Elderly woman with chest palpitations and fast heart rate
Heard on:
San Diego County CA ALS TRI (Hospital)
02:06
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
This is going to be RA 126, non-status medical.
00:03
Code number 28.6-104451.
00:09
I have an 80-year-old alert and oriented times four coming from home.
00:13
Chief complaint today is going to be chest palpitations and tachycardia.
00:18
We've arrived at the private residence.
00:20
Patient sitting upright, alert and tachycardic.
00:22
Patient states that she woke up this morning with a sudden onset of palpitations with her having a CHF, AFib, and other heart problems.
00:31
She took her beta blockers this morning.
00:34
Heart rate couldn't go down.
00:36
Activated 911.
00:39
On the brain, patient is being rated 18 full and effective with lung sounds clear in all fields.
00:44
Standing at 99% on room air with a GCS score of 15.
00:48
Current vitals for you, she has a heart rate of.
00:50
One hundred and 30 AFIB on the monitor.
00:54
Twelve lead is negative for any ST elevation or ectopy.
00:58
Patient has a current blood pressure of 100 and sixty-five over ninety-one.
01:04
Pulmonary history, like I said, just that recent CHF AFIB diagnosis.
01:09
Negative for any thinners.
01:11
And the more recent one that she had was a mitral valve prolapse situation.
01:16
She is cooperative with all her medications.
01:18
I'll bring a list upon arrival.
01:20
Allergies and sulfonamides.
01:23
Physical assessment shows skin signs of pink, warm, and dry.
01:26
Cap refill is immediate.
01:27
No physical abnormalities to the chest or abdominal area.
01:30
For treatment, I have 300 and twenty-five milligrams of aspirin on board, as well as one round of .4 nitro spray.
01:36
No relief of those palpitations.
01:39
Looking for potential IV access.
01:41
I got about a ten-minute ETA to your facility.
01:43
How do you copy, Tri-City?
01:46
I copy. Is the heart rate? Is it kind of peaking about 130 , or is it going higher than that?
01:55
The highest I've seen was around is 100 and forty-four.
01:59
(name withheld) is going to be around 118 .
02:04
Copy guys, we'll see you in about 10 min .
Medical Emergency
