34-year-old man with coffee ground vomiting and back pain
Heard on:
Davenport and Quad Cities Metro Police, Fire / EMS
02:02
00:00
Fire is just 329579 around two.
00:02
Trinity Bettendorf for patient's request.
00:04
ETA facility about 25 , 25 to 30 min .
00:07
ETA facility about five.
00:10
Patient is adamant and requesting turning bed and door.
00:12
They do not want to be seen at the facility or at the Rock Island.
00:15
Patient's 34 year old, 34 year old male.
00:17
Chief complaint today with multiple issues.
00:20
Patient's having episode of hematemesis.
00:22
With coffee ground emesis involved, as well as reporting a syncopal episode yesterday with back pain that has lingered throughout the day.
00:33
Patient reports that they have middle back pain.
00:36
They do have some bruising along their spine.
00:38
No deformity noted at all.Patient was fully ambulatory.
00:41
Has 15 lead point of this in either of their extremities, upper or lower.
00:48
Patients are reporting symptoms in pain as well as significant nausea and dizziness.
00:53
Stroke scale is negative.
00:55
Patient denies any drugs, any alcohol.
00:56
Does have a history of type one diabetes, schizophrenia, manic disorder, bipolar depression.
01:03
Patient does report compliance to all of their medications.
01:05
Report no known allergies.
01:07
Current set of vitals are 100 and forty-eight over 111 , 100 and forty-eight over 111 .
01:14
Heart rate of 107 , showing sinus tachycardia.
01:17
Respirations are labored at a rate of about 40 plus.
01:22
Ninety-nine percent on room air.
01:24
Lung sounds are clear bilaterally.
01:27
Glucose of 200 and ninety-three.
01:29
Two hundred and ninety-three.
01:30
Patient does report that they have something that they did take a pulse just before calling EMS.
01:36
I do not have IV access at this time.
01:38
Times two attempts.
01:39
If you guys are okay with it, we're going to do 4 mg of Zofran via IV.
01:43
V or sorry, yeah, I am injection intermuscular injection.
01:48
Go ahead with any further questions or orders.
01:55
I see the. Copy that.
02:00
Proceeding back north on questions or orders.