Hospice patient unresponsive with do not resuscitate order, Guilford County NC


EMS discusses a hospice patient at a residence in Guilford County who has a do not resuscitate order. The crew reports no pulse, no breath sounds, and no detectable heartbeat. Family says this was expected. Responders talk about whether to pronounce death on scene or transport the patient to hospice in Burlington and request additional staff to confirm heart sounds.
Audio|Source: Guilford County EMS Dispatch
02:5
Transcript:
(number withheld). If you can assist, (number withheld). (number withheld), near East Harrow Road. He is (number withheld). How long for you to meet? Less than five minutes. (name withheld). Can we have a supervisor on conference? (name withheld) here. We're at this call in the house of the patient. This patient does have a do not resuscitate order and we plan to take her to hospice in Burlington. The patient currently has absent pulses and absent lung sounds. We checked pupils; they are not constricted. We do not feel a heartbeat. Family says this was expected, but it may be Code (number withheld). Do we need another medic on scene or still transport to hospice? Are they still in bed at the residence? Use your stethoscope to listen for heart sounds. If there are no heart sounds, you can call code (number withheld). Ten-four, we're listening to heart sounds again.
(number withheld). If you can assist, (number withheld). (number withheld), near East Harrow Road. He is (number withheld). How long for you to meet? Less than five minutes. (name withheld). Can we have a supervisor on conference? (name withheld) here. We're at this call in the house of the patient. This patient does have a do not resuscitate order and we plan to take her to hospice in Burlington. The patient currently has absent pulses and absent lung sounds. We checked pupils; they are not constricted. We do not feel a heartbeat. Family says this was expected, but it may be Code (number withheld). Do we need another medic on scene or still transport to hospice? Are they still in bed at the residence? Use your stethoscope to listen for heart sounds. If there are no heart sounds, you can call code (number withheld). Ten-four, we're listening to heart sounds again.
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Location mentioned:
Guilford County, NC
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