Elderly man treated for chest pain near medical center, Rockville MD
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This is not an official report. The headline and summary are generated by automated AI systems from public-safety dispatch audio. Always verify with official sources.
Medical EmergencyAccording to the dispatch call, emergency medical services treated a 91-year-old man near Medical Center Drive for severe chest pain and rapid heart rhythm. He was given aspirin, nitroglycerin, and planned medication to lower heart rate after consulting a hospital physician. His condition included suspected heart attack or atrial flutter, and further heart monitoring was planned.
Audio|Heard on: Montgomery MD Hospital Group Calls
Listen to dispatch call
02:53
Transcript:
00:00
Shadigrude.
00:02
Good evening, Shagrew.
00:04
This is Montgomery County, M-Land-708.
00:06
This is Montgomery County, M-Land-708. Requesting counsel with a physician as well,
00:09
for a cardiac eval as well.
00:11
Shadrudeau call baseball carting, Dr.
00:13
Givney.
00:16
We have Dr.
00:17
Givney on the line.
00:19
Good evening, Dr.
00:20
Givney. I have a 91-year-old male priority one cardiac eval.
00:25
Okay. The patient was complaining of chest pain since this morning.
00:29
It had dissipated and began again around 8 o'clock this evening.
00:32
About an hour ago, the patient is prescribed nitro for angina.
00:37
He took two tablets to 0.20 milligrams an hour ago.
00:41
When arrived on the scene, the patient had a tachycardic rhythm of 170.
00:47
It seems to be a flutter, but he's also complaining of chest pain that radiates to his back.
00:52
That's his pressure 10 out of 10 pain.
00:54
So far, I've administered 324 of aspirin and a dose of nitrous sublingual 0.4 milligrams sublingual.
01:04
I transmitted the 12 lead.
01:06
It's also reading Stemi.
01:08
I was just wondering for your professional advice to go down the A-fib route or continue to call it as a Stemi.
01:17
I hear this for the vital time for this patient.
01:29
Apologies.
01:30
So he's a heart rate of 168 and a flutter.
01:33
Oxygen saturation of 99%.
01:35
He's breathing 28 respirations a minute and blood pressure at 161 over 100.
01:41
He also had a blood sugar of 264.
01:45
He has a GPS of 50.
01:47
That's no problem.
01:50
Shady Grove Coffee.
01:51
What's your ETA?
01:53
10 minutes.
01:56
At the moment, based on this EKG, I think that would go down the A-fib algorithm,
02:01
specifically if you have diltiazem on the truck, I would call some diltiazem.
02:05
He certainly has a blood pressure that seems like it can take the rate lowering.
02:09
rate lowering.
02:11
Once the rate is lowered, I think I would then prefer another EKG to be performed.
02:15
And if that still says Stemi,
02:17
I would consider activating.
02:19
But at the moment, due to the rapidity of this EKG is very difficult to suck out whether this is a bundle branch block or whether this is...
02:28
I'm going to give them 10 milligrams of Cardizem if that's okay with you.
02:32
Yeah, Shady Grove copies, no problem, and go ahead and do that.
02:35
All right, we'll see you in 15 minutes.
02:37
Yeah, go ahead and repeat the EKG after you give the 10 milligrams of Cardizem, maybe two or three minutes after you give that medicine.
02:45
And if it still says Stemi, please recall you, okay?
02:49
All right, thank you very much.
02:50
Period, we'll clear the line, and we look forward to you calling this back if you need to.
Disclaimer:
This transcript is automatically generated by AI from live dispatch audio. Dispatch communications may include background noise, overlapping speakers, or rapidly evolving situations, and automated transcription may not capture all details or context.
Location mentioned:
Medical Center Dr, Rockville, MD 20850
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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.
