Woman with respiratory distress transported from nursing facility
Heard on:
San Diego CA ALSGRSMT (Hospital) Group Calls
02:20
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
Seventy-one female coming from Stanford Court.
00:03
It's a skilled nursing facility here in Santee.
00:07
For the patient, she just came out of the hospital today due to an infection.
00:12
Sounds like she was supposed to get an antibiotic drip at 10:00 today.
00:16
However, she started to develop some respiratory distress, so they activated us.
00:20
Able to give her an antibiotic drip.
00:24
Patient is in terms for.
00:27
I want to talk in fully complete sentences.
00:31
She is complaining that she is having a hard time breathing.
00:34
Lung sounds diminished in the lower lobes and rhonchi in the upper lobes.
00:41
She does have a history of CHF as well.
00:46
On that end, on giving fluids right now for antibiotics, we are going to go ahead and give her some oxygen on a non-rebreather.
00:57
We're going to keep monitoring her and keep checking the lung sounds.
01:02
Right now we do believe that it is a wrong guy getting more infection based causing this difficulty breathing.
01:10
And Jeff, however, we want to be cautious just in case we do give her fluids, we don't want to.
01:15
Food overload her.
01:18
I don't know.
01:19
It's a little tacky at 15 with a 5th RVR.
01:28
History.
01:30
And then we can go to Kaiser San Diego.
01:33
You can say he's about 15 min .
01:35
Well, was her initial like she said something about maybe either.
01:43
She was on four liters of a nasal cannula at about ninety-two percent.
01:51
Okay, medic twenty-eight, copy all that.
01:53
And I am sorry, the plan was or was not for fluids for her since technically she does meet sepsis criteria.
01:59
I know we want to be a little bit cautious with the history of CHF, but she does meet sepsis criteria.
02:09
Okay, I copy.
02:11
Sounds like we'll reassess in the back.
02:14
She could probably benefit from a little bit of fluid.
02:16
She doesn't meet such as criteria, but I understand the rationale for being cautious.
02:20
Either.
Medical Emergency
