You have every right to ask questions about the care you and yours received, and I encourage you to ask them of every level and participant in the process. Good call review and QA is important.
That being said, best QA for this call would require a lot more information. Especially the information that each participant had as the call progressed.
ALS is always nice. Your BLS unit may have been appropriate and sufficient, depending on their capabilities, transport times, protocols, patient presentation, etc. Was an ALS intercept requested, and just had not yet arrived? Were they dispatched and cancelled? Were they on-line with the BLS crew? And when you say BLS, what level? Some states, systems, and med directors have some very capable, special-skills BLS providers.
The lack of C-spine precautions isn't necessarily a problem. Is there a field clearance protocol? What additional information did they develop as they were in the decision process to apply or not to apply? Thinking about a closed head injury is logical. Did they gather data at the scene that ruled that out? I've c-spined some seizure patients, and not others, even with a ground level fall or certain unknowns. Short: It depends.
Timing the seizure is nice to do, but an approximation of length is usually sufficient. Are you certain that it was untimed altogether? Timed, but not disclosed to you? Who did, or didn't time it? There did appear to be a description of the seizure activity, "full body" I think you said. When was that known? By who? Passed on?
The school not pulling a data card may not be a problem either. How do you know that it didn't occur? What's the size of the school? Is it possible that the nurse already knew that he had no history? Our school nurse can give me a complete brief from memory of known concerns with kids in her building. Yours too, perhaps?
Have those conversations, and ask those questions. More food for thought:
Parents can be tough customers. Parents in fire/EMS/medicine/public safety are the toughest. They have knowledge and experience, their own methods and preferences, and lack the professional detachment in the process of care and QA afterward. Consider how that might be impacting your view. (Yes, I've BTDT, and it's tough.)
I'd be interested to hear what you find out. Best wishes to you guys.
2012 National Zumba Endurance Champion
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