Hundred Yards

He's having a heart attack, so he had his wife drive him to the ER. He's forty-eight, no history, but smokes like a fiend and has a drink or three every day. He's pushing 300 pounds, and "knew this day was coming."

They made it to the hospital parking garage where he could go no further. His wife called 911.

It was 0655, five minutes before shift change. The engine company arrived first, waited for the rescue to load him up and take him 100 yards to the ER door. Some of the guys were not all that interested in the patient, shift change and all, and he was in the parking lot for Christ sake.

I decide to work him up, the whole deal, IV, ekg, 02, asa, nitro. Ever his wife thought I was an idiot.

"Just put him in the truck and get him to the "real doctors!"

My own people agreed.

Sometimes it's nice to be a stubborn old Swede. It doesn't hurt to have twenty years either, but even if it was my first day, the patient needed immediate cardiac care, and who better to give it than us?

We had what he needed, and there was no waiting. Ten minutes later, we wheeled a nearly unconscious patient into an ER waiting for him, room ready, cardiac team alerted, cath lab waiting. The patient had two IV's, 02, two nitros, 325 mg of aspirin and a heck of a better chance of survival than if we had scooped and ran the hundred yards.

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Michael Morse

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Comments
Michael Morse
Adrenaline Junky
Thank you Renee! I was starting to think I was the only one. Stay safe out there.
2014-08-21 17:02:24
Renee
Adrenaline Junky
Ya know, I identify with everything you just said! But then I am a special kind of twisted, because I recently got back into EMS after having been out of it for 20 years... I'm not a nurse, I'm a MEDIC and damn proud of it! We in EMS are a special breed and not…
2014-08-21 16:43:47
John Corrigan
EMS Staffed by Nurses
Let us not forget who started this whole EMS / medic thing; Clara Barton, RN "Angel of the Battlefield" who founded the American Red Cross. My point is, this has always been a collaboration through the years. Only due to nursing shortages and the frequency of injury on our "highways and bi-ways" there was a…
2014-08-21 14:21:56
Ben Ploner
EMS Staffed by Nurses
Maybe i'm missing something, but what does a transfer truck have to do with community paramedicine? Regardless, i'm in Canada and there have been a number of successful projects here using blended RN/Paramedic staffing to fill physician shortages in rural communities, as well as both using both NP's and Paramedics to deliver hospital grade care…
2014-08-20 16:13:54
Andy Jason
EMS Staffed by Nurses
Reading these comments makes me laugh and be angry both. The rig you see pictured, is not used as a 911 ambulance. This rig is used for RN and CCT transfers. I work for this company, and yes we do have RNs that fill street shifts on the paramedic ambulances. When in these trucks there…
2014-08-20 15:25:11

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