What is your most ridiculous call?

Got sent by dispatch to take a patient from ECF to inpatient room at a small hospital 20 min away.
Get to the ECF and check out the pt in her room; (RN states that she has been weak and dizzy * 2 days; worse than normal); I asked RN if they had VS from the last few days; and was told that their orders were only to do her VS weekly, sunday mornings.
We do a set of VS (which the RN got upset about, because I was told that we couldn't do them (it was thursday).
HR 96 B/P 52/18 (we both checked and even the nurse checked it) couldn't get a SPO2. Pt was confused and weak, though. Loaded pt on cot, on O2, fast to the truck; start emergent to the hospital; Fluid boluses and Dopamine. Called the ED; told them that it was supposed to be a direct admit; but we were stopping there due to the BP and IV's and Dopamine.
When we arrived the charge nurse had a fit because if it was a direct admit we didn't have permission to do anything to the patient except take her to a room.
ED doc walked in asked what was going on, nurse gave her report; without mentioning pt condition. I gave mine doctor checked VS and told us to stick around because she needed a 'real hospital' his words not mine. He also kicked the charge nurse out of the room, asking her to send in a real nurse. We transported her in 25 minutes. Her BP came up to 80/40 with Dopamine at 20mcg/min/kg.

And people say that IFT's are boring, and you never see anything good

You should have contacted the floor first and seen where they want you to bring the patient. The Dr on the floor knows your patient and history already. At least you didn't divert to another hospital :rolleyes:
 
You should have contacted the floor first and seen where they want you to bring the patient. The Dr on the floor knows your patient and history already. At least you didn't divert to another hospital :rolleyes:

And if they have the Hx on the floor they have it in the ED as well. Just because *A* doctor wants to see the patient doesn't mean its the doctor currently on that floor or that the patient will even be seen by that doctor that day. You bring a patient like that to an unsuspecting floor staff and you will be throwing them for a loop. Most floor nurses do NOT know how to stabilize a patient, just how to maintain the stability.

I would have stopped in the ER too. Or diverted to a closer hospital.

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That's why I said contact the floor first. I probably would not have diverted if all their records are there and the medic was able to manage the patient.
 
Dispatched to "17yr female, had weed, can't breathe."

We got there, she told us she was afraid that it she went to sleep, she would forget to keep breathing. I told her she was in, what we in the trade call "The Green Room."

Had a good chuckle after that one.
 
That's why I said contact the floor first. I probably would not have diverted if all their records are there and the medic was able to manage the patient.

If their records are there they are also in the ER. The patients condition was too serious for a floor if they had to send the pt to a different facility all together once she kinda stabilized.

Don't make decisions based on what the hospital or your company wants. Make them for your patient.

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A jailer called us because a new inmate "was afraid to be in jail." No kidding. A little city traffic ticket/failure to appear jail. And we had to take the poor scared individual.
 
The ED had patient info just like the floor did; They were the closest hospital so we took her there, even though the ED wasn't really capable of dealing with someone that critical. We took her there due to it was the hospital that was accepting her.

Doctor in the ED agreed with the Dopamine, but then had to ask me what the normal drip rate was for it. Kind of fun to teach the doc's.
 
Oh.. I have a good one...

I was blessed to have worked in Boca Raton, Palm Beach County, Florida.. primarily a very wealthy retirement community.

We got a call one night at about 0200 for a traumatic injury. Upon arrival at the residence, an elderly female in the bed informed us that her toenail was stuck in her bedding and she needed help getting it loose.

Mind you, her husband was standing by watching the entire event and proceeded to watch us free her from her imprisonment and leave.

Oh... those were the days...

I would have whipped out the shears and cut around the toe before they could stop me. Can't remove impaled objects right? Clearly she was impaled on a blanket.
 
I'm too green to have any good stories. The best one I think I heard (from a partner du'jour) was "Self circumcision" that was done with cheap craft scisssors.
 
Had a call last night where we were taking a chest pain to the hospital when the driver yelled to us in the back to look in front of us. The car in front of us had various plants sticking out of every angle and the roof was smashed in and all the windows were broken out. turns out he had rolled it over a couple of minutes before we caught up with him. He pulled over at a stop sign got out of his car and told our driver, " I think i was in an accident". good thing for us we had an ALS ambulance behind us that was transportable so one of our EMTs drove their unit while the paramedic took care of the pt.
 
Seizures??

