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Man with head injury refuses hospital transport in kissimmeeKissimmee FL

audio iconMedical Emergency
Near N Palm Ave, Kissimmee, FL 34741

A man near Oak Street Park Community Center suffered a head injury and bleeding after a fall. He briefly lost consciousness and is refusing hospital transport against medical advice. Emergency responders and family are present; law enforcement may be called due to the serious nature of his injuries and refusal of care.

Audio|Source: Osceola County Public Safety
04:10
Transcript:
00:00
We are calling you to see about getting a possible, um...
00:11
Refusal on this patient.
00:13
Patient is predominantly Spanish-speaking, however, we do have a Spanish speaker here.
00:16
The patient had a fall.
00:17
He did hit his head.
00:19
He does have a blood clot in his eye, and he has a little bit of active bleeding above his eye.
00:24
However, patient is adamantly refusing to go.
00:27
Patient did admit to having some alcoholic drinks this afternoon.
00:30
He is alert and oriented times three.
00:32
He has a Glasgow coma scale of 15.
00:34
His current vital signs show his blood pressure is 173 over 99.
00:38
His heart rate is 79.
00:40
Blood glucose was 1009, respiration 16 and oxygen saturation 97 percent on room air.
00:46
Yes, he is actively refusing to go.
00:51
I'm sorry, can you repeat the blood sugar? It sounded like you said it was 709.
00:57
I apologize, it's 1009.
01:00
Okay.
01:02
So is the patient ambulatory with any signs at all of intoxication?
01:09
With all these signs from the past patient, um,
01:13
I've missed the other question about it.
01:16
Can he walk normally?
01:19
Patient is walking normally.
01:22
And is he able to describe why he fell or how he fell?
01:27
Rescue 62 to Osceola?
01:31
Rescue 62.
01:33
Arrived at Osceola Regional and he mildly 6.8.
01:38
Presti-6-201.
01:44
He does know he fell however.
01:46
He heard the sound when he did fall.
01:49
He was out for like maybe two or three minutes, woke up, knew why he fell,
01:56
and just from there would not, didn't want them to call now however we came and now he's just refusing to go.
02:05
Here to rescue 11, engine 11.
02:07
Just be advised.
02:08
He's advising that the patient is refusing medical.
02:13
Okay, so you're saying he was unconscious after his fall with head trauma.
02:18
Yes,
02:20
he was... The son said he was out for about five minutes.
02:24
She stopped to cancel.
02:27
Okay, so this patient cannot refuse because we cannot confirm that he does not have a serious head injury, so he needs to go to the hospital.
02:36
Any 11 coffee.
02:37
We're on scene.
02:38
We're going to go to check on the patient real quick.
02:42
Copy, okay.
02:43
I would try to keep trying to give him this still.
02:45
Thank you.
02:48
Who is there with you on scene? He has a family member or friend?
02:54
We have a family here.
02:57
Okay, and his family members understand the significance of what his injuries could be,
03:05
because what you're describing is concerning for epidural hemorrhage.
03:11
Copy, I explained to them the reason that we really want to take him is because of the bleeding, being out for, they said, like five minutes, I let them know he could have an internal bleed.
03:20
We really want to get him over to Osceola Regional, so they can check him out and make sure he's okay.
03:24
However,
03:25
he will not go, he's fighting with them,
03:28
arguing with us.
03:29
So I was trying to get him to change his mind, but the family's like, oh, they don't know what to do with him either.
03:39
Is law enforcement on scene with you? I apologize, can you repeat your last?
03:45
Do you have law enforcement on scene with you?
03:50
No, we don't, but I can call them out.
03:53
11 units with patient.
03:55
Copy.
03:57
Okay, this is a case where they may need to become involved.
04:00
This patient cannot refuse care.
04:03
So if his family cannot convince him that he needs to go to the hospital,
04:07
then we can either physically take him.

Disclaimer:
This transcript was automatically generated and may contain inaccuracies. Please verify the information independently.

Location mentioned:
Near N Palm Ave, Kissimmee, FL 34741

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