69-year-old woman with COPD exacerbation treated and transported
Heard on:
San Diego County CA ALS TRI (Hospital)
02:48
00:00
Coming to your guys' facility with a mild status medical for a 69-year-old female chief complaint is going to be shortness of breath.
00:06
ETA to you guys is about 8 min .
00:10
We're on scene to find our patient sitting on a toilet, alert and tracking.
00:14
Complaining. Shortness of breath sounds like she has been dealing with a little bit of a cold the last three days.
00:21
Had a, she's been having a productive yellow cough that whole time.
00:27
And she has a history of COPD as well, so it just felt like that getting exacerbated to the point where she activated 911 today.
00:35
Patient was breathing about 22 times, shallow but effective.
00:40
We had some wheezing bilaterally.
00:42
Initial. Sats were eighty-two.
00:45
Her baseline is about eighty-eight to 90 due to her COPD.
00:50
She's an O three.
00:51
Eyes are open. Pro three. In move all four extremities times three.
00:54
I am sorry, times four.
00:55
With no deficits.
00:58
Heart rate right now is 110 .
01:00
Sign a stack on the monitor.
01:01
We have a blood pressure of 100 and fifty-six over seventy-six.
01:04
One hundred and fifty-six
01:06
over seventy-six. We did some Tylenol 1000.2 .
01:10
As far as treatment goes.
01:11
We have her on a breathing treatment right now with albuterol inhalant.
01:17
She's starting to feel a bit better with that breathing treatment going right now.
01:22
As far as history, COPD and asthma.
01:26
Has an albuterol inhaler at home and an IV.
01:30
No other anticipated treatment.
01:32
She's going to monitor her and route to you guys with about a five-minute ETA.
01:36
People, my copy.
01:37
We'll see you guys around.
01:38
Can I see you, medic 01:10 ? And it's traffic.
01:43
Can I see you, medic 01:10 ? There is going to be a facility with approximately a 10 min ETA.
01:48
You need for a sixty-nine, sixty-nine year old female.
01:51
She complained today it's going to be shortness of breath.
01:53
Got a count number at 20 twenty-six.
01:54
That's 121291 .
01:56
That's 121291 .
01:58
Some back to previous.
01:59
Seems like the patient was just discharged from facility approximately a week ago and was diagnosed with anemia.
02:06
Was that how? With some antibiotics and albuterol treatment, sounds like approximately.
02:11
At 14:00 this afternoon, she had a gradual onset of shortness of breath and it got increasingly worse.
02:18
So she activated 911 for further treatment and evaluation.
02:23
O2s are currently stable at this time.
02:26
When I took a 12-lead, we had sinus tach on the monitor.
02:28
She does have Rhonchi in both lower lobes.
02:32
We're going to go ahead and give her bronchodilator treatment.
02:33
On the Rhonchi, has improved.
02:36
Baseline O2 saturation was 91%.
02:38
She's currently saturating 97% on.
02:40
Ten leaders, Nevada Ranger.
02:43
Consider a ten-minute ETV facility.
02:45
How do you copy?
02:46
Six 01:10 .
02:47
I copy. We'll see an arrival.