Female with worsening COPD shortness of breath transported
Heard on:
San Diego County CA ALS TRI (Hospital)
02:07
00:00
Good morning, Tri City.
00:01
You have RA 123-123 with a moderate respiratory.
00:05
Looking to go down to your facility with about a 10-minute ETA.
00:08
Call number 2026-118669.
00:13
Again, that's 118669.
00:15
How do you copy me so far?
00:18
I copy 123.
00:20
Go ahead with your report.
00:23
Thanks.
00:26
Patient has a history of COPD.
00:28
States that she's normally chronically short of breath.
00:31
Is on home oxygen as needed.
00:33
Has been on two liters nasal cannula for the last three days.
00:37
States that this morning around 05:00 , states that the shortness of breath has exacerbated more than normal.
00:42
Took several plus of her inhaler and nebulized breathing treatments with no relief.
00:48
Upon our arrival, patient was breathing pretty rapidly and shallow at about 30 a minute, stating that she cannot catch her breath.
00:55
Denied any chest pain, nausea, vomiting, nausea,
00:58
and swelling to both lower feet.
01:02
I don't say that that's also been going on for the last three days.
01:04
Again, not any.
01:09
We'll have the rest of the medications upon arrival.
01:12
As far as the brain, currently breathing about 30 times.
01:16
Lung sounds were clear with a shallow breathing rate.
01:21
She is A and O times four, supine and moves all four extremities purposefully.
01:27
As far as her oxygen sat, it was at 94% initially
01:31
with the two liters nasal cannula.
01:33
It's currently showing 73.
01:35
We do have her on CPAP.
01:38
But we do have a poor weight form as well.
01:40
Cap note of 37.
01:45
Heart rate is currently showing an 8th beat, bouncing around between about 98 to about 130.
01:50
Blood pressure of 161 over 91.
01:52
We have a 20 IV established in the right AC and I'm looking to go down to your facility with about a.
01:59
Copy.
02:03
123, listen.
02:05
Clear and 1211.