Elderly woman with dementia shows increased slurred speech, Summerville SC


An elderly woman with advanced dementia has increased episodes of slurred speech noticed during a telehealth cardiology appointment. Caregivers report the slurred speech occurs more frequently than usual. She also has a recent history of a slow brain bleed discovered about a month ago. EMS is transporting her for further evaluation to rule out any neurological issues. She remains alert to her baseline, with stable vital signs.
Audio|Source: Dorchester County Fire and EMS
02:43
Transcript:
00:00
Hey, Tratt. It's Dorchestermedic One, Paramedic Ground, and Routary Facility with an 87-8-7-year-old female.
00:06
I'm going to let you guys make the call on whether or not you want this to be a neuro or not.
00:10
A patient has a little bit of a complicated history.
00:13
She'll CP1.
00:14
CP1. I have another address, near Whippoorwill Dr, Summerville.
00:21
I copy, 1256.
00:23
We are coming to you today from home because patients had a telehealth appointment with their cardiologist and while they were doing the face-to-face part of that telecall,
00:36
the cardiologist noticed some slurred speech from the patient.
00:41
The caregiver on scene stated that both she and the other caregiver had been noticing an increase in patient's
00:49
Wednesday night.
00:50
It's coming and going.
00:51
I've seen a little bit of that just in the short time that I've been with her as well.
00:55
Patient does have pretty advanced dementia.
00:58
So the caregiver said that she does normally have that speech.
01:02
It's just not normally as frequently as it is happening.
01:05
Patient also has a recent history of a slow brain bleed that was discovered.
01:13
It was a discovered about a month ago.
01:16
So the cardiologist recommended transport for evaluation just to make sure that nothing was going on with that.
01:23
She is alert to her baseline,
01:27
per the caregiver.
01:28
She's got atrial and ventricular pacemakers on the monitor, heart rate of 84 at this time.
01:35
Blast blood pressure 166, 166 over 68.
01:38
She is breathing 14 to 16 times a minute, 100% on room air.
01:43
BGL is 136, 136.
01:46
And her baseline is alert and reactive talking to us.
01:51
EPA of approximately 8 to 10.
01:55
Any questions or orders? With the I believe in.
01:58
7.G.S.15.
01:59
666, probably 100 percent.
02:02
Even access right now.
02:03
GCS 15 in around 2 and for writing on the public.
Disclaimer:
This was transcribed by AI and may contain errors. Please verify the information independently.
Location mentioned:
Near Whippoorwill Dr, Summerville, SC 29483
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