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Male patient airlifted for cardiogenic shock and chest painNashville TN

audio iconMedical Emergency
Near Medical Center Dr, Nashville, TN 37232

A male patient at Vanderbilt Tullahoma-Harton Hospital is being airlifted to Vanderbilt University Medical Center due to cardiogenic shock, chest pain, and possible loss of feeling in a leg. He received medication and a blood transfusion and has medical complications following recent surgery.

Audio|Source: Maury Regional EMS
02:25
Transcript:
00:00
The flight four just took off on dispatch, six, seven, four, three on board two hours.
00:04
We'll go on the tele-hump estimate arrival in about 25 minutes, take patient information flight number.
00:09
Flight 434, 2 hours of fuel, release 674-25 minutes en route at 0109.
00:17
Responding on flight.
00:19
9 or 35, 180935 for a male patient, 862, weight 281 pounds.
00:29
Diagnosis, cardiogenic shock, patient has history of bypass with shortness of breath and chest pain, possible no feeling in one of his legs.
00:41
Patient is not intubated.
00:43
Just found out before your lift, patient does have an art.
00:45
line in place, has LevaFed going at five mics, has received a unit of blood.
00:52
Patient in the ER at Vanditola-Holoma Harton, going to the CV-I-CU at Vanderbilt, Maine, working to get specific room number.
01:01
That concludes unless you require further.
01:03
SOC, go ahead.
01:04
Yeah, LFI4, outbound information is correct.
01:07
This patient was recently discharged a couple days ago from Vanderbilt getting a bilateral femoral graft and they believe the graft sites have occluded.
01:16
But he also presents with an N-stemi and hypotensive so they're not totally sure if it's a clot or he's bleeding that's caused it or the lack of pulses distally is due to the hypotension.
01:28
Presented there with blood pressure in the 70s, they did give a small flu.
01:31
fluid balls.
01:32
He is now on five of Levo.
01:33
Blood pressure is now 120 over 60.
01:35
He's a wake later in a couple of liters of cannula.
01:38
Has been through the CT scan.
01:39
He does have distal flow.
01:40
Not able to palpate much distally, but he does seem to have some runoff, so he does have some flow down there.
01:45
Again, dealing with an n-stemi hypotensive that it has recovered on the five of the Levo.
01:50
He did get one unit of Pax cells for a possible bleed.

Disclaimer:
This was transcribed by AI and may contain errors. Please verify the information independently.

Location mentioned:
Near Medical Center Dr, Nashville, TN 37232
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