Elderly man refuses hospital transport after weakness near Grossmont Center Dr, La Mesa CA
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This is not an official report. The headline and summary are generated by automated AI systems from public-safety dispatch audio. Always verify with official sources.
Medical EmergencyAs discussed during the dispatch call, an elderly man near Grossmont Center Dr has experienced increasing weakness and shortness of breath over the past week. Despite medical advice to visit the hospital, he has refused transport twice in 24 hours. The patient, who has a history of prostate cancer and dementia, is currently at his baseline mental state and capable of making medical decisions. While waiting for transport, he became frustrated and left the residence before ambulance arrival. Family members are present to monitor him.
Audio|Heard on: San Diego CA Hospital Group Calls
Listen to dispatch call
05:59
Transcript:
00:00
Grossmont Squad Four.
00:03
Squad Four, it's Grossmont at 1722, go ahead.
00:08
Grossmont is a man run by a boat incident 202-05-074801, so 74801.
00:15
Let me get ready for report.
00:18
After that, I see an 83 year old female weakness.
00:21
Unfortunately, vital signs did not cross over.
00:23
Go ahead and report.
00:26
I can get those here for you, but actually is a three-male.
00:31
Call out to apartment residents' family on scene here.
00:35
Sounds like he has been experiencing some increasing weakness over the last week or so.
00:41
Does have a history of prostate cancer.
00:44
Sounds like he also has a history of dementia and normally baseline times two to name in place.
00:50
Unaware of the year though is what he is now.
00:54
So he is at. His baseline family is just a little concerned, just due to the fact that he's not able to get up and ambulate under his own power like he normally is.
01:05
And just with how he is on his feet, sounds like when he gets up, he is short of breath as well.
01:15
Patient is rehabbing.
01:17
There is nothing going on.
01:19
Feels like he is normal, does not want to go to the hospital.
01:22
Not complaining of anything, but obviously with the family here they know something is just different.
01:28
He did refuse a sugar for us rather than an antinacid.
01:32
Is negative on the stroke scale.
01:36
Just kind of a generalized weakness there for him.
01:38
Temp of ninety-seven .8 .
01:42
As far as the rest of the vitals,
01:44
at 100 and fifty-one over ninety-eight was the pressure.
01:48
Heart rate eighty-nine, sinus ringing about 18 .
01:52
Ninety-six percent on room air.
01:53
When we did stand him up to try and get him onto the bed, he did become a little short of breath.
01:58
Status dropped down to about eighty-eight shortly came up after that.
02:05
Lungs are slightly diminished throughout.
02:10
We have gone over some complications, refusing transport with him.
02:14
Have strongly advised him to go to the hospital.
02:17
This is the 2nd time that we have come out on him in the last 24 hours.
02:21
Basically, I've helped with a plan that if we do come out again, that we are going to be transporting him.
02:26
He's kind of agreed to that.
02:28
Other than that.
02:30
Is a capable of making his own medical decisions?
02:34
Answering your question appropriately, you know,
02:35
times time two.
02:38
Sorry, which is the baseline there.
02:40
Other than that, he's going to sign out and plus we do have family here with him that's going to watch over him tonight.
02:46
And then they can call 911 again if anything changes.
02:51
Anything else I can get for you at this time?
02:54
So we do have a wee bit of a problem.
02:56
If the patient is A note times two, that is not okay to AME a patient.
03:02
So and if he has dementia, you're saying that he does make his own medical decisions or is there a PPOA on the house?
03:11
So that ano times two is his baseline.
03:14
So the patient is not altered.
03:16
He is at his baseline.
03:18
Family does not have power of attorney.
03:20
They are working on that paperwork as we speak.
03:24
But due to the patient being at his baseline,
03:26
he is capable of making his own medical decisions.
03:28
So we've kind of come to the agreement that if we come out again, that we are going to be transporting him.
03:34
And that's kind of best we can do.
03:35
He is very, very adamant about not going.
03:40
Let me know how you feel about this.
03:43
I'm just trying to cover my license and yours because we need to keep our jobs.
03:47
The patient is only times two that's not oriented.
03:49
That's not appropriate.
03:51
We can't AMA someone who's not oriented.
03:53
I understand that times two is his baseline, but then he needs to be having someone make his decisions for him.
03:59
But it sounds like the family has not put a DPOA in place, and he's times two only.
04:05
Am I hearing that all correctly?
04:08
Yeah, so patient is times two.
04:11
But since that is his baseline, he has not altered and is capable of making his own medical decisions.
04:16
Understand it's times three.
04:18
I'm not fully oriented, but if he is at his baseline,
04:21
as far as my understanding is here, we're kind of stuck in that weird kind of gray area.
04:28
We can again here try and convince him, but it is going to be quite a battle for something that.
04:37
You know,
04:39
kind of don't want it to go down that route.
04:42
I totally understand what you're saying here about the license and everything,
04:46
but we're just trying to do what we can here to not cause a huge issue in battling this patient to get him to the hospital here.
04:56
But yeah, let me know how you feel like it.
04:58
We can try and convince them here to go, but might be quite a battle here.
05:04
I agree with you 100 % .
05:05
I don't want you battling at all.
05:07
You don't want to. I don't want to, but I also know that he's not oriented.
05:10
So let me talk to the dr.
05:12
and I'll be right back because they might have to get the police involved.
05:15
We'll see.
05:18
Yeah, we'll stand by and kind of go with that if we get the dr.
05:23
involved here. That'd be great.
05:26
Responding, Engine 3, Grossmont.
05:27
What was the update?
05:31
Engine three, real quick.
05:32
While I'm trying to get a hold of that here with truck eight.
05:36
Hey Chris, why don't we have that BLS downgrade with BLS four? While waiting for the BLS ambulance, the patient became frustrated with the amount of time he was waiting so he kicked us out of his house.
05:45
We're going with a patient elope on this.
05:50
Just wanted to call you, get that information over to Kaiser Zion documented for Kaiser Zion.
05:57
Just one of those nights.
05:58
Okay, patient alone.
05:59
Thanks so much.
Disclaimer:
This transcript is automatically generated by AI from live dispatch audio. Dispatch communications may include background noise, overlapping speakers, or rapidly evolving situations, and automated transcription may not capture all details or context.
Location mentioned:
Grossmont Center Dr, La Mesa, CA 91942
This shows a Google Street View of the area near the location, which might not be the exact address.
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Note:
Auto-generated from live dispatch audio, which may contain errors. Dispatch calls are not confirmed incidents. Always verify with official sources.
