Man with COPD and low blood sugar transported from home
Heard on:
San Diego County CA ALS TRI (Hospital)
02:34
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
We called out to private resident, minor patient, lying on his side in a recovery position.
00:06
Only responsive to painful stimuli upon arrival.
00:11
Sounds like patient's last known well time was at 9 p.m.
00:14
last night by.
00:16
. . noticed him not responding for normal.
00:23
He's normally alert and oriented times three.
00:25
For baseline, and also noticed increased work of breathing.
00:34
As far as his presentation to us, he did have some agonal breathing with some bronchial.
00:41
Sounds like this has been a normal presentation from him over the last week.
00:45
But a little bit increased work of breathing.
00:49
He is on home oxygen for baseline.
00:51
History of COPD and.
00:53
H S N A M I.
00:59
But as far as vitals for you, got a heart rate of 104, normal sinus with no ST elevation, but positive for many PVTs.
01:13
Got a blood pressure of 112 over 68.
01:16
He's breathing on his own, about 30 times, shallow and effective.
01:22
Again, wrong guy bilaterally, sitting at 88% room air.
01:30
Reading of low.
01:33
We are establishing IV access, looking to give a round of D10, 250 milligrams of D10,
01:42
bring that blood sugar up.
01:44
But as far as the oxygenation, we have.
01:48
Fifteen liters,
01:50
bringing his O two set up to ninety-two.
01:53
We're going to continue to re-assess, re-evaluate.
01:58
The game will be to your facility in about 5 min .
02:00
Anything else I can get for you?
02:06
How close are we to getting that IV?
02:12
Okay,
02:15
just it's a priority to get the D ten going.
02:21
So let me know when you've got that on board, and I'll anticipate seeing you here shortly.
02:26
Please contact back if anything should deteriorate.
02:30
Two 17 copies, we'll see you shortly.
02:34
Thank you.
Medical Emergency
