Elderly man with airway obstruction and rapid heart rate
Heard on:
Harford MD Harf Med 304 (Hospital) Group Calls
01:59
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
Thank you very much, Upper Chesapeake.
00:01
This is Harford County 44.
00:03
I'm currently en route to your facility.
00:05
Probably with about a 10 to 15 minute ETA.
00:08
On board, I have a 77-year-old male.
00:11
Patient was eating and developed a partial airway obstruction.
00:15
Patient believed that they cleared it.
00:18
Initial room air O2 sat for the patient was about 73%.
00:22
We have them up to 98 on 15 liters via non rebreather.
00:26
I also did give them a do and up because he had wheezing bilaterally in all fields.
00:30
Reason for my medical direction is I sent you guys over a twelve lead.
00:35
Patient appears to be in AFIB RVR.
00:37
However, one of my country indications for giving Metoprolol for AFIB is wheezing.
00:44
I didn't know if this would be a different situation due to the patient aspirating.
00:52
All I'm asking for is 5 mg of metoprolol IV for the AFIB RVR.
00:58
Could you give us a set of vital signs for your ETA would be, please?
01:01
Absolutely, I can do that.
01:02
My ETA is about 10 to 15 minutes.
01:05
Right now, patient has a heart rate of 145,
01:09
O2 saturation 99% on 15 liters.
01:12
And last pressure I got was 100 and fifty-eight over 102 .
01:17
Patient's respiratory rate's about twenty-two breaths per minute.
01:21
I mean, it sounds like they're stable.
01:23
One off, I think it's okay to give one dose of 5 mg of metoprolol.
01:28
Okay, copy that, doc.
01:29
Just making sure you said it's okay to give 5 mg of metoprolol.
01:32
Yes, it's okay.
01:34
All right, thank you very much.
01:36
I'll go ahead and give the medication.
01:37
I'll reconsole if anything's necessary.
01:40
Otherwise, I'll see you guys in about 12 min .
01:43
Sounds good, brother.
01:44
Clear.
01:46
See you in 10 min .
01:48
Can you. I take that back.
01:50
I remember you said you couldn't.
01:51
I apologize.
01:52
I'm out of my district, so it's kind of hard to hear you.
01:55
I did get a blood pressure of 122 over 64.
01:58
All right, thank you.
Medical Emergency
