Elderly man with shortness of breath after smoking falls in Vista
Heard on:
San Diego CA ALS TRI (Hospital) Group Calls
01:58
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00:00
Chula Vista City, RA 124.
00:03
Chula Vista
00:06
City, RA 124.
00:07
Chula Vista City, RA 124. I got a ALS status medical going over to Kaiser San Marcos.
00:11
Just calling you due to special consideration.
00:16
Arrived on scene to a group living facility here in Vista for a 72 year old male, approximately 350 pounds.
00:23
Chief complaint, shortness of breath.
00:27
Patient is very familiar with this patient.
00:31
Typically has exacerbation of asthma, COPD secondary to cigarette smoking.
00:37
Had four cigarettes today, per roommates on scene.
00:41
Patient uses MDI, felt that it wasn't doing the trick for him.
00:46
Also states that he had a ground level fall in his room from his bed to the floor and was experiencing lower back pain.
00:56
Did not hit his head.
00:57
No LOC.
00:58
No loss of consciousness.
00:59
Currently denying any head, neck, or back.
01:03
Breathing at 20, full and effective.
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Clear lungs.
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99% on room air.
01:08
A0 times four.
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ICP spontaneous.
01:10
Moving all four. No deficit.
01:11
Able to ambulate.
01:13
No signs of trauma.
01:15
Blood pressure of 100 over 50 .
01:18
Heart rate of 110 .
01:20
Strong rapid radial sinus tach on the monitor.
01:22
Skins are pink, warm, and dry.
01:23
Afebrile.
01:26
Give the hospital these meds to Kaiser San Marcos upon arrival.
01:30
Treatment's just position of comfort.
01:32
Low Fowler's on the gurney.
01:33
How do you copy?
01:35
Copy. I am sorry, guys.
01:36
Can you give that run number again and then just want to confirm no blood thinner.
01:40
Affirmative, no negative blood thinners.
01:42
No blood thinners.
01:43
And sorry, run number 2026-(number withheld) 98617 .
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I 32 going on in route.
01:54
Negative, no treatment.
01:57
I copy. We'll clear all the.