91-year-old man with respiratory distress treated with oxygen
Heard on:
Baltimore MD EMRC 224 (Hospital) Group Calls
01:51
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an official report and may change.
00:00
Good morning, St.
00:01
Joe. This is Baltimore County Paramedic 55.
00:04
I'm currently en route to your facility from Glen Meadows Retirement Community for about a 15-minute ETA.
00:11
I have a priority one, 91-year-old male.
00:14
Chief complaint is shortness of breath.
00:16
When we arrived, we found the patient standing with his walker.
00:21
Looks like he was having some mild to moderate distress.
00:25
His O2 sat was at 91.
00:27
On room air,
00:29
respiratory rate was thirty-two.
00:33
He had broken sentences.
00:35
Skin though was warm and dry.
00:38
Patient, I tried to get him on CPAP.
00:41
He's cystic fibrotic.
00:42
He was not tolerating it at
00:45
all.So I had him on a non-rebreather, 15 liters.
00:48
He's 100 % on that.
00:50
However, his lung sounds, he has bilateral rales, bilateral.
00:55
Bilateral expiratory wheezing and bronchial.
00:59
He has a history of having a CABG times four.
01:03
He has lymphedema, but it's worse now in his lower extremities of swelling.
01:09
He has high blood pressure.
01:11
His pressure is 180 over 110 .
01:15
Heart rate is irregular at 70 .
01:19
I've pained a twelve lead and transmitted to your facility.
01:22
His respiratory rate at this.
01:24
Nasal capnography underneath of the non-rebreather is 20 , and I am concurring that with me counting his respirations myself.
01:35
Glucose is 100 and twenty-eight.
01:37
I deny any chest pain.
01:39
If anything changes, I'll reconsult.
01:42
Otherwise, we'll see in about ten to 15 min .
01:45
All right, we'll see in about ten.
01:48
Thank you, paramedic fifty-five, Claire.
Medical Emergency
