72-year-old woman with severe chest pain transported
Heard on:
San Diego County CA ALS TRI (Hospital)
02:37
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an official report and may change.
00:00
Following, and she rated about a ten out of ten.
00:03
We've given one round of nitroglycerin, .4 mg
00:08
sublingual, and aspirin.
00:11
Rescue ambulance 214 .
00:15
We are clear to copy at 1163 .
00:18
That's the premises of Tri-City.
00:19
This is rescue ambulance 214 .
00:20
I got a count number of (number withheld) , four one.
00:24
That's 122541 .
00:26
Seventy two year old female.
00:27
Female chief complaint is going to be chest pain.
00:32
Arrived today to a skilled nursing facility to find our seventy-two year old female, alert and conscious in her hospital bed here.
00:41
Patient states approximately an hour ago she had a gradual onset of pressure like chest discomfort in the center of her chest.
00:49
This is non-radiating pain.
00:51
It was unprovoked.
00:52
It is coupled with shortness of breath and some nausea.
00:54
Patient had two.
00:55
So to nausea, following.
00:59
And she rated out of ten out of ten.
01:01
We've given one round of nitroglycerin, .4 mg sublingual, and aspirin 324 mg .
01:09
We're looking for IV access.
01:12
We're going to give her some zofran via IV for her nausea.
01:16
We're coming your way with approximate 10 min ETA.
01:20
And for vitals, they got a 72 normal sinus rhythm.
01:24
Sorry, atrial paced rhythm.
01:27
AV paced rhythm, seventy-two.
01:30
Blood pressure initial was 100 and fifty-two over 104 .
01:33
Post the nitro, we're at 110 over seventy-six.
01:37
Ninety-six on room air.
01:38
She's a febrile, and she is oriented.
01:42
Coming your way again with a ten-minute ETA.
01:44
How do you copy?
01:45
I hear you.
01:46
It's paced rhythm, so probably difficult to ascertain.
01:49
There is any like PVCs, any.
01:52
Observable elevation or anything like that, or are we just going with chest pain just looks paced?
01:57
That's a negative.
01:58
The 12-lead reveals a wide complex.
02:00
It is an AV paced rhythm.
02:03
There is no ST changes.
02:04
There is no ectopy, but it is a wide complex.
02:10
And that's what's being expected.
02:11
She said it is AV paced.
02:14
To work out there, 214.
02:17
Any relief from the pain with the nitro? And did you give? I believe you said you gave zofran for the nausea.
02:24
Patient states her pain is still at a ten and has not been relieved by our nitroglycerin.
02:29
We are going to start an IV and then we will give her her zofran here via IV.
02:33
Standing good work, 02:14 .
02:35
We'll see you in the doors here shortly.
02:36
We're clear.
Medical Emergency
