00:00
Medic 703 to Shady Grove.
00:08
to the box for a high risk refusal.
00:11
(name withheld) is on the line.
00:14
Good afternoon, Dr.
00:16
Cole. Can I please have your name for the report?
00:23
Good afternoon, Dr.
00:24
Cole. This is Medic 703.
00:26
I'm here on site with an 86-year-old male who is complaining of weakness.
00:33
And AFib with an elevated heart rate in the one-teens this morning when he awoke.
00:41
Patient has been evaluated by us.
00:44
We have sent you his twelve lead.
00:46
He states that he's feeling much better.
00:49
His vital signs have returned to baseline.
00:52
He would like to refuse.
00:57
fluctuating between 71 and 90 .
01:00
O2 sat of 96% and a blood pressure initial of 126 over 79 .
01:10
He is online and is able to hear you.
01:15
You may go ahead and speak to the patient.
01:18
All right, Dr. Cole, we do recommend that you be evaluated in the emergency department as I am not able to evaluate you.
01:24
EMS, if you deem that he is competent to make his own decisions and understands the risk.
01:29
Of bleeding, that is up to your discretion if he is able to refuse transport.
01:38
The patient has agreed to go to the hospital.
01:42
You will be at your destination in 20 min with a priority two cardiac eval.