Elderly woman transported for dizziness and rapid heart rate, Martinsburg WV
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Medical EmergencyAccording to the dispatch call, eMS transported an elderly woman to Berkeley Medical Center for dizziness, weakness, rapid heart rate, and difficulty breathing. She has a history of colon cancer and hypertension. Initial monitor showed possible abnormal heart rhythm that improved after maneuvers. IV access attempts were unsuccessful. Patient was alert but disoriented during transport.
Audio|Heard on: Monongalia WV Hospital Group Calls
Listen to dispatch call
03:15
Transcript:
00:00
Medic 1B Bravo.
00:03
Start homeward destination, ETA, please.
00:09
WV.082942, Berkeley Medical Center.
00:14
About a six-minute ETA.
00:18
On board, I have a (age withheld)-year-old female patient.
00:22
Chief complaint,
00:23
dizziness,
00:25
lightheadedness,
00:28
general weakness.
00:31
The symptoms started a few months ago back in August.
00:36
She's been having trouble staying awake without fainting when standing up.
00:44
Had seen the doctor in August.
00:47
I'm sure she doesn't remember what they diagnosed her with related to the condition.
01:00
Patient is also stating she is having some trouble breathing when we arrive.
01:06
She is alert and oriented times four, however stating she feels disoriented, feels busy.
01:14
It has a history of colon cancer,
01:17
hypertension,
01:18
takes a torvastatin, it's overlaw.
01:25
GCS a 4-5 and 6.
01:28
Initial blood pressure is 96 over 58, heart rate 160, respiratory rate 18.
01:33
She's at 98% on room air, currently at 100%.
01:40
Glucose is 200, temperature 98.1.
01:44
Skin is cooler, warm to touch,
01:48
dry,
01:50
pupils are pearl.
01:52
Pupils are equal, lung sounds are clear and equal.
01:57
12-lead on the monitor initially showed A-fib.
02:06
Looks more like SVT after looking at the printout, has the patient performed vagal maneuvers
02:15
about 10-15 seconds as long as you can hold.
02:18
Her heart rate is now at 109.
02:24
It does not appear to be any abnormality in the wave form.
02:31
I did attempt two IVs, one in the right hand, one in the left antecubital, unable to gain access at this time.
02:39
The rest of the patient's exam is unremarkable.
02:43
Updated ETA to Berkeley is about four minutes.
02:47
Do you have any questions?
02:50
No, question is your name says (number withheld).
02:54
Reviewing (number withheld).
03:02
(number withheld). That's a good readback.
03:06
Can you contact Berkeley for us?
03:11
Okay, I can call.
03:14
If you could, thank you.
Disclaimer:
This transcript was automatically generated and may contain inaccuracies. Please verify the information independently.
Location mentioned:
Hospital Dr, Martinsburg, WV 25401
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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.
