00:00
Upper Valley, Circle Medic 24.
00:04
Go ahead, it's Upper Valley.
00:08
This is Circle Medic 24.
00:10
We are en route to your facility with a 46-year-old female coming from home.
00:14
Chief complained this afternoon, possible broken right ankle.
00:18
Patient say she was carrying a puppy down the stairs, fell down two or three stairs.
00:23
Ankle is obviously deformed.
00:26
With flight flowing noted around.
00:28
Around the ankle as well.
00:32
Patient denies hitting her head, denies any LOC,
00:35
not neck or back pain.
00:39
Patient's current right ankle is sitting at a 90 degree angle out of normal position.
00:43
We do have it splinted in place at this time with CMS in fact before and after splinting.
00:50
Patient has received 100 micrograms of fentanyl via IM injection in the left deltoid.
00:57
We were able to get a 20-gauge established after the IM injection.
01:04
20-gauge for left AC,
01:07
We have a pulse of 99 showing normal sinus on a four-lead, 97% on room air,
01:12
blood pressure of 171 over 100.
01:15
Patient does say she does have a history of hypertension and is compliant, and is complying with her medication.
01:22
We do have a capnography of 31.
01:26
Patient states pain medication has brought her pain down to an eight or nine out of ten, started at a ten out of ten.
01:33
Go ahead. It's Upper Valley.