NHS No. 999 934 5201

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