82-year-old woman with altered mental status and fever
Heard on:
San Diego County CA ALS TRI (Hospital)
02:59
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
Tri City, RA 100 and forty-five with an altered status medical.
00:02
I am around to you with a ten-minute ETA.
00:08
Tri City at 00:47.
00:11
Who was he in?
00:13
RA 145, rescue, 10-minute ETA, mount status medical.
00:18
Call number is going to be
00:20
(number withheld)-104-414.
00:25
For an 82-year-old female, chief complaint is going to be altered mental status.
00:30
Calls a patient for evidence by her husband, who reports she has a history of dementia.
00:34
Trouble with 10 h , so her baseline is it's usually around 15 , usually 15 during the day, and that kind of decreases slightly throughout the night.
00:44
However, tonight she woke him up by just having some garbled mumbling responses while they are both laying in bed.
00:53
I hear both.
00:54
This is on all four.
00:55
So he got up and tried to have a conversation there, which he was unable to.
00:59
Again, his verbal responses.
01:02
She is awake and tracking, just not responding verbally.
01:08
He reports this starting about 2 h before.
01:11
He called, but lost them.
01:12
Well, 1 h before that, when she went to bed around 9:30.
01:18
She does have a fever of 101.2.
01:22
She has a otherwise stable vital signs.
01:27
Her stats were low 90s on room air, but up to 94% on nasal cannula.
01:31
She's paced at a rate of 70 right now.
01:34
Updated blood pressure on 71 over 68.
01:36
Breathing about 20 times with clear lungs.
01:42
Sugar of 122, right now of IV
01:46
20 gauge in her right wrist, going a 500 bolus as well as that oxygen.
01:51
Other than that, again, we have a 10-minute ETA.
01:53
How do you copy?
01:55
I copy.
01:58
What was the reason for coming here? Is the patient requesting triage here? Is it the closest facility? And then also, what's the ED path on her?
02:08
This is their requested facility.
02:11
She was here, I guess, about a month ago.
02:14
This is where she receives her home care.
02:16
And what was that 2nd question again?
02:19
It's an 85 on her.
02:22
Sorry, one more time.
02:23
What were you asking for?
02:25
E5, copy E4.
02:29
Copy, yeah, I apologize.
02:30
I'm unable to do an accurate stroke scale.
02:32
She's not following commands.
02:34
And again, isn't really, isn't responding appropriately.
02:40
You not seeing any unilateral weakness, facial droop, speech, or steps.
02:43
Did you guys say?
02:46
I know, unilateral weakness that I can note.
02:49
All I can see is doesn't have any facial droop.
02:52
Much so, all I can really do as far as stroke scale.
02:56
Guys, we'll see you in about 10 min .
Medical Emergency
