Hospice patient found with slurred speech and fall
Heard on:
San Diego County CA ALS TRI (Hospital)
02:42
00:00
Tri City Engine 125, we're open for possible stroke.
00:04
Yes, Engine 125, we are open for possible stroke.
00:07
Would you like to give me a report now?
00:11
Copy, Engine 125, I'm ready there.
00:13
Give you a report when you're ready.
00:17
Engine 125, I'm having a very hard time hearing you.
00:20
The transmission is not clear.
00:26
I copy that, copy.
00:29
I'll contact.
00:31
Are outside the building.
00:35
Copy that. I will stand by for that.
00:43
Tri City Engine 125 ready to give full report.
00:46
If you can copy clearly.
00:50
I copy clear. Go ahead, Engine 125.
00:56
As far as facility staff, they said no.
01:00
I did ask the patient, and he said that he noticed his slurred speech at 1400 hours this afternoon.
01:08
Engine 125, you said it's going to be BLS 126, but we'll have a paramedic on board, so that makes it RA 126, correct? And what is your ETA?
01:21
Sounds like patient is on hospice.
01:24
Does have a caregiver as well.
01:27
Caregiver came in to check on him this evening, discovered him on the floor complaining of some neck pain, and then activated us out.
01:35
Upon talking to the patient, sounds like he also has a history of bone cancer, which has metastasized.
01:41
That's for his reason being on hospice.
01:43
States that he hasn't really been eating well for the last two weeks, has been weak and dizzy, and then had that syncopal episode leading to a ground.
01:50
Level fall.
01:53
Sounds like he has chronic neck pain as well.
01:55
Doesn't sound like any new injury from the fall.
01:57
Upon helping him off the ground and onto the couch, he was adamant about refusing any care.
02:02
We were able to get a hold of his power of attorney, which is his daughter via cell phone, who states that she also does not want the patient to be transported and would rather have him stay here at
02:12
home.Patient also states that he wants to stay.
02:17
Nothing on the secondary.
02:19
Negative for any new head, neck, or back pain.
02:22
Not seeing any outward signs of trauma.
02:24
Only history is that bone cancer, chronic neck pain.
02:27
Negative for any allergies, negative for any medications or any blood thinners.
02:32
On the breath, he's currently breathing about 18 times per minute, one effective, one times clear bilateral, satting at 99% room air.
02:38
He is A and O times four, pupils are equal, moved all four extremities purposefully.