Man with stroke symptoms and head injury at work in Easton
Heard on:
Northampton County PA Regional Med (Hospital)
03:26
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
We have a command position for a possible stroke alert.
00:04
Hold for a dr. .
00:06
This is Officer (name withheld).
00:07
Go ahead.
00:09
Hey doc, I'm at the John on 25th Street.
00:12
Sure you see it probably about seven, 8 min .
00:16
Our patient is like 33, 33 year old male.
00:22
Coming from his place of employment.
00:24
He has a seizure history.
00:25
He states this morning he woke up and his left eye,
00:29
his vision was altered.
00:31
We'll call it.
00:32
30, you can have it.
00:34
Left side of facial group is new.
00:36
He says his speech is within his normal.
00:39
He does sound like he's slurring a little bit.
00:42
Vital signs follow: 76 for heart rate, looks like a normal sign on the monitor.
00:46
99% room air, 25 for respirations, end tidal 26.
00:51
170 over 106 for blood pressure.
00:54
We did check his blood glucose, that was 88, that was within normal limits.
00:58
He's having a little bit of difficulty recognizing objects.
01:01
It's been a few seconds to tell me that.
01:02
The item in front of him.
01:05
Okay, the item in front of him was a pen.
01:07
However, he
01:08
couldn't hurt himself, but with the left-hand patient group and the difficulty recognizing objects, I just wanted to consult you for a possible stroke alert.
01:17
I don't know if you want to start with that.
01:19
Where would you like to start in the room and evaluate for yourself?
01:23
What's his last known normal? Like I said, he said that his vision was abnormal this morning.
01:31
I'm in the roundabout.
01:36
He says the vision disturbances started around nine or ten.
01:40
This episode where he had a fall with a head strike at his job happened within the last twelve to 15 min .
01:47
The facial group again, I am looking at his ID now.
01:50
He doesn't have it in his photo ID.
01:52
I am going to say that this happened within the last 30 min when the vision disturbances that we talked about were from nine to 10:00 this morning when they began.
02:05
He fell over, hit his head, and now is having left-sided facial droop, and he lost consciousness or confusion, and he's blood thinners.
02:16
Negative thinners, positive head strike, positive syncope.
02:20
On our arrival, I'll give him a GCS of 14 .
02:23
He came around, but again, like I said, he is slurring for me a little bit.
02:27
Object recognition, like I said, I showed him a pen, and it took him five or 6 s to recognize what it was.
02:32
And there is.
02:34
It's a little left-sided facial droop, but again, I'm looking at his photo identification card and I do not see the facial droop in that photo, so it is new.
02:43
Okay, it's actually going to be a trauma alert instead.
02:47
Copy that. We'll see you in the trauma bay.
02:49
Again, just a 2nd
02:51
time. Can we get a name and date of birth, please? 198 over 98 for pressure.
02:55
We're on 33rd Avenue.
02:56
We'll be to you in about five to seven.
02:59
Can we get a name and date of birth?
03:01
Absolutely, doc.
03:03
First name is (name withheld), R A Y M O N (name withheld).
03:08
Last name is (name withheld), (name withheld).
03:14
Date of birth, (number withheld) .
03:19
Hey, thank you.
03:20
I'll hold you on the back.
03:22
Oh, yeah, thank you, doc.
03:23
Thanks for help.
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