Broken ankles and chest pain

     So the last shift I worked literally consisted of about 7 or 8 calls with nothing but chest pain or broken ankles. First, our most critical pt of the shift was a gentleman with classic signs and symptoms of an MI before we even took vitals or put him on the monitor. He was gray, ashen, diaphragmatic, had nausea and vomiting, and actually passed out a few times. He was also hypotensive (even though the newbie basic that was there told me his pressure was 120/60...sure). Anyway, we throw him on the monitor and see a heart rate of 45, he had a pressure of 88/50, and just looked like crap. If nothing else, this guy was really sick. He did also mention that he had a "bacterial infection" and was taking meds for it but could not tell us what type of infection. So we start an IV and get him going to the area's only trauma center. Enroute my partner does a 12 lead. The 12 lead showed elevation of about 2mm in the inferior leads as well as V2, V5, and V6. So we then bump it up to a priority one and my partner starts the MONA regiment. Unfortunately, since our pt's pressure was still low, he was only able to do the "O" and the "A". The rest of the transport is without further incident.
    Now, on to the ankles. It seemed as though everyone was breaking their ankles in our response area. One genius even thought it was a good idea to drink and rollerblade on an icy driveway. As the title of this blog entry suggests, it didn't end well. His ankle looked like a grapefruit and it was quite painful. The funny thing was that he kept saying "Shy-zah". He was German and didn't like the situation one bit. Sorry about the phonetic spelling, I didn't take German in high school or college. This gentleman had much ETOH on board and was still in a lot of pain. So we take him to the hospital and on the way there, he didn't want anyone to know he was drunk. Sure...we won't tell. Even if we didn't, it doesn't take a neurosurgeon to figure who is sober as a judge and who is drunk as a skunk.
    Well, that was my most resent paid adventure in the world of prehospital medicine. It is never a dull moment in this job. Hopefully I can further my career along with obtaining my FP-C and get a kick ass flight job. Bye for now.