Man with chest pain treated en route to hospital
Heard on:
San Diego CA ALSGRSMT (Hospital) Group Calls
02:09
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
Yeah, it's going to be for a (number withheld)-year-old male coming from a private residence.
00:03
Chief complaint today is going to be chest pain.
00:08
So it sounds like the patient had a sudden onset of chest pain approximately 30 minutes ago.
00:15
Patient does have a significant cardiac history, history of heart attack as well as angina, as well as a known cardiac condition of having an ejection fraction of approximately 10%.
00:29
Patient was recently on hospice for these conditions, but removed himself just in the last couple of days.
00:35
Sounds like the patient had this sudden onset.
00:38
It's radiating off to the left side and up into the neck.
00:41
We did a twelve lead.
00:42
We did confirm a left bundle branch on the twelve lead.
00:45
We're not seeing any significant ST elevation.
00:48
We're seeing some changes in ST depression as well as PVCs on the twelve lead, but it's not coming out STEMI.
00:55
We went ahead and transferred that to you already.
01:00
Current vital signs are all stable within normal limits with the exception of blood pressure.
01:05
Initial blood pressure we got was about 200 over 110 before treatment.
01:10
At this time, we have a 20 gauge ID established on the left forearm.
01:13
We've given 324 aspirin to all and we've given three rounds of nitroglycerin at .4 milligrams sublingual after the nitroglycerine in the pressure most recent has dropped down to 170 over 100.
01:27
We also have the patient on 15 liters of oxygen via non-rebreather mask just to help with that shortness of breath.
01:34
We did get clear lung sounds bilaterally as well in the patient.
01:37
Coming over to you, a Grossmont ETA from where we are now is approximately 4 min .
01:42
Can I get you anything else?
01:45
Yeah, I'm sorry, did you say you gave them aspirin as well?
01:50
That's affirmative. We gave them aspirin 324 before running the 12A that we transmitted over to you.
01:57
Okay, copy.
01:58
I don't have the twelve-eight.
01:59
It is not here, but I guess we'll see you when you get inside.
02:03
If you can try and send it in, otherwise we'll see you inside.
02:06
It's 407 .
Medical Emergency
