EMS Communication case study A call comes in to the 9-1-1 center for a female patient complaining of suddenly not being able to move her left arm and leg normally. The dispatcher asks the patient a series of questions from a set of cards, and then transmits the call to your agency's data terminal and over the EMS radio system. 1. What are some of the roles of EMS dispatch? 2. How do the concepts of encoding and decoding apply to the call to this point? Based on the information received from the dispatcher, your agency sends your ALS ambulance, and you quickly arrive at a neatly kept suburban household. You are let into the home by the patient's husband who leads you to his 70-year-old wife sitting in the family room. The patient is able to speak but slurs words slightly. You start to assess her and ask questions about what she is feeling, and what has occurred to this point. Initial Assessment Recording Time: 0 minutes Weak muscles on left side of face with slight moutl drooping Appearance Level of Consciousness A (Alert to person, place, and day) Airway Open Normal rate; adequate depth Radial pulse present Breathing Circulation You continue your assessment and ask your partner to obtain vital signs. The patient tells you she suddenly felt dizzy about 15 minutes ago as she was getting ready to go out for an appointment. She sat down and began to feel tingling and numbness down the length of the left side of her body. You note that she now has left-sided weakness in her arm and leg, with decreased grip strength on that side. Vital Signs Recording Time: 3 minutes Skin Pale and cool Pulse 88 beats/min, regular Blood Pressure 144/84 mmHg Respirations 18 breaths/min SaO2 97% You decide to call ahead to the hospital to notify them of a possible stroke patient, with onset of symptoms within the last hour. You then place the patient on the cardiac monitor, start an IV, and prepare the patient for transport.
EMS Communication case study A call comes in to the 9-1-1 center for a female patient complaining of suddenly not being able to move her left arm and leg normally. The dispatcher asks the patient a series of questions from a set of cards, and then transmits the call to your agency's data terminal and over the EMS radio system. 1. What are some of the roles of EMS dispatch? 2. How do the concepts of encoding and decoding apply to the call to this point? Based on the information received from the dispatcher, your agency sends your ALS ambulance, and you quickly arrive at a neatly kept suburban household. You are let into the home by the patient's husband who leads you to his 70-year-old wife sitting in the family room. The patient is able to speak but slurs words slightly. You start to assess her and ask questions about what she is feeling, and what has occurred to this point. Initial Assessment Recording Time: 0 minutes Weak muscles on left side of face with slight moutl drooping Appearance Level of Consciousness A (Alert to person, place, and day) Airway Open Normal rate; adequate depth Radial pulse present Breathing Circulation You continue your assessment and ask your partner to obtain vital signs. The patient tells you she suddenly felt dizzy about 15 minutes ago as she was getting ready to go out for an appointment. She sat down and began to feel tingling and numbness down the length of the left side of her body. You note that she now has left-sided weakness in her arm and leg, with decreased grip strength on that side. Vital Signs Recording Time: 3 minutes Skin Pale and cool Pulse 88 beats/min, regular Blood Pressure 144/84 mmHg Respirations 18 breaths/min SaO2 97% You decide to call ahead to the hospital to notify them of a possible stroke patient, with onset of symptoms within the last hour. You then place the patient on the cardiac monitor, start an IV, and prepare the patient for transport.
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Transcribed Image Text:EMS Communication case study
A call comes in to the 9-1-1 center for a female patient complaining of suddenly not being able
to move her left arm and leg normally. The dispatcher asks the patient a series of questions from
a set of cards, and then transmits the call to your agency's data terminal and over the EMS radio
system.
1. What are some of the roles of EMS dispatch?
2. How do the concepts of encoding and decoding apply to the call to this point?
Based on the information received from the dispatcher, your agency sends your ALS ambulance,
and you quickly arrive at a neatly kept suburban household. You are let into the home by the
patient's husband who leads you to his 70-year-old wife sitting in the family room. The patient is
able to speak but slurs words slightly. You start to assess her and ask questions about what she is
feeling, and what has occurred to this point.
Initial Assessment
Recording Time: 0 minutes
Weak muscles on left side of face with slight mouth
drooping
A (Alert to person, place, and day)
Appearance
Level of Consciousness
Airway
Орen
Breathing
Normal rate; adequate depth
Circulation
Radial pulse present
You continue your assessment and ask your partner to obtain vital signs. The patient tells you
she suddenly felt dizzy about 15 minutes ago as she was getting ready to go out for an
appointment. She sat down and began to feel tingling and numbness down the length of the left
side of her body. You note that she now has left-sided weakness in her arm and leg, with
decreased grip strength on that side.
Vital Signs
Recording Time: 3 minutes
Skin
Pale and cool
Pulse
88 beats/min, regular
Blood Pressure
144/84 mmHg
Respirations
18 breaths/min
SaO2
97%
You decide to call ahead to the hospital to notify them of a possible stroke patient, with onset of
symptoms within the last hour. You then place the patient on the cardiac monitor, start an IV,
and prepare the patient for transport.
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