Elderly cancer patient declining, transported with dnr wishes, Springfield OH
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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 EmergencyAs discussed during the dispatch call, emergency medical personnel responded to an elderly man with cancer experiencing rapid oxygen decline and unresponsiveness. The patient's wife could not provide DNR paperwork but presented Power of Attorney documents requesting to honor the DNR. Medical staff discussed care options and risks with the family, then prepared to transport the patient to Springfield Regional Medical Center.
Audio|Heard on: Clark OH Hospital Group Calls
Listen to dispatch call
02:58
Transcript:
00:00
Yes, this is Medic 7.
00:01
We are on scene with the elderly gentleman cancer patient.
00:05
He seems to not be doing very good at all.
00:07
I need to speak with medical control if I could.
00:12
This is Dr.
00:13
Erica. Go ahead.
00:16
This is Paramedic Moody with Springfield Fire.
00:18
I'm on scene with an elderly gentleman,
00:22
cancer patient,
00:24
who seems to be declining pretty rapidly.
00:26
Wife states he is a DNR.
00:28
They're unable to produce the DNR paperwork.
00:33
However, she did produce the Power of Attorney paperwork, and as a Power of Attorney, she wishes to honor his DNR.
00:41
How would you advise we proceed? Right now he's got a pulse of about 86.
00:49
His O2 is declining rapidly and he is unresponsive basically.
00:57
Were you called out that he was unresponsive or what was his initial presentation?
01:03
We were called for declining O2.
01:09
If she would want to honor his DNR, then I would do that.
01:13
You would need to make sure that she understands that that would mean no intubation and everything else.
01:21
If they would want transported, she would also need to understand that he could die on route then, which...
01:28
You know, she understands that that's fine, but otherwise she basically would be declining all care, which is certainly their prerogative.
01:37
Yes, ma'am, that's understood.
01:38
We explained all that to her.
01:40
Are you guys okay if we initiate transport?
01:46
Yes. Is he on a non-rebreather, or is he still dropping with that? Like, you think he's going to imminently pass?
01:55
Yes, man, Meyer, Desmond, that's what we can tell.
01:58
He seems to be circling the drain.
02:00
We actually have him on a BVM,
02:02
high flow O2,
02:03
and even with that, his oxygen,
02:06
is only slightly improving.
02:09
Okay.
02:10
So, yeah,
02:12
I would be happy to receive him here, but I do worry that he will pass in the back with you, so she needs to be 100% okay with that if that's going to happen.
02:20
And if she would prefer to just have him pass at home, then you could stop with the BVM and just let him have, like,
02:27
just buy low oxygen and just kind of let him pass honestly.
02:32
Understood.
02:34
Seems like she doesn't have a lot of this end-of-life situation kind of ironed out yet.
02:41
So I believe we're going to load him and likely transport.
02:46
Sounds good.
02:47
We will be prepared for whatever we need to do when you get here.
02:49
I'm so sorry.
02:50
That's a really, really difficult situation.
02:53
Thank you, Doctor.
02:54
I appreciate the advice.
02:55
We'll be at your facility probably about 15, 16 minutes.
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:
East Unit, 100 Medical Center Dr #1, Springfield, OH 45504
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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.