She’s only 20 years old*. 15 years younger than me. Laid out on the ground in front of the house. It’s 40 degrees outside at 1am here in Texas. Her boyfriend woke up and found her not breathing and did CPR on her while waiting for us to show up. The police showed up first and she woke up. They started their investigation before Fire and EMS even made it to the scene, and proudly declared to me that they had discovered heroin and drug paraphernalia inside the house. All around me are public safety employees shouting at this young woman, “what did you take?” and “what are you on?” and “whose drugs are inside the house?” Continue reading “Connecting with a Drug Overdose Patient”
I don’t often share much about my personal life through this blog, but I am elated to share with you, my readers, that my wife and I are expecting our first child, a boy, due in January 2018! Admittedly, this is a very happy, hectic, exciting time in our lives, and I can’t help but think back on some of the times that I had the opportunity to share in the beginning of a new life in my EMS career.
I’ve had the privilege of assisting with the delivery of 4 babies in my career. I know plenty of medics who go their entire careers without a single field delivery. I guess I’m just lucky? I do feel that it’s a privilege. Very few calls are so high-acuity, with the potential for SO many things to go wrong, as a childbirth. At the same time, very few calls can be SO thrilling and amazing and emotional when everything goes right and you end up with a healthy baby to hand over to Mom. Thanks to the miracles of modern medicine, doctors are much better at predicting due dates and monitoring pregnancies as they progress, so field deliveries have become much less common than they were in decades past. However, sometimes things catch you by surprise, sometimes mothers (for some reason) elect to forgo prenatal care, and sometimes it’s just chance that a mother winds up delivering a baby at home or in an ambulance. For the record, if I never have another field delivery in my career, I’d be OK with that. It’s a stressful, messy, high-acuity call, and having been a part of 4 of them, I can say that I truly do appreciate the miracle of life.
An excellent piece I read a while ago and then lost the link before I had saved it. How do you handle elderly patients in cardiac arrest? Are these calls difficult for you? I often wonder if anyone has spoken about quality of life vs. quantity to the family members crying out for help for their loved one. Read this excellent blog post and let me know what you think in the comments section. –Dave
We were dispatched for trouble breathing. It had been a busy night, back-to-back calls, all kinds of patients. The day had felt rather hurried and frantic. My partner and I were both a few PCRs behind. We arrived on scene at a single family home and a woman waiting out front for us. “It’s my mom…. something’s not right…” she trails off, obviously upset, fearing that we’re going to bear horrible news when we see her mother.
The house is old, with narrow hallways and tight corners. We leave the cot in the hallway leading to the back bedroom because it won’t make the tight turn. I carry my monitor and airway bag.
As I make the turn into the bedroom, my heart skips a beat. The frail, white-haired, quiet woman in bed could have been my Gramma’s twin. Continue reading “Like my own Gramma”