00:00
Medical 1131 calling KU with patient information.
00:03
This is K, can you read me? Fine, go ahead.
00:07
K, this is J on 1131.
00:09
We're about 10-12 out with a alert 90-year-old female from a senior living facility.
00:13
She complained today she's having right shoulder pain secondary to a fall.
00:16
Patient, that unwitnessed fall, staff came in, found her on the floor, said that it could have been more longer than 30 or 40 minutes she's been on the floor.
00:24
Patient says she just kind of lost her balance and fell.
00:26
Patient does have a little bit of difficulty, seems like forming her words.
00:32
They do report that she had a recent UTI in the last couple weeks.
00:37
Has been taking antibiotics, but they said yesterday she started having some hallucinations right now.
00:43
She does say that she's been having some difficulty urinating as well.
00:48
Cincinnati was negative.
00:50
She's able to move all her extremities equally.
00:54
Got a blood pressure 160 over 90, heart rate 75,
00:57
SpO2 is 96, 12 lead was unremarkable, no ST changes.
01:00
Got a blood sugar of 89.
01:03
GCS right now is 15.
01:06
Do you have any other questions or orders?
01:09
Negative to blood thinners or aspirin.
01:14
Negative. It does sound like last month maybe she had a fall and hit her head.
01:18
She's got an old bandage on her left side of her head.
01:24
But denies hitting her head today, just says she's laying on her right shoulder.
01:29
No further questions.
01:30
We'll see you upon arrival.