Symptoms And Treatment Of A Call

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

The claimant was admitted to Tennova Healthcare Lebanon from 5/17/2016 to 6/01/2016. On 5/16/2016, the claimant had some drinks and was not able to drive home. She was in a confused state and apparently her son drove her home. She was last seen about 1 o'clock in the morning and was put to bed. The claimant's mother tried to contact her in the morning, mid morning, and got no response. Her mother went to her house at about 1 in the afternoon and found her in the bathroom laying between the commode and the wall breathing but unconscious. The EMS was summoned and she was brought to the emergency room. She reportedly had taken several tablets of sedatives. In May 2 or 5, the claimant was given Valium 2 mg for some leg discomfort and muscle spasm.

S- 3671 dispatched to a m pt C/O of abdominal pain and black stool. Pt is a 49 y/o m whose C/C is abdominal and lower back pain. Pt also states that he is experiencing cramping around his left ribcage. Pt states that he has been experiencing N/V/D for the past four days. Pt also states that his bm's have produced black, watery stool since the monday prior to the incident date. Pt is able to provide EMS personnel with a detailed medical Hx that includes HIV, acid reflux, and recently diagnosed COPD. Pt also states that he recently stopped smoking cigarettes. Pt is also able to provide EMS personnel with a list of medications that he is currently taking that includes Duloxetine, Stribild, Ranitidine, Aripiprazole, oxycodone, and proair. Pt states that he has not taken any of his prescribed medications for the past four days prior to the incident date. Pt states that he has allergies to Kaletra and gabapentin. Pt states that his primary

On May 15, 2016 at approximately 2335 hours Security Officers Steven Evans and Omar Alonso were in the E.D. Security Office when we heard someone yell for help inside of the E.D. entrance doors in regards of a “Gunshot Wound” patient. Out of the Office, we observed a Hispanic male hoping towards the PFS counter with blood on his left abdominal area. Security Supvr. Evans grabbed a wheelchair and wheeled him to one of the E.D. triage room, while his friend, Joseph Park (witness) register him with PFS. Security team in coordination with E.D. Charge Nurse Robbie Phillips placed the Emergency Department in a lockdown, Security Officers responded and kept watch over both E.D. entrances. The patient, Daniel Lopez (DOB: 10/16/1997, FIN #85640879) was transferred to E.D. #35, he had 4 “GSW”, 2 on the right and left buttock, 1 on the right

by Nurse J. After five minutes, the diazepam had no effect so Dr.T ordered two milligrams of hydromorphone IVP given at 4:15 in the afternoon. The patient received another two milligrams of hydromorphone IVP and five milligrams diazepam IVP at 4:20 p.m. because Dr.T was not satisfied with the patient’s level of sedation. When the patient appeared to be sedated at 4:25 in the afternoon, the reduction of his left hip took place. At 4:35 p.m., Mr. B’s BP is 110/62 and his oxygen saturation is 92%. The “conscious sedation” policy was not followed. He did not have supplemental oxygen and his ECG and RR were not monitored. Then, Mr.B’s oxygen saturation dropped to 85%. The LPN adjusted the alarm and repeated the BP reading. Nurse J and the LPN were very busy taking care of the other patients during this time. At 4:43 p.m., Mr. B was not breathing, had no pulse, BP is 58/30 and oxygen saturation is 79%. The stat code was called.

Approximate 1414 Soc received a call from Deb Pyle (Nurse) about a Young female feeling Cold, Dizzy, Pale & Heart rate increased. Nurse Pyle requested Paramedics on site. 1416 Paramedics was called by security officer Satinder Singh. 1420 Supervisor Marques Diaz sent MERT E-mail to the MERT TEAM about the Medical Assistance. 1423 Paramedics arrived on site to treat the young female. 1425 Fire Department arrived on site to attend to the female. 1438 Paramedics took the female (Kristina Milkovic) to Santa Clara Kaiser to be check for increased heart rate, dizziness, feeling cold, pale, shakiness.

