Fire Engineering Article pt. 7

http://www.fireengineering.com/articles/fire_life/articles/2013/april/fire-based-ems.html

This week’s (I wrote this a while ago) examples of how it could be:

  • A diabetic, unconscious in Mount Pleasant. All Providence rescues out; Engine 15 arrives three minutes after initial call. Rescue 1 clears Rhode Island hospital, ETA 11 minutes. We arrive, patient is alert and conscious, BG 145 from a 22, IV established, D-50 administered, wondering what all the fuss is about.
  • Overdose in the West End. Rescue 1 is fifth due, ETA eight minutes. Engine 8 arrives on scene in two. 2.0 mg narcan adm. IM, the patient who was seconds from death prior to their arrival now alert and conscious, denying drug use.
  • Seizure in Washington Park. Seventeen-year-old kid, first seizure. Family going berserk. Firefighter from E-13 speaks fluent Spanish, calms the scene; two firefighters lift the 200-pound kid from his bed, postictal at the time, secure him to stair chair while the patient gets combative, figure a way to get him out of the bedroom and down the stairs while the rescue officer gets pertinent information from family. Once in rescue, IV established, meds administered, vitals assessed, and a report radioed to the ER. Impossible to do with two hands; six worked just fine, thank you.
  • Two intoxicated males, on the street in South Providence. On arrival, Rescue 1 is attacked by intoxicated males. Police called. Engine company dispatched. Two minutes later, Engine 10 arrives on scene, order is restored, the intoxicated males subdued and restrained in the back of the rescue with assistance from firefighters. Police arrive on scene as we depart, engine company following.
  • Chest pain in the North End, Rescue 1 ETA 12 minutes. Engine 2 on scene in three. Nitro, aspirin, and oxygen delivered in four, vitals and an IV to boot. Rescue 1 arrives on scene, the engine crew carries the elderly gent down two flights of stairs and into the rescue. I do the paperwork and say thanks.
  • MVA on Rt. 95. Engine 11 arrives on scene five minutes prior to Rescue 1 and seven minutes prior to police. We arrive, the lights and presence of the engine providing some safety from passing motorists, bleeding from vehicle occupant controlled, c-traction applied, leaking fluids contained, and patient history assessed and documented. The firefighters retrieve the spine board from the rescue's compartment, extricate the patient, and deliver her to the rescue, then stay on scene until we depart…

Leave a Reply

Your email address will not be published. Required fields are marked *