Female patient with cardiac arrest during transfer
Heard on:
Taylor County Fire and EMS Departments
05:43
This transcript is auto-generated from live dispatch audio and may be incomplete or inaccurate. It is not
an official report and may change.
00:00
Dispatch, (number withheld) Hamilton for a medical control, please.
00:10
Fifty in front of the Sonic on Judge Ely.
00:14
Copy that. Two hundred and twenty-eight.
00:22
Hey, that's 63.
00:23
This is 63.
00:26
We're coming to an interfacility transfer coming out of North City.
00:34
Patient is female with back pain, syncopal episodes.
00:38
They gave her and they said she was tachycardic.
00:41
They gave her atropine. She had a syncopal episode.
00:43
They said that she went into pulseless VT.
00:46
They saw that no CPR was given.
00:48
Start ROS. On our arrival.
00:50
Patient was very hypotensive with a pulse of 65 in the 50s.
00:56
Patient is currently on four of epinephrine, 20 of levo.
01:03
She had one liter of fluid.
01:06
Pulse was in the 30s, dropping into the 20s.
01:12
Starting patient due to a pulse and a hypotensive and a low blood pressure.
01:18
Starting patient on an EKG.
01:21
For them at 30, we do have pressure.
01:24
Patient's map is still remaining in the 50s.
01:29
Do you have any other?
01:41
Multiple peppers.
01:43
And I
01:47
didn't hear the setting.
01:48
I would want to know the rate and
01:51
higher like 90.
01:54
You can always go up on the rate to try to
01:57
put. I would also make sure that you have the pad connected.
02:06
The other thing I would say
02:09
is if you have a potassium level from the same thing that's so
02:13
burned for hyperkalemia, you can get
02:17
to help stabilize the cardiac membranes.
02:41
Okay, so why don't we go ahead and get 2 g of calcium and whatever form you have currently to be placed since that's how calcium was on the right side.
02:50
And then again, yeah, check this pad placement.
02:53
See if you can do it just exterior if feasible and safe and slight.
02:57
And then certainly try going up on the rate, but those are those would be where I would start.
03:05
Thank you.
03:15
Yeah, he's on scene.
03:19
Ten four.
03:22
Also, it looks like Metro cares on scene.
03:29
Twelve thirty-five.
03:42
We also advise APD
03:45
the truck is blocking the inside lane of traffic in the southbound, and we'll need a rollback for two vehicles.
03:59
North, go ahead.
04:02
AMX 63, currently en route to your facility for a transfer out of Knock.
04:07
Patient is a 64-year-old female.
04:10
Chief complaints on their arrival was tachycardia, dizziness, and back pain.
04:15
Patient was given ativan and shortly after had a syncopal episode and went to a cardiac.
04:23
Patient was then given epi.
04:26
Staff says she went to V-TAC without.
04:28
Pulse patient was cardioverted with ROSC.
04:32
They said no CPR was administered.
04:34
Patient has remained unresponsive since then.
04:37
Cardiac arrest.
04:38
Pulse patient was hypotensive with a pulse of about 30 .
04:42
Patient is currently on four micrograms per minute of epi, 20 of levo.
04:48
She's also on 75 of ketamine an hour for sedation.
04:53
Intubated on event.
04:56
Patient. Has had several push those pressers with no improvement of her pulse or her map.
05:05
Patient was started on transcutaneous pacing.
05:08
Med control was called, which advised to give 2 g of calcium, which we're in the process of doing right now.
05:15
At this time, patient's vitals are as follows.
05:19
Stand by on the blood pressure.
05:21
Pulse is 80 and paced.
05:23
Respirations twelve on.
05:25
Later, O two says ninety-eight percent on 100 % .
05:28
Stand by for blood pressure.
05:36
Yes, so be advised, we stopped at the Chili's parking lot.
05:42
Ten four.
Medical Emergency
