(2 of 2)Paramedics are dispatched to a private residence for…
(2 of 2)Paramedics are dispatched to a private residence for a 7-year-old female experiencing sudden-onset severe vertigo, with nausea and vomiting. The patient’s mother meets EMS at the door and reports that her child began complaining that “the room is spinning” approximately 2 hours ago while resting and watching TV, with no preceding activity or trauma.The patient is found seated upright on the couch, holding her head and appearing distressed. She states, “Everything is spinning. I feel like I’m going to throw up again.” The mother reports the patient has vomited twice and has had difficulty maintaining balance when attempting to stand.The mother adds that over the past 2–3 weeks, the patient has had mild, intermittent headaches, occasionally worse in the morning, and has seemed “a little more tired than usual.” She also reports a recent mild upper respiratory illness over the past few days, including nasal congestion and rhinorrhea.There is no history of recent falls, head trauma, or injury, and no witnessed episodes of unresponsiveness, staring spells, or abnormal movements.No significant past medical history.Assessment findings:• Mental status: conscious, alert, and oriented to person, place, and time (GCS 15)• Persistent vertigo worsened with head movement• Unsteady gait noted when attempting to stand (requires assistance)• Respirations: 18/min, non-labored• Pulse: 110 bpm, regular and strong; capillary refill