Dispatched to elderly female, unresponsive, breathing confir | Figure 1
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Case Overview
Dispatched to elderly female, unresponsive, breathing confirmed. Upon arrival, patient is found conscious and alert, but disoriented (patient has dementia, family states she is in her normal mental state). Weak, irregular pulse on scene. Picture 1 is initial rhythm. Picture 2 is initial EKG. Picture 3 is upon arrival at hospital. Patient is in acute renal failure, per ER Doc. Received calcium gluconate, sodium bicarb, D50, and insulin in our ER. Top of Picture 4 is leaving transferring facility, bottom is arriving at receiving facility. Patient had no CC during either transport.
Additional Cases
Received a call for a 60 yo M c/c unknown medical. Upon arrival, patient is found seated on couch w/o complaints. Patient's wife stated patient suddenly complained of feeling "hot" while on the toilet and asked her for cold water. Patient went unresponsive but became completely alert and oriented another minute later.
Upon our arrival, patient initially refused treatment until the above 12-leads were taken.
70 y/o female transferred to Telemetry unit from outside facility. Report received: EMS initially dispatched d/t grandson unable to awaken patient. Patient now A/O but reports SOB and chest heaviness and states she had a near syncopal episode 2 days prior.
83 yr old female complaining of 9/10 central chest pain radiating to right shoulder with nausea and vomiting. Patient had an ashen appearance and looked extremely ill.
dextrocardia? What's the impression? Patient had dob upon arrival at ER.