00:00
Palomar Engine 141, call in with an A.
00:03
Engine 141, Palomar, go ahead.
00:05
Thank you. We were called out to a middle school today for a (number withheld)-year-old female.
00:09
She was walking to the nurse's office when she had a witnessed syncopal episode resulting in a fall.
00:16
She landed forward.
00:18
Sounds like she did strike her head against the wall as she was going down, but we're not seeing any outward signs of trauma.
00:25
No complaints of any head, neck, or back pain.
00:27
PMS is impacting all extremities.
00:30
The patient has an underlying functional neurological disorder that has caused her to have multiple syncopal episodes in the past.
00:39
They repeated syncopal episodes.
00:40
The patient has recalled before and after the event, but doesn't remember the syncopal episode.
00:47
And she generally does not have seizure-like activity.
00:50
The patient reported that she hasn't had any episodes like this for approximately three years.
00:56
And reported that she has been evaluated for this ongoing medical condition.
01:01
She has an appointment today for a follow up with her primary care provider.
01:07
While she's fine on our ground team,
01:10
no change in heart rate, no change in breathing.
01:13
ABCs remain intact throughout.
Medical Emergency
