Elderly male with chest discomfort refuses hospital transport, Bel Air MD
Medical EmergencyAn elderly male at Sterling Care near East Macphail Rd experienced chest discomfort spreading to his stomach. He has a history of GERD and believes this is the cause. Medical personnel performed a heart test showing no acute heart problem. Despite medical advice to go to the hospital for further evaluation, he refused transport and understands the risks involved.
Audio|Source: Harford County Public Safety
03:14
Transcript:
00:00
Medical Box 303-1.
00:02
Medic. 6-person at Sterling Care near East Macphail Rd, apartment 11A between Millroy Terrace and Woodburyway.
00:09
Talk Group EMS 1318.
00:11
41-1-3-04. All right, you require medical direction.
00:15
Yeah, good afternoon, Upper Testique.
00:17
This is Harford County Medical 41-1.
00:18
Need a physician for an AMA refusal, please.
00:20
Fire 513-1, Company 9 automatic fire alarm, 651 Darlington Road, between Filks Road and Glenville Road, Talk Group, Fire, 1319.
00:31
Medics 71119.
00:32
Medics 71, 1319.
00:33
EMRC, UMRC, the Southport County Paramedics 41.
00:36
Can I get opportunity to Belair?
00:37
Okay, Bellers and consult, please stand by on the main channel.
00:40
931-11-1319.
00:41
931 for vehicle response.
00:43
56-year-old male general weakness.
00:45
224 is on level 4, 3D is on level 2.
00:48
All right, thank you.
00:49
Robert, Mr.
00:50
Patrick, Dr. The head with the consult, please.
00:51
Good afternoon, I'll participate, this Harford County, Medic 41-1, currently on scene with an 84-8-4-year-old male.
00:57
Chief complaint today is test discomfort.
00:59
Patient was having lunch with his friend when he noticed that he had some uncomfortable sensation in his chest that spread down to his stomach.
01:06
He does have a history of GERD and does believe that this is his GERD acting up.
01:09
At this point in time, I've done a 12 lead.
01:11
I sent it over to you for review.
01:13
It's just first degree AV block with no ischemic changes at this point in time.
01:17
Other vitals are as follows.
01:18
Pulse is 73 on the monitor with a sinus rhythm, 97% on room air, blood pressure 115 over 66.
01:24
He's breathing approximately 18 times a minute.
01:27
Plus sugars 15, lungs are clear and equal bilaterally.
01:30
He's alert and oriented times 4 GCS 15, stroke assessment is negative.
01:33
It's just my recommendation as a paramedic today that because he did have some chest discomfort, that he does come to your facility just for evaluation and to be evaluated.
01:40
At this point in time, he says he's feeling better, he does not want to go.
01:43
get evaluated today.
01:44
Just with his age range and the fact that it was some chest discomfort, it could possibly be girded, but I can't tell if he did not have any other medical event the best way to determine that is through blood work.
01:54
Again, refusing at this time, I just wanted to get the doctor's input on this.
01:57
This is Dr.
01:58
Plovak, and I agree that he should be still, period.
02:03
We should not have to come in this to have any heart attack without further evaluation and treatment period.
02:08
If he understands the worst and benefits, then CTS are 15, he is able to refuse.
02:13
He did hear you doctor at this point in time.
02:15
He's going to go ahead and still refuse services as transferred at this time.
02:18
We're going to go ahead and finish our refusal protocol.
02:20
He does understand the risks of benefits.
02:22
If anything changes, he has been instructed to call us back.
02:24
But at this point, we're going to go ahead and clear.
Disclaimer:
This was transcribed by AI and may contain errors. Please verify the information independently.
Location mentioned:
Near E Macphail Rd, Bel Air, MD 21014
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