75-year-old woman declined transport after chest pain
Heard on:
San Diego County CA ALS SHRP (Hospital)
02:11
00:00
Sharp, this is Squad 61 with an AMI.
00:03
Squad 61, just stay by one, please.
00:07
Obviously.
00:09
Thank you for standing by, Squad 61.
00:10
Go ahead and continue with that AMI.
00:14
Fine, thank you, Sharp.
00:15
I'll get a run number for this call in just a moment.
00:16
It's going to be for a 75-year-old female, chief complaint of pain that runs.
00:21
. . It's for 26028331.
00:27
I copy. Go ahead and continue.
00:29
Is your HP two of us?
00:32
Very good, sir.
00:34
Yes, we were coming out to a clinic for a 75-year-old female.
00:37
She complained of chest pain, so she came in to the clinic.
00:42
I mean, she mentioned to the staff she had chest pain.
00:44
That's why they called 911.
00:48
Patient's chest pain called on this night.
00:51
She's coming for her appointment.
00:53
She noticed that she kind of had a little short.
00:56
This is junior south, but I lost the signal right now.
00:59
Upon arrival, found received a full effective
01:02
15 times minute, 1397 at Cleveland South and All Fields.
01:06
She's an oriented times four, mental status completely times four, open sustained people's pro for G 15 .
01:12
Full standard native power trauma, no reported fall.
01:15
This person elevated life stress.
01:17
Heart rate 75 , sinus rhythm, probably no elevation or ectopy seen.
01:22
Blood pressure 1608 over 97 .
01:24
She has a history of high blood pressure.
01:25
Say she took all that was normal yesterday and today.
01:28
Other disruptions were seen there.
01:30
Normal that is routine.
01:32
This time she's looking to AMA.
01:34
Not headed to all AMA criteria.
01:35
She's undergoing for some mobility issues.
01:40
Under suspected ready to take.
01:41
Right.
01:42
Bye for you.
01:45
Confidence, she does make a priority check list.
01:47
She's over ten.
01:49
Confident to refuse care is aware of all risks and consequences of refusal as they have discussed with the patient.
01:55
She does.
01:57
And one for the changes that is after my recommendation to transport, but that is her problem to choose to make.
02:05
Thank you.
02:08
Yes, sounds good, (name withheld).
02:09
We got your signature.
02:10
Thank you. The rest of your day.