first call of the day is...

Explosion at a DOD contractor company. DSI, 45% BSA full thickness burns including his airway and a flight to the burn center in San Antonio. We were the assist unit. Basically got to play but not write any paperwork.


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Handsome Robb said:
Explosion at a DOD contractor company. DSI, 45% BSA full thickness burns including his airway and a flight to the burn center in San Antonio. We were the assist unit. Basically got to play but not write any paperwork.


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Your black cloud makes mine look like drizzle.
 
DEmedic said:
Your black cloud makes mine look like drizzle.
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IMG_0175.GIF
 
this was a few days ago, but severe DKA + asthma attack + recent release from hospital noting pleurisy present. ETC02 at a whopping 7.
 
Nasal cannula ETC02 or intubated? Never seen an ETCO2 under 15 in a patient with a pulse
 
Chase said:
Nasal cannula ETC02 or intubated? Never seen an ETCO2 under 15 in a patient with a pulse
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Cannula, patient looked like they were going to die any second. I was just a helper, CC-P medic partner was going into his zone doing his thing.
 
That's a nightmare long term management-wise in regards to intubating a patient that far into their DKA/ metabolic acidosis and requires vent management years above me and my lowly medic license. It does sound like respiratory failure though, so not much of a choice.
 
VentMonkey said:
requires vent management years above me and my lowly medic license. It does sound respiratory failure, though, so not much of a choice.
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That was the look on his face too... he kinda got what the doc told him and was like "ooooookayyyyy lets give this a go"

Edit: HR was 115(if i remember correctly), sugar off the charts, breath like juicy fruit, pt was severely disoriented, and i personally think had acute hearing loss. but i wasn't in charge(rightfully so).
 
DEmedic said:
Your black cloud makes mine look like drizzle.
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I wish we could've taken a picture with the King Vision as to exactly what we were dealing with in his airway. Anatomy was all but completely unrecognizable. Glad I was the assisting airway medic rather than the actual airway medic. I just suctioned for him and tried to help identify landmarks then the two of us talked briefly about what we needed to do to get the tube to pass the swollen shut chords once he got the bougie to pass.

100% the scariest airway I've ever seen.


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Paced rhythm with runs of WCT. The Fentanyl helped a little, but I sure wish we could administer just a pinch of one of our benzo's for these patients.

Not quite symptomatic, but the pm would fail for a minute or so. I can't imagine decreasing the patients anxiety even just a smidge wouldn't help. Either way, sounds like someone is due for an upgrade of the AICD variety.
 
Dispatched for a stroke. Not a stroke, but a PTSD panic attack.

At least the EMS room at the hospital had schnaks.
 
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Cardiac arrest that neither us nor fire were expecting.
 
DEmedic said:
Dispatched for a stroke. Not a stroke, but a PTSD panic attack.

At least the EMS room at the hospital had schnaks.
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At least in my area, I feel like stroke is the most incorrectly EMD'd response.

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NPO said:
At least in my area, I feel like stroke is the most incorrectly EMD'd response.

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Same here. Probably because of all the campaigning for s/s of stroke have people paranoid.
 
We have notoriously bad emd. Calls are almost never what the original dispatch is for.
 
DEmedic said:
We have notoriously bad emd. Calls are almost never what the original dispatch is for.
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I'd venture to guess that this is universal with the EMD system in general. You say one word---wrong, or right---and presto! whammo! Here comes the calvary.
 
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