72-year-old man with breathing difficulty en route to hospital
Heard on:
Berkeley County WV Regional WVU Med B (Hospital)
05:04
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
Something County North Fork Rescue Rescue Fifty One to WV Medcom B Bravo.
00:06
Your search number, destination, and ETA please.
00:11
(number withheld) currently en route to Grant Memorial Hospital with about a 15 to 20 min ETA.
00:21
Go ahead with your report.
00:23
All right, I currently have a seventy-two year old male patient.
00:28
He was seen at the dr.
00:29
, I think, on Friday at his cancer dr.
00:32
in Winchester.
00:34
They did give him a steroid of methoprednisolone, is what they gave him.
00:41
Now our patient's starting with difficulty breathing.
00:45
I currently have him on 15 liters O two via non-rebreather, and he is anywhere sat in.
00:52
From 74 to 90 , it's fluctuating.
00:58
He is also on ValSartan, Carvedilol,
01:05
Clopidogrel, Famotidine, Levocetirizine.
01:10
He does have some other medications, and I am not even going to try to pronounce them for you.
01:15
But either way, his blood pressure is 130 over 83 .
01:18
His heart rate is 81 .
01:20
One. As I say, he does have cancer, um, thyroid disease.
01:30
Um, what's your suggestions on helping us get his uh, O two stats up right now?
01:38
They didn't really say anything about him having any fluid retention or anything.
01:42
I am hearing a little bit of raspy in his um, upper, right lobe.
01:49
Of his lung, I'm not hearing anything in any of the other ones, but definitely in the upper right.
01:57
So when you say not hearing anything, is it severely diminished or absent?
02:03
I'm going to say diminished.
02:08
Okay, and have you heard any wheezing or anything at any point?
02:13
Not really wheezing, it's just more like a really raspy.
02:17
Be found in in the upper right.
02:21
Okay, I would, if you haven't already, attempt a nebulizer treatment.
02:27
If he's really working hard to breathe, as in you see, you know, in the costal retractions, he's using a lot of accessory muscles.
02:34
I would consider CPAP if his stats are that low.
02:38
He said he has cancer.
02:40
Is that lung cancer or where?
02:44
We're thinking it's prostate, but.
02:45
Not 100 % positive.
02:47
He's not sure either.
02:51
Okay, in that case, then yeah, I can hear maybe see pop if he is really heavily exerting with accessory muscles and everything.
02:59
They're just kind of giving him some positive pressure and do an inline nebulizer if you have not tried that already.
03:06
Ten four, he might really use an accessory muscle.
03:08
Doesn't really look like you know he's really working hard to breathe.
03:11
I just can't get either of those two tasks to come up.
03:14
I mean. And he's talking to us normal and all that.
03:17
And I just wasn't sure about the with him being on steroids, if I could get him nebulized.
03:21
That's why I wanted to ask.
03:25
Yeah, if he's not using the accessory muscles, just go with the nebulizer then.
03:30
Typically, that's part of the standard ALS care is to do stoways after the neb anyways.
03:34
So that part's technically done.
03:37
If you just want to start with a neb,
03:39
do the five of W to all and half a milligram of Atrovent.
03:43
Denver, I just wanted to check and make sure.
03:45
Thank you. Do you need anything else for my report?
03:51
Affirmative.
03:52
Skin condition, do you see any jaundice or edema?
03:56
Negative on either.
04:00
Is his skin appear pink, warm, and dry?
04:04
Denver, it is.
04:07
Do you have any true respiratory history that was reported to you?
04:13
All right, you may have to repeat that.
04:14
We're going through a little bit of a dead spot.
04:17
If you can repeat.
04:20
Do you have any true respiratory history such as COPD or asthma?
04:26
Pendleton County to WV Medcom, I may be able to hear you now.
04:31
Does your patient have any history of COPD or asthma?
04:37
He said he did not think so.
04:41
Okay.
04:44
Proceed with your nebulizer treatment.
04:46
And as it appears, I don't need anything more for your report.
04:51
Go ahead and treat and just call in real quick whenever you guys clear up.
04:57
10-4, and I can give Grant a call.
05:02
Much appreciated.
05:03
Medcom clear 20-11.
Medical Emergency
