61-Year-Old Male Fell Twice, Hit Head, Refuses Hospital Transport, Bel Air MD
Medical EmergencyA 61-year-old male fell twice overnight and hit his head. He is on blood thinner medication and has a mild altered mental status. Medics advised hospital transport to Bayview Hospital due to risks but the patient refuses and will only accept local care.
Audio|Source: Harford County Public Safety
02:48
Transcript:
00:00
All right, Bayview, Upper Chesapeake. This is Harford County, Medicaid,
00:04
(number withheld). Apparently, all seen with a 61-year-old male.
00:09
Report of falling twice throughout the night, last night,
00:14
says he did hit his head on the table.
00:18
Does take Plavix.
00:20
At present, his GCS is 14.
00:24
Vitals are 100 over 70, heart rate at 80, respiration of 18 saturating at 97% on room air.
00:35
Concerns were expressed to the patient about his well-being. I advised that he does have a mild altered mental status and expressed concern for transport. However,
00:50
the patient is adamantly refusing transport to Bayview.
00:56
I would prefer that he goes to Bayview because of the blood thinners and he has the GCS of 14.
01:03
Adamantly refusing,
01:05
but he will accept local,
01:07
if you are willing to take him or participate Bayview. What are your opinions on accepting this patient?
01:16
Did the patient have any loss of consciousness, and what is his baseline GCS?
01:23
And what time was the last fall last night?
01:29
Mr. Davey, we're happy to accept the patient. However, if the patient is refusing transport here,
01:33
we can't transport here. Thank you, Colleen, from the patient here.
01:40
Officer Speaker, are you willing to accept? Good, and patient, hearing.
01:46
(number withheld).
01:51
The company, (number withheld), House (number withheld).
01:53
Medic 41, 16, 21.
01:59
I'm sorry, you're a guardable. Can you repeat?
02:02
10, patients, hear me.
02:04
Yeah.
02:06
Okay. So coming here, you can come here. That's definitely the fact is we have absolutely no neurosurgery. And if you've fallen twice when you've taken your head and your mental status is not up to par,
02:19
that would put you at risk of needing something more done the more capable of doing here. I don't want to refuse you, but I also don't want to harm you in that case that you need to have someone neurosurgery-wise taking care of you. And so I would suggest you do go to Bayview. On the other hand, if you say you're not going there, that's fine. You can come here, but be aware that you are risking your own health and life.
02:45
This is H2, Medic 24, just checking your status.
Disclaimer:
This transcript was automatically generated and may contain inaccuracies. Please verify the information independently.
Location mentioned:
Upper Chesapeake Medical Center, Bel Air, MD 21014
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