Document Created 01-May-2006, 20:36
Document Owner Yorkshire Ambulance Service Trust
Authored by Aboja Nundy - Paramedic, Yorkshire Ambulance Service Trust on 01-May-2006, 20:36
Ambulance Service Summary Patient Report
Encounter Type Emergency ambulance call
Encounter Time 01-May-2006, 20:36
Care Setting Type Ambulance-based care
Responsible Party Aboja Nundy - Paramedic

Incident Details

Summary of Incident

Type of Incident: Emergency ambulance call
Date and Time of Incident: 1-May-2006 20:36
Caller: Spouse
Patient Location: Private Home Based Care
Origin Address: 111 West Street
Sheffield
S1 1AA
Care Location Ambulance Based Care

Problems and Issues

  1. Central Crushing Chest Pain
  2. Inferior Myocardial Infarction

Observations and Findings

  1. Crushing central chest pain:
    Radiating to left arm- indicated by patient on regaining consciousness.
  2. Syncope and Collapse:
    Patients collapse heard by wife approximately 10 minutes before calling emergency services.
  3. Inferior myocardial infarction:
    Indicated by ECG (STEMI III/AVF).
  4. Blood Pressure: 15/90at 1-May-2006 21:49
  5. On renal dialysis.Next session due Friday.

Impressions or Diagnoses

  1. Acute Inferior Myocardial Infarction

Procedures

  1. ECG (STEMI III/AVF):
    Status: Performed.
    Time: 1-May-2006 21:49.
  2. Thrombolysis of coronary artery by intravenous infusion:
    Status: Performed.
    Time: 1-May-2006 21:49.
  3. Emergency hospital admission
    Destination Location:
    Northern General Hospital
    Herries Road
    Sheffield
    South Yorkshire
    S5 7AU

Medication Record

  1. Streptokinase, 1500000 units, intravenous.
    Time of Administration: 2-May-2006 20:50
Document ID D4059820-1ACB-400A-B61D-A0A900A3D11F Version 1
Primary Recipients NATIONAL CARE RECORDS SERVICE SPINE
Dr Natalie Atkinson - General Practitioner