Child with chest pain and abnormal heart rhythm en route to hospital, Baltimore MD
Medical EmergencyA 10-year-old boy who had open heart surgery is experiencing severe chest pain and irregular heart rhythms. Emergency medical responders are transporting him to Johns Hopkins Hospital for urgent care.
Audio|Source: Harford County Public Safety
01:59
Transcript:
00:00
This is Harford County, Medics 24, currently in Routesview.
00:02
Priority 2.
00:03
On board, I have a 10, 1-0-year-old male.
00:05
Chief Complaint of chest pain.
00:07
He is an open-heart surgery patient of Johns Hopkins Hospital.
00:12
Howcocki. Hopkins, Pete, copies.
00:14
Please continue. 10-year-old male had an open heart surgery at your facility before, including infective bacteremia of the heart, requiring open heart surgery approximately two years ago.
00:26
The patient developed chest pain for the last 24 to 48 hours.
00:30
He doesn't happen to have a normal EKG for me and is complaining of right-sided chest pain that does not radiate but is severe.
00:39
I've done a 12 lead on this patient, which shows...
00:42
sinus arrhythmia with a right bundle branch block and ST depressions in v1, 2, and v3, greater than 8.8 millimeters at this time.
00:54
They don't have a previous DGG to compare to that if this is new or not.
00:59
Rate right now is variable anywhere from 52 feet for a minute up to 74 because it does appear he's in a sinus arrhythmia with the right bundle branch block and infrequent pH.
01:09
Other vitals are currently as follows.
01:11
He's 100% on room air breathing 14 times a minute.
01:14
Blood pressure 127 over 93.
01:16
He was at rest when this pain started approximately 24 to 48 hours ago.
01:21
No trauma notice of the chest at this point in time.
01:23
Lums are clear and equal bilaterally.
01:25
Not on any current medications at this point in time.
01:28
You should say in 0 times 4, the GCS of 15.
01:30
I do have a...
01:31
22-gauge IV established in his right AC.
01:33
I do apologize.
01:34
I have not able to transmit my EKGs to your facility.
01:37
Right now I have an approximate 18 to 20 minute ETA to you guys.
01:41
Do you have any questions for me at this time?
Disclaimer:
This was transcribed by AI and may contain errors. Please verify the information independently.
Location mentioned:
Near Orleans St, Baltimore, MD 21287
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