Its been a great few days. After work last week, headed back over to GA to visit friends and go riding. Went to the FD vs SO football game up in Banks County, it so reminded me of home.. Good game... SO kicked the fire guys all over the field. Retribution for the past 2 years.
Worked at the plantation on Sat, had a kid who was riding his atv in the woods and got his leg caught between the back tire and a tree and then hit the gas. At first we thought it was a compound fracture but after looking at it and the flesh left on the tree, he split the back of his leg open. He hollered more over getting a line started than his injury. Bad part was he was from a city 200 miles away, was there with a friend and his dad, and the friends dad had no information on him. No easy access to his parents phone number, no history on him... nothing. It also didnt help that the kid was wearing sneakers instead of riding boots. If he had any ALOC we would have flown him, but we was taken straight into surgery once at the ER. Ran a couple of other calls, a broken clavicle and a sprained LCL/MCL injury. Considering we had a hare scramble race and an all day race we did good with no significant injuries.
Then went riding and had a blast. The weather wasn't bad so I went through some serious mud. Met up with some new folks and took them back on the trails. Until next time...
Work was pretty steady yesterday. Ran a call on a pt with nausea/vomiting / heart problem. Walk into the nursing home to find a 59yo woman, alert and oriented,.. but pasty white and a pulse of 23! Hx of CHF, hyperkalemia, acute renal failure and DB. Couldn't get a line for nothing. She was compensating very well considering, but both EJ's, and 3 tries on the arms gave us nothing. Tried pacing and but couldnt get capture. We're trying to get a standing order to give Epi sub-q for cases like this...
Ran a call for chest pain.. the guy was NSR and his 12-lead was normal.. but he LOOKED sick. he looked like he was having an MI in front of us but he flat out refused everything. After trying to convince him to go, and him still refusing, his wife announced she would take him against his will to the ER. He had another MI as they were walking in... and while in the ER was still refusing care. Guess stupid is as stupid does.
Monday, November 20, 2006
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