68-year-old man with chest pain and afib en route to hospital
Heard on:
San Diego CA ALS TRI (Hospital) Group Calls
03:08
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
Thanks, Chula City, this is RA 106.
00:02
Got number (number withheld), that's (number withheld), it's going to be for a moderate status.
00:10
Respiratory chest pain.
00:12
Looking to go to Tri-City, it's about a 10-minute ETA.
00:17
Nine hundred and eleven is activated by a patient.
00:18
I was reporting that patient said that he felt heaviness in his chest with shortness of breath.
00:24
Patient has a history of CHF.
00:26
Looks like he has history of.
00:31
Recent kidney infection, which he's taking antibiotics for, without complications.
00:37
He's compliant with all his medications.
00:39
If he takes CPAP,
00:41
felt nauseous earlier.
00:43
This has been with vomiting, normal stomach contents.
00:46
Is when the chest pain and the shortness of breath started.
00:50
Upon arrival, patient was on the boat, feeling lightheaded, dizzy with chest pain.
00:56
Non-reactive, seven out of ten, reproducible upon inspiration.
01:01
As far as vitals, we had a heart rate of 101, sinus tach on the monitor.
01:06
12 lead was clean, negative ST elevation.
01:09
We have some depression, looks like there's a right bundle branch and it's currently in AFib.
01:16
We've gone down the chest pain protocol with four aspirin for a total of 25 and one dose of nitro.
01:23
After getting a IV access, patient was initially borderline pressure, soft at 94.
01:30
Over 69 .
01:41
Again, we got a 20 gauge established after the root pressure of 106 over 80 .
01:47
We got one dose of nitro.
01:49
Patient reports pain's now six out of ten.
01:52
I do have one in title 29 .
01:55
We have respirations at twelve.
01:57
We have four liters on the nasal can.
01:59
Setting at 97 % with the four liters and clear bilaterally.
02:05
We're going to run another 12-lead en route.
02:08
Morgan had a fluid bolus en route.
02:13
We're going to continue down the chest pain protocol as needed.
02:16
Again, we got about a 10-minute ride to Scripps Encinitas.
02:19
How do you copy?
02:21
Copy all. What's the age of the patient and what was the last?
02:25
I didn't copy that last transmission.
02:26
Can you repeat?
02:28
Yeah, I'm trying to get the age of the patient.
02:30
And yeah, what's the age of the patient?
02:35
68 year old male, approximately 300 pounds.
02:38
68 year old male, approximately 300 pounds.
02:42
Copy. Just verifying his respiratory rate right now is 12, and you said the O2 sat was 97% on four liters.
02:51
That's affirmative.
02:52
We have a respiratory rate currently 14 in title 32, setting 95% with four liters non-masal cannula.
03:02
Copy that. I'm going to notify San Marcos.
03:04
Just recontact me if anything changes in route.
Medical Emergency
