Hospital and Telephone Triage

91 videos, 4 hours and 28 minutes

Course Content

Unknown condition - Possible stroke

Video 76 of 91
4 min 4 sec
English
English
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Hi, my name is Mark. I'm the triage nurse here tonight. I just need you to confirm your name and date of birth for me, please.

Yeah. It's Barry Davis and it's May 16, 1972.

Excellent. Alright, so this is triage. It's a quick assessment and then we'll get you to the right person...

Okay.

The most appropriate pathway for you. Can we just do your blood pressure, while we...

Yeah, yeah, yeah, yeah.

Okay. Okay to use this arm?

It is. This is the side I've got a bit of a problem with so I don't know what it is. It's just weird. I've got these pins and needles and strange sense. It doesn't feel strong enough.

Okay.

It's odd. It's really odd. I don't know what's up.

Is it just your arm or...

The side of my face. My tongue feels numb on the left side of my tongue and I don't know, it's just weird. I woke up this morning, I just didn't feel good at all.

Okay. Just doing your temperature in your ear. Excellent. Thank you. So that, from when you woke up this morning?

Yeah, yeah. I went to bed last night, I was fine. I got up this morning and it's just as if this leg's jelly and my arms are not got the same strength and my tongue feels funny. I just don't feel very good.

Alright, okay. So that was two and a half hours ago?

Yeah. I can't even move around, drove me down here. She said I've gotta get it sorted out so...

Okay, okay. What I need to do... Your blood pressure is quite high at the moment.

Yeah. I've got a headache. I have got a headache.

Okay, okay. Any other pain anywhere?

No, no, I've just got a headache. I've had my headache. I went to bed last night and I got a bit of headache when I went to bed, but I thought I'd sleep it off and I woke up this morning with these funny sensations, so...

Alright. No shortness of breath? No chest pain?

No, no, no, no.

Alright. Can I just feel your pulse? Check that's it's regular. Excellent, okay. So what we're going to do is a couple of tests. First thing I'm goinging do is to shine my torch in your eyes, just checking your pupil reaction, okay? And then, I'm just gonna test your strength.

Yeah, yeah. That's fine.

Okay. Open wide. Shine this light in. So I want you to just screw your face up, like that okay and relax. And show me your teeth, okay and relax. Lift your eyebrows up and down and down and up again, down. Okay, excellent. I need to test your strength now. I'm gonna put my hand on your both forearms and then on your legs and I want you to just lift them up and I'm going to compare the strength, okay? Lift your arm up, okay. And lift this one up, excellent. I'm just gonna put my hand on your knee. You okay with that?

Yeah, yeah, yeah.

Lift your leg up, okay. And lift this one up. Okay, alright. So it looks like you've got some weakness in the left side of your body.

Yeah, yeah. It just doesn't feel right. It does feel limp, floppy. It doesn't wanna do what I want it to do.

Okay, okay. What we're gonna do, get you on a trolley and we're gonna get you around to A&E real fast so we can get a doctor to have a look at you and give you an examination and take it from there. Is that okay?

Yeah, yeah, yeah. Yeah.

Alright. Okay, have you had anything for the pain?

No, no, no. I've had nothing. I came straight... These are off. Allison drove me down here so I've had nothing at all. I haven't even had my breakfast.

You haven't had your breakfast?

No.

Okay. Well, what we'll do, we'll just hold off on the pain relief for a moment until you have seen a doctor 'cause I think this is quite soon. This has happened quite soon. Okay. So we'll just put you on this trolley and then we'll get you moving, okay?

Lovely, thank you.