EMT Scenarios

I saw this outside one of the hospitals today!!

…. Then you find out your partner who picked up a 10, turned into a 12.5 -.-

Oh good, it’s not just me. Fuck they hate us little IFTs.

Anyone else have this problem? Between last minute calls that “it’ll be quick” turns into a 3 hour OT ordeal. Or never giving you a lunch break.

If it could go wrong, it did go wrong.

Tablet died, work phone died, got lost an hour north of the cities because phone had my gps.

Oh. And apparently I was dumping brake fluid the whole drive back to the station and got in somehow…

You are dispatched to a Riverwind apartment complex for a 62 F complaining of general weakness call.

You know the building to be in a good area. You have been given a door code, but cannot find a keypad into the building.

One inside the building, you walk into the apartment complex you immediately come across a person lying on the couch coughing in fits, you see bloody tissues littering the floor.

At this time it is recommended you don your PPE of a HEPA N95 mask, and put a surgical mask over your patient.

Patient’s initial vitals are:

RR slow and labored, HR tachy, skin cool and moist. She is aware of your arrival and is responsive to verbal stimuli.

Patient says that she’s been sick for many days with a productive cough, and now cannot get up from where you’ve found her. Patient complains of a fever, sweats and night chills. She is a type 2 diabetic, and takes insulin.

At this time it is recommended to transport non emergent to the nearest ER and when calling in on the radio it is to inform the hospital you have come across a possible TB patient.

Vitals are as seen:

HR 120, RR 10, BP 90/66

You’re dispatched to Elmwood Golf Course to a man down.

As you arrive on scene there is a storm system moving into the area, winds are strong from the NW. You find a man lying on the putting green of the 14th hole. Scorch marks litter the ground beneath the man and a discarded golf club lie beside him, you see visible holes in the bottoms of his shoes.

There is a golf course attendant beside him, she doesn’t know his information, but says she called you as she was clearing the golf course before the storm of players and found him 10 minutes ago before calling.

His skin is pale, and cool. His heart rate is weak and erratic, and his respiration rate is also slow and shallow.

It is recommended to stabilize spine, and transport once taken into safety of the ambulance before continuing care

As you transport emergent his vital signs are as seen:

You’re being dispatched to Washington Elementary School for a shortness of breath.

You arrive on scene to a school gym where a 10 year old student is sitting on the floor against the back wall visibly having issues breathing. You hear a wheezing sensation while you walk up to the student.

HR is tachycardia and strong, RR is tachypnea and deep, airway is clear and patent. You hear a wheezing sensation.

Patient has a history of asthma, and has an inhaler on him and prescribed to him. Patient says he was playing basketball in gym class when a progressive shortness of breath took him over, he is visibly breathing hard and has 3 word dyspnea. Patient says that he’s taken 2 doses of his inhaler and is still struggling to breathe.

Vitals as seen:

Patient’s HR is 125, RR 30, Pulseox is 85% on room air(96% on O2), BP 160/104

As you give the patient another dose(Up to 2 more times) of their inhaler(per medical direction) and transport emergent, his breathing slowly starts to ease.

Vitals are as seen by arrival to ER: