Monday Morning, 0820. All of our rescues are tied up. I had just finished with another patient at Rhode Island Hospital and was responding to Maude Street for a minor laceration when I heard the radio transmission.
“Engine 12 to Fire Alarm, inform that Lincoln Rescue we have a code 99.”
I keyed the mike.
“Rescue 1, to fire alarm, we can divert to the code.”
“Roger Rescue 1, you’ve got it.”
Engine 12 had responded to the scene of a MVA with a possible seizure. They found a man in cardiac arrest, doors locked, car running, it’s front end damaged from a collision. If everything went perfectly we could make the trip in five minutes. It took nearly ten. Busses, pedestrians, traffic, everything worked against us. Eight minutes is a long time to do CPR. I’m sure the guys from Engine 12 were listening for the sirens.
“Engine 12 to fire alarm, do you have an ETA for that rescue?”
“Rescue 1, we’re at Douglas and Veazie, ETA thirty seconds.”
We turned the corner at Douglas; nobody there. Sean Reddy, my partner for the day looked around, thinking my exact thoughts, “Did we hear the right address?”
We approached Burns street and saw the flashing lights from Engine 12. Lying on the street next to his car was our victim. Dave and Griff were doing CPR, Paul and Anthony helped with our equipment. We boarded and collared the patient and got him into the rescue, continued CPR, hooked him up to the Lifepack 12, started a line, analysed the rhythm, attempted and failed to intubate. Griff got the code drugs ready, 1 Epi, still asystolic. Atropine; pulseless and asystolic. More CPR. Sean drove the rescue, Anthony followed with the Engine, Dave and Paul continued CPR while Griff loaded another round of Epi and Atropine. Possible fine V-fib, I administered a shock. Asystole, pulseless. We continued CPR up to the doorway of Roger Williams Hospital where the staff there took over. I gave them my report, they worked the code for at least twenty minutes while I watched, giving as much of the story as I knew.
The fifty-one year old man was pronounced dead at around 0900.
We cleaned and restocked the truck and were ready to go at the same time the man’s widow arrived. We went back to work, she broke down in tears.