Elderly woman falls at theme park, refuses EMS transport
Heard on:
Orange FL EMS Dispatch Group Calls
04:07
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
District Fire Department Medic 21, medical control, seeking advice on refusal.
00:06
Medical control, go ahead.
00:09
Good afternoon, medical control.
00:11
This is Paramedic (name withheld) on board District Fire Department.
00:14
We have a 63-year-old female patient meets trauma gray criteria due to being on Coumadin/warfarin.
00:20
He was on that previous PE.
00:22
Heart rate of 92 currently.
00:24
Sat's 94% on room air.
00:26
Good pulse rate form.
00:28
A and O times for the GCS of 15.
00:32
Blood pressure 134 over 71.
00:34
Orthostatic negative.
00:35
Reason why we were called out was from injuries from a fall.
00:38
No retrograde or irritative encephalopathy noted.
00:40
Patient said she simply just tripped and fell.
00:44
Has had some frequent falls.
00:48
Currently. No attacks at gate.Not able to ambulate without difficulty.
00:55
She's refusing for all the EKG as well as she's refusing transport via EMS.
01:01
Does meet trauma gray criteria.
01:03
That's why we are calling you guys.
01:04
Goodbye. Some refusal.
01:06
Hey, no transport to GCS at 15.
01:08
Normal capacity.
01:09
How do you copy?
01:11
Is there anybody else with the patient or is she home alone?
01:15
She is actually at theme park alone.
01:17
That is my other concern as well as she has drove here,
01:21
adamantly refusing transports and does understand the risks.
01:24
I've explained to her about possibility of a head injury and explained to her about subdural and epidural hematoma as are worse.
01:34
The disability patient is saying she would go later, have her son take her later to the hospital.
01:44
I'm sorry, can you repeat where? She is or where you are with the patient.
01:48
Do you see Animal Kingdom currently? She fell in a line.
01:54
Is the patient's son meeting her there at Animal Kingdom?
01:59
That's what I'm trying to ascertain here.
02:01
She can call her son to come and pick her up and operate a motor vehicle for her.
02:07
Just very concerned about her well-being here just because of the fall as well as leaving her here by herself.
02:14
If you speak to the patient.
02:16
Go ahead, medical control.
02:19
Go ahead, medical control.
02:23
Patient, can you hear me?
02:25
That's affirmative.
02:27
Good afternoon, ma'am.
02:29
I'm Dr. (name withheld).
02:30
We consult with the paramedics for cases of refusal.
02:35
They are very concerned because of head trauma and being on a blood thinner.
02:42
We strongly encourage you to get evaluated at a hospital.
02:46
You don't necessarily have to go with the paramedic, but I do encourage you to go to be evaluated and likely get a CAT scan of your.
02:57
To make sure you have any bleeding inside of your head.
03:01
I will have my son take me.
03:05
Will he meet you where you are currently located to take you to the hospital? The other concern is you driving a car.
03:13
He'll have somebody from work come and get his car.
03:18
Sorry, can you repeat the last?
03:21
My son will come and get me.
03:26
Okay, and you understand by not going immediately with the paramedics that there's a chance of having a bit of delay for evaluation.
03:35
I understand.
03:39
Okay, last rescue, I'm okay with the refusal.
03:42
The patient seems to have a good understanding and capacity of the condition.
03:48
Copy medical control, order received at 1331.
03:51
Could you advise physician identity just for our report purposes, please?
03:56
Yes, last name (name withheld), M-I-L-L-E-R.
03:59
Medical control, going back to standby.
04:01
Okay, you're sister to (name withheld).
04:03
Paramedic (name withheld), district fire department, medic 21 is clear.
Medical Emergency