On Thursday 12/24/2015 at approximately 2307 hours. Security Officer Omar Alonso (420) was contacted by E.D. Charge Nurse Sharey Selover about an uncooperative intoxicated male patient, Jose D. Gonzalez (DOB: 03/30/1977; FIN# 85006354), come in through the EMS Offload area. Officers Alonso and Ayuso reported to the call and observed an intoxicated male being wheeled into the Special Care Unit (SCU) E.D. room # 39. According to his assigned Nurse Sara Lopez, the patient had been involved in a physical altercation and had been kicked hard in the groin area. Patient did not behave badly or disruptive once he saw that Security were present and his Nurse was able to get his vitals, blood work, and urine without having any issues. Security staff

Patient “DD” is a 56-year-old woman who was admitted to a nearby hospital for respiratory failure. With the only previous medical history being chronic bronchitis, she was diagnosed upon admission with COPD, anemia, hypoxia, moderate anxiety, and dyspnea.

On the above date, I was on Med 4 with Paramedic Jeff Kennedy. At 2142 Hrs., we were dispatched to a Priority 3 person sick call at 131 Providence Club Dr. in Bold Springs, which is in Med 2’s territory. The patient was a 41 y/o male, with no known cardiac history. Due to the distance from our quarters in Loganville, which according to Google Navigation is a distance of 11.0 miles, I advised central to have fire rescue en route for response time. They dispatched Engine 8 and District 1. We arrived at 2201 Hrs. and Capt. Herb Huff on District 1 advised us that the patient

Dr. Pugnale withdrew an ampule of fentanyl under patient Brook Tamisia during an emergent delivery case on 6/28/17 or 6/29/17. According to Dr. Pugnale, the fentanyl was taken out under patient Brooks Tamisia and administered to Lewis Jordan; a discrepancy report is being created today because there is no fentanyl record under Books Tamisia. I Paged MD on 6/30/17 and on 7/3/17, there has been no response. Furthermore, Brookes Tamisia was not on Dr. Pugnale’s Omnicell narcotic report generated for 6/28/17 and 6/29/17. The billing office has been

On Friday December 26, 2015 at approximately 0133 hours, FHEO Security Officers were dispatched to the Emergency Department (E.D.) for a Patient Standby (51S) room #26 same patient which we had a previous call earlier in regards of Found Contraband. Security Officers Carlos, Omar, Johnson and Security Supervisor Evans responded to the call. On arrival we were informed that patient, Taina Diaz-Rios (DOB: 01/20/1975; FIN# 85007874) was attempting to leave while awaiting for her husband to arrive and pick her up. The patient’ nurse Melisa Martinez advised us that the patient was anxious and wanting to leave, although she was not a Baker Act, she was not free to leave on her own. Security staff was asked to standby next to patient room until she

Mr. Z is a 64-year-old Pacific islander male. Mr. Z was brought to the emergency department via ambulance due to chest pain. The initial treatment that was given was Aspirin 300mg P.O., two puffs of GTN (Glyceryl Trinatrate) and four mg of IV morphine. Mr. Z called the ambulance because of sudden onset of pain when he was walking up the stairs after 4 to 5 steps. The location of the pain was at the central area of the chest, with pain radiating to the neck, jaw, arms, back and abdomen (epigastric area) that lasted about 15 to 20min. He described the pain as burning and heavy, with a pain score

In Mrs. S. case, her multi organ involvement with indication of heart failure, pulmonary hypertension and kidney insufficiency was burdensome to her over all health. Joint contractures, peripheral edema and her inability to carry on her daily function due to pain and fatigue was very distressing and disabling. She was too tired to carry out any of her daily needs. She was incontinent of bowel and urine. Mrs. S had positive of Raynaud’s phenomenon as evident in her digits; encouraging the patient to keep warm, avoiding cold to reduce vasoconstriction and tissue hypoxia. Patient was on morphine 2 mg IV for pain control, which I believed wasn’t effective as she continued to moan even after administration. As patient advocate, pain was a priority issue so I reported the issue to my nurse and communicated with the pain services. Her pain was controlled by changes in opioids and her activities were kept to minimal, pacing activities and visitors were

Patient is a 45 yo male; 5’7”, 221 lbs who entered the emergency room at 6:30 am on 9/7/14 with severe chest pain (onset at 6:00 am) radiating to his arm, L arm numbness and nausea and vomiting. Past medical history reported by wife includes peptic ulcer, tobacco use (1-2ppd for 27 years), elevated blood pressure (controlled by lopressor). Wife did not know of any family history but reports patient’s father is deceased, died at 42 in his sleep. Mother alive and with high blood pressure.

What began as seemingly innocent muscle weakness and cramping has lead to this patient’s fatal diagnosis. He is one of 2.5 per 100,000 people worldwide who have been