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Go ahead for med command.", "unit_tag": 0, "words": [] }, { "end": 8.0, "segment_id": 2, "start": 4.0, "text": "Alright, good afternoon. I'm showing about 10 minutes inbound", "unit_tag": 0, "words": [] }, { "end": 12.0, "segment_id": 3, "start": 8.0, "text": "from Corning Interfacility with a 79-year-old patient. He's got a large", "unit_tag": 0, "words": [] }, { "end": 16.0, "segment_id": 4, "start": 12.0, "text": "hematoma on the neck. I guess he, around noon", "unit_tag": 0, "words": [] }, { "end": 20.0, "segment_id": 5, "start": 16.0, "text": "today, had some load of a fall. He was down for a little bit.", "unit_tag": 0, "words": [] }, { "end": 24.0, "segment_id": 6, "start": 20.0, "text": "It has grown in size. They have a, you know, marked with an OR marker.", "unit_tag": 0, "words": [] }, { "end": 28.0, "segment_id": 7, "start": 24.0, "text": "There has been some progression. Patient is intubated.", "unit_tag": 0, "words": [] }, { "end": 32.0, "segment_id": 8, "start": 28.0, "text": "We haven't seen any complications with that. We're not getting any vent alarms.", "unit_tag": 0, "words": [] }, { "end": 36.0, "segment_id": 9, "start": 32.0, "text": "His vital signs have been good. He's", "unit_tag": 0, "words": [] }, { "end": 40.0, "segment_id": 10, "start": 36.0, "text": "paced at 66. Zentyl is good right around 30. He's", "unit_tag": 0, "words": [] }, { "end": 44.0, "segment_id": 11, "start": 40.0, "text": "setting here 100% on the ventilator. And his pressures, he was pretty hypertensive.", "unit_tag": 0, "words": [] }, { "end": 48.0, "segment_id": 12, "start": 44.0, "text": "Like two ORs over 100. We've gotten that down significantly.", "unit_tag": 0, "words": [] }, { "end": 52.0, "segment_id": 13, "start": 48.0, "text": "We treat him with some pain control, some benzos,", "unit_tag": 0, "words": [] }, { "end": 56.0, "segment_id": 14, "start": 52.0, "text": "and he seems to be doing much better. He got his K-centra as well. We don't see", "unit_tag": 0, "words": [] }, { "end": 60.0, "segment_id": 15, "start": 56.0, "text": "any other things, anything else going on other than the hematoma.", "unit_tag": 0, "words": [] }, { "end": 64.0, "segment_id": 16, "start": 60.0, "text": "And if there's nothing further,", "unit_tag": 0, "words": [] }, { "end": 68.0, "segment_id": 17, "start": 64.0, "text": "like I said, he's tolerating the ventilator. We'll see you shortly if you've got any questions for us.", "unit_tag": 0, "words": [] }, { "end": 72.0, "segment_id": 18, "start": 68.0, "text": "Zentyl is like 30 at this point.", "unit_tag": 0, "words": [] } ], "success": true, "transcript": "Robert Packer, ER. Go ahead for med command. Alright, good afternoon. I'm showing about 10 minutes inbound from Corning Interfacility with a 79-year-old patient. He's got a large hematoma on the neck. I guess he, around noon today, had some load of a fall. He was down for a little bit. It has grown in size. They have a, you know, marked with an OR marker. There has been some progression. Patient is intubated. We haven't seen any complications with that. We're not getting any vent alarms. His vital signs have been good. He's paced at 66. Zentyl is good right around 30. He's setting here 100% on the ventilator. And his pressures, he was pretty hypertensive. Like two ORs over 100. We've gotten that down significantly. We treat him with some pain control, some benzos, and he seems to be doing much better. He got his K-centra as well. We don't see any other things, anything else going on other than the hematoma. And if there's nothing further, like I said, he's tolerating the ventilator. We'll see you shortly if you've got any questions for us. Zentyl is like 30 at this point." } }