Sunday, December 12, 2010
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
Sunday, September 19, 2010
Tuesday, September 14, 2010
Wednesday, September 8, 2010
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
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
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
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
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
Sunday, May 16, 2010
Every year I host a paintball and shooting sports weekend for my friends in public safety and the military. We have been doing this for about ten years now. This event has become way more popular with my friends than I would have expected. All I can say is that it was a hoot and I'm looking forward to next years trip already. Kyle, Thanks for the awesome food. Ribs one night and steak the next, all cooked over a wood fire, it could not have been beaten! So here some pics from the trip, hope you like them. JS
Wednesday, May 5, 2010
Friday, April 16, 2010
So, I grabbed my girlfriend and picked up my parents and headed for the coast. My beautiful lady got the chance to meet the one and only Crzegrl! We stopped at a hanger and saw my friend Emily at work. Emily turned me on to blogging years ago. It was a great visit, my girlfriend and parents really seemed to enjoy the tour.
Saugatuck was our next stop. This town reminds of Key West, I don't know why but it does. By the way I love Key West. We did some shopping and had a great dinner overlooking the bay. The view was amazing and the food was OK.
After that we headed for South Haven. The beaches are golden sand with cool, deep, blue waters. We walked on the breakwall out to the lighthouse as the sun was hanging low in the sky. It was a perfect moment. As the sun started setting we headed home. It was a very good day. JS
Saturday, April 10, 2010
Well as you can see by the pic this is clearly the women for me. I know my posts are becoming few and far between. I've benn really busy setting up our new cadet program, and I have a wonderful new women in my life. By the way we are in need of fire helmets, gloves and boots for our cadets, if anyone is willing to donate these items please let me know, we are willing to pay for shipping. So I'm sorry, but I like spending time with her more than I like writing posts on here, but I promise there are many more posts to come... JS
Thursday, April 8, 2010
We respond to a heroin overdose. Onboard Alpha 2 is my Paramedic, a probie, and myself. As we are pulling up on scene P.D. reports CPR in progress. We walk in to see a cop doing chest compressions. The patient is purple in color and unresponsive. We tell the cop to stop CPR. I check for a pulse... she has a strong radial pulse at about 100bpm. I throw a BVM to the probie and tell him to start giving breaths, he does, I then hook the O2 bottle to the BVM. While this is going on my Paramedic gets his intubation kit ready. My partner drops the tube perfectly and I spike a bag of saline. We get the line on the first try. The probie is back to bagging our patient. As I secure the line, our second unit arrives and I throw the Medic on that truck the Narcan and tell him to draw it up. He gets the Narcan ready and my Medic pushes it. I held down the patient while the medic extubated her after she started to breath on her own. She wakes up! We transport to the local hospital and the next day she walks out.... Everything just went perfect on that call. It was awesome teamwork with a great outcome... yaa us! JS
Tuesday, March 23, 2010
A picture of me in the fire academy
I am doing what I always wanted to do with my life. To some, where I am in my life is just a stepping stone, but to me, its where I'm supposed to be. A friend asked me the other day if I wanted to be more than I am right now? The answer to that is no. I love my life, I love my career, and I love my friends and family. He also asked if I wanted to make more money? Of course the answer to that is yes, but not if it means I have to give up what I'm doing now.
A great deal of people don't understand the desire to serve that most of us as first responders have. To them it is all about class and how much money you have. Money is not the driving force in my life and I hope it never is. To me its about the trust that people put in me because of the uniforms I wear, its the look of relief they have when we walk in the door. Its like they are saying to them selves that things are going to be OK because help is here.
I have seen my share of death and destruction in my ten year career in public safety, but that's not what this job is about. For me its the feeling I get when someones says thank you for saving a loved one, or protecting there property, or just making them more comfortable on there journey to the other side.
If I could change anything it would be to have started down the path I'm on earlier in life. I will never get rich doing what I do, I will probably die younger than most because of the way I have treated my body and the life style I have lived. But right now I think that it is all worth it. At age 31 I have done some pretty cool things and been to some really awesome places and have made a few life long friendships.
Now I'm at a point in my career where I just don't get to do it, but I get to teach it as well. I get to share my experiences with my future coworkers, and hope that they will be able to learn from my mistakes and my success. Whether its teaching at the Fire Academy, instructing my departments cadets, or teaching BLS courses. I can now save lives and property in the field by my own hands or through education and others hands.
I hope I have many more good years ahead of me in my career. I know that if I wake up sore in the morning its because I helped a sick patient down the stairs, or I saved someones property battling a blaze. To me that makes the aches and pains well worth it. Its safe to say my life rocks! JS
Monday, March 22, 2010
I'm sorry....... I have new girl in my life, working more hours than ever, and heading up a new youth program at work, I'm really busy. I have some great stories to share, and in some free time coming soon I will put some new posts up. Please bear with me! JS
Sunday, March 7, 2010
A wise man once told me that you create your own stress. That being said, I'm glad today is beginning of a new week. Last week my girlfriend and I broke up, got back together and broke up again. I know that I miss her like crazy but I think it was still the right decision. My mom went into have her hip replaced, after a few days in the hospital she was released and is doing very well. I lost my alpha pager and had to put some money into my truck to keep it on the road. While all this was going on I was developing a cadet program for the fire department that we are launching on Wednesday..... Well I survived and I hope I don't create anymore stress for myself... JS
Saturday, February 27, 2010
We get called at around midnight for a patient with trouble breathing. We arrive to find a 55 year old female at home breathing about 30 times a min and complained of minor chest tightness. Our patient has no medical history other than anxiety and was taking no meds. She is alert and answers questions correctly. Her pulse is about 90 and her blood pressure is 132/86. Her pulse ox is in the high 90% range. We put her on a nonrebreather mask at 12 lpm of O2 just because. She was having a hard time with the mask. She walked to the cot for us and we did a 4 lead ECG. The ECG was unremarkable and showed a NSR. We gave asprin and nitro per our dib/cp protocall. We loaded her in the truck and I got in the drivers seat. My paramedic partner was in back with her. We started our transport priority three, thinking she was having an anxiety attack. She was talking to my partner until we turned into the hospital. As we started to unload her she seized and stopped breathing. We started bagging her as we entered the ER. As we hit the doors to the hospital she lost her pulse. We started chest compressions. We took her to the trauma room and yelled for a crash cart and a doc. We moved her to the hospital bed and shocked her because the monitor showed v-fib. The shock put her into PEA. The monitor showed NSR at 60bpm but she had no pulse. The ER doc called time of death 20 min later. It was my last run on my last shift before going on vacation. Tell me, what would you have done differrently? JS
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