Well it Goes Like This the Fourth, the Fifth, the Minor Fall and the Major Lift
I've had all kinds of medic school fun this week, and I've decide to share.
Check out Thursday nights runs .
Here are the three runs we did while I was doing ride time with a medic preceptor.
The One Where the Kid Had the Broken Tib-Fib:
Dispatched to location notated on CLFD run sheet for person injured. En
route advised of possible tib-fib fx of Rt leg. U/A 17 YOWM pt found
on soccer field supine with athletic trainer attending to him. Pt noted
to be C/A/OX3, skin was warm and wet (due to humidity and pt was
playing soccer), and PERRL. Pt’s Rt leg had already been splinted and ace
wrapped when we arrived on scene. Pt vitals were obtained and pt placed
on 02 at 3L per NC. Athletic trainer advised that pt had positive
pedal pulse prior to and after splinting. Medic Haggard initiated 18g IV in
Rt AC to 1000cc bag of normal saline then administered. Rapid trauma
assessment found no further injury.
Pt vitals again assessed and found to be 150/84, Resp-24. Pt given
50mcg of Fentanyl IVP by Medic on field prior to pt being manually lifted
to cot, w/ leg supported manually as well. Pt given second 50mcg of
Fentanyl by Medic prior to pt being carried on cot to Medic17. Pt’s leg
padded via blankets and towels w/ tape to secure leg from movement.
En route to Community Hospital North pt vitals were again obtained and
found to be 138/90, HR-88, Resp-16. Pt rated pn at 10/10 and another
50mcg of Fentanyl IVP given by Medic Haggard. At this time IV was found
to be infiltrated and Medic initiated second line, 18g in Lt AC, and
gave another 50mcg of Fentanyl. Pt remained C/A/Ox3 for duration of
transport to ED.
Report given to Community North via med channel 8. U/A at Comm. North
pt was transferred via blanket lift to bed in hall. Verbal report given
and report left w/ pt.
The One Where the Car Flipped:
Dispatched to location notated on CLFD runsheet for overturned vehicle.
U/A pt, 23 YOBM, found sitting on concrete median C/A/Ox3. Pt's
vehicle struck 'chuck hole' and he lost control near construction site in the
middle road. Pt's vehicle was found overturned in nearby ditch. Pt
denies any injury w/exception to nicks on Rt hand/forearm and Rt leg just
below his knee. Pt denies any neck/back pn and deomstrated good PMS, w/
no numbness in extremities X4. Upon palp of neck/back pt denies pn and
had no trouble w/movement of head/neck. Pt was explained severity of
mech/ of his accident and read SOR. Advised to seek medical attention if
he experienced any problems relating to accident.
BP-122/94,HR-104,R-16.
Pt signed SOR w/ City of Lawrence PD as witness.
The One Where the Lady Fell Out of Bed:
Dispatched to location notated on CLFD runsheet (ECF) for injured in a
fall. U/A found 58 YOBF laying Rt side recovery pos. w/ head resting on
frame of bed. Pt sts she fell from bed onto Rt side and CC of neck pn
w/ pn on Rt side of body. Pt bed/furniture removed from room and soft
stretcher placed behind pt. Head manually immob as pt rolled to
stretcher. Pt lifted and cot rolled beneath. 4 corner lift of cot due to pt's
size. Pt remained C/A/Ox3 for duration of run. Pt denies SOC and back
pn. Pt hx of CVAx2 w/ Lt side paralysis. Sts she was unable to keep self
in bed. Denies LOC but sts she awoke from sleep as she hit floor. Pt
head immob via towel rolls/tape to cot once inside of Medic17. Pt was
unable to be placed in c-collar because she was extremely obese. Vitals
obtained and pt placed in position of comfort w/ head slightly elevated.
Pt transported to CHE. U/A report given to RN and pt lifted to bed via
soft stretcher. Report left in ED, Room T2.
I'm becoming more and more concerned about what class is doing to me. While I recognize it happening I am unable to stop doing it. It being the fact that at times I don't see people as people anymore. I see them as something I want to do something to, so that I may get credit for class. Like wanting to get a patient with chest pain so I can do a 12 lead EKG on them 'cause, ya know, I get credit for that. Not to mention IVs, shocking someone, or any other number of skills that I have to successfully perform so I can reach that magic number that proves I'm proficient in said task.
