91-year-old female with severe shortness of breath treated
Heard on:
Monongalia WV WVU Med B (Hospital) Group Calls
02:30
This transcript is auto-generated from live dispatch audio and may be incomplete or inaccurate. It is not
an official report and may change.
00:00
Morgan County Medic 79 on Bravo.
00:04
Fire number destination ETA please.
00:08
Paramedic 12, (number withheld), about 10 minutes out of War Memorial Hospital in Berkeley Springs.
00:15
Go ahead.
00:18
Ninety-one-year-old female from local nursing home.
00:20
We were called for difficulty breathing.
00:22
Patient's saturation on 15 liters oxygen was in the seventies.
00:29
Right now we're getting about sixty-six with a good pleth on 15 liters non-rebreather.
00:35
Patient is comfort care only.
00:37
No non-rebreather ventilation, no innovation.
00:38
She's on non-rebreather right now at 15 .
00:43
Does have decreased lung sounds on the right with a fine crackle and expiration on the right side.
00:50
Left side's clear.
00:51
They did order a chest X-ray on Friday that has not come through yet.
00:55
She did start prednisone and they gave her one breathing treatment tonight with no improvement.
01:00
Other history: in states renal and hypotension.
01:08
Also Alzheimer's.
01:09
She is awake and oriented to her normal mental status.
01:11
She does have a normal coherent conversation with us between her shortness of breath.
01:16
She's currently 84 in sinus on the monitor, 68% with a good pleth on 15 liters on a breather.
01:22
Respiratory rate's 26.
01:23
Last blood pressure was 84 over 50, which is down from our last 102 over 60.
01:30
IV 18 in the right AC, and her panic temp of 99.0 .
01:36
Family
01:38
would like her transported to the hospital to get that checked, see if they can get her antibiotics going any earlier.
01:43
That's what we're doing.
01:46
Allergic to penicillin, rest of head to assessment was unremarkable.
01:50
No JVD, no pedal edema noted, and skin was warm to hot, pink and dry.
01:56
And we're about four to five out of where I've already called them.
01:59
This is GCS
02:02
456, is that right?
02:05
Let's give her a 446 for confusion.
02:09
It's going to be normal mental/voice .
02:11
All there she is, periods of losing communication with us, but I'll still call her a 14.
02:19
Understood.
02:21
Unit is 3018056 .
02:24
Repeating, 3018056 .
02:30
Thank you.
Medical Emergency
