29-year-old man treated for chest pain and tachycardia
Heard on:
San Diego CA ALS MRCY (Hospital) Group Calls
02:11
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an official report and may change.
00:00
Mercy Medic 416, getting online.
00:04
Mercy 933, can you repeat your unit number?
00:08
Hi Mercy, it's Medic 416 AMR.
00:12
Looking to go to Sharp Grossmont with about an approximate five-minute ETA for a 29-year-old male chief complaint of chest pain.
00:19
I'll give you my number in a 2nd .
00:21
I copy. Go ahead.
00:27
Give me a run number for you.
00:29
It's going to be 296-75336.
00:31
Again, that's 296-75336 for 29-year-old male, chief complaint of chest pain.
00:35
So story goes, right on scene to an apartment complex, find a 29-year-old male lying supine on his bed.
00:40
Patient reports he's been having like a mild onset, gradually into a severe onset of chest pain, probably going on about an hour now.
00:49
Pain is in the middle of his chest.
00:51
It was originally radiating into his left arm, but now it's radiating to his back.
00:55
Initially rated at a ten out of ten, the pain scale has gone down to about an eight out of ten as of right now with treatment.
01:02
On our rim, he's breathing for one affected about 20 times a minute, setting on 100 % on room air.
01:06
Lung sounds are clear in all fields.
01:07
Times four, sorry, A on times four, moves all extremities times four.
01:10
PMS is intact.
01:12
Lasted at all signs.
01:14
Heart rate is going to be 106 .
01:16
Sinus tach, they do a twelve.
01:18
We're not seeing any ST changes or activity noted.
01:21
Initial blood pressure was 100 and forty-four over sixty-one, 4460 .
01:24
However, dropped down to about systolic of 90 , and now is maintaining at 107 .
01:30
Over seventy-two.
01:33
As far as treatments, we administered 0.4 mg of nitro sublingually, and then also aspirin 300 and twenty-four.
01:41
And then just because his blood pressure dropped, I did I have administered a flu bullet through an I 20 gauge IV in his left AC.
01:52
On a trip as well, starting a titanium trip as well.
01:56
About 1 g going right now.
01:58
Our ETA to Grossmont as of right now is updated about 3 min .
02:01
Can you also get a55 for you guys?
02:04
No, that sounds great.
02:05
I'll let Mont know you're en route.
02:06
We can clear at 9:35, drive safe.
02:10
Copy, thank you, Mercy.