(narrator) 74 year old female who called in with complaints
of shortness of breath and her chest is racing.
Please respond to her home (knocking)
(Narrator as patient) Hi!
You came right at the perfect time!
(Female paramedic) What’s your name?
(Narrator as patient) My name is Louise.
After I got off of the phone with you I just felt so dizzy!
And I didn’t dare try and get myself off the floor.
(female paramedic) Your heart is beating really fast
(Narrator as patient) Yeah I know
(male paramedic) My name is Hans and this is partner Krista
we’re going to take good care of you.
Just try and relax (Narrator as patient)
Okay Oh boy, I just… my heart is racing
(krista) Did you hit your head?
(Narrator as patient) No, honey, I just kind of more slumped down
to the ground and I just layed back.
I didn’t dare try and get up by myself.
(Krista) Okay and do you have any allergies?
(Narrator as patient) Uh..No
(Hans) I’m just going to lower your shirt down
a bit here okay.
I’m going to keep you covered the best I can.
(Krista) Do you have any medical history?
(Narrator as patient) Um, yeah.
I got uh, diabetes and I take a pill for that.
And I got high cholesterol and asthma Oh, my heart is just pounding
(krista) So asthma and your heart feels like it is
pounding?
(Narrator as patient) Yeah
(Krista) Your heart rate is going really fast.
What medications are you on?
(Narrator as patient) I don’t remember!
(Krista) Are they anywhere in your house?
Do you have a list somewhere?
(Narrator as patient) Yeah in the basket on top of the fridge
(Krista) What’s her blood pressure?
(Hans) Blood pressure is 81 over 50, SPO2 is 92%,
Respirations 25 (krista)
Let’s get some oxygen on What’s your blood pressure normally run?
(Narrator as patient) Oh…Oh…
115 or something like that (Krista)
Okay (Narrator as patient)
I don’t remember the other one (Krista)
115.
You’re blood pressure is pretty low right now
Can you start two lines (hans)
Yeah (Narrator as patient)
(Moaning) Oh boy…oh (Krista)
We’re going to start an IV and get some IV fluids on you.
We’re concerned about your heart rate, it is going really quite fast.
(Hans) Oxygen is flowing at 4 liters per minute
(Narrator as patient) This does not feel good
(Krista) Have you ever experienced this before?
(Narrator as patient) Never
(Krista) Was there anything happening that brought
this on?
What were you doing prior to this happening?
(Narrator as patient) I was thinking about getting my day started.
I really haven’t done anything today (Krista)
Okay (hans)
I’m going to put an IV in your right arm here, okay.
You’re going to feel a little poke in a second here, okay?
Poke We’re going to keep that TKO for now
(Krista) Should we check her blood pressure?
(Hans) Okay, cycling.
(Krista) Can you tell me where you are at right now?
(Narrator as patient) I’m in California
(Krista) California.
Can you squeeze my hands?
(Narrator) Blood pressure is 80 over 50.
She squeezes your hands weakly.
(Hans) Do you want to open up the fluids a bit, give
her a bolus of 400?
(Narrator as patient) I’m here
(Krista) You’re here?
(Hans) Any allergies to medications?
(Narrator as patient) No
(Krista) Her mentation seems to be changing a little
bit.
Let’s try some Adenosine, she’s in an SVT.
Let’s do an EKG, a 12 lead right now (Hans)
Okay Do you want to do 6, 12, 12?
(Krista) Let’s do 6 and see what happens and then
12.
(Hans) 6 of Adenosine
(Krista) Great.
You have a flush too?
(Hans) I will grab that for you
(Narrator as patient) Uh, that did not feel good whatever that was.
(Krista) Okay, recheck that blood pressure
(Narrator) Blood pressure is 80 over 49,
(Hans) So do want to 6 or second dose
(Krista) I’m ready to do 12 then
(Hans) Okay
(Narrator as patient) Oh boy
(Krista) Can we also prepare to cardiovert?
(Hans) Sure
I’m gonna put these pads on your chest, okay, just in case
(Narrator as patient) Oh gosh
(Hans) They are kind of cold so I apologize
(Krista) We’re going to try that medication again
(Narrator as patient) Oh
(krista) She’s not coming back.
Ma’am?
That’s not me, I’m not touching her (Hans)
Looks like a v-fib arrest (krista)
Let’s start compressions (Computer voice in background)
Analyzing heart rhythm, do not touch the patient, (Krista)
Can you hook this to the oxygen?
(Computer voice in background) Shock advised, stay clear of patient, deliver
shock now (loud continuous beep) (Hans)
Okay, it’s at 10 liters Everybody clear
Shocking (Computer voice in background)
Shock delivered, if needed, begin CPR (Krista)
Alright, I’ll take her glasses off Tell me when you get to thirty
(Hans) 27, 28, 29, 30
(Krista) Good chest rise
She’s still cyanotic (Narrator as patient)
ooooh