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Another day in the trenches

nypamedic43

1,070 views

I can't believe that I haven't blogged anything since April! Holy crap!! Maybe it's because my life is really uninteresting. I wake up, I get dressed, I get Jayse up and dressed, cook breakfast, put the dishes in the sink, make my lunch, yell at Jayse for the 4th time to get his shoes and coat on and grab his backpack and then out the door we go. I get to work, I check my rig and then I clean up the station....and run calls.

We were really lucky last week. Didnt turn a wheel Thursday or Saturday, only ran 1 call Monday and then all hell broke loose...again. Shootings, stabbings, fatal wrecks, acute MI's...you name it, we caught it. I've gotten pretty good at letting the bad things I see go by the wayside. I talk about it if I need to and then I just let it go. As long as I know that I am doing the very best I can.

Today we got a call for "bleeding from the mouth". About half way to the call, dispatch told it us it was now a full arrest and that she was sending us backup. As we were pulling into the driveway, my partner says.."I know these people. I grew up and went to school with thier kids". My pucker factor just went from a 2 to a 20....shit!!! So we get parked, I grab the first in bag, the IO and the suction. Jason grabs the monitor and tells the crew that coming to help to get the stretcher and a backboard when they get there.

So we walk into this beautiful house and I look down and I see blood drops on the floor....leading through the living room, up the stairs and onto the second floor. I see a woman standing there in tears and covered in blood. What the hell is going on? We walk into the bedroom and 1 of our co-workers is there and a couple of the EMT's from the fire dept. I see a man in a white coat doing CPR and HE is covered in blood. So we got to work, my partner gave the monitor to our co-worker. My partner asked for the intubation equipment, which I gave him. One of the EMT's is freaking out.."what can I do...What can I do!!" I send her out to check on the woman that I saw, to talk to her, make sure she is ok and to help her get cleaned up. I then grab the IO and head for the feet. I had an EMT run my line down and I drilled the IO, drew back got blood and hooked up the line. All the while the family member is talking to his brother....begging him to hold on. I ask what happened, whle my partner is fighting with the airway because its full of blood...he can't get the tube so he goes with a combitube. Something is better than nothing but now he is kinda stuck...cant deligate the airway because he has to constantly suction blood out of it.

Anyway, the family member tells us that his brother had a tonsilectomy 2 days ago with a tracheal cutdown? in Rochester. He says his wife heard him hit the floor and she came in to the room and found him on the floor, spewing blood from his mouth. The patient was covered, there were pools of blood on the floor as well as several towels dropped on the floor,soaking up more blood. If I didnt know better I would swear it was a murder scene and I had to swallow the dark humor that sometimes bubbles to the surface.

So I get the line attached and the IO secure and asked for my vasopressin....I got handed an Epi...ok that works. Give the Epi and because it was witnessed, asked for the Atropine. Got that and gave it. IO is runnin great...they finally have him intubated and now we have to move him. A backboard isnt gonna work....so we use the megamover. I apologize for the messl, I got told not to worry about it by the man's brother. The guys get him down to the stretcher and secured and now we are cookin with gas. I'm doin compressions and the only activity is my compressions....the 4:1 is asystole in 2 leads, but I gotta say that there wasnt anything to circulate. Got my 40 of vasopressin in him and continue compressions. My partner is still trying to keep the airway clear and he tells me that when I'm not doing compressions, he is easier to bag, but doing the compressions there is blood in the tube. I havent got much more to throw at him, so I fire up the pacer. Get my mMa set and the pulse to 60. My partner gets on the radio and calls a quick report and asks for sodium bicarb...we got the order for it, which surprised me and I gave that as well. The 4:1 is now showing agonal beats but no pulse....PEA. Shit!!! back to compressions....by now my back ( where I sprained it) is screaming at me to stop but I cant. We finally pull into the hospital, get him inside, get him moved over and respiratory therapy is there...with their fancy cameras and all...and they cant get the tube. Nice! Meanwhile someone else is doing compressions...at about 60 a minute. Really??! speed it up man!! then someone else takes over...and she is over on the left side of the chest...bouncing up an down....let me in there I tell her...and I start compressions again.

My white shirt is red, my blue pants are red and I am sweating like a pig on a hot summer day. The Doc looks at me and says " Good compressions!" "Thanks Doc...we get lots of practice...unlike some of the people in this room." I finally cant make myself do another compression and I let the 60 a minute man take back over. I untangle our monitor and walk out of the room. I only know this patients first name and that he is 59 years old. Except for the tonsilectomy 2 days ago I know nothing about him, except that he is dead and I worked my ass off to make that not happen.

We were out of service for 2 hours after the call. Cleaning up the rig and restocking it. Then we had to go to our houses and get clean uniforms and different boots. I threw my uniform into the washer at work and off we went on the next call.

Why cant I just have a nice normal day of Gramma fell and bumped her head?? Nope I get the people the bleed out in front of their families eyes and am helpless to stop it.

Some days it just doesnt pay to chew through the straps man.


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