(Narrator) 65 year old male who is reporting stroke like
symptoms at his home, please respond immediately.
(female) Don’t worry, the paramedics are coming.
It’s okay.
(Narrator as patient) Ugh, Laurie.
I don’t know, I just feel so funny (Laurie)
I know, just lie here okay.
Oh you’re so sweaty (Narrator as patient)
I didn’t take any of my medications (Laurie)
You didn’t take any of your medicines, okay (Narrator as patient)
I don’t know if I should (Laurie)
No I don’t think you should take any of them.
(Narrator as patient) They’re in the bathroom
(male voice) Hello, ambulance crew is here
(female voice) Hello
(Narrator as patient) Sorry about the driveway, I meant to get out
there and de ice it a little bit (male voice)
Hi my name is Hans and this is Krista, we’re from the ambulance service.
(Laurie) This is my dad
(Krista) Can you tell me what has been going on?
(Laurie) He just said he’s not feeling well and hasn’t
taken his normal medicines and he says he just doesn’t feel well.
I don’t know (Hans)
I’m just going to hook up some stuff in your arm okay?
(Krista) Can you tell me what’s going on, what’s
not feeling well with you?
(Narrator as patient) Yeah
(Krista) What’s your name?
(Narrator as patient) Phillip.
I woke this morning and just felt kinda fuzzy I guess?
(Krista) Okay, can you explain to me what that fuzziness
is?
I’m just going to take a listen (Narrator as patient)
Like I’m having trouble putting words, you know, together and I don’t know
(Krista) Do you know where you are?
(Narrator as patient) Yeah, I’m at home
(Krista) Okay and what city do you live in?
(narrator as patient) Uh gosh…St. Paul
(Krista) St. Paul okay
(Laurie) He’s really sharp, he’s really smart so
he knows to do this.
This isn’t like him.
(Krista) I’m have you squeeze my hands, can you squeeze
my hands?
(Hans) I’m just going to move this down a bit here
(female narrator) He squeezes strongly on the left but weakly
on the right (Krista)
Alright.
We’re going to have you hold your arms up (female narrator)
He’s able to hold the left up, but not the right
(Krista) Okay.
Can you smile for me?
(female narrator) He smiles and you see a right sided droop
(Krista) Alright.
So we’re going to get you the hospital.
We’re concerned that you’ve got some weakness.
Have you had any recent injuries or falls or anything happen?
(narrator as patient) Uh, I smacked my head pretty good getting
some stuff out of the garage last week but…uh (Krista)
Do you have any bumps or bruises?
(narrator as patient) No
(Krista) Okay
(narrator as patient) I just hur…
(Krista) Does that hurt at all?
(narrator as patient) No
(Krista) Do you have any allergies?
(narrator as patient) Uh, yeah, strawberries and uh, uh, oh god
I can’t remember the name (Laurie)
Sulfa Sulfa
(narrator as patient) Oh, yeah
(Krista) To Sulfa medications?
Okay.
Are you on any medications?
(narrator as patient) Yeah,
(Hans) Partner, I’ve got a sinus tachycardia at
94 but I don’t have a blood pressure or an SPO2
(narrator) Blood pressure is 180/60, SpO2 is 92
(narrator as patient) An inhaler…
(Krista) We’re gonna…my partner here is going to
put some oxygen on.
So can you tell me a little about your history?
(narrator as patient) Yeah, um
(Hans) Okay it’s flowing at about 12 liters per
minute (narrator as patient)
Laurie (Laurie)
I don’t know (Krista)
Any heart problems, diabetes?
(Laurie) He’s got high blood pressure
(narrator as patient) No diabetes
(Laurie) No diabetes.
He takes a blood pressure pill but he didn’t take it this morning and he just is feeling
fuzzy and he called me over.
And his words are off, he kept calling me the wrong name and he knows my name.
He was getting frustrated.
(Krista) I’m gonna say three words and I’m going
to have you repeat them back to me in a couple of minutes
(Hans) Little poke here sir
(narrator as patient) Ugh…ah
(Krista) So rose,
(narrator as patient) Rose
(Krista) snow
(narrator as patient) snow
(Krista) Rudolph
(narrator as patient) Rudolph (slightly garbled)
(Laurie) His speech is off
(Krista) Yeah his speech is not doing so well.
We want to take him to the hospital were a little concerned.
Hans, have we gotten a blood sugar?
(Hans) I have not gotten that yet, do you want to
check a pupil response while I grab that (Krista)
Yes, thank you so much.
