61-year-old man with severe abdominal pain transported
Heard on:
San Diego CA ALS SLJ (Hospital) Group Calls
02:41
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
First 20 steps, 08594 , 085904 , 2460 .
00:05
Chief, it's going to be abdominal pain.
00:08
Let me know when you are ready for report.
00:12
Okay, 02:35 , go ahead.
00:13
Okay, responding to a UC San Diego infusion center here in Encinitas.
00:18
Minor sixty-one year old male sitting upright in a chair with chief complaint of abdominal pain.
00:24
Sounds like patient has a history of gallstones.
00:27
Sounds like he was having some gall pain last night, was given some Tylenol.
00:32
Had a couple episodes of vomiting yesterday, normal stomach contents.
00:35
Came to his infusion appointment today, was still having pretty severe abdominal pain.
00:42
Had a couple episodes of vomiting for them.
00:44
They did not do any treatment today, but they activated 911 for transport to the hospital.
00:51
Patient sitting upright, awake and alert, answering questions appropriately.
00:55
Spanish speaking only, but we did have translator on scene.
00:59
Denying any chest pain, denying any shortness of breath, just complaining of some upper quadrant abdominal pain.
01:07
On a physical assessment on him, the upper abdomen does appear to be a little distended at this time.
01:13
No recent trauma to his abdomen.
01:17
Other than that, vital signs wise, right now he is breathing 18 times
01:23
a minute, full effective clear lungs bilaterally.
01:26
His O two sat on room air is 95 % .
01:29
I just want to get some pre-alert four.
01:31
He's moving all extremities.
01:32
Times four, no deficits.
01:36
This is San Diego. We had a lower blood pressure, 100 over 60 , heart rate 96 , sinus rhythm on the monitor.
01:42
Twelve came back sinus rhythm, no elevation of X speed noted.
01:46
Skin's pink, warm, and dry.
01:47
Temperature was on the low end, 96.5 .
01:54
He had a history of gallstones and a past history of melanoma on his foot.
01:58
That's why he was there for the infusion.
02:00
List of allergies and meds upon arrival.
02:02
So his 1st treatment staff at the facility had already established.
02:05
Maybe they have a 22 gauge in the right AC.
02:10
They gave him a 500 blue bullet prior to arrival.
02:14
Once we got him in the ambulance, got him laying down on our gurney.
02:17
His pressure has been steadily declining a little bit.
02:21
He's in the 86.
02:23
Over fifty-eight at this point, we're continuing with a 2nd flow boss at this time.
02:28
Like I said, our destination is UC San Diego Thornton, and our ETA to them is about five to 10 min .
02:34
Do you have any further questions at this time?
02:37
Nope, I'll let them know that you are on your way.
02:39
Thanks.
02:40
Thirty-five copies.
Medical Emergency
