62-year-old male unconscious after fainting with high blood sugar
Heard on:
Fairfax VA FCFD 49E (Hospital) Group Calls
02:49
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
Reston, this is Medic Six Hundred and Nineteen.
00:01
How do you copy? Reston, you are.
00:12
Afternoon, Reston. We're headed your way with a sixty-two.
00:14
That sixty-two year old male.
00:16
It was a GCS of four.
00:18
He's responsible only to painful stimuli.
00:21
He has been unconscious for approximately 20 min .
00:25
At this point, family said.
00:27
Witnessed syncopal episode, denied any seizure-like activity, denied any possibility of injury.
00:35
I see occasional flexion of the legs outside of that, no other purposeful movement.
00:39
I transmitted you 02:12 EKGs, ignore the 1st one, there is a ton of activity.
00:43
Second one's a better snapshot.
00:45
You've got a sinus arrhythmia with diffuse ST segment elevation.
00:50
Patient's blood sugar, he's a diabetic, is also 400 and seventy-one, that's 400 and seventy-one.
00:55
We're working on bilateral access.
00:57
I've got an 18 in the right AC.
00:59
Last blood pressure was 156 over 63.
01:02
Respiratory rate is 14.
01:04
He does have an intact gag reflex, does not tolerate an OPA.
01:08
Room air SpO2 was 96, 96%.
01:12
We're going to be supplementing that with a nasal cannula.
01:17
I've got some fluids going KVO outside of that, no medications given.
01:23
What questions do you have for me? Our ETA is going to be about 15 minutes.
01:30
You said there's ST elevations?
01:35
Yeah, transmitted you two 12-lead EKGs.
01:37
First one's got a ton of activity.
01:39
Second one, you've got diffuse ST segment elevation across all leads except for V one.
01:44
You've got above 1 mm of elevation in your septal and anterior and lateral leads.
01:50
You have .4 mm of
01:53
depression in V one.
01:54
Everything else is slightly or significantly elevated.
01:57
Multiple twelve leads.
01:58
When we don't have significant patient activity from his spontaneous leg movements, are showing.
02:03
Similar SD segment elevation.
02:06
We've had one or two pop back with a cute semi, but they have significant underlying activity.
02:19
I'm happy to transmit you all of my 12 leads if you'd like.
02:23
Okay, okay.
02:26
In 15 min , we're going to have a doctor review this.
02:30
You see, you couldn't get, you couldn't intubate them.
02:37
We gave a shot. I don't have the access to paramedics.
02:39
He is hemodynamically stable with gag reflex.
02:43
We're going to reassess gag reflex with the OPA.
02:45
If he still has it, I'm not going to be able to intubate him.
02:48
In 15 min .
Medical Emergency
