Felt Rage Towards this Patient - first time

MedicPrincess

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Dispatched for an MVA. Dispatch was "very excited" and therefore pretty hard to understand, but it was obvious it wasn't very pretty. The best we were able to interrpret was there was possibly more than one incident.

On scene, find a single car had crashed through a fence and into some trees on the flightline of the Military Base. Patient was being backboarded by fire upon our arrival. My medic gets out, and before I can get out and around the ambulance she is giving me our "launch the helo/trauma alert" signal. So helo is on the way. In the time it takes me to get through to dispatch and tell them to launch our helicopter, get the doors open and the stretcher out, fire is walking up to our truck carrying a patient with blood everywhere and pressure being applied to his left AC area and his left inner thigh. Patient is CAOx4, laughing and asking how many people he had hurt. My medic asks what he was talking about, he said he took "some stuff" and drank a bunch and figured he'd have crashed before then, and how about we just let him die.

OH...so he's trying to kill himself. Get to work, pressure dressings on the to arterial bleeds, and all the normal ALS trauma alert stuff.

He keeps saying the bleeding arm and leg are not what is going to kill him. After a couple times one of the FF in the back with us asks him what is going to kill him. At which time he said this and grabbed hold of the back of my shirt - I was making him naked - and the front of my partners - she was in the middle of sticking him. He shoved her back and pulled me down. The number of FF and SO that suddenly entered our ambulance made me wonder if he wasn't about to die. So now he gets to be naked and tied to the bed with a couple FF on either side to ensure he is going to be good.

Anyway, we finish our work and the helo has a 2 min ETA. Our trucks Nextel beeps and its my ma. She was on her way to the airport when this guy in a silver car ran her off the road, caused a couple other cars to hit each other, hit another car and kept going. I looked at our patient and asked him where he started driving at. Two towns over. Everyone (including my kids) in ma's car is okay, but she wants to tell me to be careful b/c he's headed towards our district. Thanks ma...call you back.

At that point, I have not felt rage towards someone ever, like I did him. I told my partner, the FF, and the SO in the back what Ma had just told me. The SO in the back says, "Oh yea, he also had a loaded and cocked 9mm sitting on the seat next him in the car."

The guy was being so combative our Shift Commander was on scene and called for orders for Droperidal before putting him in the helo. MD said no, transport by ground to the hospital he was at. SERIOUSLY!! Yep, take him to the ER.

At one point in the ER he wiggled out of the restraints the put on him, grabbed our MD by his head and began fighting with him.
 
Very understandable reaction on your part, and the doc got a little lesson in Karma to boot.
 
Chimpie said:
Wow.
......

Yeah, what he said. :wacko:

Let's see: ABC's, Vitals, SAMPLE Hx, Slap Therapy ... that should just about cover it. ;)
 
ffemt8978 said:
Yeah, what he said. :wacko:

Let's see: ABC's, Vitals, SAMPLE Hx, Slap Therapy ... that should just about cover it. ;)

Slap Therapy! I love it. After we cleaned the truck on our way back to station I had said I wanted out Med Director to teach me that one hand over the mouth and nose the other "supporting" the patients neck move he pulled on the patient.
 
Well, I had wondered what happened to you, EMTPrincess - now we know! :)

He actually flipped his car onto an active flight line?! He's damn lucky that the MPs didn't fill him up with some .223 loving.
 
fm_emt said:
He actually flipped his car onto an active flight line?! He's damn lucky that the MPs didn't fill him up with some .223 loving.

I thought the same thing. He crossed 4 lanes of traffic before crashing through the fence. It was almost to bad he didn't do it about 1000 feet to the west, then he'd have been crashing through the gate and they could have just shot him.
 
It must be a lie............. no one would ever want to harm an EMS person.........especially not a female EMT........


Seriously though, I am glad you are OK. I am also glad your mom and kids were fine too.
 
First off; I am glad to hear that your family and children are ok.

Second: I'm surprised you didn't stomp a mudhole in his *Explitive withheld*
and a 14 g in his eye.
 
wow... just wow.

I think I would have felt the need to administer O2 via D size cylinder. Good 'ole O2 overdose.

Of course I wouldn't have done it though, but I would have thought about it!
 
MMiz said:
wow... just wow.

I think I would have felt the need to administer O2 via D size cylinder. Good 'ole O2 overdose.

Of course I wouldn't have done it though, but I would have thought about it!
Don't worry, you're moving to NC soon and that may be part of your protocols.;)
 
Well, there is always a chance that the paramedics being so busy with
this combative pt; that pain killers could've been, um...forgotten? ;)
 
Pain killers? He didn't get no stinkin pain killers...

And lets remember...He was transported by ground.

Theres good driving......Theres bad driving.....Theres my partners driving....and then there is the ride this patient got.

There are 2 ways to get to the hospital from where we were. The way I always go has nice smooth roads that have been very well maintained. The other way has many dips, bumps, potholes, curves, and is just generally rotten.

Its equal distance. Traffic is always lighter on the second route.
 
It's a challenge to retain one's professional composure under such circumstances isn't it?

i can recall bringing in a real yahoo, on entering the er door with him i simply flashed my run sheet clipboard at the recieving nurse


A**HOLE was all i had written in big letters....

~S~
 
DT4EMS said:
It must be a lie............. no one would ever want to harm an EMS person.........especially not a female EMT........

I know. I just cannot believe someone would try to hurt anybody whose intention is to help them.

Shocking...and unbelievable.
 
Heya Princess......(so GLAD you're okay)......how come you get all the nutters? :ph34r:
 
Nutters??

In my regular district for my truck we have 4 group homes/half way houses for people with mental difficutlties, the counties baker act (thats what we use for involuntary psych admissions) psych facility for patients without insurance, the detox center, the drug rehab place, the Greyhound bus station, 2 bridges that the homeless population call home, and the city jail. That doesn't include the night clubs, nursing homes, and the general tourist destinations that my district covers.

The county did the right thing....they put all the crazy people in one location.
 
MMiz said:
I think I would have felt the need to administer O2 via D size cylinder. Good 'ole O2 overdose.

The only thing is that hitting someone with a D-tank leaves a mark, which can lead to prosecution. Hitting someone with a 1000 mL bag, however, leaves no mark.
 
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Wow, I could have handled it all until that nextel came...I only hope I could show the restraint you did.
 
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