Just when the bastiges that comprise TVCTPMO are about to get the upper hand, something comes along in my favor that cheers me up and blows them away. Another one of those occurrences happened last night.
I’ve been having a long dry spell regarding successful IV starts. I’d miss the vein, or go through it, or the vein would blow for no apparent reason. It all added up to about 5 months of 0s in the success column. It was enough to give me an inferiority complex, and seriously consider asking for an ER rotation so I could get some live practice.
Last night was an unscheduled night. The squad has been having scheduling problems, and I agreed to answer any call that came along, but I was not going to be at the station, or even officially on the duty roster.
About 6 PM was a page for a seizure. Buddy Mark also answered right away, so there would be no waiting for a full crew.
Our patient was lying on the couch, unable to talk, and complaining of extreme pain to her right temple. Very unusual for a run of the mill seizure…
I looked her over. She had facial paralysis on the left side, equal strength and sensation in her extremities, was lucid, and could write without a problem. She ended up creating several notes for us. Her symptoms were unusual, but to me indicated a stroke of some kind.
Well, this is it, I said to myself. I’m all she has in the way of advanced care, and Mark has to drive. We loaded her up, and started to work. Vitals, oxygen, heart monitor, and IV.
Our patient, who I soon figured out was a nurse, motioned to me that I should do my IV in her left arm at the elbow. OK, I’ll always take the advice of a patient, it saves me time usually. By golly, there was a vein in her elbow I could tap with a sharpened water pipe. I sat down, prepped her, and got it in one stick just like the textbook showed. I could have knocked myself over with a feather for the success. The tape job wasn’t pretty, but everything held, and we rolled to Bugtussel.
Her pain was worsening, and going beyond 10 of 10, but there wasn’t anything I could do about that except get her to the ER. We were about halfway there, and she began to slide out of consciousness, which is bad. She also was losing strength in both sides; I don’t know if that was a direct neurological effect, or secondary to the altered status. Either way, she was getting worse. We tried for a paramedic intercept, but by the time everyone was talking, we were closer to the hospital than the Bugtussel rescue station, and we kept going.
The radio traffic cleared for that, and there was a new call. “R-23 (Mark), call the Station IMMEDIATELY”, said The Voice Of Doom over the radio.
“Negative. We have a critical patient, and I’m busy right now. I’ll call when we get to the hospital.”
“Copy.” Whoever was calling wasn’t happy.
We had a reception committee at the ambulance entrance, and got the patient inside and settled. I did my brief, and Mark came in. “We gotta go NOW.”
Signatures, collected equipment, and out the door. That was the fastest turnover I ever did, and lots of corners were cut.
Outside, Mark said his mother was in a serious wreck in Suffolk, and she was in a hospital very close to where I work, so I knew it was a long trip. I told him I’ll drive back, and he said he’d do the ambulance turnaround enroute. I’m glad I wasn’t stopped, because I broke several traffic laws along the way, the most major being unauthorized use of emergency vehicles (I ran lights without a dispatched call). I dropped him off at home, and went to the station to do the paperwork.
Halfway through that, there was a silent page for a domestic assault. Dude bit his girlfriend’s left index finger and broke it. Steve the Barber went with me on that one. Cleaned out the bite marks and splinted her hand. She refused transport in favor of a trip to the family doctor today. I was finally home around 11.
Mark was back at the station just as I was leaving. His mom was hit head on, but she wasn’t hurt as badly as originally reported. They were going to keep her overnight for observation, and she was going to be very sore for a few days. A happier ending than first imagined.
And an oddball good night for me, for all the wrong reasons.