Got dispatched for a possible full arrest.. enroute are advised CPR is in progress. BLS squad is on scene and disregards us and calls the coroner in. Found out later that the patient had been gone for a good hour or so... I'm guessing chest compresisons might not have been to compliant.
Later we got called out for a CO overdose / possible suicide. We met the squad enroute to the hospital. The only working hyperbaric chamber is across the river so off we go. I seem to be having a run of brain-farts today. Jaws clenched - nope, not doing an ET. Started the Neo and dilating the nares for a NT and WHOA... patient is awake. No oriented.. but not uncon anymore. The word combative just doesn't do her justice. Her first sugar was 38. We had the EMT stick her again.. the other medic I was with had heard something about hypoglycemia coinciding with a CO OD. I had already drawn up the Glucagon and the Narcan was already on board. Her 2nd sugar, not more than 45 seconds later was 199. I need to do some of my own looking into this.
Still have another 15 hours or so before I am off. Have hockey practice tomorrow and while I shouldnt be playing, I miss it way to much to not go... It'll be good to test the ankle out.
In the middle of our ritual poker game on this shift we get called out for an MVA with multiple injuries on the highway. Remember passing by an SUV that looked like it had lost the war but everyone had self-extricated themselves. One refusal, one minor and one kinda of an iffy. Other squad took the minor, I took the other guy. Couldnt remember if he was restrained or not and found out enroute that it was a multi-rollover. He got the full work-up. He had a nice doozy of an abrasion on his shoulder which after putting everything together his shoulder was a contact point with the asphalt mid-rollover. Lucky his head didnt follow.
After tagging him with 2 large bore IV's.. I told him the real medics would be on board soon... we just stayed at a Holiday Inn the night before. He would probably be out of the trauma center within a few hours but with his mechanism, but who knows what's possible these days.
Sunday, March 19, 2006
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