Employee experiences sudden limb tingling but declines transport
Heard on:
San Diego County CA ALS PAL (Hospital)
02:18
00:00
It's going to be an AMA for a 31 female.
00:04
Chief complaint of bilateral
00:08
leg tingling.
00:10
Let me know when ready for report.
00:13
Go ahead.
00:16
Hey, 120, respond to the parking lot at the Pala Casino for an employee there.
00:20
Sounds like during her shifts, she had two separate episodes where she was walking around and had a sudden onset of tingling in her bilateral legs that then radiated upwards throughout her body to the right side of her chest and her arms.
00:45
Stroke scale is negative.
00:47
SCD is zero.
00:48
As far as vital signs, she's an O times four.
00:50
GCS 15 with a heart rate of sixty-two.
00:54
Normal sinus confirmed by twelve lead without ectopy or ST segment changes.
01:01
She's breathing 20 times a minute, saturating 99% at room air.
01:06
Skins are warm,
01:08
normal color, dry.
01:09
Blood pressure of 143 over 84.
01:16
Blood sugar was 168, temperature is afebrile.
01:19
At this time, patient does not need an ambulance transport.
01:22
Her plan is to go home, self-monitor, and contact her primary care.
01:28
Symptoms sounds like she recently took a supplement yesterday that she had these symptoms previously.
01:35
The last time she took the supplement a couple weeks ago.
01:41
She's not impaired by drugs or alcohol.
01:43
She's competent to make medical decisions.
01:46
She releases EMS of all liability.
01:49
She understands all risks and complications of her decision, up to and including permanent illness, injury, or death.
01:58
She can recontact 911 or seek further at any time.
02:02
Send me the information that I can get you, (name withheld).
02:06
No, that sounds good.
02:07
She's aware of her rights and can make her own choices.
02:09
Not under the influence of drugs or alcohol.
02:10
She can recontact or seek treatment on her own if she feels necessary.
02:15
As long as they are assigned, you have nothing further.