This was an entry that I apparently forgot to click "publish" about a year ago. Hopefully I didn't just double post it.
So due to chronic workaholism, I signed up for 36 hours of work in a row. That being a 24 hour shift followed by a 12 that following morning. To the non EMS people out there, this seems like a lot of work. Not all the time. Yes, I am at work for 36 hours, but I am normally working rescue. Meaning we have a station or building to stay in with beds, TV, and kitchen. So when we are not running calls, we can relax. Unlike working a truck that posts, meaning you have to sit in the truck for hours until you get a call.
The first 24 hours was not a big deal. I think we did a total of 5 calls. Nothing super exciting. No big deal. I was able to do a lot of homework and be super productive while getting paid for it. That's cool. It just felt like the first 24 hours took forever and a day.
The following 12 hour shift on the other side of town was slightly busier for the first half. Then there was a significant lull and I was so very bored. I was tapped out on homework and was just waiting for the shift to end in the final hour. Unfortunately, my relief never showed up. This was due to an error on the part of the scheduler and the system they have in place. It wasn't cool. So Shift change came and went. Then we got a call. And then another call. And another. Gotta love the job sometimes. What added insult to injury was the fact that we had a call to Chili's when I was already starving. Ugh!
However, the call to Chili's was actually pretty cool. We had a lady in her 40s who "fell" per dispatch. So we get there and she is laying down in a booth and looking a bit out of it. So I ask her to open her eyes and basically wake up. She does, but I don't know why people that feel well loose the ability to speak up. Whatever. Anyway, the local FD that is there is having trouble getting a BP. She has a very weak and thready radial pulse and she feels ill. So we put her on our monitor and get our stuff rolling. Sats are fine, heart rate is 39-42, and her BP is in the toilet (60/30). The monitor is actually showing first a junctional rhythm which shortly changes to a 2nd degree type II and then to sinus brady. Odd. No real hx but at this point we are very happy that she is sinus. BTW, the place is packed. It's a Saturday night and people are out on the town.
We move out of the very cramped restaurant and bring our pt to the truck. We have a student with us and have an excellent teaching case for her. Low BP+Bradycardia+AMS=IV, O2, monitor, Fluids, Atropine, and TCP. She verbalized that fine, but unfortunately for the student and fortunately for the pt the vitals turned around and we didn't have to go priority one or treat with medicine or Edison. But it was at least an ALS call. I don't mind staying over for those.
No comments:
Post a Comment