Invoice Number: 021256 Delta Ambulance Corp.
Day: Friday Date: 8-27-93 Pickup: Allen Pavilion
5151 Broadway
Room: ICU
Destination: Ashley Pavilion
168st. Broadway
Room I6
Mileage: 3 miles
Diagnosis: Xanax Withdrawal
Past Medical History: Crohn's Disease
Symptoms: No Acute Distress
Nature of Problem: Xanax Withdrawal
Aid Given Patient: Psych First Aid
Transport Only
Condition Status: Unchanged
Time: 12:25
Vital Signs: Respiration - 20
Pulse- 92
Blood Pressure - 160/100
Conscious - Full
Pupils - normal
Skin - unremarkable
Comments/Impressions: Patient is a 23 year old male with Xanax
withdrawal. Patient has Past Medical History of Crohn's Disease
(remission). Patient is in No Acute Distress and has NKA. Patient is
conscious & Alert and Oriented X 3. No difficulties during transport
Unit # 3697414.
Drivers Name: J. Figueroa Vehicle 102
EMT's Name: A. Altchek EMT # 171275
Patient received by (illegible) 8-27-93
Click here for image 1
Click here for image 2
Click here for image 3
Click to return to Ambulance
Click to return to Home Page