Tell us about your First Call ever and ...

F

firemedic0227

Forum Lieutenant
Messages
127
Reaction score
0
Points
16
What did you do and if you were an EMT-B or EMT-P student.

After sitting around the station for two 8.5 hour shifts of ride time and ZERO Calls in a city that is pretty busy. I finally got my first run, the tones went off and we were toned to Adult Male in his 40's complaining of racing heart. We get there after the ALS Engine crew and they inform us they think he is just having an anxiety attack and walk him to the ambulance. We take vital signs and everything was pretty stable if I remember right. We hooked him up to the monitor and it showed SVT and his Radial Pulse confirmed it.

At this point I am not really sure what to do because I just started doing cardiac so I pretty much just sit back and watch. I see them start two 18 Gage IV's one in each AC. The Paramedics ask the patient to bear down like he's going to have a bowl movement, and it doesn't correct the problem. At this point the Engine Crew is already gone so it's me and 2 medics which one has to drive the Ambulance. They prepare 6mg of Adenosine and push it fast with a flush and no change so they push the recommended 12mg IVP Fast with the flush with no change.

One medic gets out of the back and gets in the Drivers seat so it's just me (New paramedic Student with ZERO Experience) and a paramedic in the back with a Code 3 Patient that could bottom out on us at any point. Normal Code 3 pt's with this dept require 3 in the back and one driving. At this point I am thinking CRAP what do I do. Thank god we had a short Transport time of less than 4 minutes to a very good ER. One of the best in the Region.

We get the Patient to the hospital and they try a few more meds to get the the SVT under control and nothing seems to work. So they ER Doc and the PA premedicate him with Versed and deliver a 50J shock and he came out of his SVT.

It was crazy seeing a code 3 pt with SVT that wouldn't come out of it for us but was pretty stable and the hospital they shock him back into a normal rhythm for my first Patient EVER!
 
First call ever: 27 year old female with miscarriage. She woke up in the morning and saw blood and called 911. Vitals were stable. She was transported (no IV no monitor nothing).

I carried gear inside the house turned around and carried the gear back to the engine. I was a Firefighter explorer at the time. I don't remember my first call as an EMT.
 
My first call as an EMT-B student was a code. I can't remember the exact details, all I remember is walking in and taking over compressions from a cop while the medic was intubating with a bougie. I remember feeling the cracking of the cartilage during my compressions, very strange feeling. Anyways, they ended up calling it, so my first call was also my first death.

My first call as an EMT-P student was a "possible assault" that law enforcement called us to. It wasn't an assault, it was a drunk lady mad at her ex-husband.

My first call as a paramedic in my FTO period was a two vehicle MVC. My patient was posturing and cyanotic when we got there. We rapidly extricated him, got him onto our gurney and went to ventilate him when I found out he had trismus. I RSI'd him, we loaded him into the ambulance and then decompressed his chest en route to meet the chopper.
 
First one was a code, I was an EMT student at the time. Banged out as something benign. Preceptor told me to head on in and start getting history/vitals/etc. As I was walking up to the house I could see the patient, slumped on the couch and blue. I turned back towards the rig and said "Uh, sir. She looks blue." Expression I got from my preceptor and his partner is something I will never forget, was priceless. ^_^
 
I was 15. Dad was taking me to summer football practice when they toned out a pediatric drowning. He jumped it (yes, ambulance was the de facto pov), runs in, runs back out, has me start compressions while he did paramedic stuff and pd drove. Kid lived and everything. That hooked me.
 
Basic student ride along. 80 something male with abdominal pain. Very typical, very uneventful. Assess, package, transport. I'm in the back with the senior medic, a medic student was driving. We're doing our thing and I hear across the radio "multi-vehicle accident Route 6 and XYZ" which I know is about a mile ahead of us and we're driving right through it.

Senior looks at me and says "No ticket yet right? Just a student?" me: "yup", "too bad because I would have dropped you off with a bag and a radio" me [ internally ] :blink:
 
My first call as an EMT-B was a cardiac arrest. Turned out to actually be a cardiac arrest, but she had arrested about 2 days earlier.

Soooo... I got to learn how to fill out DOA paperwork.
 
How come every time this topic comes up everyones first call is something major? With 95% of all EMS calls being either complete BS or barely qualifying as an emergency how is it everyone gets one of the 5% real emergencies? Or is what people post the earliest call they can recall?

My first was if I recall correctly a bp check that did not want to call to hospital.
 
Dad was the ops manager. He didnt jump bs calls.
 
I don't even remember my first call anymore.

Sent from LuLu using Tapatalk
 
medic417 said:
How come every time this topic comes up everyones first call is something major? With 95% of all EMS calls being either complete BS or barely qualifying as an emergency how is it everyone gets one of the 5% real emergencies? Or is what people post the earliest call they can recall?

My first was if I recall correctly a bp check that did not want to call to hospital.
Click to expand...

It probably comes from the relatively small polling base. Think about it, how many EMS providers are there in compared to the small number that are actually posting in these threads? Most people won't get something major as their first call, however, with the number of people who choose to post in threads like these, it's not all that odd to have some major first calls.

That being said, some people may just be recalling the first call they can remember. For me, those were indeed my actual first calls.
 
One of the first calls I can actually remember was a hip fracture. Nothing exciting...
 
Im a newer EMT that just got done with Paramedic School. My "First call" in the back of an ambulance was just that a SVT that had to be shocked in the ED. I remember it because it was less than 8 months ago that it happened. When I went through EMT-B class I didn't have to do ride a longs I just had to do ED time for 10 Hours with 5 Patient Contacts. I probably remember it so well because I do not work for a Department or a Service Currently.
 
Black Cloud

My first day as a student, hop in truck go for coffee and first intersection we come to, two little ladies have a head on collision..... beggining of an elustrious career.
 
When I was at the fire stations doing my ride a longs the medic's and engine crews loved me because I brought the quiet white clouds with me to the station.
 
Can't remember my first one, I remember my first MVA, all DOA's and codes. I'm fairly new to the field, we started our first responder service about 5 years ago now. I've been the service director from the start, and have been able to hold my composure pretty well until our last one (Code, first time doing CPR). After the call was done I was visibly shaken (so they tell me), and I know I was mentally shaken. So now I ask the stupid question: What do you all do to forget the ones that don't seem to go away?
 
First call as a student came our as a stroke at a local SNF. It was pretty uneventful so ill spare the details. I remember at the time thinking it was a pretty mild stroke. First one as a new EMT was a 20 something year old male with flank pain.

Sent from my Desire HD using Tapatalk
 
I remember my first call.
I was in EMT class, and just plain excited to be on an ambulance. Naturally, even the unresponsive person at the nursing home (which is what this call was) was getting my adrenaline pumping.
The only other thing, though, that I remember about the call was as I put the pulse ox on her (which was my main contribution to pt care) I thought "My what small fingers".
Then I realized she was a midget.

And that's the only reason I remember it. Unresponsive midgets.
 
fast65 said:
So he picked and chose which ones he wanted? Great.
Click to expand...

Exactly. He had a 1st and 2nd out ALS crew for normal responses. If he needed to go or thought he'd be needed, he'd take his ambulance out and meet them on-scene. Seeing as how my stepmom was also a paramedic, they'd have a crew more often then not, and when needed, they could always have him jump on the other truck or whatever.

With that drowning- well, he's got 4 kids. He hates critical ped calls, but he's good at them. And we were literally halfway there when the call came through.

Rank hath its priviledges.
 
You must log in or register to reply here.
Back
Top