Male with chest pain and irregular heartbeat treated on site, Kissimmee FL
Medical EmergencyA 59-year-old male with severe chest pain and irregular heartbeat was treated on site. Medical staff had difficulty establishing IV access and considered intraosseous access and medication support. The patient was monitored closely and transported to Osceola Regional Hospital.
Audio|Source: Osceola County Public Safety
04:28
Transcript:
00:00
Yes, ma'am. We're currently treating a 59-year-old male, keeping your chest pain times 24 hours, 10 out of 10.
00:08
We're unable to get IV access on the patient.
00:12
He is going in and out of runs up.
00:17
It appears to be PVCs at a rate of approximately 70.
00:25
We're contemplating currently giving him an I-O, at least have access, but other than that, we weren't able to get, we're not able to get BASC access.
00:36
Vitals are as follows. Heart rate is currently 70th, AFIB,
00:41
when he's not in the run of PBC.
00:44
SCO2 is 99, last BP, 53 over 100.
00:49
End title is...
00:52
35.
00:54
Do you request me for the information?
00:58
No,
00:59
that's fine. I would not I-O.
01:01
if he's awake and has a blood pressure like that at the moment, but I would be prepared to do an I-O. very quickly if his mental status changes or his blood pressure drops to systolic less than 90.
01:15
Is he on the pads?
01:19
Popular Rescue 37-HK and Valentine's Rebel Green. How do you copy?
01:24
That's affirmative. We do have on the pads. We've repeatedly questioned for the presence of a pacemaker.
01:30
He adamantly denied he has a pacemaker.
01:32
Did have one in the past.
01:34
He has had multiple cardiac fence plates in the past.
01:38
He was hospitalized and was released Sunday for kidney stones.
01:43
We do have him on the pads.
01:45
Again, we're still trying to get actual access with no success.
01:54
Okay,
01:55
yeah, so I wouldn't recommend treating the PVCs anyway if he's awake and has an elevated blood pressure, I would just let them ride and see where it goes, but I would be ready to intervene rapidly with an I-O.
02:09
and amyodorone if he goes into a ventricular arrhythmia that's persistent, or if he becomes significantly hypotensive or altered.
02:17
Copy. That was our plan. We just wanted to confer with you.
02:21
Also,
02:22
he has had multiple runs of five to 10 PVCs in a row.
02:27
Again, we're unable to confirm whether it's a paste rhythm or not.
02:31
He doesn't know he denies having to face rhythm.
02:34
He does have a neuro stimulator that we have turned off, just with any other confusion.
02:42
Popular Rescue 67, ASK, and now with Medical Green. How do you copy?
02:47
We're currently enrapped to offer at regional prolete, 10 to 15 minute ETA.
02:52
We are going to categorize him as a target for.
02:55
This is Khammy. Go ahead.
02:59
1567, inbound with a 78-year-old nail. She complained is going to be general weakness. Patients fell last night in his room.
03:05
Didn't lose consciousness, but unsure why he fell.
03:08
Remain on the floor, waited till it was boring to call 911.
03:12
No injuries from the fall, but still feels weak when to be checked out. Kernel signs of heart rate of 71, 97% room air, BP 146, over 82,
03:21
and the DGL of 409. We'll be your facility approximately 5 minutes. You're going further.
03:28
Okay,
03:29
one thing if he does go into a persistent DTAC,
03:33
and it's not just PVCs, but, you know, it lasts like 30 seconds or longer, and he has a change in mental status. You could also give him a little bit of intramuscular ketamine before you do the I-O,
03:43
or you can, you know, obviously flush your I.O. with valetocaine and give him a little bit of ketamine because it's going to hurt, assuming that he's awake enough that he's able to feel a needed comfort.
03:54
But I wouldn't do any of that.
03:56
as long as he's just having the TVCs and he's still awake, any hyper-emptive.
04:02
Copy that room and arrival.
04:05
Copy. He did have a nitro patch on that we removed.
04:09
Again, we have the I-O-ready and we will also consider the IM ketamine as you suggested.
04:19
Okay, I'm available if anything changes as well.
04:24
Copy. We'll update you if there's any significant changes.
04:28
Thank you.
Disclaimer:
This transcript was automatically generated and may contain inaccuracies. Please verify the information independently.
Location mentioned:
Near W Oak St, Kissimmee, FL 34741
This shows a Google Street View of the area near the location, which might not be the exact address.
Correct
Incorrect
