audio audioduration (s) 3.67 18.2 | transcript stringlengths 23 151 | duration float64 3.67 18.2 |
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Elevate legs using box or shopping basket to treat for possible hypotension | 7.615 | |
Central and peripheral skins are equal in color, temperature, and moisture, with no noted cyanosis, pallor, or diaphoresis | 10.857 | |
He is in obvious distress with wheezing on inspiration and exspiration noted bilaterally | 12.095 | |
BP 140 over 94, Pulse 110, respirations 24 even unlabored, SpO2 98% on room air | 12.585 | |
we found the patient laying supine in bed cyanotic and with deep snoring respirations | 8.361 | |
He is quite short of breath most of the time but he needs to use accessory muscles on excretion. | 9.343 | |
we were dispatched for a transfer of a 65 year old man who was presented to the local ER with a near syncopal episode upon standing | 11.647 | |
I discovered a patient with a history of diabetes, presenting with polydipsia, polyuria, and uncontrolled hyperglycemia. | 10.687 | |
Upon examination, the patient exhibited unequal pupils and decerebrate posturing, indicative of severe traumatic brain injury. | 12.329 | |
a patient with a suspected myocardial infarction reported severe, crushing chest pain radiating down the left arm, accompanied by diaphoresis. | 12.436 | |
We responded to a motor vehicle accident and found a patient with multiple open fractures, severe hemorrhage, and obvious signs of shock. | 11.647 | |
I assessed a child with high fever, lethargy, and a purpuric rash, suggestive of a possible case of meningococcal meningitis. | 12.671 | |
We need a backboard and cervical collar. | 5.823 | |
Airway secured with an endotracheal tube. | 5.972 | |
Get the stretcher ready, we're moving. | 3.839 | |
Patient is responsive but tachycardic. | 5.055 | |
Spinal precautions in place for motor vehicle crash victim. | 6.164 | |
Blood pressure is 130 over 80, heart rate 90, and respirations at 16. | 7.657 | |
BP is 90 over 60, heart rate 60, and respirations are 12. | 6.377 | |
We're seeing a blood pressure of 200 over 100, heart rate at 130, and respirations are 24. | 8.895 | |
A car accident victim with multiple fractures. Administered IV fentanyl for pain control and splinted the fractures for stabilization. | 12.095 | |
The patient is in diabetic ketoacidosis. Started an insulin drip to manage hyperglycemia and initiated aggressive hydration. | 12.841 | |
She's presenting with a suspected myocardial infarction. Administered aspirin and nitroglycerin while preparing for immediate transfer to the hospital. | 11.519 | |
I want to ensure that the spine remains intact | 5.012 | |
the pleuritis became worse 9 out of 10 and he was notably tachypneic due to splinting his breathing | 9.001 | |
he had sudden onset pleuritis and shortness of breath | 5.076 | |
He sustained bilateral femur fractures and a hepatic laceration. | 6.399 | |
The patient has just returned from a decompressive laparotomy | 5.737 | |
Prior medical history is unremarkable, appendectomy at 10 years and some childhood asthma which also resolved about 10 years ago | 10.153 | |
BP 120 over 80, Pulse Rate 90, Respiratory Rate 14, temperature 38 degrees Celsius SPO2 100, ETCO2 27, GCS 15, blood glucose 5 | 18.153 | |
the patients is sitting slumped against a wall and is covered in blood | 5.417 | |
the dart appears to have impaled the man in the right posterior axillary line upwards about 15 centimeters | 14.613 | |
Nasal cannula in place with 2 liters O2 running | 5.588 | |
uncle is conscious and alert with intense pain particularly in his chest, legs and abdomen with the following observations | 10.985 | |
Found hypotensive, with history of 2 day coffee ground emesis, and hematochezia | 7.721 | |
With the lung sounds, no evidence of urticaria anywhere on the torso, no evidence of swelling or edema | 8.724 | |
The EMS crew quickly performs an assessment including vital signs and a 12 Lead ECG | 7.38 | |
Continue sedation with 0.5 milligram per kilogram ketamine, and paralysis with ROC | 9.193 | |
tachycardia at 130, BP 140 over 96 | 6.74 | |
i do not believe the patient will go into cardiac arrest, but she is intubated | 6.228 | |
Negative babinski reflex, no pain response at any level in his legs | 6.804 | |
No peripheral edema. No chest pain, no neurological deficits. | 6.889 | |
We administered 8 mg of Dexamethasone | 5.801 | |
Ventilated EtCo2 50. SpO2 98. Color pretty good | 7.871 | |
blood pressure 100 over 70, respiratory rate 18, pulse rate 140, SPO2 98% ETCO2 30 | 13.801 | |
He also has had Cephalexin about an hour ago | 6.761 | |
Heart rate 96, BP 148 over 90, Respitory rate 18 non-laboured, SpO2 96%, temperature 35.9 degrees | 11.732 | |
We arrive 20 minutes later to find him with peripheral cyanosis, cold extremeties, no diaphoresis | 7.487 | |
