Man with nausea and vomiting transported to hospital
Heard on:
Baltimore County MD Regional EMRC 228 (Hospital)
01:39
00:00
Northwest and Dr. Rossin, this is currently MS Five on scene with ambulance 19 .
00:03
I am consulting for a downgraded care so they can continue transporting BLS to your facility.
00:07
Currently, I am on scene with a sixty-three that is sixty-three year old male.
00:10
His transport orientation times four.
00:11
Priority two patient at this time with a chief complaint of mainly nausea and vomiting.
00:14
He's been sick with flu and COVID symptoms for the past week.
00:18
Patient does have a history of CHF and has been compliant with his therapy.
00:22
However, he says that he's been constantly throwing up after taking it, so he hasn't been able to maintain it and keep it down.
00:27
Patient does.
00:28
Has reported esophageal dysphagia.
00:29
He is currently setting at 99 % on room air.
00:31
There is no pedal edema or any kind of abdominal tension.
00:35
However, he does have some crackles in his lower posterior bases.
00:39
Patient denies any chest pain or dyspnea at this time.
00:41
He's just mainly complaining of the nausea and the vomiting.
00:44
Best of his vital signs are going to be as follows: heart rate of 99 , 850 for his twelve lead, which he does have a history of, and he is antiagglutated for oxygen saturation on room air.
00:53
Like I said, it's 99 % .
00:56
Last blood pressure that's like old was 100 and eighty-four over 111 , but I am getting a manual one now.
01:02
And that doesn't appear to be accurate manually.
01:04
Respiratory rate at this time is going to be 18 .
01:07
We have a finger stick of 100 and twenty-two.
01:10
If Dr. Roskin concurs, I don't have any further interventions I would provide this patient at ALS level.
01:15
If he would be okay with them continuing BLS transport to your guys' facility, they would be at your facility in about five to 8 min .
01:20
Do you guys concur with that?
01:23
Dr. Roskin is all right with the BLS transport.
01:25
Sounds great.
01:29
Thank you guys for your consultation.
01:30
Your orders will be to your access facility in about five to 8 min .
01:32
We're going to be clear this channel.
01:34
Thank you for your consultation.
01:36
Your consultation is necessary.
01:37
The weapon will be on arrival.
01:38
Northwest Hospital clear.