Man in cardiac arrest after chest pain and nitroglycerin use
Heard on:
Independence MO Centerpoint Med (Hospital)
02:18
00:00
Hey, I'm on a cardiac arrest.
00:03
What's that? Oh my god.
00:05
Patient woke up feeling chest pain, was profusely diaphoretic.
00:10
Family administered three, that is three 0.4 mg tablets of nitroglycerin.
00:15
We do have spontaneous movement.
00:17
We do have an airway in place.
00:18
We administered 300 or 450 total of 450 mg of amiodarone, along with 2 mg that is 2 mg of epinephrine to 10000 .
00:28
We administered eight that is eight defibrillation attempts or refractory V fib.
00:34
Pupils are non-reactive at four.
00:37
All sounds are clear with the supraglottic airway.
00:39
We're providing bag and BVM now.
00:41
Unsure on blood thinners.
00:42
We're getting him loaded up now for transport.
00:44
I'll be with you in about 15 minutes once I start.
00:46
Any questions or orders?
00:48
Good copy. No questions or orders.
00:51
Call us updated need be.
00:54
The need do be.
00:55
I'll see you soon.
00:56
Center Point from AMR case report.
00:59
Hey, this is Center Point.
01:03
Good morning, Center Point.
01:04
This is AMR Two Ten.
01:05
We're at your facility with a fifty-six-year-old female.
01:08
She's coming from home.
01:09
Complaint today is going to be abdominal pain, vomiting.
01:13
Patient has been doing this off and on for a week or so.
01:16
Possible medication reaction.
01:18
Unsure about that.
01:20
Following vital signs for you.
01:21
Last blood pressure was 130 over eighty-two.
01:24
Twelve lead was normal sinus rhythm at a rate of eighty-four.
01:28
Respirations are 16 .
01:29
Clear on labor. She's ninety-nine percent.
01:31
On room air, GCS is 15 .
01:33
Glucose 100 and thirty-six.
01:35
I've given her some Zofran, but we're just right down the road from here.
01:38
So we'll see you in about five.
01:41
Sounds good.
01:43
Hey, more center point patient update.
01:45
I'm sorry, I didn't copy that.
01:47
Traffic, repeat.
01:49
Was this the cardiac arrest?
01:53
Affirmative.
01:54
Still coming in with that 76 male.
01:56
Still in cardiac arrest.
01:57
We're now in a facility.
01:59
No other shocks administered.
02:00
Total of 10, 1-0 shocks delivered at this time.
02:04
We have three doses of Epi on board.
02:08
No longer having that spontaneous movement in the legs.
02:13
If you have no questions, orders, I'll see you guys in about 5 min .
02:17
No questions, we'll see you then.