Unicorns and Angels

This week is shift change. I now work from 1245-0045. New week new shift new crew new ways. I now have to adjust and make a system as a new team. I am now able to attend part of church before going off to work which is nice. So my crew has given me a few tips and warnings about how they are and how they do things. Just some good to know tid bits. Our first call was for a possible fall and low blood sugar by the time we got there the nursing home didn't need us anymore. Next call was for an assault. The patient got maced. Sweet. We rinsed her eyes out for a good while and then she didn't want to go to the hospital so we left. Next was for a MVC but nothing significant.  Then we get a call for a fall and this pt had fell like an hour before calling us and her story just seemed fake. She was complaining of a headache from hitting her head. But she just seemed a mess so we took her in. Our next call was for a suicide attempt. Probably my FAVORITE CALL yet! So when we get on scene she was sitting on the curb still somewhat alert but she was deteriorating pretty fast. She said she had taken like 30 muscle relaxants and boy let me tell you she was relaxed! Haha. So we start hooking her up and just from the time she was in FDs care to walking in the truck her heart rate went from 60 to 39 so we were like oh crap. She was at the point of barely responding to us anymore and we rushed her in hot. We were so close to the hospital we didn't have much time with her. We get her in the hospital and on to their bed and I'm think eh we are done with her now they start there work up I ran to the bathroom and then my medic was like they are going to intubate you can go in and I hear my basic say she has had a white cloud since she been here and the dr looks at me and says ill give you one shot. I was like wait for real!? Legit! So then I got all nervous and I was like no pressure and there were like 10 nurses and 2 doctors in the room and then here I am just a lowly paramedic student about to intubate this patient. So we get all the RSI drugs in and the dr goes whenever you are ready and so I did my thing lift up and would ya just look at those chords! Glorious. Slide the tube down and they listen for breathe sounds and they go present bilaterally! I was like boo yah!! I wanted to jump up and down but I refrained. It was the best thing that happened all day! The last call was for an elderly patient that felt lethargic. Oh good.. But overall a freakin amazing day! I feel so accomplished since I got my first tube here!


Day two. We get a call for a MVC but again nothing significant and both were no cares. Next call was a possible DVT but when we got there my medic was leaning more towards possible cellulitis. Our next call was kind of a joke. Patient went home on her break at work and drank a cup of vodka and took her Ativan came back in to work a little loopy therefore we got the call. Her story was long and it was hard to get what we needed cause she would interrupt us. She started leaning forward out of her chair and nearly fell out and busted her head we had to catch her. It was a mess. We ended up sending her home with her friend to go straight to bed. So lets hope. Next call was for abd pain and that was a sticky sitch as well. Apparently her and her daughter are frequent flyers which is very unfortunate. So we take her into triage. All the hospitals are getting slammed today and so are we. Gotta love it! A call to an assisted living facility for a fall. This was the cutest old lady ever. She was just sitting on the floor content and we start assessing her and her legs are uneven. We start poking at it to she if he has some pain and she says she does but she just sits there like a champ. We load her up and give her some pain meds for all the bumping down the road. But the pain meds and bumps kind of balanced out and the pain stayed about the same. We got a call for a psych/inappropriate behavior turns out she is on a new medication and he body is still adjusting to it. Our last call while others were getting shootings I went up to Guthrie and picked up a DKA to bring back down here. That took us awhile.


Day three. So we get this call for a fall and I was like alright but ten tey tell me it's a 24 year old. I was like for real. We get this and he is laying prone on a bed an says his back hurts real bad. Apparently he fell into the coffee table and bumped his back. There were no deformities just some tenderness where he hit we told him he should probably take some Tylenol or ibuprofen and ice it. He was worse than some of my older patients wow. Next call was for low spo2 at a nursing home. We all know how those go. Like I was taught in school "treat the patient not the monitor!" We did another transfer for chest pain but patient was completely stable. We get a call for a traumatic injury which entailed the patient knocking her head on the corner of the mantel with a little laceration that bled quite a bit. It was on the head so not surprising. She did not want to go to the hospital. We get a call to a nursing home for a stroke we get there and the patient is actively seizing. We load him up but by the time we got him in the truck I had started an IV he began to seize again. We then called it status epilepticus because he had no in between lucid state. We gave him some Valium to stop the seizure. He also had a code brown. Smelly yuck! When we got him in the hospital he began to seize again so we tried another dose. Newt call was for chest pain we pull up to a corner and find this man lying there all sprawled out and wouldn't do much to help us out or even answer our questions. Did the whole work up and found out he overdosed on his meth. He was definitely tweaking out with us. Our last call was for back pain dude to kidney stones. Her prescribed meds were not kickin it so she called.


Day four. When I was headed to work I noticed it was way windy outside and thought to myself I'm going to blow over. Well so we get out first call and it is for a fall. While headed there we are driving down the highway and pull over and a cop pulls over as well and was like everything good. Turns out they thought we blew a tire but it really was just the mud flap falling off. So we get back to headed to the call and we show up and fire almost had her backboarded so start questioning her an she was walking out of the restaurant and the wind just knocked her over and she split her head open. Rough day. After we drop her off at the hospital we are heading to post and see an accident so we stop and they were no cares. Next call we get was for another MVA minimal damage to the vehicle but the patient was complaining of pain so we do the whole work up. C collar KED and back board. We get a call to a middle school for someone who passed out. Turns out during basketball practice she was running and passed out and hasn't eaten today. So that's that. We get a call for suicide attempt we show up and the patient doesn't want anything done to her said fire so I get in and tell her I jut have to check her out since we are there. She doesn't want to go with us and then she decides she wants to get out if the house so we take her and once in the truck she admits to having taken a bunch of pills. We give her some activated charcoal and she downed that like a champ. Next call was for a MVC and the patient didn't suffer much her car did though. We get a call for a shooting woot woot. Once we get cleared to go in we come up and all that happened was maybe a bullet case bounced off the patients back. She was fine. She had quite the bullet holes through her door and window. We get a call for a fall and we show up and this drunk guy greets us at the door and says he doesn't need us he says he is fine so we call it good. So our last call for the week was for an elderly lady at the nursin home. We walk in and walk right past her due to no one telling us where she was we come back to her and I start talking to her and she doesn't really know what's going on. The nurse called for increased confusion but she doesn't know the difference. So I'm asking the patient some questions and she is answering them as if she is trying to cover something. I tell her we are going to take her to the hospital but she isn't quite sure why so I explain that the nurse was a little worried about her increased confusion ad that she should get checked out. She says okay and we get her loaded up. She was in no type of distress for us just a little confused which isn't normal for here. Busy day nothing too exciting. My crew has a very white cloud as do I so therefore we like to say our white cloud has unicorns and sparkles and angels cause we never get anything good.

{[ sorry about missing last weeks update, i cant even remember those calls anymore, but nothing too exciting sticks out]}