AUDREY: Control [inaudible] 6 responding.
It says, second patient is having a seizure.
[music playing]
We know that APD is there.
There's also another medic unit on scene that's requesting us,
so potentially a critical patient.
[inaudible] a left out of here.
What the heck?
KIM: Oh, my goodness.
Sprawled out.
Hello. - Hey.
How's it going? - What do we have?
MAN: We've got her boyfriend in the back of the ambulance,
so that's why we couldn't take her.
She was talking to police, started having a seizure.
We found out afterwards, apparently all
the blood's from her boyfriend.
KIM: Does she have a history of seizures?
MAN: Don't know. Oh, yes--
KIM: Have you been taking your medications like you should?
No.
AUDREY: So Kim, she's going to be mine, because her heart
rate's almost 150.
The first thing I noticed is how elevated her heart rate is.
It's almost 150, which is super, super fast.
I'm just going to make sure none of this blood's yours, OK?
What happened to your boyfriend?
Do you know?
She's altered.
We call it postictal, which is the altered
period after a seizure.
I'm going to start a IV in case we have another seizure, OK?
I'm going to ask you some simple questions, OK?
Do you know what city you're in?
Good.
What year is it?
Good.
KIM: Can I see your arm real quick, Jazmine?
AUDREY: How many dimes are in $1?
AUDREY: 10? OK.
We're going to get you on a little bit of oxygen
to see if that helps with some of the fuzziness, OK?
I'm sorry you had a seizure tonight
too, on top of everything else.
All right, big poke, OK?
1, 2, 3.
KIM: So we're just going to take you on down to the hospital,
OK?
We're just going to get you checked out.
AUDREY: I think we should go to the hospital,
because our heart rate's still pretty elevated.
It's, like, almost 150, which is not
normal, even after a seizure.
AUDREY: I think we should go to the hospital,
because our heart rate's still pretty elevated.
Why do you not want to go?
AUDREY: My patient's just had a seizure.
The first thing I noticed is how elevated her heart rate is.
It's almost 150, which is super, super fast.
She also wasn't on her seizure medications.
She also had a lot of stress tonight.
There are so many things that could have caused her seizure
and caused her to have another seizure later on.
I've done that for a little while,
and I know when patients are about to have another seizure
a lot of the times.
That's what I think is going to happen if we don't go.
AUDREY: When's the last time you had a seizure before today?
AUDREY: OK.
AUDREY: Few more stickers, OK?
This is because the heart's going so fast,
and we can at least get this picture of your heart,
make sure nothing crazy's going on, OK?
A lot of times, patients that have a seizure history
don't want to go, because they have breakthrough
seizures relatively frequently.
And that's kind of something that they
just live with every day.
Do you know the risk involved if you don't go the hospital?
Can you tell me that you understand those risks?
AUDREY: What could happen if we don't go?
AUDREY: Mm-hm.
Or you could not be breathing very well
and get some kind of brain injury
that could lead to permanent disability, right?
Or death, right?
AUDREY: Or a coma.
Right.
I have to ask, is there a reason that you don't want to go?
AUDREY: We really want her to go.
We want to take her.
We want to be able to monitor her,
but we can't kidnap her and take her to the hospital.
If you do have another seizure, you need to go, for sure.
OK?
Really did not like her heart rate.
Alcohol lowers your seizure threshold.
Stress lowers your seizure threshold.
KIM: And you haven't been on your--
Not taking your medications lowers your seizure threshold.
I should have made her do, like, a pinky promise.
You should have.
Pinky promise if you have a seizure
and we see you again tonight, you're going to the hospital.
You're going.
All right.
I'll drive.
You ride.
I'll ride.
KIM: Let's go try to get some ice
cream before everything closes.