911 on that one as well because I couldn't move her. They drugged her up and were at least able to get her to roll from prone-ish side-lying to supine for the ride.
I had a heck of a year one year with one student who had non-epileptic seizures and another student who liked to randomly pass out and be unresponsive. I must have called 911 8-10 times that year.
Epi-pens x 3 now (one to my own kid!!- oops) All good results.