00:00
Alpha Six, 20 minutes out to Mon Health ER.
00:02
Patient report whenever you're ready.
00:09
80-year-old female patient.
00:10
She's alert and oriented.
00:12
She came in yesterday to Mon with left arm numbness.
00:16
PPC is indicating a left brachial artery occlusion.
00:19
She lost her pulse in that extremity around.
00:21
Midnight last night.
00:25
This morning she lost her altered pulse at oh 600 .
00:29
She also had a right upper extremity injury, IV infiltrated during the CP, and she has a lot of redness from where the IV contrast infiltrated into her arm.
00:40
Otherwise, physical exams unremarkable.
00:44
She's showing a sinus mechanism on the monitor, rate of 86 , blood pressure 142 over nine.
00:51
Respirs 20 , she's satting 98 % on four liters that she wears at home.GCS of 15 .
01:01
She receives 100 mg of levothyroxine.
01:03
She's also on a heparin drip at this time.
01:05
We administered 50 mg of fentanyl for pain with improvement.
01:11
She has a significant allergy list including codeine, penicillin, doxycycline.
01:19
Past medical history:
01:24
hypertension, and we have a list of medications.
01:28
Trouble moving to the right femoral.
01:31
If you have no other questions, that concludes my report.
01:35
Do we have a current blood pressure?
01:40
We have one from last night.
01:41
It was up to the 100 .
01:44
No, that's received.
01:46
I'll send you a number in the text.
Medical Emergency
