00:01
Northwest, Baltimore County Paramedic 118 en route to your facility with approximately six-minute ETA.
00:07
Priority one, 81-year-old male, respiratory distress.
00:11
CHF, how do you copy?
00:16
Upon arrival, location found VLS providers
00:20
evaluating and treating an eighty-one-year-old male, conscious, alert, oriented, GCS of 15 , in respiratory distress.
00:30
Patient states that he was seen at your facility three weeks ago with a same diagnosis with pneumonia.
00:37
This episode started about 1 h prior to EMS arrival.
00:42
Headed to have diminished lung sounds bilaterally in all fields with a pulse ox of seventy-two percent from room air.
00:51
BP at this time 100 and ninety-six over 117 .
00:54
Pulse rate of 130 .
00:55
Regular respirations of thirty-four.
00:59
With a sat of 90 % on a, on CPAP at the time.
01:06
Initially he only came up to 82 % on a non-rebreather.
01:11
And tidal of 22 at this time.
01:16
Sine attack on monitor, rate of 130 to 140 , no ST changes in his twelve leads.
01:22
We do have an 18 engagement like established, one sublingual nitro.
01:26
Zero .4 mg prior to CPAP and an inch of nitro paste on his chest as a side.
01:34
We're going to monitor transport.
01:35
We'll see you in about 6 min .
01:36
Do you have any questions?
01:40
We consult that area.
01:41
Please direct bed to room (number withheld) upon arrival.
01:47
Direct to room (number withheld) .
Medical Emergency