Once had a patient who stated to me she was having seizures when I asked her when was her last seizure and how many she thought she had she stated she had been having these seizures over night. She states she has had undiagnosed sudoseizures for years. She stated she rememebered the whole seizure. Patient stated she needed something for pain. While walking the patient to the stretcher the patient stated oh here comes another seizure. She begins to knock her knees together while she is walking and wiggling her arms. At no time loosing her footing or stoping the walk. While we were enroute to the hospital I was doing paperwork and I can see her out of the corner of my eye looking at me while my head is down she looks at me and when I go to look up she puts her head down. I ask her questions and she doesn't answer. I say her name and she says she can't answer me she is passed out. I then ask her if she can wake up so I can ask her some questions and she states she can't because she is also having a seizure while she is "passed out" it took everything in me to not laugh I told her well then you better keep your eyes closed. HAHAHAHAHAHA

Gotta love patients. at least this was the afternoon and not midnight.
 
We transported a patient for abd pain once that when fire asked if she was sexually active she said "no, my boyfriend is always on top and I lie there doing nothing. I like it better that way but I don't see what that has to do with anything" She was dead serious too.......
 
Snowy Weather...

Some years ago when working in the northeast, we were hit by a large, unexpected snowstorm which dumped 9 inches of snow on a city which usually gets 9 inches of snow over the whole winter. Half the techs/medics called out stuck at home. I made it in, having had experience with this sort of snow, but my regular medic partner didn't. I got to our EMS substation and called dispatch, who told me to grab a rig and come downtown to get a partner.

I was assigned a basic partner who only worked per diem, as she had a regular, full time, non-EMS job, but she did volley with her local FD. We ran a couple calls together and she was stellar. I was relieved.

We are called out code 3 to a "unresponsive person". It's still snowing to beat the band, and the roads are, of course, awful. We arrive on scene at a large apartment complex and hike through 2 ft drifts to the door only to find the apartment we are dispatched to is vacant, and nobody knows anything. We clear the scene as "unfounded."

10 minutes later, same call, same address, same apartment. We go back again, after telling dispatch this is a vacant apartment. Second call is also cleared as unfounded.

Back in the truck, we are pulling away from the curb when dispatch sends us back to same address but different apartment, because "caller states they just moved to new apartment and forgot..."

You forgot you moved. Oooookay.

Get back in the building and hike up 3 flights of stairs. Patient is a very obese female in her late 50's, supine in bed, A+O x 2. Hx of CVA, Diabetes, CHF, emphysema. Medication list comes in book form. There is a home health nurse (an actual RN), who states that patient has AMS and she thinks pt may have had another CVA. She has taken NO vitals, done no assessment of pt.

Assessment reveals pulse, pulse ox, BP and RR WNL. Let's check her blood sugar, shall we? After all, our patient is a diabetic who is insulin dependent.

Oh, look. It's 32. Per protocol I give her glucagon, and her sugar comes up to 50 and she starts to become coherent. EMT has called for lift assistance and FD arrives to assist. They carry her out on the Reeves stretcher and get her in the rig. She gets an IV, her glucose is now up to 70, and off we go.

At the ER, we give report to the Doc, who also speaks to the Home health RN, who tells him she gave the PT her insulin after breakfast. All 26 units of it, which per her Rx instructions is to be given as 13 units twice a day.

:wacko:
 
My favourite:

at post @ local fair.
Pt. comes up to us, is a 17yo F who has been doing cartwheels with friends for the past hour and a half in the hot sun - complains of a mild headache....
hmmmmm, i wonder why??

advised to drink water and sit in the shade, but instead goes, has a glass of water and does another half hour of standing on her head and jumping around in 35*C heat!!! :wacko:
 
My favourite:

at post @ local fair.
Pt. comes up to us, is a 17yo F who has been doing cartwheels with friends for the past hour and a half in the hot sun - complains of a mild headache....
hmmmmm, i wonder why??

advised to drink water and sit in the shade, but instead goes, has a glass of water and does another half hour of standing on her head and jumping around in 35*C heat!!! :wacko:

Sounds just like the 'Floridiots' we get in Florida :)
 
Sounds just like the 'Floridiots' we get in Florida :)

not familiar with that particular breed - theyre not in the DSMIV but hey, wouldn't be the first time ^_^

Another favourite:
Pt: "i feel sick, can i have a panadol*?"
What i want to say: "yes, yes you can, the pharmacy is that way..." :P


(*panadol is the aussie name for acetaminophen/ tylenol)
 
Guy called us out so we could put his "good times" DVD in & give him a coke.

See, it was 3am , & he's bedridden. His friends left, next best solution--call 911. Awesome.
 
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