Monday, September 04, 2006

Firsts....

Assigned to the engine last shift. First call out with us and the rescue was for a 2 yr old who wasn't acting right. Didn't have a history of seizures but was presenting postictal. Dad was holding her in the driveway when we got on scene and got in the rescue while I stood outside with mom to get info, history, etc. Mom was frantic, getting very vocal as to why we weren't taking off to the hospital. I told her we were assessing her, making sure she was stable, etc.... she didn't understand the delay and why we weren't taking her NOW.. "So the professionals could do their job". I looked at her and advised her "we're professionals too ma'am". I understood her being upset, but she back down and let us do our job.

Next call was for a 16yo old who fainted. The rescue had been on scene for a few minutes when they called for us. Fortunately we were literally right around the corner. Only hx of asthma. Responsive only to pain. Has periods of lucidity but they are agitated at best. Breathing at 30/min. Wheezing in all lobes. Taching at 160. Cant get a pressure. We get enroute... A basic rescue was dispatched so I am riding in with them while the engine follows us to the hospital. I am wanting to get some narcan on board to cover my bases. We are on the ramp at the hospital and he codes. Asystole. We work as hard as we can for an hour before the docs call him. Its a first for me to have a kid who was talking to me at one point and gone the next. I am guessing a PE.

While enroute to the ER with the kid above I am calling in report and the nurse from hell answers. She is advising me that they are on neuro diversion and she keeps cutting me off... I have other things to be doing with this kid than argue with this idiot. I give her what I have.. basic hx, pulse, respr., treatment til now and adv that we cant get a pressure. And she asks again, what is his pressure and I really should know that they really shouldn't be taking him b/c they are on neuro diversion. By this time I am ready to hurl the phone through the window... my EMT in the back is laughing cause I'm losing it. I hang up on her after adv her that this is NOT neuro, that we cant get a pressure and that we ARE coming. This is also the same moron who while we are working this kid in the ER is running around worried about him bleeding a little from an attempted IV stick. Are you freaking kidding me?!?!?!?! She is well known to field people as the idiot at that ER.


Had several fire calls throughout the day. A guy who wanted to fry fish in his turkey fryer on his deck lit it off. A few more bells and smells. Fixed my brothers mexican casserole for dinner. It's super easy and usually goes over well.

Ran a few other calls late in the night that were nothing notable. Usually disregarded by the rescue once onscene. Ended the shift with a call about 5am for an unconc/unknown laying in the street. Enroute PD advised a possible heart attack. Once there the guy was pretty distressed saying he had been laying there for an hour like this. Got him in the rescue (again the basic.. cant figure out why the basic rescue is getting dispatched to these calls) and ride in. He is in textbook SVT. Has a hx of SVT (imagine that), has been doing street candy and gin for the last day or so. All 3 rounds of Adenosine dont touch him. Have the pads on him in case he decides to crash, but we are now 3 blocks from the ER and I'd rather cardiovert in the ER than in my box. And by the time I could draw up the Versed we'd be opening up the back doors. He gets another round of Adenosine and still nothing. They pull out their pads and who'la... he converts.

Was supposed to flying off to MI for the week but plans got a little fubar'd. Dont want to stick around town so I'm heading to NKY to visit friends for the holiday weekend. Camping next weekend. Life is good. I am fortunate, thats not a first.

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