Woman faints after heavy menstrual bleeding and fall
Heard on:
San Diego County CA ALS TRI (Hospital)
02:25
00:00
This is ready 02:17 .
00:01
We're looking to transport to your facility.
00:02
We're going to have an approximate
00:04
10 min ETA.
00:05
Have a CAD number of 2026-1193 .
00:09
Two seven, that's 119 , 327 .
00:12
That'll be for a forty-eight, forty-eight year old female.
00:15
Chief complaint today is going to be syncopal episode.
00:17
Let me know when you are ready.
00:19
Copy that. Two 17 , forty-eight year old female.
00:23
Syncopal episode.
00:26
Go ahead with the report, please.
00:29
Thank you.
00:35
This is a ride-on senior private residence.
00:37
They found a patient laying down on an air mattress in the living room.
00:41
Sounds like patient was seen earlier today at Chris Infinitus.
00:45
Patient was on a menstrual cycle and stated that she had been bleeding through approximately 20 pads with extensive bleeding and blood clots.
00:52
So she was taken down to the hospital to be evaluated.
00:55
It sounded like she was discharged with no treatment.
00:58
When she came home, the bleeding had continued.
01:01
Patient states that she sat down on the toilet.
01:02
Where she had a syncopal episode causing her to fall, to her face on the floor.
01:06
She does just have a small abrasion to her nose with that.
01:11
Minimal downtime.
01:12
Patient's not on any blood thinning medication, not complaining of any head, neck, or back pain with that syncopal episode.
01:18
Patient says she's never had these kind of complications before with her menstrual cycle, with this extensive bleeding.
01:24
As far as vital signs go, initially bleeding approximately 16 times a minute for an effective, setting at 98%.
01:31
On room air, she's a no times three answering all questions appropriately.
01:36
I just pulled up three PMS intact.
01:37
She has a bank single command.
01:40
Initially had a heart rate about 80 , showing normal sinus on the four lead.
01:43
Blood pressure of 102 over 60 .
01:46
I am sorry, upon orthostatic vital signs, we did scan the patient up.
01:52
We did have a significant drop.
01:56
Heart rate was about sixty-two, showing normal sinus and our.
01:59
Blood pressure was 90 over 60 .
02:02
Patient has a history of heart disease as well as asthma.
02:06
We can have a full set of vitals and meds upon arrival.
02:09
First treatment goes to an 18 gauge established in the right AC.
02:13
We are working on a 500 cc fluid bolus just with positive orthostatic vital signs with the syncopal episode.
02:20
I'm going to continue to monitor patient and route to you guys.
02:23
I'm going to have an approximate 8 min ETA now.