Elderly woman with pancreatic cancer admitted for low oxygen
Heard on:
San Mateo CA SMC EMS SMC (Hospital) Group Calls
01:40
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an official report and may change.
00:00
Stanford, this is San Mateo Medic 40.
00:03
Excuse me, 51, coming in code 3 now.
00:05
ETA 7-8 minutes.
00:06
On board, I have a 77-year-old female coming from hydration, like chemo clinic.
00:11
She was just there for hydration.
00:13
She's got stage four pancreatic cancer.
00:15
They called us out for low O2 sat.
00:18
She's got a history of like some kind of pancreatitis type condition.
00:23
I don't believe the cancer.
00:24
Has metastasized.
00:25
She's not normally on oxygen.
00:27
She was setting room air sat at 80 % .
00:32
She had a little bit of wheezing.
00:33
I gave her a nebulizer treatment, which bumped her up to like ninety-two percent momentarily.
00:39
Wheezing has improved.
00:41
No history of asthma.
00:43
Non-rebreather now at 15 .
00:45
Still having a hard time holding her sat above 90 .
00:48
We're dipping down to like eighty-seven percent.
00:51
She had a recent hospitalization with.
00:53
With some pancreatic stent like GI bleeding, she's her normal baseline GCS of 14 .
00:59
Blood pressure is 99 over 64 .
01:01
Capnography is a little low at 28 with a respiratory rate of 32 .
01:08
EKG is 110 sinus tach.
01:11
She does have a chest port but currently no IV access from me.
01:15
The reason I am coming in code three is possible PE.
01:19
She's got known clots in her legs.
01:20
She's had a previous.
01:21
PE with additional Vena Cava type stent placed.
01:25
She's not complaining of any chest pain, but she's a little bit lethargic.
01:29
And totally shows S1Q3T3 as a possible indicator of PE.
01:37
Coming in code three with an ETA of 7 min .
01:39
How do you copy?
Medical Emergency
