Christmas Music

A very slow day to begin with. We didn't do anything until the evening. I was hoping to keep it that way. Although quite boring, I would prefer to do nothing and get paid for it sometimes than cart around people that should be taking a taxi. Oh well.

All hell broke loose around 1800. We were called to a nursing home for chest pain. We got on scene, did our workup and determined that it was most likely a respiratory problem and not cardiac. Our patient had crackles in his lungs, just on the right side...probably pneumonia.

We had just made it back to quarters and got into bed (by this time it was around 2200 after getting dinner, etc) and we were called to a stand-by emergency room for a psych eval. Okay, no biggie. Just grab and go, drop 'em off and go back to bed. Well, it wasn't that easy. The nurse only gave us like maybe 1/16 of the story. She was actually an overdose. On cocaine, meth, trazadone, a bunch of psych meds, and pain killers. She was dizzy and nearly fell over getting onto the cot. Then she was hallucinating in the back of the ambulance. She said, "I really like what you've done with the place. Those curtains are beautiful!" Now mind you, we don't have any curtains, and our rig is definitely not beautiful. Then she asked why we were outside, and starting flipping out again trying to get the blanket over her head to suffocate herself. A little Narcan did the trick (kinda) but she was still hallucinating when we left the ER.

Made it back to quarters again. Laid down for 15 minutes. Called to transfer a psych to the state mental hospital. I was cursing and going on for several minutes because it is over 60 miles away. We got to the ER and I walk with the stretcher past the nurses station. The nurse grabbed my arm and was like, "you can't go in there without security!" I was like, "well, I wasn't planning on it, I'm just getting the cot out of the way." Whatever. So, we wait forever for paperwork, as usual, and finally we meet our patient. Before we even get a chance to open the door she opens it and yells at my partner, "you don't need to be knocking on my door, it is rude!" He never even touched the door. It took a lot of convincing, or rather several large security guards, to get her onto the cot. She loved the four point restraints. Ha. And even made my partner swear which takes quite a bit. The ride was actually quite funny. First I was listening to like pop/rock music, but I can't stand commercials, so then I changed it to country. Then that had commercials eventually too, so I changed it to Christmas music. Ooooh...that's when the fun started. She hated the music. So what did I do, you ask? I turned it up. And we both started singing, quite loudly I might add. For over 40 miles of the trip :). When we got there she said we stole her candy and that my partner's sister was a bitch, which she was referring to me. Then she got to fight with the guards at the mental hospital, so we headed home. Another life saved.

We did another transfer to a nursing facility out of the ER. This place is quite creepy. We always call the buildings bomb shelters. They are very funny looking and out of place, and there are maybe 50 of them. Very hard to find the one you need. And the lady was hacking and coughing all over my rig. Ugh. Disgusting.

We got back to quarters at 0654. At least I wasn't held over.

Your Patient

Busy day. We did a four hour ALS MRI. Those are my least favorite calls. In fact I hate doing them. It drives me crazy every time I get dipatched to one.

Lots of silly transfers....mostly rehab, psychs, and a few going back to nursing homes.

And I forgot my coat at home today so I froze to death until the evening. Then we got a call going to a nursing home near my house so we stopped afterwards and grabbed it.

Then we were dispatched for chest pain at a nursing home two towns away. The roads were kind of slick and it was really foggy out, so it took us a little while to get there. The lady was fine. All her vitals were good. She said it just hurt when she would breathe. She was just diagnosed with pneumonia/bronchitis last week.

When we were leaving the ER the FD was bringing a guy in that I had taken last week with chest pain. He was out of a nursing home. And one of the guys said, "yeah, we had to pick up your patient." Like the nursing isn't in their district. Dummies. That was the first time we had seen them at the ER all day, and we had been there at least 5 times already.

Took a crazy pysch patient that reminded me of a toddler because she asked "why" about everything. And she was being an ass, so we cranked the Christmas music and sang all the way to the psych hospital. The best song is actually a Hawaiian song called "Melekelikimaka" which means merry christmas, or happy Christmas. Yep. I went to the national fire academy and met some really cool guys from Hawaii. And I learned a lot. But anyways, it was an okay shift.

I was only peeved when we were woken at 0430 for a medicar call going to same day surgery...which doesn't even open until 0600. The nurse had a fit and flipped out on my partner and I, like we wanted to bring him early, like we didn't want to still be in bed. Hmph.

No...Just call 9-1-1

I started work as usual at 0700. We got a call at 0712. We were called for shortness of breath. The only bad part was that the nursing home we were sent to is about a 30 minute drive even with lights and sirens. So, we get down there, making decent time, and pull into the nursing home. We hit the "on scene" button on the computer in the rig, and just as I am taking off my seatbelt and opening the door, my dispatcher beeps us on the Nextel, "You guys can disregard...the facility is calling 9-1-1." I told dispatch, "But, we are already here...we're going in right now." She says, "Well, now they don't want us they want to wait for 9-1-1. You guys can stand down and return to quarters." I was like, whatever. We got back in the rig and left. I don't understand the nurse's logic. You call a private ambulance and accept a 30-40 minute ETA. The ambulance pulls into the parking lot as you are on the phone with dispatch asking for another ETA. They tell you that the crew just pulled up. So now you decide that the patient is too critical to wait and call 9-1-1, after 30 minutes? What the hell. I mean, if that floats your boat, by all means, but it just confused the hell out of me.

