Medical emergency involves multiple falls near Prospect St, Indianapolis IN
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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, a 65-year-old male near Prospect St experienced several alcohol-related falls and loss of consciousness. He is on blood thinners and initially refused hospital transport but later agreed to be evaluated. Medical staff discussed facility options and patient capacity for refusal.
Audio|Heard on: Marion IN Hospital Group Calls
Listen to dispatch call
06:26
Transcript:
00:00
Myers. I have a 65-year-old male, 65-year-old male, GCS 15 with ETOH on board.
00:06
He called due to multiple falls.
00:07
He said he's fallen three times today with loss of consciousness.
00:11
He is on blood thinner.
00:12
He says he's on eloquist.
00:13
He is AFIB on a monitor with PVCs at 125.
00:18
Blood pressure is 167 over 102,
00:21
96% room air.
00:24
He's refusing medical transport at this moment in time due to the fall of AMV.
00:34
So he's stating that he doesn't want to go.
00:36
I have...
00:38
Okay, I'm going.
00:39
Negative, okay.
00:41
He is stating that he wants to go to the hospital now.
00:43
Sorry, thank you so much.
00:46
All good, see you in the idea.
00:49
Askenazi, you have medic 44 on 2 again.
00:52
Askenazi, medic 44 on 2.
00:56
This is Eskenazi.
00:59
Can I re-talk to Dr.
01:00
Meyer again?
01:03
Yes, we're Myers.
01:05
Hey, Dr. Meyer.
01:06
So this is a VA patient.
01:09
He's refusing to go due to the nature of his call, the multiple falls of LOC and ETOH on board.
01:16
The VA,
01:18
I haven't called him, but they do refuse patients due to the nature of his medical complaint.
01:27
And he's also refusing now...
01:31
I'm sure the VA wouldn't actually refuse the patient.
01:36
Dr. Myers, I have called the VA multiple times.
01:39
If I tell them that he has fallen due to ETOH, positive LOC, and is on blood thinners, they are going to refuse to take him.
01:48
I can call the VA and ask and then come back and let you know, but I have called the VA multiple times for this exact same nature of medical complaint, and the VA always directs us to a different hospital.
02:06
That seems frustrating.
02:07
I think it would be challenging for them to actually refuse directly the patients if he was there.
02:11
But be that as it may.
02:14
So is the patient willing to be transported to somewhere else or not?
02:19
Negative. We have tried that see if they would go somewhere closer, because we're off of Prospect and German Church, which is pretty part east, to possibly go to like community east or north or community south or St.
02:31
Francis, but he's refusing to go anywhere else other than the Veterans Hospital.
02:38
You could always plan to transport him and then redirect to a closer available hospital if he becomes less cooperative.
02:57
That's clear, however,
03:01
isn't that to the point of just lying to the patient that we're going to the hospital? He isn't uncooperative, he just doesn't want to go, if that makes sense.
03:11
Yeah, I'm not really suggesting you lie outright to the patient.
03:14
It was more just that if, you know, it does sound like he probably needs to be transported.
03:19
He probably wants to be transported, but he may not have good insight into the most appropriate facility that can provide care for him.
03:27
I'm happy to talk with him if you think it'll make a difference.
03:31
But if you're there, I'm not sure I'm much more helpful, but I'm more than happy to try if I think it's useful.
03:39
Yes, please try.
03:40
He is here.
03:41
I'm going to go back in the room and he is here to speak to.
03:45
So please try.
03:47
If he continues to say no, then...
03:50
No, I can continue to say no.
03:55
I can try the VA and see if they'll take him, but we'll see.
03:58
But, yes, Dr.
03:59
Meyer, he's here.
04:00
I'm ready to listen.
04:02
Hi, sir, this is Dr.
04:04
Myers. I'm one of the doctors Escanazee.
04:06
Sounds like you've had some falls.
04:09
And three falls.
04:12
Ouch, and you're on blood thinners too?
04:15
You're on blood thinners too?
04:18
And you're on blood thinners too?
04:21
Blood thinners and Carvada law?
04:25
Deliquists.
04:28
Yeah, we worry about that eloquist in the falling.
04:32
Just because your blood doesn't clot like it should.
04:34
And so you could easily have blood in the area around your brain that could be life-threatening.
04:39
I just wouldn't want that to happen.
04:42
Get home from the other hospitals.
04:48
I understand it's a real pain in the neck, man.
04:51
I'm not making it small, but I am worried about you.
04:56
I think it's really important that you get in to get checked out.
05:00
How am I going to get home?
05:06
I don't know, man.
05:08
I'm really, they might have social work where they can see you.
05:14
I just hate to have you making a bad decision for issues,
05:20
which, you know, I'm just worried about you having bleeding.
05:24
Three times,
05:26
I don't know what I'm following,
05:28
but I'll say this,
05:29
if I go out of this house, I can't get back home and I can't see.
05:38
It sounds like a real problem, man.
05:40
I'm not... that really sucks, no doubt about it.
05:44
But we've got to get you checked.
05:46
Can you to refuse medical transport doc?
05:50
...to be alert and, you know, able to discuss the risks.
05:56
It seems that he verbalizes understanding of the risk of bleed is my brief impression.
06:00
Is that your impression as well?
06:03
Affirmative, only due to a new SOR protocol being under the influence of anything, we do have to call now for medical SORs, but yes, he does seem alert and oriented 4-4, GCS-15 at this moment in time.
06:18
So, yes, I would agree that despite having consumed some alcohol, he still has capacity and the ability to refuse transportation.
Disclaimer:
This transcript was automatically generated and may contain inaccuracies. Please verify the information independently.
Location mentioned:
E Prospect St & S German Church Rd, Indianapolis, IN 46239
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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.
