00:00
Chambersburg Hospital, Chambersburg Hospital Medic 2331 ALS notification.
00:07
Chambersburg Medic 2331, we're en route to your facility with about a five-minute ETA with a 78, 78-year-old female patient coming from him.
00:13
We were called out for trouble breathing.
00:15
Arrived on scene, found the patient sitting in recliner, a little lethargic, slow to respond.
00:19
Husband states that she has a history of her ammonia levels rising when they rise, this is how she acts.
00:27
States that she's been running a temp of between 100 and 101 for the last couple of days.
00:32
Was fine yesterday, acting completely normal.
00:35
This morning she started to be a little bit more lethargic and just worsened throughout the day.
00:41
She is conscious, alert, and oriented times four.
00:43
She has sinus tach on the monitor, a rate of 122.
00:46
12 lead looks good.
00:48
Room air sat was 91, 92% with respiratory rate of about 30 breaths a minute and shallow.
00:55
Got her on four liters.
00:56
That did bring her up to 96, 97%.
01:00
End tidal set at 17.
01:01
She's got an 19 established in the left AC.
01:05
History of a right pleural effusion in the right lung.
01:08
Lung sounds pretty decent, maybe a tiny bit of wheezing in the left upper lobes.
01:15
Last blood pressure 126 over 62.
01:17
No other interventions performed at this time.
01:19
Do you have any further? Get the rest and set.
01:22
See what I got here.
Medical Emergency
