77-year-old woman confused after fall with facial swelling
Heard on:
Fairfax County VA Regional FCFD 49B (Hospital)
02:39
00:00
I have a 77-year-old female checkup at the fall from unknown downtown.
00:07
Patient was found on the floor.
00:08
She don't remember the incident.
00:11
She don't know what happened.
00:12
She's confused and anxious.
00:16
Patient has past medical history of hypertension and hypothyroidism.
00:22
She's alert and just suffering.
00:25
She is on a couple medications that I will give to you in a couple minutes, or when I get there.
00:33
Patient GCS when I get.
00:34
Out there is 15 .
00:35
Her vitals are: she's running a sinus rhythm at a rate of sixty-eight.
00:40
She's ninety-eight percent on room air.
00:42
Blood pressure is 100 and sixty-six over ninety-five.
00:48
Okay, the towed assessment.
00:50
She has a goose egg on over the right side of her eye.
00:54
It's raised about a half inch raised, 3 " across, half inch down.
01:02
She got swelling to the nose and mouth.
01:07
People's are reactive.
01:10
She has pain on the right side.
01:15
She has no JVD.
01:18
She has no other pain, no other way of her body, and she got good pulse, motor, and sensory.
01:27
On the side of IV,
01:29
twelve liters is good, and blood sugar is 100 and fifty-eight.
01:33
And we should see you about ten to 15 min .
01:35
How you copy?
01:38
Any blood thinners? And she's a GCS of 14 with confusion, correct?
01:44
She's normally dangerous.
01:46
She is confused.
01:47
She is a phasic at this time, and no blood thinners.
01:51
She's a phasic.
01:52
Does she have stroke symptoms?
01:56
Disregard the face.
01:57
No stroke systems.
02:00
She just had pain to the right side of her face.
02:03
Sorry about that.
02:05
Okay, only injury is the swelling above her eye, correct?
02:11
So far, yes.
02:12
Swelling above her eye, nose, and right side of lip.
02:16
Nose is stiff.
02:19
And the heart rate and ETA?
02:23
She's running normal signs from a rate of sixty-eight.
02:26
She's ninety-seven percent of room air.
02:29
Blood pressure is 100 and eighty-six over 108 .
02:32
Great.
02:35
Air back track.
02:37
ETA 15 to 20 min .