I’m going to check your pupils (narrator)
Pupils are equal and reactive bilaterally (Krista)
Okay it looks like your pupils are equal and reactive, were concerned because you have
some weakness on your right and you’re having trouble with your speech
(narrator) Blood glucose is 125
(Hans) 125
(Krista) Blood glucose is 125.
We got an IV started we’re going to give you a little fluid.
Have you been feeling ill recently?
(narrator as patient) Yeah, coming down with something
(Krista) Sir, we just wanna get you to the hospital
we’re just really concerned and that you should have some additional test done just
to kind of check you over.
Alright?
(narrator as patient) Yeah
(Krista) Is there a particular hospital that you have
a preference for?
(narrator as patient) Whatever’s closest I guess
(Krista) We’re going to take you a hospital that
manage a wide variety of different type of conditions.
(narrator as patient) Laurie, you’ll come with?
(Laurie) Yeah, I’ll come with Dad
(krista) Sir, Sir
(Laurie) What’s wrong?!
What’s happening?
(krista) What’s going on?
(Hans) He’s probably having a seizure
(Laurie) Is he having a seizure?
Dad!
Oh my gosh!!
(Krista) Okay, let’s just let him move.
We’re going to keep him safe, we’ll make sure he doesn’t fall off the couch.
(Laurie) Oh his eyes are closed
(Krista) Do you want to see if we have any versed?
(Hans) Yup, we have some Ativan.
(Krista) Okay Ativan great.
(Hans) If we over the 3 or 4 minute mark.
Does he have any history of seizure?
(Laurie) No he’s never done this ever!
(Krista) It’s been going on 45 seconds
So we’ve got medication drawn up (Hans)
Okay.
IV is still flowing.
We’ve got a patent airway.
(krista) Airway is still open, what are our O2 sats?
Are those still on?
(Hans) It should be up there, looks like it is at
99% (Krista)
99% okay (Laurie)
Oh my gosh, that’s so scary (Krista)
Okay it’s been a minute and a half (Hans)
Okay (krista)
Just gotta keep him safe at this point (Laurie)
Okay (Hans)
I think I will provide some supplemental O2 (Krista)
Yeah, that would be great.
And the we should probably get ready to transport as soon as possible.
(Hans) Copy that.
(Laurie) Dad!
(Krista) He’s got some drool coming from his mouth
(Hans) Okay the suction is ready.
I’m going to do some secretion suction here.
I’m going to do some blow by oxygen (krista)
He’s kind of biting down a little bit (hans)
Yeah, he is (Krista)
Is it stopping?
Because we are almost at 3 minutes.
In about 10 seconds we are at 3 minutes.
Looks like he’s slowing down.
Okay, we’re going to get him to the hospital.
(Laurie) Okay.
(Krista) We’re gonna get oxygen back on him and get
him transported over to the hospital (Laurie)
Okay, can I follow?
(Krista) Yes you can.
I still have the Ativan (Hans)
If we do emergency on the way to the hospital just don’t follow right behind us if we
do lights and sirens, okay?
(Laurie) Okay
(Hans) Because we will probably exceed the speed
limit.
We’ll just meet you there (Krista)
Alright so we’re going to get him transported.
We’re going to put him on his side here.
(clicking in background) (Laurie)
It’s okay dad, I’m here.
It’s okay dad. (narrator as patient)
Ugh (Hans)
A little post-ictal.
Will grab the monitor and put it up here for right now.
(Krista) Can I move this chair out of the way.
(Laurie) Yeah, you do whatever you gotta do.
It’s okay dad.
(Krista) Alright
(Hans) Alright, we’re just going to slide you over
here sir (Krista)
His oxygen..
(Hans) I’ll just take it off for right now, he’s
still satting at 99%.
So I’ll take it off until we get him transferred over.
Can I get where you are at ma’am if you don’t mind?
(Laurie) Yeah
(Hans) Alright sir we’re going to get you slid
over to our stretcher here, okay?
(narrator as patient) (Mumbles)
(Krista and Hans) One, two, three
(Krista) We’re going to put this between your legs
(No one speaking while adjusting computer) (Krista)
We’re going to sit you up here.
Alright.
(Hans) Are we buckled in?
(buckling straps sounds) (Laurie)
They are taking you to the hospital dad, but I’ll be there as soon I can, okay?
Be safe on the roads (Krista)
Alright.
Yeah we’re going to head to Regions (Laurie)
To Regions, okay, I’ll meet you there.
(Krista) Okay
(Laurie) Okay dad, everything is going to be alright.
They’re going to take good care of you (Hans)
Thank you You know where you’re going ma’am?
(Laurie) Bye Dad
Yep!
I’ll be right there.
I’m just going to grab my purse.