Man aged 54 with breathing difficulty and shock Heard on: San Diego CA EMS Dispatch Group Calls 00:16 00:00 Four hundred and ninety-six response into San Miguel, (number withheld) Central Avenue. Transcript 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 Four hundred and ninety-six response into San Miguel, (number withheld) Central Avenue. 00:06 Four hundred and ninety-six, I show you responding into Spring Valley, (number withheld) Central Avenue. 00:11 You are going to be responding for a 50 . 00:13 54-year-old male, difficulty breathing with shock. 00:15 Fourteen one Charlie one Echo. 5/13/2026 12:40 PM Medical Emergency Central Ave, Spring Valley, CA 91977 View on map