00:00
I was directed to Lemon Grove Care and Rehab, a skilled nursing facility.
00:04
Sounds like patient's last seen normal.
00:07
Okay, for the nurses, it was going to be 1900 yesterday.
00:10
They said they were going in to do their morning rounds.
00:14
Found patient breathing rapidly with a high temperature, so they activated that one.
00:23
Sounds like patient is nonverbal at baseline due to Down syndrome history.
00:28
Skin's hot to touch.
00:32
First vital signs go off a GCS 14 .
00:36
Heart rate 130 , sinus tach.
00:38
Blood pressure 90 over sixty-two.
00:41
Current breathing thirty-two times.
00:44
Cool and effective.
00:45
Satting at 90 % room air.
00:48
Clear lung sounds bilaterally.
00:51
In total, it's going to be thirty-four.
00:53
Blood sugar of 119 , and a tympanic temperature of 103.5 .
00:58
As far as treatment, I have him on six liters of oxygen right now.
01:04
It's brought his sat up to ninety-six percent with that.
01:07
He has an 18 gauge in his left wrist giving him a 500 mL fluid bolus for sepsis criteria.
01:15
I think it's pretty obvious this one about a 5 min ETA to you.