Woman declines transport after seizure at casino, Pala CA
Please note:
This is not an official report. The headline and summary are generated by automated AI systems from public-safety dispatch audio. Always verify with official sources.
Medical EmergencyAs discussed during the dispatch call, emergency responders assisted a woman who had a seizure at Pala Casino Hotel. Paramedics evaluated her and advised hospital transport, but she and her spouse declined after being informed of potential risks. AMA documentation was completed on scene.
Audio|Heard on: San Diego CA Hospital Group Calls
Listen to dispatch call
03:14
Transcript:
00:00
Palomar Engine 151 with the AMA.
00:05
Palomar, Engine 151 with AMA.
00:09
Engine 151, thank you so much for waiting.
00:11
This is Palomar.
00:12
It is (number withheld).
00:14
We are on semi-bypass.
00:16
Although I think he said it was for an AMA, I do not see an upload.
00:19
Go ahead.
00:22
That is correct, Palomar.
00:24
Our cat number would be (number withheld).
00:32
We arrived to the Pala Casino Hotel to find a 50-year-old female sitting in a wheelchair.
00:40
Chief complaint will be postictal due to having a seizure.
00:48
Attending EMT stated that she had a full tonic-clonic seizure that lasted approximately about 2 min.
00:56
Initially, patient was combative and she was altered A and O times two.
01:05
Patient was breathing 18 times a minute, full and effective with clear motor sounds bilaterally and 99% on room air.
01:14
Patient's blood pressure is 144 over 90, pulse is 93, normal sinus rhythm but no ST elevation.
01:23
Patient's blood sugar.
01:27
Patient does have a history of seizures.
01:31
Said this is a fairly normal episode for her—no allergies, any medications or food—and is taking four different medications for the seizures and stated that she has been compliant.
01:46
Patient's spouse stated that this is normal.
01:49
This happens quite often, and stated that they didn't want her to be transported.
01:58
Patient and patient’s spouse were advised of all the worst and complications up until including death.
02:04
We told them multiple times it is in their best interest to be transported and treated via ambulance.
02:10
They were adamant and refused patient as unimpaired by drugs or alcohol.
02:16
She is a no times two, which the spouse stated that is her normal baseline.
02:24
They advised again that they should be transported to the hospital via ambulance.
02:28
Patient was refused.
02:31
They were advised that they can contact 911 at any time.
02:35
Their plan of action right now is just to go home against the rest.
02:39
Again, we told them they should get transported via ambulance and they refused.
02:45
Patient sent our AMA form.
02:47
How do you copy, Palomar?
02:51
Palomar RA 130 on with an AMA.
02:55
Engine 151, I copy all that.
02:57
I understand the patient is still oriented times two, which is her baseline, but her spouse is with her and they both are declining transport at this time, and that they meet all AMA criteria, and that you've advised them of the risk and consequences of refusal.
03:12
I don't have anything further. You guys have a great day.
03:13
All clear.
Disclaimer:
This transcript is automatically generated by AI from live dispatch audio. Dispatch communications may include background noise, overlapping speakers, or rapidly evolving situations, and automated transcription may not capture all details or context.
Location mentioned:
CA-76, Pala, CA 92059
This shows a Google Street View of the area near the location, which might not be the exact address.
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Note:
Auto-generated from live dispatch audio, which may contain errors. Dispatch calls are not confirmed incidents. Always verify with official sources.
