00:00
Have on board a 65-year-old male patient.
00:03
We were called to the residence for an unconscious, unresponsive.
00:06
Arrived on scene to find the spouse rather distraught with the male patient sitting on the couch, unresponsive.
00:16
She advised he's been this way for 10 or 15 minutes and he was diaphoretic and pale.
00:24
Initial pulse check showed a very bradycardic rhythm.
00:30
A real quick survey showed it to be in the thirties,
00:33
but he did at that time respond to verbal stimuli.
00:38
Currently, he's awake, alert, and oriented times three.
00:43
Skin is cool, dry, and pale.
00:47
Pupils are reactive.
00:48
Lung sounds are clear.
00:50
Abdomen is soft and non-tender.
00:54
Patient comes to us today with a history of cardiac disease.
00:58
He does a demand pacemaker and internal defibrillator.
01:02
COPD, hypertension, and diabetes.
01:11
Last set of vitals that we're showing now is that his he's showing a in and out of a paced rhythm.
01:18
Currently, he's about about a rate of 100 , showing atrial fib.
01:24
And again, in and out of a paced rhythm.
01:28
He's also advised that over the past 12 h , his internal defibrillator has activated like four times.
01:38
O two sat showing about 9495 on room air.
01:42
Blood sugar was 161 .
01:46
Respirations around 18 , 16 to 18 .
01:51
last pressure was 1605 over 01:25 .
01:55
He just got his third nitro a few minutes ago and he said the pain is down from an eight nine to a four.
Medical Emergency