I think many of us in EMS tend to forget that we are doing something FOR a person, and not TO them just because we know how to.
Check out Thursday nights runs .
Here are the three runs we did while I was doing ride time with a medic preceptor.
The One Where the Kid Had the Broken Tib-Fib:
Dispatched to location notated on CLFD run sheet for person injured. En
route advised of possible tib-fib fx of Rt leg. U/A 17 YOWM pt found
on soccer field supine with athletic trainer attending to him. Pt noted
to be C/A/OX3, skin was warm and wet (due to humidity and pt was
playing soccer), and PERRL. Pt’s Rt leg had already been splinted and ace
wrapped when we arrived on scene. Pt vitals were obtained and pt placed
on 02 at 3L per NC. Athletic trainer advised that pt had positive
pedal pulse prior to and after splinting. Medic Haggard initiated 18g IV in
Rt AC to 1000cc bag of normal saline then administered. Rapid trauma
assessment found no further injury.
Pt vitals again assessed and found to be 150/84, Resp-24. Pt given
50mcg of Fentanyl IVP by Medic on field prior to pt being manually lifted
to cot, w/ leg supported manually as well. Pt given second 50mcg of
Fentanyl by Medic prior to pt being carried on cot to Medic17. Pt’s leg
padded via blankets and towels w/ tape to secure leg from movement.
En route to Community Hospital North pt vitals were again obtained and
found to be 138/90, HR-88, Resp-16. Pt rated pn at 10/10 and another
50mcg of Fentanyl IVP given by Medic Haggard. At this time IV was found
to be infiltrated and Medic initiated second line, 18g in Lt AC, and
gave another 50mcg of Fentanyl. Pt remained C/A/Ox3 for duration of
transport to ED.
Report given to Community North via med channel 8. U/A at Comm. North
pt was transferred via blanket lift to bed in hall. Verbal report given
and report left w/ pt.
The One Where the Car Flipped:
Dispatched to location notated on CLFD runsheet for overturned vehicle.
U/A pt, 23 YOBM, found sitting on concrete median C/A/Ox3. Pt's
vehicle struck 'chuck hole' and he lost control near construction site in the
middle road. Pt's vehicle was found overturned in nearby ditch. Pt
denies any injury w/exception to nicks on Rt hand/forearm and Rt leg just
below his knee. Pt denies any neck/back pn and deomstrated good PMS, w/
no numbness in extremities X4. Upon palp of neck/back pt denies pn and
had no trouble w/movement of head/neck. Pt was explained severity of
mech/ of his accident and read SOR. Advised to seek medical attention if
he experienced any problems relating to accident.
BP-122/94,HR-104,R-16.
Pt signed SOR w/ City of Lawrence PD as witness.
The One Where the Lady Fell Out of Bed:
Dispatched to location notated on CLFD runsheet (ECF) for injured in a
fall. U/A found 58 YOBF laying Rt side recovery pos. w/ head resting on
frame of bed. Pt sts she fell from bed onto Rt side and CC of neck pn
w/ pn on Rt side of body. Pt bed/furniture removed from room and soft
stretcher placed behind pt. Head manually immob as pt rolled to
stretcher. Pt lifted and cot rolled beneath. 4 corner lift of cot due to pt's
size. Pt remained C/A/Ox3 for duration of run. Pt denies SOC and back
pn. Pt hx of CVAx2 w/ Lt side paralysis. Sts she was unable to keep self
in bed. Denies LOC but sts she awoke from sleep as she hit floor. Pt
head immob via towel rolls/tape to cot once inside of Medic17. Pt was
unable to be placed in c-collar because she was extremely obese. Vitals
obtained and pt placed in position of comfort w/ head slightly elevated.
Pt transported to CHE. U/A report given to RN and pt lifted to bed via
soft stretcher. Report left in ED, Room T2.
I'm becoming more and more concerned about what class is doing to me. While I recognize it happening I am unable to stop doing it. It being the fact that at times I don't see people as people anymore. I see them as something I want to do something to, so that I may get credit for class. Like wanting to get a patient with chest pain so I can do a 12 lead EKG on them 'cause, ya know, I get credit for that. Not to mention IVs, shocking someone, or any other number of skills that I have to successfully perform so I can reach that magic number that proves I'm proficient in said task.
I think many of us in EMS tend to forget that we are doing something FOR a person, and not TO them just because we know how to.