Here is an update
This patient went received aspiration thrombectomy PTCA 3.5 x 38mm stent of the RCA.
EMS responded to home of an average shape 37 year old male patient who was out jogging when he began to have some substernal chest pain that radiates to his left arm. He stated he was having some mild shortness of breath with nausea but no vomiting. No significant medical history and on no medications. He stated he hesitated calling EMS but after a while he got concerned that he was not feeling any better.
He appears anxious. Skin is pale and moist. Lungs clear = bilat.
BP 100/50 RR 20 HR 56
12 lead obtained
EMS received a call to and local urgent care center for a patient transfer. On arrival staff met EMS at the door and told them that a 51 year old male patient with a history of CAD had came in complaining of anterior chest pain that radiates to his left arm. Acute onset of 30 minutes while he was resting. They stated pain was an 7/10 and felt like pressure. The stated that along with the chest pain/pressure the patient was also nauseated and was sweating.
EMS enters and find a male patient sitting on the exam table and he appeared slightly anxious. He was on 10lpm NRB. IV was in place in the Left AC and IV was running at KVO rate. Staff stated the patient had received ASA 324mg, zofran 4mg and 1 NTG tablet sublingual.
12 lead was obtained
EMS crew transported this patient directly to the Cath lab.
This patient received and Aspiration Thrombectomy, PTCA with a 4.o x 15mm stent placed.
HARTSVILLE, S.C. (AP) – A coroner says a South Carolina high school football player died as a result of a sudden irregular heartbeat brought on because he was born with an enlarged heart.
Darlington County Coroner J. Todd Hardee said after an autopsy Saturday that 18-year-old Ronald Rouse died of natural causes.
Rouse was a 6-foot-3, 320-pound lineman for Hartsville High School who collapsed during the second quarter of the team’s homecoming game against Crestwood. Hardee says Rouse collapsed after calling a time out.
The Darlington County School District said a volunteer rescue squad that usually provides emergency medical services at Hartsville home football games were not there Friday. School officials say Rouse was treated by four physicians and two athletic trainers, who used a defibrillator to try shocking his heart.
Copyright 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Hartsville Football Player Dies During Game | wltx.com.
HARTSVILLE, S.C. (WBTW) — A Hartsville football player died after being taken to the hospital during the game against Crestwood after he collapsed twice during the game Friday night.
The player, Ronald Rouse, first collapsed while on the field just after a play at about 8:15 pm. Officials and team coaches attended to Rouse for several minutes and he was able to walk under his own power.
The Morning News reported that principal Dr. Charlie Burry Jr. said that Rouse later died at the hospital.
As Rouse, a senior, walked to the edge of the field and collapsed again. This time, officials worked on him and gave him chest compressions. Later, a heart defibrillator machine was used on him.
An EMS unit was not present the first time Rouse collapsed, but was there to take him from the game after the second incident.
The game was stopped during both incidents. Rouse was taken to Carolina Pines Hospital where he underwent treatment, officials said.
A prayer was held for Rouse, who is listed as an offensive lineman, and the game restarted at 8:55 pm. The game was later canceled when word reached the game that Rouse died.
As a returning player, Rouse was a key part of the offensive line with reports from earlier this season listing him at 6′ 3″ tall and about 320 pounds.
Never forget the hero’s of 911. God Bless!
Wishing all my fellow EMS brother and sisters a safe shift today.
EMS called to a local Doctors office for a 71 year old male patient who came in for a routing check-up. During the exam the staff could not locate a radial pulse. They laid the patient supine and started a 20g IV running at W/O rate. On arrival EMS found patient was Conscious, alert and oriented to person, place, time and event. He had no complaint other then feeling a little light headed. He stated that he has been light headed off and on for the past year. Skin w/d PERRL and lungs clear equal bilateral. He denies any pain and says he has no shortness of breath with a SP02 of 88% room air.
IV was cut to KVO rate and pt was moved to EMS stretcher and secured in the back of the unit. 12 lead EKG was obtained and transmitted to the receiving ER.
BP 80/55
RR 16
HR 160-170
EKG diagnosed as SVT
After administering 12 mg of Adenosine the Ventricle rate slowed enough to show Atrial Flutter
