72-year-old male found unresponsive with suspected overdose
Heard on:
San Diego County CA ALS TRI (Hospital)
02:44
00:00
Tri City, RA 101.
00:02
101, this is Tri City at 1018 with a report.
00:06
Thanks, Tri City, RA 101 with the CAD of 2026-122904.
00:12
That's 122904.
00:15
This is for a 72-year-old male.
00:18
Chief complaint of altered level of consciousness, secondary to an.
00:22
. .
00:24
Suspected overdose.
00:26
Let me know when you're ready.
00:28
Okay, go ahead, guys.
00:31
Thanks for the update.
00:32
We're on scene to private residence today to find our patient lying in a supine position on his bed with some snoring respirations.
00:42
Wife found him this morning acting as such and activated 911.
00:48
Under assessment, patient is fully unresponsive, only responsive to some painful stimuli, but unable to speak or follow any basic commands.
01:01
Patient has no known or reported drug or alcohol usage except for recently started taking tramadol.
01:12
As far as vital signs go, patient is currently breathing at about 12 times per minute, being assisted with that non-rebreather at 10 liters per minute.
01:25
Room air sat of 89%.
01:28
Currently sitting at 98% on that non-rebreather.
01:34
So his rest of the vitals: heart rate 110 , showing signs of attack on the monitor.
01:38
Blood pressure 180 over 90 , as well as pupils restricted and unreactive at two.
01:49
And lastly, as far as treatment goes, we have administered a total of 6 mg of Narcan.
01:55
Patient is starting to have some purposeful movement, however, is still unresponsive.
02:00
Currently trying to establish IV access.
02:02
We do have an NPA in place once again with that non-breather.
02:06
We have about a four-minute ETA to your facility.
02:09
If there's anything else we can get for you.
02:12
Copy guys. I just want to confirm though.
02:15
I know it sounds that we might be heading towards overdose.
02:17
Does stroke scale look like negative on him even if we couldn't complete a full stroke scale? What we can tell, is it negative? And do we need a blood sugar on him?
02:27
Yeah, we're not seeing any stroke-like symptoms.
02:29
Obviously other than the unresponsiveness.
02:32
But no stroke history, no hypertension, no AFib or blood thinning medications.
02:39
I'm in Bledsoe at (number withheld).
02:43
Copy, we'll see you guys inside.