KEVD18
Forum Deputy Chief
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dispatched to apt building for M pt c/o abd pain s/p surgeory. o/a found 56y/o M pt supine on floor. pt CAOx1, cool pale and diaphoretic. sig other states he recently had his 11th abdominal surgeory(unable to elaborate). she was napping on the couch, and awoke to find him in current state. vs on scene: 90/50, pr 110, rr12. pt > lb with c-spine and secured. lb > stretcher and into the elev we go. me and the medic are discussing wheat we are going to do from here( iv o2 monitor etc) just dividing up the work. this is where things go sideways. two thing happened silmultaneously. 1) the elevator got stuck between two floors. 2) i looked over at the pt and noticed there was minimal, if any chest rise. after exchanging "oh s h i t" looks, we reevaluated. pulseless and apneic.
elevator unsticks and we run through the lobby into the rig. call for another truck. asystole on the monitor. begin cpr. medic goes to intubate. unknowingly nails the esophagus. when we go to check placement with the bag and etco2, two breaths and he volcanos an absolkutely ridiculous amout of blood from his stomach. right out of the tube over everything. two more attempts at eti with no sucess. so now im bagging, suctioning and compressing while the medic searched for a line.
seconde truck shows up. one really strong basic whom ive worked with for some time and a second day rook. rook drives, other b with my. so now i have the airway and giving directions to the driver. other b has compressions and -p spend the rest of the ride<5min attempting iv access s sucess.
o/a at H, pt > bed and code team goes to work. still asystolic. er doc cat tube either. resp ther ends up getting it. still cant get peropg iv so they go with a fem cutdown. first round of drugs delivered at 50min down, asystolic the whole time.
elevator unsticks and we run through the lobby into the rig. call for another truck. asystole on the monitor. begin cpr. medic goes to intubate. unknowingly nails the esophagus. when we go to check placement with the bag and etco2, two breaths and he volcanos an absolkutely ridiculous amout of blood from his stomach. right out of the tube over everything. two more attempts at eti with no sucess. so now im bagging, suctioning and compressing while the medic searched for a line.
seconde truck shows up. one really strong basic whom ive worked with for some time and a second day rook. rook drives, other b with my. so now i have the airway and giving directions to the driver. other b has compressions and -p spend the rest of the ride<5min attempting iv access s sucess.
o/a at H, pt > bed and code team goes to work. still asystolic. er doc cat tube either. resp ther ends up getting it. still cant get peropg iv so they go with a fem cutdown. first round of drugs delivered at 50min down, asystolic the whole time.
