first call of the day is...

40 yo male tried to hang himself. Put the rope around his neck and step off the ladder. Rope broke and he landed on his back and cracked the back of his head. He then got up and used a heavy duty electrical cord, this time the cord held, but his wife found him dangling fron the rafters and called 911.. Cops arrived and cut him down before he lost consciousness. Physically I think he will be ok.
 
cruiseforever said:
Rope broke and he landed on his back and cracked the back of his head. He then got up and used a heavy duty electrical cord,
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Wow. He ain't a quitter.
 
Yesterday it was an unresponsive person in a car. Looked to be a mix of COPD exacerbation and opiate overdose. Im not convinced of the latter, ended in an RSI.

Double medic unit and not my run, but im not super happy with the way the run was handled.

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Difficulty breathing at a nursing home. Get there and staff says patient is breathing better. Patient denies ever feeling SOB or any other pertinent complaints.

BLS to the hospital, as we pull up he ask patient how she feels, she says she feels great. He walks out the side door and around to the back and shes unresponsive, leaning to her right. Take her in, advise of possible stroke, move her over. As the doc is about to tube her, she coded. NH failed to mention the period of confusion and slurred speech that was likely the TIA leading up to the stroke.

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Smoker with Hx of COPD, on O2. What could possibly go wrong...


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Pedi with possible croup. Fever last night. Mother treated at home. Brought patient to an urgent care with a C/C of SOB. Per doctor patient was having severe work of breathing with retractions, nasal flaring, and accessory muscle use with an SpO2 of 74% on room air. They gave decadron and racemic Epi.

We get on scene and the kid has a nice loud strong cry with wheezing on auscultation. SpO2 of 98% on room air with a shark fin morphology capno at 38mmHg.

Fire lost their mind with this patient and called the hospital in a panic with no vitals and no information asking for orders for meds that are in our standing orders and also telling them I will be transporting code 3 to them. I pissed them off by transporting code 2 and not allowing Mom to sit on the gurney and hold the patient.
 
Yesterday, the 11th had a first call that was a little strange. Just in the circumstances, not medical or treatment wise.

We use walkie talkies to get paged out and the local PD and SO share the channel. I'd been listening to the local PD searching for a "naked" man who was seen close to some of the houses down by the Rio Grande River. Nothing dramatic, not flashing, no weapons or anything like that.

Then we get called to check welfare on the guy after he was found. So, I'm thinking, "Great, AMS or on drugs, first thing in the morning." Wrong, turns out this guy had been kidnapped in Mexico and been tortured with heated metal bars. The size of the burns looked to be like they possibly used 3/8ths inch rebar. They had also tried to strangle him. He had a huge hematoma on his larnyx. Apparently, no serious internal damage because he drank two 16 ounce bottles of water and could speak clearly. He had burns from the heated metal on both forearms and over both clavicles, plus some minor blistering on his deltoids. On top of all that, poor guy was sunburned from being naked in the sun all morning.

We just cleaned the burns and covered them and turned the poor guy over to the Border Patrol. Not sure what they did with him because later we had runs to the hospital and he was not brought there for further treatment.
 
Old Tracker said:
We use walkie talkies to get paged out and the local PD and SO share the channel. I'd been listening to the local PD searching for a "naked" man who was seen close to some of the houses down by the Rio Grande River. Nothing dramatic, not flashing, no weapons or anything like that.

This guy had been kidnapped in Mexico and been tortured with heated metal bars. The size of the burns looked to be like they possibly used 3/8ths inch rebar.
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Ouch, cartels?
 
Yep, cartels. You don't hear much about their activities out here because we are so far off the beaten path.
 
12 hours in. Haven't had one yet. But I've been posted on the middle of nowhere for quite a while.

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A ~450 pounder with SVT. Cardioverted with adenosine twice on the way to the ER, 3rd time in the ER with Verced + adenosine + zaps. Verbatim quote from the pt: 'I ****ing swear to god, I never wanna do it again !'

P.S. Apparently, he was cardioverted just last week, in the same ER.


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NPO said:
12 hours in. Haven't had one yet. But I've been posted on the middle of nowhere for quite a while.

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Never transported all 24. Got a couple minor assaults. Mostly domestic issues with no treatment needed.

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Vomiting and diarrhea for a month that patient has been to 2 EDs for already.

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GMCmedic said:
Difficulty breathing at a nursing home. Get there and staff says patient is breathing better. Patient denies ever feeling SOB or any other pertinent complaints.

BLS to the hospital, as we pull up he ask patient how she feels, she says she feels great. He walks out the side door and around to the back and shes unresponsive, leaning to her right. Take her in, advise of possible stroke, move her over. As the doc is about to tube her, she coded. NH failed to mention the period of confusion and slurred speech that was likely the TIA leading up to the stroke.

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Damn that really goes to show you FAST symptoms should always be taken note of whether your a civilian or a paramedic.
 
NPO said:
34 hours into my 48, got my first call. Let me sum it up.

"Are you new? I know all of the other paramedics."

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I hate that question, no I'm not new I know all the paramedics in the whole county. Is that a question? Haha!
 
GMCmedic said:
Difficulty breathing at a nursing home. Get there and staff says patient is breathing better. Patient denies ever feeling SOB or any other pertinent complaints.

BLS to the hospital, as we pull up he ask patient how she feels, she says she feels great. He walks out the side door and around to the back and shes unresponsive, leaning to her right. Take her in, advise of possible stroke, move her over. As the doc is about to tube her, she coded. NH failed to mention the period of confusion and slurred speech that was likely the TIA leading up to the stroke.

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Had a similar. Chest pain and SOB. Upon arrival all symptoms resolved. The "SOB" was actually low SPO2. I asked the nurse what she did to resolve the low SPO2 and she said she repositioned the pulse ox on the patients finger and it went up. *Facepalm* patient denies any complaints, but it's a nursing home, and it's just easier to take him to the hospital. So off we go.

Monitor because he "had" chest pain. 12 lead because I was in internship and again, he "had" chest pain. All normal. Report given to RN at the ER, including my 12 lead.

He had a STEMI 30 minutes later. Doctor reviewed my 12 lead and confirmed it was clean. Good thing too, it wasn't a STEMI center I took him to.

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Wake up for back pain and generalized weakness, turns out to be a massive inferior stemi, pressure in the 70-80s and junctional in the 30-40bpm range. Follosed up, 100% RCA occlusion, went to Cath lab and now in the icu with stable vitals and a sinus rhythm.
 
Local urgent care, theyre throwing around words like "severe bradycardia", "almost had to intubate", "pacemaker".

Arrive to find a 61 year old male sitting upright and alert c/o "a little dizziness".

HR 54, BP 170/90, beta blockers on the med list.
 
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