First 911 call...good practice run!

5 replies [Last post]
By luvmyboys on Sat, 02-10-07, 02:20

DS#1 is 6 and has been sick for a week. We went to the dr yesterday and just a mild wheeze. He returned to school today. Then this afternoon he suddenly started the worst cough I've ever heard. Tears running down his face, he couldn't get his breath. Thinking he was just due for his albuterol I ran for the inhaler but he couldn't take it because he couldn't stop coughing. Fortunately due to his brother's asthma, I had the nebulizer hooked up so I dragged him up the stairs and started the albuterol. As he is coughing and gagging, blood starts flying out his nose and he is vomiting. I grabbed the epipen and had it ready. I gave him benadryl and checked his peakflow...it was 90%!!! For those who don't know, this is good...my plan says epi if he drops to 60% regardless. In fact it was as good a number as I'd seen all week!

I called dh and mil to head this way. I called the allergist and they told me to go to the ER. So I called 911. I made them check his BP and they listened to his chest here - seemed fine, so I refused transport to the hospital because other than saying his stomach hurt, all symptoms has dissipated at this point.

I don't know what that was all about but a couple of things plus a question:

1) Could the repetitive coughing be a symptom of a reaction without impacting his peak flow ?

2) This was great practice...made me realize despite all the things I've done to prepare. There can always be an unexpected combination of symptoms or events. And you're not thinking straight....so many things I could do better!

3) The EMT was an idiot. He told me that coughing is not a symptom of an allergic reaction...ok just had to vent about that!

Luvmyboys

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By Momcat on Sat, 02-10-07, 04:02

Sounds scary! Do you think he could have been choking on something? In any case, 911 sounds like the right thing to do. I'm as surprised as you at the EMT--of course coughing is a symptom of an allergic reaction! What was he thinking!?!

Cathy

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Mom to 7 yr old PA/TNA daughter and 4 yr old son who is allergic to eggs.

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By luvmyboys on Sat, 02-10-07, 11:58

Momcat, the fact that you are saying that...wow. My MIL said the same thing o me on the phone last night and then dh said the same thing when I described it to him! I don't know...it might make total sense so I am going to describe it for the dr and see what they think! He is 6 and he wasn't eating anything AT THE TIME but...who knows!

I also read in another thread last night that benadryl might soothe a cough on its way down even if it's not allergy-related. So maybe that's why he calmed down enough to take a peak flow. I'll ask about this as well!
luvmyboys

[This message has been edited by luvmyboys (edited February 10, 2007).]

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By luvmyboys on Sat, 02-10-07, 12:59

I looked up choking and was surprised at what I found...anaphylaxis is a 'cause of choking' and therefore I guess could look pretty much the same?!

Common causes of acute upper airway obstruction include:

Foreign bodies
In adults, foreign bodies are usually inhaled bits of food. Children also commonly choke on many nonfood items, such as balloon fragments, buttons, coins, and small toys.

Anaphylaxis
Acute allergic reactions in which the trachea or throat swell closed are a common cause of airway obstruction.

Croup may lead to a fairly rapid decrease in airway diameter and marked respiratory distress.

Epiglottitis

Retropharyngeal abscess

Peritonsillar abscess

Luvmyboys

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By Momcat on Sat, 02-10-07, 18:02

Well, I suggested choking because I DID choke on some pasta once and it sounds very like what you describe. Uncontrollable coughing and gagging which led to vomiting (TMI, I know). Fortunately, vomiting dislodged the pasta and I was fine--except for severe embarrassment [img]http://uumor.pair.com/nutalle2/peanutallergy/frown.gif[/img]

Cathy

[This message has been edited by Momcat (edited February 10, 2007).]

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By Munchkin's Mom on Sat, 02-10-07, 20:11

I just want to say I had something similar happen to me once due to asthma. I was driving alone in eastern Oregon (rather isolated spot) when I had an asthma attack. I hadn't had one in years, so I didn't have any albuterol with me. When I do have it, my asthma always manifests as uncontrollable coughing. So there I was by myself on a highway in the middle of nowhere and I started coughing, and it just got worse and worse. I pulled over and I had tears running down my face and then suddenly I felt like I was choking. It finally felt like I coughed it up or broke it up or something and then I was okay. It was really awful. I only relate this story to you so you know that asthma can do this sort of thing all by itself...it wasn't necessarily a reaction.

Lori

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