We left there and got back to quarters about 40 minutes later. I had just gotten my boots and socks off when dispatch, once again, sends us lights and sirens to a nursing home about 30 minutes away. We get dressed, get in the rig and head out. We are called for "Tachycardia...the pt is also complaining of SOB, fever and altered mental status." Okay.....

We get on scene after dealing with every single idiot in the world on the road we were on, and head inside. We get to the room and speak with the caregiver. She says that the patient was up, talking, eating and even brushed her teeth this morning. When she came back to check on her she was, well, not herself. Our patient was slumped over in her wheelchair, wasn't speaking, had a blood pressure of 70, a blood glucose of almost 400, and had a heart rate around 130 with an elevated T-wave. Yeah. Needless to say we didn't stay and play long. We were heading out to the rig and the caregiver hands me her cell phone, and said, "It's the family, they want to talk to you." I politely declined and said that I couldn't share any patient info over the phone. The caregiver asked me if we were going to go to her desired hospital (which was about 30 minutes away). I told her we would try, but there was a 99.9% chance we would be diverted. She got pissed and told us they didn't like the closest hospital. I aksed if she was a DNR, and the caregiver said yes...but of course she couldn't produce it. To make a long story short we went to the closest facility. We got her blood pressure up to 100 systolic, but she was big time messed up. I'm sure she's in ICU right about now.

We did a transfer for a hip fracture.....

Then a psych transfer. This woman was absolutely disgusting. She was psychotic. Very upset about everything. She had been smearing feces and menstrual blood all over the walls and her body. Her hair was all matted. And she had sores on her feet from never wearing shoes. Ugh. She was completely uncooperative, then laughing, the yelling, then asking about our credentials, and asking to see another doctor. Yeah. So, we ended up cranking the Christmas music up and singing aloud for the whole three mile transport. :) Yeah, we're evil...going to hell on the express bus.

All in all, a good shift.

Elvis

First call right off the bat was a psych transfer. We got to the ER and it was a miracle-the paperwork was done and waiting for us! Whoa.

I finished my paperwork and went to meet our patient. He seemed alright. I hadn't really read into his papers, so I didn't get the whole story right away. I did notice that his feel looked blistered and had soot all over them. I just though, "hmmm...odd." Then I spoke with one of the security guards and got the truth. Apparently the guy doesn't like to live in his house, so he roams around the county and stays at campgrounds and basically lives off the streets. He was brought in by the police yesterday because he was found at one of the local campgrounds lighting a picnic table on fire, and in the process nearly catching the brush on fire. And that's not all. He proceeded to get up on top of the table, start dancing, and singing Elvis songs. Nice. That would have been a sight to see.

Long Month

It has been quite a long month of the same old crap. I really haven't had any good calls whatsoever.

Today has been a typical day. Well, kind of. We have only done four calls so far. We did a couple BLS calls in the morning. We just did a call for "bleeding" that was actually for an ulcer that started bleeding on a lady's leg. The bleeding didn't worry me too much, but the fact that her leg was really swollen above the wound, that I couldn't get a pedal pulse, and that her capillary refill was +3 worried me. Oh well, I'm sure she'll be fine.

We also did a psych right after that. I walked into the room to get him on the cot and he had blood streaming down his arm from where he had an IV. By the time I got gloves on there was blood everywhere-a nice little pool on the floor, all over my gloves, and all over the bed. Good times. The best part was that the RN was rushing us to get him out of the room because she had a squad coming in. Well, they couldn't use the room anyways because housekeeping needed to sanitize it all now that it was covered in blood. Gotta love it.

Now I am back in quarters, just chilling. I have homework to do...

BLS

A complete BLS day. The only call that we did that was ALS was a burn and return (radiation). Pretty boring.

Most of our calls were psych transports. Nothing good either.

I am off until Tuesday, so hopefully I'll have something by then...

Deer

I haven't posted in forever. I've had a lot of crap going on....

Anyways, life is the same. I missed a structure fire today. I don't feel too bad because we went mutual aid and only did change on quarters-they struck out the box as soon as they got in the station.

But, the reason I am posting is much more, well, funny.

After returning from a rescue call this morning, the crew that was working was doing house chores, etc. One guy was out in the garage and he heard something behind him. He turned around and a deer had run into the bay. The deer was wounded-bleeding from god only knows what. (Walk in rescue call?) Anyways, so the guy is yelling at the others not to move because, they were all in the "house" part of the station and he didn't want anyone to get hurt. Meanwhile, one of the other guys was in the training room and heard a commotion and the one firefighter yelling, but he figured people were screwing around (as usual). Well, the deer ended up running into the door that separates the bay from the house and left snot marks everywhere and scratched up the door. It turned around, as the one firefighter is hiding in the workout room, and runs into the dayroom, getting blood all over the carpet, table, and chairs. The firefighter that was in the fitness room called the police station next door and told them that they needed to get over here and help. Well, needless to say, the cops thought he was joking. The deer eventually ran out of the bay, leaving only a trail of blood and snot.

Good times. I wish I could get the pictures, but they aren't on the shared disc. Very funny though.

I did a practice CPAT test on Saturday. Let's just say that I am joining a gym on Tuesday, because otherwise the only thing I'll be leaving in on test day is an ambulance.

Not too many good calls recently. I have had a few funny ones.

I had a lady that kept yelling "can someone please get me a gown" every thirty seconds for the hour we waited for her paperwork in the ER. They were getting slammed-two full arrests at once.