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Case number is GS 267391.
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I have a 78-year-old male, pain level times four.
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Chief complaint is right elbow pain after a ground-level fall at 9:30 in the morning.
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He does have a deformity to his right elbow, appears to be broken.
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It is a closed fracture.
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He said he was able to crawl into the kitchen where he called for help.
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He states that he did not lose consciousness when he fell, but he did hit the back of his head.
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He states he is on blood thinners, but unsure which ones.
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Current vitals are 132 over 76, pulse 54 and regular.
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Respirations are 20.
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SpO2 is 92% on room air.
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Four leads shows a 1st degree AV block.
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We have a. A 20 gauge IV established in the left hand, and we have administered
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50 micrograms of fentanyl for pain management with relief.
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ETA to the VA is going to be about 10 min .