Wednesday, February 22, 2012

JOIN CERT



The city of Rochester is recruiting for a CERT team. This is a Community Emergency Response Team. This is a team of citizens that will respond to large emergencies and community events to help support our local public safety. Anyone interested please contact John Shepp at John.shepp.IV@gmail.com or 248.651.4470

Saturday, February 11, 2012

Wow, over a year and a birthday. Where does the time go?


random picture

Just a few weeks ago my chief made me take my crew and the rescue to a birthday party. It was the first birthday party for a baby we delivered... You know the baby, its from my last blog post, over a year ago. Talk about a reunion. I often say we get a chance to make a difference. On this day it really hit me. I was just doing my job, but to this family I did make a difference. I walked in and all eyes were on me. Mom gave me the biggest hug I think I have ever received. They looked at me like I did something amazing. I was just doing my job. It felt good, but really uncomfortable.... Mom and baby are doing very well and both are healthy. So if anybody still reads this, I thought you might be interested in an update.

I guess I have alot to tell you guys about the last year. Watch for more posts.JS

Sunday, December 12, 2010

Its a boy!


Last week I responded to a pregnant women bleeding. She was 8 month along. We arrived to find a 30 something year old women sitting on her kitchen floor in a pool of blood. She had lost about 400ml of blood already. She had a blood pressure of 80/palpation and a pulse of 120. At this point we are just concerned with saving mom and figure that the baby is a lost cause. We get her on the cot and start large bore IV's and start our transport to the hospital. We elevate her legs and give lots of fluids. By now her blood pressure is 60/palpation and she is still bleeding. We have the ambulance moving as fast as it will go with a police escort.... We are all a little scared at this point.

We are able to bring her blood pressure back up to 90/50 with the fluids. My partner calls in report to the hospital. When we pull up under the awning to the ER there is a whole team waiting there for us. They decide to have us take her right up to labor and delivery. On a side note. Why is it that people who are not trained on it always want to push our stretcher? Twice I had to tell a Doc or a Nurse to let go of the stretcher on our way to the floor. We arrived on the floor and turned over care to the hospital staff.

We deconned the cot and the truck and wondered how our patient was doing. There was a great deal of blood to be cleaned up. We talked about the call the whole way back to the station, and what we could have done better. The next day my Chief calls me and tells me that the hospital was able save both mom and baby, and I'm happy to say it's a boy. Both mom and baby are doing great and are at home! JS

Wednesday, September 8, 2010

He walked to the cot!


Let me start this post by saying I'm sorry. I know I have not posted anything in a while. I have not had much to write about.

Tonight we were dispatched to a patient not breathing, while enroute dispatch advised us CPR in progress. We arrive to find a 28 year old male laying on the floor, pulseless, and not breathing. He was ash in color and looked dead. The police officers on scene were doing CPR when we arrived. I told the officers to stop CPR. I checked for breathing and pulse and found neither. My partner was getting ready with the BVM and O2. I started chest compressions, my compressions were much deeper and well timed than the officers were. On my third compression the patient opened his eyes and looked at me and his color started to return. Before I could complete the next compression the patient was talking to me. We put him on O2 via nonrebreather mask at 15 liters per min. Then we put the heart monitor on him and it was showing a sinus tachycardia rhythm. This is a normal rhythm, but not for some one that was dead 30 seconds earlier. He was able to stand up and walk the two steps to our cot. We got him in the rig and started an IV. He was transported to the hospital without any problem.

This is maybe my 4th CPR save in an over ten year career. I have had another CPR save walk out of the hospital, but this is the first time I have ever had one that could walk into the hospital. It was very cool and I am geeked again about what I do! JS

Sunday, July 11, 2010

Snorting it? Really? (pick of the shift)


We Respond normal traffic to the jail for a 17 year old female that snorted xanax. She was very uncooperative with us and the police officers. We arrive to find her sitting in the cell yelling at PD. We ask her to calm down. PD states that she was picked up for disorderly conduct. Apparently she was yelling and screaming while walking down the streets. For being only 17 she looked like she was 30 and had been a heavy METH user. She states that she was not prescribed the xanax and had received it from her boyfriend. She stated that she crushed and snorted because it helps her relax. If this was relaxed I would not want to see her worked up! Her vital signs were all normal and she was A&Ox3. We had to force her onto the cot and restrain her. We started a 20 gauge IV of normal saline, and transported her priority 3 to the closest ER. When we arrived at the ER we gave report and suggested that she be put in an ISO room, but our suggestion was ignored and she was placed in a hall cart. That was until she started yelling again... Then the ER staff restrained her and moved her to an ISO room. Do they think that we make requests like that for our own sake? We try to help them out and we get ignored... Oh well! So please tell me, would you have done anything different on this call? JS

Sunday, June 20, 2010

Thanks Dad!


Let me tell you about the best man I know. He is a hard working, loving, family man. He has always been there for me. As I have matured into adulthood he has become a great friend. My Dad has taught me so much, including how important it is to do the right thing. I guess I just wanted to say thank you Dad, and that I love you! JS

Tuesday, June 1, 2010

Dialysis patient....and staff


So, today I am working on a basic transfer unit for the private ambulance service. We get called to a local dialysis center for a prescheduled transfer of a patient going back to the nursing home after dialysis treatment. This patient is one of our regulars and we know her well. She is normally nonverbal, but responds to basic commands.

We arrive at her chair to find her flush in color, breathing at about 30 times a min and shallow, and it sounds like she is drowning in her own fluids. I mean she is outright gurgling.

The dialysis tech and the RN on duty want her to go back to the nursing home and don't seem even a little concerned about her current state. Of course we tell the staff that we are taking her to the closest ER. They seem dumbfounded by our assessment and decision.

We promptly move the patient onto our cot and sit her almost completely upright. Next we put her on 15 liters per min of O2 via mask and take her priority one to the ER. When we arrive at the ER they take her right back to a trauma room, perform RSI intubation and place her on a vent. She is later transferred to the ICU.

My question is "How long was she like this prior to our arrival?". Why didn't anyone at the dialysis center seem concerned about this? Why didn't anyone call 911? Do some of our fellow healthcare providers care this little about the patients we treat? What blows my mind was that the RN and tech were more concerned about us not getting a post treatment weight than why we were rushing her out of the center... What do you think? JS

Thursday, May 27, 2010

Whats happening in my life









So here is whats happening in my life. I'm single again, I think all women are crazy! we had our annual man weekend a couple of weeks ago, and it was a hoot. There really hasn't been anything exciting going on work lately at least no calls worth writing about. Besides, I haven't felt much like writing lately.

I did spend the Holiday weekend with my family. We loaded up in my parents motor home and headed to Traverse city. I really like it up there. I almost took a full time fire job there a few years ago. We visited the state hospital that had been turned into condos and shopping. I did a little SCUBA diving while up there. The water is crystal clear and the bottom is sandy, much better than it is down here.

We spent a day at Sleeping Bear dunes national lake shore on Lake Michigan. The views were breath taking! above are some pics from that day trip. We visited the ghost town of Glen Haven that is now operated by the National Park Service. It was a fun filled day of Michigan history. I recommend that anyone visiting northern lower Michigan go check it out!

Our trip was cut short by an electrical problem that almost started a fire in the motor home, but even with that happening it was still a great trip! JS