Woman with psychotic episodes off medication at Kaiser
Heard on:
Montgomery MD MCFR 7H2 CNSLT 1 (Hospital) Group Calls
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
Shady Grove, this is EMS 705 with medic 708.
00:03
I'm going to need a physician for orders for chemical sedation.
00:08
Okay, go ahead with the report.
00:16
Shady Grove, this is EMS 705 with medic 708.
00:19
We're currently on scene of Kaiser (number withheld) Watkins Mill Road.
00:24
We have a (number withheld) female.
00:25
Six-year-old female, who presented here last night around twenty-three hundred hours, brought in by husband with complaints of confusion.
00:34
Patient is alert and oriented times two.
00:37
She is having psychotic episodes where she'll talk to us, she understands, seems like what's going on, but then she'll just stop communicating and start using hand signs.
00:49
Is unable to tell us day of the week, month.
00:55
Facility here did do a whole tox screen negative for any toxicology findings.
01:02
All electrolytes seem to be balanced.
01:07
They're saying it is reported to them that she has schizophrenia and bipolar and has not been taking her medication.
01:18
Facility here believes she has not at capacity to refuse treatment and transport.
01:24
They completed the paperwork.
01:27
We have police on scene with us.
01:29
We are currently working on trying to get her to go willingly with the police presence.
01:34
If that does not work, we are looking to do chemical sedation to get her onto our couch so we can transport her to your facility.
01:42
She's not actively violent.
01:45
Cause of aggressive we've seen since she's been here is she did throw her husband's phone out of it.
01:50
Appears anger and frustration,
01:53
not directed towards any provider or the husband himself.
01:57
But in order to get her onto the cot, I feel we might need to go chemical sedation route.
02:02
I don't think the patient really needs ketamine, but we do have Versed and droperidol available to us.
02:09
Looking for your recommendations.
02:12
I could go.
02:13
Suggesting you follow your protocol.
02:15
If you're already at Kaiser, I'm not sure why you're contacting us for medication.
02:22
Is there a physician on scene?
02:27
There is a dr.
02:28
here,
02:29
but with them being a freestanding medical facility, as soon as we are here, they hand over care to us and they're no longer under that physician's care.
02:44
We are going to go ahead and.
02:47
Go with Dr.
02:48
Parrott over. Said, "On protocols, we just wanted to reach out to see if you had any suggestions since we'll be transferring your facility.
02:54
If you had any preference prior to our arrival."
02:58
Dr. Gilbert is suggesting you follow your protocols for an uncooperative patient.
03:05
Okay, we're going to start with Dr.
03:07
Parrott and we'll go from there.
03:08
Okay, and what's your ETA?
03:11
We'll let you know over the hotel channel.
03:14
We're going to have to give the medication away for.
03:15
They can't be forced to transport.
03:17
So it's probably going to be at least 20 to 30 min until we get there.
03:22
Okay, so we both copy.
03:23
We'll um, await your arrival.
Medical Emergency
