Woman with chest pain and lung cancer treated by EMS
Heard on:
Caddo LA Christus Bossier (Hospital) Group Calls
04:33
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
This is paramedic call.
00:01
We have a 43-year-old female patient who called having some chest pain.
00:05
Stated that it started yesterday and it's gotten worse
00:10
as it's gone on.
00:12
She said it's in the middle of her chest, but she does feel it move to her back and her left arm also feels like tingly.
00:20
She describes the pain as dull, rating it a 10 out of 10.
00:26
She's a GCS of 15.
00:27
Her heart rate is 125,
00:33
sinus tach.
00:36
Pulse ox is 99.
00:38
Blood pressure is 127 over 83.
00:42
I have a 20 gauge in her left hand.
00:45
I've given her 325 of aspirin and .4 nitro.
00:50
We're going to be approximately
00:52
10 to 12 minutes to your facility.
00:54
Do you have any other questions at this time?
00:58
No, closure clear.
01:02
I copy. And she does have a history of lung cancer, which she is currently receiving treatment for.
01:12
Can you repeat your last transmission?
01:18
I said the patient does have a history of lung cancer, which she is receiving treatment for at this time.
01:26
Where is she receiving treatment for this lung cancer?
01:34
The patient receives her chemo at LSU.
01:39
Medic six, is this possibly related to her lung cancer?
01:51
Not that I can tell, she's not having any difficulty breathing.
01:56
O two sats are good, but you know.
02:01
Obviously, I can't look any further into that.
02:07
Hey, this is Dr.
02:09
(name withheld)
02:11
My question, just for me to know, because I don't know where you guys are at.
02:18
Which is the closest location or hospital that you have from you?
02:27
I'm sorry, can you repeat that? I didn't hear you.
02:32
Is this the closest location, closest hospital, or which one is it? The closest hospital from where you're at?
02:43
Closest hospital to me right now?
02:47
No, it's probably not y'all.
02:49
It's other.
02:51
Well, I mean, it could be y'all.
02:52
It's between y'all, Willis-Knighton Bossier and Willis-Knighton North.
02:55
Y'all are all relatively the same distance.
03:00
And the strip doesn't show any EKG changes?
03:05
Negative. It shows sinus tach with a funnel branch.
03:13
She's super young.
03:15
I don't know.
03:16
So mainly here, the only issue is that we don't have a.
03:22
My Highland Hospital is full and we can't transfer the patient.
03:28
So let's say if she comes here and she becomes unstable, which you know, she has a history of lung cancer, she's tachycardic, you would think could be a possible PE
03:39
because she's young.
03:41
Not necessarily think about like a heart attack, although for sure that is a possibility.
03:48
The thing is, you know, if it's a PE, although vital signs are stable now.
03:55
This could potentially progress and I don't have any, like can't, can't send her anywhere.
04:02
You know, we'll have to manage her here.
04:04
I don't know, you know, I can't refuse.
04:09
Sorry, I can't refuse the patient to come here, but
04:16
I don't know.
04:17
I'm not seeing the patient either, so.
04:21
I've explained everything you just explained to me to the patient.
04:26
She has now decided to change facilities.
04:32
Copy that.
Medical Emergency
