91-year-old treated for new leg swelling and abnormal heart rhythm, La Mesa CA
Heads up:
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, emergency medical services responded to a private residence near Grossmont Center Dr in La Mesa, California, for a 91-year-old female with new onset leg swelling and an abnormal heart rhythm detected on an EKG by her doctor. The patient had no chest pain or other significant symptoms but was treated with aspirin and referred to Grossmont Hospital for further care.
Audio|Heard on: San Diego CA Hospital Group Calls
Listen to dispatch call
04:22
Transcript:
00:00
Grossmont, Medic,
00:02
(number withheld).
00:05
496, 496, you can go ahead for Grossmont,
00:08
(number withheld).
00:10
Gross, my medic, 496.
00:12
Got a run number for you, it's going to be (number withheld).
00:16
27-54.
00:20
(number withheld) mild status for you 15 minutes out 91 year old female she has no subjective chief complaint but have some abnormalities here recommended by doc
00:32
The respondent 46 continuing.
00:34
We were called by patient to respond to private residence for a 91-year-old female, waste box on 100 pounds.
00:39
Chief Complaint, actually, she has no chief complaint.
00:43
She saw her personal physician yesterday who did an EKG who did just a regular poorly EKG in the office, a patient was seen for complaint of swollen ankles, new development over just the last couple of days.
01:00
Doctor, after reviewing the diagnostics completed yesterday, called her up this morning and said, you need to report to the emergency room at Grossmont today.
01:08
Break.
01:11
Patients, as I stated, has a new onset in the last week or so.
01:14
So substantial pitting edema, grade two probably will call it.
01:19
And she has no chest pain, shortness breath, nausea, vomiting, diarrhea.
01:24
And his visual disturbance has recent illness, no one of a coffee ground amissist or anything of that nature going on with her.
01:28
But probably EKG does reveal some abnormality.
01:31
She has a rapid RVR atrial fibrillation with a block and some infroach showing in the inferior leads.
01:39
Break.
01:43
Grossmomedic 496.
01:44
I went ahead and transmitted that EKG over to you.
01:46
You should have already now in your email.
01:49
And, you know, I'm not inclined to do any interventions other than maybe just some aspirin PO.
01:55
I want to do 324 aspirin PO, but not anticipating further than that.
01:59
Just having a position of comfort.
02:01
We'll be there in about 15.
02:02
How do you top you?
02:04
Drosmond 840.
02:07
Before, let me just finish up with 496 real fast.
02:11
I'm going to take a look at this EKG and I'll be right with you.
02:15
Grossmark, seeing you go, engine 22.
02:19
Engine 22, we got two ahead of you.
02:21
I'll be with you shortly.
02:25
Mitre 496, I,
02:28
just taking a look at the EKG, if she's not having any chestane, I don't think we need to go down that protocol.
02:36
Does she take any bloodthening medications at baseline?
02:41
496 is gross month.
02:44
486, gross month, go ahead.
02:45
Correction, Rosemond, 26, go ahead.
02:50
8496, I still need a set of vitals from you, and I was just curious, this patient takes daily blood-thending medication.
02:58
Yeah, sorry about that, skipped right over it.
03:00
Yes, she's a heart rate 110.
03:03
She's atrial fibrillation on the monitor, 163 over 114, 163 over 114.
03:08
She's breathing at 24 times, non-labored, good clear lungs sounds, 98% ruin her sap.
03:14
And, again, she's denying any kind of chest discomfort, any shortness of breath, and she's denying any symptoms other than just the discomfort accompanying the new onset of the
03:28
extremity edema.
03:32
All righty. If we,
03:34
if she doesn't have any chest pain or the shortest of breath, I don't think we need to go down the chest pain protocol with the 324 of aspirin, and we can certainly assess her and recheck a EKG as soon as she arrives.
03:47
Yes, one medic,
03:49
496, copy all.
03:52
And, yeah, I went ahead and went with the 324 PO of aspirin, but yeah, I'm withholding any nitrates or anything of that nature.
04:00
I concur on interventions of chest pain.
04:03
Just seeing the impact done here and with all the new onset of symptoms, just gave me a little concern.
04:09
It seemed like the 324 aspirin was warranted.
04:11
So that's all we've done as far as intervention so far.
04:15
All right, 2,496.
04:17
We can go ahead and clear.
04:18
We'll place the patient on the board and we will see you guys inside.
04:20
If anything changes in route, just let me know.
Disclaimer:
This transcript was automatically generated and may contain inaccuracies. Please verify the information independently.
Location mentioned:
Grossmont Center Dr, La Mesa, CA 91942
This shows a Google Street View of the area near the location, which might not be the exact address.
Correct
Incorrect
Note:
Auto-generated from live dispatch audio, which may contain errors. Dispatch calls are not confirmed incidents. Always verify with official sources.
