Man with chest pain and rectal bleeding transported to hospital, Havre De Grace MD
Medical EmergencyA 40-year-old man with a history of chronic alcohol use is experiencing severe chest pain, nausea, vomiting, and rectal bleeding. EMS is transporting him to a hospital for urgent care. His vital signs show high blood pressure, elevated pulse, and tachycardia. Due to the bleeding, aspirin was not given.
Audio|Source: Harford County Public Safety
04:39
Transcript:
00:00
Medical box 503-1 for CBA near Giles St.
00:05
Every County Paramedic 41 is online for Presby, Everton.
00:08
Jack, let's have you, ma'amette.
00:10
Avertings is online.
00:11
Do you need a position for Friday 1 or Friday 2 consult?
00:13
It's not a party 1 consult but it is a destination based on patient's symptoms for acceptance.
00:18
I'd like 503 in route to have 51.
00:20
Please go ahead to the consult.
00:21
Correct.
00:22
Hi days, this is Trevor County, Permanagh, 41.
00:24
On board, I have a 40-year-old male 4-0.
00:27
He's complaining of chest pain and passing bloody stool.
00:33
Patient is a chronic alcohol abuser.
00:35
He had liquor last night and reports that since August 3rd he has had bright red stools today.
00:43
It turned dark.
00:44
He's having extreme chest pain as well as extreme nausea and vomiting that he's had most of the day.
00:52
So far, vitals-wise, he is showing 165 over 103, pulse of 112, 98% on room air and respirations about 24.
01:03
Patient is having bloody stools and was not given any aspirin for the chest pain.
01:08
On EKG eval, he's showing tachycardia at 110 continuously.
01:13
Nothing significant on the EKG, just a bundle branch.
01:16
Medi 31. 1053.
01:18
Mediatic 503 is around.
01:19
Medi 53 arrived 1053.
01:21
Sugar was 167.
01:23
Other than the chest pain and the nausea and vomiting patient does seem to be stable.
01:30
However, it's going to be a priority two at this time.
01:33
Unless you have any questions, we would arrive there in 15 minutes.
01:37
Are you willing to accept this patient? This is a physician given a patient is tachycardic and bleeding and given we don't have blood.
01:46
for a geon.
01:47
You're really cut out.
01:49
I couldn't understand what you had said.
01:56
The patient has bleeding and tachycardia does not have a blood bag for a geop.
02:02
Given the concern legally,
02:04
the patient should go to the facility that has a plug-in.
02:06
Ruthie, if that facility was 30 minutes, so we figured we would consult with you first just to verify.
02:11
AMRC, MRC, MCRC.
02:12
Has the County 941 online for Franklin Square, please.
02:15
The County Paramedic 41 is online for Frankl Square.
02:17
Franklin Square is online.
02:18
Do you need a position for consult?
02:19
Negative. Our consult is going to be for a 40-year-old male.
02:23
Chief complaint is chest pain, possible GI bleed, please.
02:26
We have a 30-minute ETAPIR facility.
02:28
How do you copy? Medic 41 is en route to 203.
02:31
Medic 41 in route to 203, 1055.
02:33
Okay, close road to drop in space for T.
02:34
Again, this is Harper County Medical.
02:36
On board, I have a 40-year-old male.
02:37
Chief complaint, again, is chest pain.
02:39
He is a chronic alcohol abuser.
02:41
He was drinking last known last night.
02:45
On August 30, he had great red blood.
02:47
Now today, it's turned to dark red blood being expelled rectally.
02:53
Patient also, again, with this, complaints of chest pain that started today, along with nausea and vomiting.
02:59
Due to the rectal bleeding, we have not administered any aspirin.
03:03
EKG doesn't show anything other than a right bundle.
03:07
He is, however, tachycardic at 110.
03:09
Other vitals are blood pressure of 155 over 103,
03:12
again, pulse in the 110's.
03:13
Blood sugar 167, breathing at 98% on room air, about 24 respirations at this point.
03:21
We are transmitting an EKG to the facility, if you could let me know when you receive it.
03:25
Also, patient is alert and oriented times 40 to see us at 15.
03:28
If you don't have any questions, we'll see you in approximately 30 minutes.
03:32
What is your priority?
03:33
Priority 2.
Disclaimer:
This was transcribed by AI and may contain errors. Please verify the information independently.
Location mentioned:
Near Giles St, Havre De Grace, MD 21078
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