In MA, not as such, no. We can report and treat the obvious when we roll up on a cardiac arrest or an imminent birth for example, but we don't make an official diagnosis, only record and treat the symptoms and signs we observe - the horses in a call for sudden bout of abdominal pain could be anything from reflux to labor contractions to gastroenteritis, but we have to keep the abdominal aortic aneurysm zebra in mind.
My brother was on a hell of a zebra call - pt CC was "my teeth hurt", turned out to be referred pain in the jaw from a heart attack, pt had no other symptoms. I had a run that was so out there I told my supervisor afterward "I know we gotta watch for zebras but you never said anything about f*cking QUAGGAS."
(no subject)
(no subject)
My brother was on a hell of a zebra call - pt CC was "my teeth hurt", turned out to be referred pain in the jaw from a heart attack, pt had no other symptoms. I had a run that was so out there I told my supervisor afterward "I know we gotta watch for zebras but you never said anything about f*cking QUAGGAS."
(no subject)