We were both hesitant to decompress the chest due to the clues not lining up to suggest a tension pneumothorax or a hemothorax | 9.513 | |
The entrance wound was 1 mm in circumference with the exit being approximately 2 mm. | 7.231 | |
There was a large hematoma to the right anterior forearm just distal to the elbow | 6.911 | |
I know Ventolin would cause bronchial dialation | 4.116 | |
BP, 180 over 120. heart rate, 140. And respirations, 32 | 7.017 | |
I'm following the ACLS algorithm for wide complex tachycardia | 6.548 | |
nitroglycerin was administered sublingually with decrease of pain to 4 out of 10 | 7.785 | |
One of the teenagers was holding cricoid pressure to reduce gastric distension | 6.313 | |
there is a decrease in the arterial flow to the vessels on both sides, with no apparent abnormalities in the outermost layer | 10.687 | |
Adventitious air entry sounds are heard from the door | 5.503 | |
he is sitting semi-fowlers on the couch, and see-saw breathing with intercostal retractions and tracheal tugging is noted | 9.343 | |
bp is 126 over 72, temperature normal, blood glucose normal, Spo2 99% | 9.556 | |
82 year old male presented last night after syncopal episode | 5.737 | |
Patient was talking GCS 15 out of 15 this morning but has passed 700 ml measured blood per rectum within the last hour | 11.54 | |
Nasal cannula in place with 2 liters O2 running | 4.564 | |
Over the last few hours the patient has experienced worsening dyspnea and feels like he is dying | 7.636 | |
the patient has severe pvd with a femoro-femoral bypass surgery done in 2009 | 7.465 | |
patient was alert and orinteted times 3, GCS 15, with no signs of trauma noted | 8.148 | |
Moved patient to gurney, no palpable radial pulse, can't auscultate a blood pressure | 7.252 | |
After two IVs and just 500 cc of fluid patient has strong radial pulses and a BP of 142 over 100 | 10.345 | |
Husband reports a history of hypertension, high cholesterol, hypothyroidism, with associated medications | 7.977 | |
patient is unresponsive, and incontinent of feces with systolic blood pressure of 66 | 8.361 | |
Patient presents alert and oriented times 3 lying supine on his bed with no shirt on | 7.337 | |
on the way to the hospital the 12 lead EKG is monitored | 5.716 | |
A large dose of Valium has failed to settle the patient | 5.14 | |
The patient has a five year history of ETOH abuse | 5.588 | |
She has been given Morphine for pain. C-spine is clear. | 5.076 | |
She suffered a fractured left tibia and fibia, pulmonary contusion and a fractured right wrist | 7.7 | |
Patient placed on 3 liters per minute of O2 via nasual canula with ETCO2 | 8.297 | |
He also hasn't taken any of his medications since yesterday as advised by the endoscopy clinic. | 7.892 | |
His skin is diaphoretic and pale. | 4.308 | |
Pulse 89, we notice slight diaphoresis and what could possibly be jugular venous distension | 9.407 | |
The baby is now apneic. | 3.668 | |
His wife said that he had pneumonia and a sore throat two weeks ago and was on Zythromax and also started some medication for gout | 10.559 | |
Radial pulse is 100 bpm and regular. Blood pressure is 130 over 84. respiratory rate 24, adequate depth. Temperature is 98.8 degrees | 13.097 | |
Lungs are clear to auscultation. Chest is symmetrical and atraumatic. No scars noted | 8.916 | |
Finger clubbing is noted, along with slight peripheral cyanosis. | 5.673 | |
Your EKG monitor shows sinus tachycardia with no ectopy in lead two. Finger oximetry is 92% on room air. | 11.433 | |
Thyroid problems and they think some medication of hers caused fluid to build up in her brain last year | 7.465 | |
Patient has a sensitivity to morphine sulfate and is allergic to shellfish | 6.228 | |
Patient has closed fracture of left humerus | 4.884 | |
We brought the patient to the remote worksite clinic by the EMT on scene with full spinal precautions in place | 9.599 | |
Her history includes lower back pain and a laminectomy 5 years ago. She also has lymphomas with some renal issues. | 10.857 | |
BP 110 over 82, RR 24, HR 100, GCS 15 | 10.068 | |
BP 140 over 92, HR 130, SPO2 98%, temperature 37.5 degrees, BGL 6.7 | 14.207 | |
Gag relfex intact. Pupils are equal and responsive. | 5.887 | |
pulse ox showing 92% on room air | 5.417 | |
Upon arrival we found the patient on an exam table, on 2 liters of oxygen with saline lock in place and dinamap machine in place | 12.009 | |
I had a critical patient who went from a brady sinus rhythm with narrow complexes to a wide complex tachycardia at a rate of 120 | 13.46 | |
We have a 80 year old patient with a history of hypertension, aortic regurgitation and acute renal insufficiency | 16 | |
no noted deformities, tenderness, or crepitus to palpation | 5.673 | |
his brachial arteries are pulsating out of his arm about a quarter inch | 6.783 |
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