Day one was nerve racking, but fun. The first call came in as a possible stroke. I start running through how to treat a stroke in my head before we showed up. We pull into this truck stop where we meet FD and the patient outside of the big rig. The patient walks in to the ambulance and we get started asking her questions and my medic turns to me and says go ahead and start an IV so as I get the stuff ready I was like sheesh its been awhile since I've done this, but I nailed it thankfully. She was negative on the stroke test, but we transport her anyways. We get a second call for a fall. Show up and this lady states she was walking down the hallway and her toes gave out. I don't know about you, but I've never had my toes give out to where I land on my butt, but okay. We take her in per request. Call three was for another fall. Elderly man was said to have fallen twice during the morning, but we found a greater concern was his breathing. We could hear across the room his congestion in his lungs and see him struggling. We load him up and get him in the truck and start the assessment you could hear bilateral crackles. He was a funny guy. We asked if he was short of breathe he said no. We asked what year it was and his reply was 204. He was pretty certain that was the year so we said okay. Our fourth call came in and we start going and my medic tells me you got a shooting! I got excited and thought wow first day on the job and I get a shooting oh Oklahoma. So we show up, but the guy was a goner so no treatment needed. We then had a break from calls for awhile and our last call was respiratory distress. We show up and load him up. His story was a little weird because what the wife told us we weren't sure if we could believe it because the daughter was telling us other things and how the wife is a little forgetful and such. We start him on a breathing treatment in the back and his sats start climbing back up which eased our worry. We were ready to do CPAP if this treatment didn't help. But it did luckily. My medic is so great because he likes to quiz me on other situations and treatments similar to what we have at the time and sometimes I just can't think of the treatment but he helps me out and is a great teacher.
Day two I am working with a different medic because my medic had something he had to attend. I go up to the clipboard to look to see what truck I'm on today and it says 73 so I go to find it and it turns out to be this truck:
Our first call is for a lady who passed out in the bathroom in downtown, my EMT was like she is probably just trying to get out of work. Sometimes the things they say I'm like rude, but then sometimes you just find it true. So we get to the patient and she is lying on the floor. We try to get the story of what happened out of her, but her coworkers state that they have called the ambulance three or four times in the last 2 months for this. So we automatically think okay she is a frequent. We ask her what makes her pass out like this she states low BP but that was normal range. No diabetes and her BGL was normal range. We ask her what else could have caused this if she has any other conditions we need to know about she states no. We ask if the doctor has ever given her a reason of why this happens and she says no. We take her in and she just seems out of it the whole time. Afterwards my medic told me that she was a patient that if we were to ask specifics such as do you have trouble breathing or do you have chest pain that she would feed off what we say. He says that sometimes you have to be careful with that. Call two was for a man acting funny. They also said he overdosed on two pills. We show up to the patient and he seems normal. The PT said that he had been glazed over and he was lethargic. We looked at the drug he had taken and it was his prescribed pain med and he had taken the right dose as prescribed, but the patient said the pills looked different today and he just got it filled. The only thing we could think of was they changed the dose. Everything we checked on him was fine and he was not glazed or lethargic for us so the patient did not want to go. We had to call the supervisor to okay the refused transport. Third call was for an elderly lady who was lethargic and family wanted her to get check out. So while in our care there wasnt much for us to do. I did start an IV in the foot because that was the only vein we could find so that was fun. We were still in the parking lot so i was standing halfway out of the truck while doing it. Call four was for a motor vehicle accident with a vehicle that had rolled I get to the scene and thought well this is exciting, but none of the patients were too badly injured just complaints of neck/back pain. My ambulance transported two patients and we had called three ambulances. So that was a first. Our last call was for a seizure in a bar. The patient stayed pretty postictal while in our care, but by the time we were close to the hospital he started coming around and didnt know what had happened.
Day three: My normal medic is back today. We leave post 41 and get a call. First call of the day and im thinking today is starting off good. My medic tells me its a motorcycle accident possible DOA. Well maybe today isnt starting off good for others. We show up and my medic tells me just grab the monitor we arent thinking we are going to be doing too much we approach the patient and all the firefighters are around him bagging him and such so my medic goes oh rap load him up fast. As soon as he gets in the truck we start driving. There was no time to waste. We could not secure an airway on him due to his trismus and we tried nasally intubating but that was a no go as well he then just starting coughing up blood. We ended up just bagging him all the way in. Luckily it was not too long of a drive. I am getting better at my riding while standing in the back. I'm getting lots of practice. That was a cool call to see. Call two is for someone who dislocated her shoulder and decided to just be a pain in the butt for us the whole time. Call three was a cardiac call but the lady just felt weak and dizzy. Her 12 lead was a little suspicious and once in the truck she did complain of chest pain but she did not want her son to worry. Call four was for another cardiac complaint so we did the whole work up again. The last call was just a transfer from one side of town to the other so we didn't have much to do there.
Day four: Its my Friday but it is only Wednesday how nice! I am pretty lucky for having a three day weekend every weekend :) So the passed three days i have had a trauma call so my medic goes what kind of trauma are you going to get us today I said I don't know guess we shall see. First call we get is for a kid we has a seizure. I was thinking my first pediatric call woot. We show up and this was the boys first seizure no history of them and he is still postictal. We get him on the cot and do an IV while he is still out of it and my medic let me do that IV so that was cool. We had to wrap his whole arm because we did not want him to pull it out. He was autistic as well so it was not a normal ped call. A little more challenging. His dad met us at the hospital due to the mother not able to leave the other kids. Lucky for us the boy slept the whole time and we didn't have to freak him out too much. Call two was for an OD out in the boonies. I swear we were driving for 20 minutes going lights and sirens, but we finally get there and the patient was pretty loopy. He had taken a handful of drugs in attempt to commit suicide, attempting and failing. Call three is for a fall and the patient complained of shoulder pain from tripping and falling. We weren't too concerned with anything so we stabilize her arm and get her in the ambulance when we realize that her sats are lower than we like them and we ask if she is short of breathe she says no but we also heard wheezes and so we give her a breathing treatment and she then says that it is a lot easier for her to breathe now. Who knew? Call four is for weakness and slight chest pain, but not cardiac pain like we first think. It was just slight respiratory. The last call of the day comes in as chest pain for a young lady who has a history of cardiac. We check her out and we don't think it is cardiac related but maybe more respiratory pain. Either way we take her in and she gets checked out.
That was my first week pretty exciting stuff :) Sorry its so late. I am working on balancing things out. I had classes start that week as well and there is lots of busy work. I will try to get my second weeks adventures up soon.
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