We haven't done much last few nights, first night of the set of shifts, we do nothing, my partner is sick and manages to grab some sleep. He looks very pale.
Next night, we do nothing until after midnight.........
Around 0111 we get a 911 call for chest pains, we roll hot to the location, arrive on scene load and do a 12-leak ekg, and I make a field diagnosis, A-FIB, it means her heart will be fast, then slow down a bit, then speed up, makes you have chest pain, some shortness of breath and scares you. It feels like it is coming out of your chest then it slows enough it doesn't feel like it is beating. My partner says yup looks that way, what does the monitor printout say, A-Fib, Right Bundle Branch Block with Rapid Ventricular Response. I am good, but I know you can never trust the reports given by the monitors as they are computers and can make mistakes. My partner starts an IV and we roll into the hospital.
FALL
We get a call from a shelter care location for a male who has fallen, we get there and find a guy sitting up in the floor kinda looking out of it. My partner the medic does the assessment while I do my paperwork digging, appears he has done this a few times before, he just falls, they have called it near syncope, and falls, I dig through his history, AH HA!!! I have it and they have missed it!!! Seizure disorder since childhood, due to traumatic brain injury!!! I have found something the hospital hasn't ever dug deep into, because their papers in front of this one don't have the history of seizures! Not to mention he takes Depakote. A seizure medication! We backboard him, he is unable to tolerate the board due to fact has shortness of breath when he lies flat. We get rid of the board after a check of the spine, we do have c-spine immobilized with a c-collar. We put him on the cot, and transport him, with an IV lock by my partner and some oxygen with the cardiac monitor on in case he decides to seize again! Arrive at the hospital, the doctor thinks it is nothing but a siezure and sends him back home a short time later.
Then we roll on an accident, we get there and it is an oil field salt truck, spilling salt water into the ditch, oh great HAZMAT!, We load our patient backboard and c-collar, he is a bit confused, but alert, we take him in. I hear on the radio they are still working a few hours later when I get off. Ouch!
Next night, we do nothing until after midnight.........
Around 0111 we get a 911 call for chest pains, we roll hot to the location, arrive on scene load and do a 12-leak ekg, and I make a field diagnosis, A-FIB, it means her heart will be fast, then slow down a bit, then speed up, makes you have chest pain, some shortness of breath and scares you. It feels like it is coming out of your chest then it slows enough it doesn't feel like it is beating. My partner says yup looks that way, what does the monitor printout say, A-Fib, Right Bundle Branch Block with Rapid Ventricular Response. I am good, but I know you can never trust the reports given by the monitors as they are computers and can make mistakes. My partner starts an IV and we roll into the hospital.
FALL
We get a call from a shelter care location for a male who has fallen, we get there and find a guy sitting up in the floor kinda looking out of it. My partner the medic does the assessment while I do my paperwork digging, appears he has done this a few times before, he just falls, they have called it near syncope, and falls, I dig through his history, AH HA!!! I have it and they have missed it!!! Seizure disorder since childhood, due to traumatic brain injury!!! I have found something the hospital hasn't ever dug deep into, because their papers in front of this one don't have the history of seizures! Not to mention he takes Depakote. A seizure medication! We backboard him, he is unable to tolerate the board due to fact has shortness of breath when he lies flat. We get rid of the board after a check of the spine, we do have c-spine immobilized with a c-collar. We put him on the cot, and transport him, with an IV lock by my partner and some oxygen with the cardiac monitor on in case he decides to seize again! Arrive at the hospital, the doctor thinks it is nothing but a siezure and sends him back home a short time later.
Then we roll on an accident, we get there and it is an oil field salt truck, spilling salt water into the ditch, oh great HAZMAT!, We load our patient backboard and c-collar, he is a bit confused, but alert, we take him in. I hear on the radio they are still working a few hours later when I get off. Ouch!