87-year-old female falls, found face down in care facility
Heard on:
San Diego CA BLS PLMR (Hospital) Group Calls
02:27
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00:00
BLS unit for Palmer, go ahead.
00:03
Palmer, this is San Diego ambulance BLS 26.
00:06
Are you going to give medical direction?
00:10
That's affirmative, go ahead.
00:12
Thank you. We have an 87-year-old female out of SNF.
00:17
Had unwitnessed fall at 11:20.
00:21
She was found on the landing mat next to her bed, which is about a foot from the floor.
00:28
She was on her right side, face down, and has had nausea and vomiting since this morning.
00:33
Has thrown up twice.
00:36
Since the evening shift began and she's on Xarelto, which was last given at 700 , patient's baseline ANO two and is currently ANO one.
00:50
Doesn't remember the fall, and we are set to go to Poway Hospital, which is 2 min away.
00:59
Have the patient on a C-collar.
01:01
So would you like us to go to Palomar, which is about 20 minutes away, or would you like us to still go to Bay, which is 2 min away?
01:10
Are there any signs upon the patient?
01:13
She has some bruising on her right arm, but she's denying any head, neck, or spinal pain and no tenderness when we palpated.
01:23
How many copies? And again, it was a mat on the floor next to the bed.
01:30
Yes, like one of those foam mats right next to the bed.
01:36
I understand that patient is on Zeralto, but with the fact that there's no outward signs of trauma and it was very low level and onto the mat,
01:48
I will clear you to go to a basic emergency facility.
01:51
So Poway would be fine.
01:53
Can I get a run number?
01:56
Copy that. Run number is 158731.
02:00
Can you push report to Poway?
02:04
Affirmative, I'll give them a look right now.
02:07
Can I get a set of vitals?
02:10
Yes. Blood pressure 155 over 80, 97% oxygen, 80 heart rate, 98.3 Fahrenheit, 233 blood glucose.
02:19
It's an A01 on room.
02:23
Copy, copy. I'll go ahead and notify them that you'll be there in a minute and we can clear at 0057.
Medical Emergency
