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Man experiences seizure and high heart rate, refuses hospitalKissimmee FL

audio iconMedical Emergency
Kissimmee, FL

Paramedics responded to a 24-year-old man experiencing a seizure and a very high heart rate of 180 while working near O'Reilly. The man was alert and understood the risks but refused hospital transport. He expressed fear of being forced to go to the hospital despite being advised of serious health risks, including possible brain damage and danger while driving or doing unsafe activities. The paramedics advised him on safety precautions before he planned to go home.

Audio|Source: Osceola County Public Safety
05:34
Transcript:
00:00
Good afternoon, doctor. This is Paramedic Mossos. I'm RISC-64.
00:04
I'm running on a call with a 24-year-old male.
00:07
The call came out as seizures. It seemed like he was working on his car. He got out of Riley.
00:13
And a bystander came up to him and he was eye policing.
00:16
However, for right now he is paying 0 times 4.
00:19
GCS 15. He's refusing to go to the hospital and he is currently at a heart rate of 180.
00:25
He does meet capacity and he's... Definitely understands what's going on.
00:31
He prefers to not go to the hospital after all risk. He will explain.
00:38
He would like to talk to you now.
00:40
Okay with you?
00:43
Yeah, that's fine.
00:46
Tower 11 arriving on scene, single story, block construction.
00:50
We do have a light haze of smoke from the starting side of the structure. We'll be out investigating.
00:57
Copy.
00:59
Single story, light, haze of smoke on the side investigating.
01:03
My name is Mark Kurtman.
01:06
negative on history.
01:09
Okay,
01:10
so with the really high heart rate, I was believe that you did actually have a seizure.
01:16
That, of course, is very dangerous and could happen again.
01:20
So we would really want you to go get checked out and figure out why this happened.
01:25
How are you feeling right now?
01:27
I'm feeling fine right now.
01:30
Can you tell that your heart rate is that high? So you have like palpitations? Do you feel anything in your chest?
01:38
No, I don't have no pain in my chest, but I'm just nervous because I don't want to go to a hospital and I'm afraid of being forced to go.
01:47
Okay, do you have any medical problems?
01:51
Pardon? Do you have any medical problems? No.
01:55
Do you have any medicines you take regularly, anything that changed this morning that might have caused you to have a seizure?
02:04
No.
02:07
You're at work right now, is that correct?
02:10
Thank you, Dr. She was working on this floor outside of O'Reilly.
02:14
Oh,
02:16
I'm sorry, okay.
02:18
What is the plan? If you were not to go to the hospital, where would you be going from here?
02:26
I'm going straight home and I only live like a mile away.
02:30
Do you have adult family members that live with you?
02:36
Depends on what time it is, if I go already, then yeah, they should be home back too.
02:45
My concern is just we don't know why this happens to you, and it definitely could happen again, and that would be very dangerous.
02:53
We don't, I mean, we're not going to force you to go to the hospital, I don't want you to be nervous, but if we miss something, like...
03:02
you know,
03:03
something either infectious or dehydration or something more serious in your brain and you continue to have seizures, we might not be able to get to you quick enough to do something to help you if it happens again. And so there is a pretty serious risk to your life that if you seized for longer than a minute, you might not be breathing.
03:25
And you could have lifelong consequences of that with damage to your brain.
03:30
I understand that but I still don't want to go to the hospital.
03:37
Okay. Are you afraid to go to the hospital even if you didn't go in the ambulance or are you,
03:45
why don't you,
03:47
why aren't you worried about this?
03:53
I just don't want to go to the hospital.
03:56
I don't want to authorize you.
03:59
So I understand.
04:01
I just, I want to make sure you're thinking clearly and your brain is working. So can you explain, like, why it doesn't concern you that I'm telling you you could have brain damage if you keep seizing?
04:12
I understand what happens if I actually do get surgery or, you know, ginger.
04:21
But I don't authorize it because I don't want it. It's not right that. I didn't be forced to go.
04:29
I know what I'm capable of to get home and I feel fine. I just don't want to go to hospital.
04:37
Sorry, let me see me.
04:39
Power one.
04:41
Supposed to the homeowner. They were burning some rubbish. We asked them to extinguish they got a phone and hose and they got good enough out on fire. Okay.
04:48
Copy.
04:52
Okay.
04:55
The other issue is the driving.
04:57
So if you were to have a seizure while driving, you could have a really bad accident.
05:02
Since we don't actually have a proof in diagnosis of seizures,
05:07
then we're not going to be able to tell you for sure that that's what happened.
05:10
But I would not recommend driving, nor would I recommend doing any unsafe activities like climbing to a height.
05:18
or swimming alone or showering or bathing when no one is home.
05:22
Because if you were to have a seizure when climbing at a height, you could fall.
05:26
And, of course, if you had a seizure while you were bathing or in a shower, you could drown.
05:31
So I think it's important that you know these things.

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Kissimmee, FL

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