Female patient with worsening chest pain and nausea at dialysis center
Heard on:
San Diego County CA ALSGRSMT (Hospital)
02:12
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
Respond AMR 438.
00:03
438,
00:07
AMR 436. Hey, 438, have a medical, 3 min ETA.
00:11
88, run number is 309682.
00:18
I have a 30 year old female with chest pain.
00:22
Ready.
00:24
I'm ready. Go ahead.
00:26
Patient is coming from a dialysis center.
00:30
Sounds like she's been having chest pain that started yesterday at 10 in the morning.
00:36
It's been gradually getting worse.
00:40
She's been having some nausea and vomiting since then as well.
00:43
Had three episodes this morning.
00:45
Normal contents, no blood.
00:48
Sounds like she went to the hospital yesterday for the chest pain and the vomiting.
00:53
Was just given Dilaudid and was not really diagnosed with anything.
01:02
She's complaining of a little shortness of breath.
01:05
That started after the chest pain.
01:10
For vital signs, have a blood pressure of 100 and sixty-eight over 110 , heart rate right now of 102 , sinus tach.
01:22
Came by twelve, lead with no ST changes.
01:24
She's breathing about 20 times a minute, saturating ninety-eight percent on room air.
01:29
Clear lungs.
01:32
I went ahead and gave her aspirin 200 and twenty-four and 0.4 milligrams.
01:39
She says no changes in her blood with the nitro.
01:43
Unable to IV, probably going to hold off on any future nitro.
01:50
Can I get some?
01:54
Did they start dialysis?
01:56
That's a negative.
01:58
She had not started yet, and she is Monday, Wednesday, Friday.
02:02
Has not missed any other units.
02:07
Okay, we'll see you inside.
02:08
We can stay or forward for you.
02:11
Copy that. Thank you.