93-year-old woman sedated after agitation and self-harm threats
Heard on:
Mineral County Public Safety and Amateur Repeaters
04:34
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
(number withheld) Hummingbird Street for an altered LOC ALS type call.
00:05
Lieutenant 51 requested by ambulance 518 on scene.
00:09
(number withheld) Hummingbird Street for an altered LOC ALS type call.
00:14
Lieutenant 51 requested by ambulance 518 on scene at 2212 .
00:22
Lieutenant 51 , we are out.
00:23
Twenty 02:13 , switch over to EMS two.
00:26
Five minutes requesting.
00:32
1051.
00:38
What's that? 51, go ahead.
00:41
All right, just need a little history.
00:43
We have a 93-year-old female, severe agitation.
00:48
She is starting to fight us.
00:51
We're going to administer ketamine.
00:53
Whenever you arrive on scene and we get orders to sedate the patient and transport her to the hospital.
01:01
We got it. Do you want to strike?
01:11
(number withheld) Bedford Street for a trauma patient.
01:13
Company One ambulance, your 2nd ambulance call.
01:16
(number withheld) Bedford Street for a trauma patient.
01:18
Company One ambulance, your 2nd ambulance call.
01:20
2215.
01:25
342 en route to the hospital.
01:28
342 en route to the hospital.
01:30
2216.
01:35
And
01:37
CP is holding cell, complaining of a wrist injury after he was arrested.
01:43
Yeah, okay.
01:50
Hello, unit 1218, that's channel 18, you can see.
01:55
518, 711.
02:02
Correction, 10-8 with a warning.
02:04
Start the HP just right.
02:09
Yes.
02:15
Currently on scene with a 93, 93 year old female.
02:19
Initially called to the residence for a mental status change.
02:23
Female is presenting extremely agitated.
02:27
Also making threats to harm herself.
02:30
If we attempt to take her to the hospital.
02:32
Her daughter does have medical power of attorney with provided documentation.
02:36
She is insisting that the mother.
02:38
Be transported to the hospital via 911 .
02:41
Whenever we try to extricate the patient, she becomes extremely violent towards the EMS.
02:47
So currently, I am requesting orders to administer ketamine for sedation to extricate the patient.
03:00
That's right.
03:01
She's about 80 kilograms.
03:05
With our calculations, it's going to be approximately 320 milligrams of ketamine.
03:10
Some vitals whenever you are ready.
03:12
If you want those as well.
03:15
Very good. Have the vitals.
03:19
Sorry, last taken blood pressure was 96 over 62.
03:23
This is a lot of us.
03:24
We're going to try to get a line.
03:25
We're going to start fluids to raise that.
03:27
I'm going to slow it if you're okay with it.
03:28
We'll still go with the ketamine.
03:30
Heart rate is 65.
03:32
A2's got a 99% room air.
03:35
Respirations of 22 to 24 a minute.
03:42
It's going to be 4 mg per kilogram.
03:45
It's going to be a max initial dose of 320 mg .
03:49
That's going to be intravenous.
03:54
Yeah, I think that's reasonable.
03:55
I would just make sure the family members, the power of attorneys, you know, aware of possible side effects with the ketamine, and you know, while it is a fairly human dynamically stable medication given her current type of attention, it could potentially produce some human dynamic instability.
04:11
But you know, as long as she's aware of all that and understands risks and everything, I think that is definitely reasonable to proceed with.
04:18
Patch received.
04:19
After administration, we'll go ahead and throw an IV in and start fluids to raise that blood pressure.
04:25
If you have nothing further, we'll be clear of the patch.
04:27
I'll reconsult whenever we're en route to your facility.
04:32
Nothing further.
04:33
Patch received.
Medical Emergency
