81-year-old male treated for low blood pressure and slow heart rate, Bethesda MD
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This is auto-generated from real-time dispatch calls. Information may be inaccurate. Listen to the original audio and verify critical information using official agency releases.
Medical EmergencyAccording to the dispatch call, an 81-year-old male was treated by ambulance crews for low blood pressure and a very slow heart rate near Old Georgetown Road. He received medication to improve his heart rate and blood pressure and was on drips. The patient became more alert but still weak before being transported to Suburban Hospital.
Audio|Heard on: Montgomery MD Hospital Group Calls
Listen to dispatch call
01:53
Transcript:
00:00
Ambulance 741 Bravo, standing by for Suburban.
00:04
Suburban, Mary Ellen speaking, do you need a physician?
00:09
Negative. There's going to be notification only.
00:13
We arrived to find an 81-year-old male.
00:16
Initial complaint was hypotension and bradycardia, initially a priority one patient.
00:23
The patient's initial heart rate was between 47 and 42, and initial blood pressure was unreadable, absent radial pulses.
00:34
A patient was extremely lethargic and disoriented.
00:38
We were getting ready to base patient.
00:40
We decided to push a gram of atropine, and that seemed to have fixed the heart rate.
00:45
It remained extremely hypotensive, though,
00:49
and still absent radial pulses.
00:51
So we have him currently on both an epi and a norepinephrine drip as well as lactated ringers.
00:59
We have our epi drip at two micrograms a minute.
01:03
We've left that the same.
01:04
We have our norepinephrine currently at 30 micrograms per minute, titrated up from an initial of 10.
01:13
Currently, patient is much more alert and oriented.
01:16
It's still lethargic,
01:18
but...
01:19
We have a heart rate currently of 65,
01:22
setting 98%, and we have blood pressure up to 151 over 63, and we're currently titrating down our pressors.
01:31
So we'll call this priority 2 at this time, was initially priority 1, and we will be at your facility in about 5 minutes.
01:37
A patient does have a history of vaso-vagal syncope, nothing with the heart that we know of.
01:42
Do you have any other questions for us?
01:45
The approving copy is your counsel.
01:47
We will see you on the main emergency department upon arrival.
01:50
Approving clear.
01:52
10741-0.Clear.
Disclaimer:
This transcript was automatically generated and may contain inaccuracies. Please verify the information independently.
Location mentioned:
Old Georgetown Rd, Bethesda, MD 20814
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Note:
Auto-generated from live dispatch audio, which may contain errors. Dispatch calls are not confirmed incidents. Always verify with official sources.