12 Hours

Transported nine patients in 12 hours today, including a 20 mile out of town hospice run. There was a dyspnea patient who needed a couple breathing treatments and a dose of Solu-medrol, a possibly septic dysphasic patient who suddenly puked in the hospital room right after we moved them over and who required some vigorous suctioning of vomit and big thick grey mucus plugs (all the while I was humming trying not to vomit myself), a SI (suicidal ideation) patient who was really into his I-Pad, an elderly patient with a history of severe back issues and now two days of bilateral leg pain that made it impossible to walk who I gave three 25 ug doses fentanyl that took the pain down to an 8 from a 10, the hospice patient who six weeks before was a vigorous working person who suddenly felt tired and went to the doctor for a checkup and four board and collared motor vehicle passengers.

It was a hot muggy day with a violent afternoon downpour. The water on the road caused a car on the highway to hydroplane and smash a New Jersey barrier, but fortunately there were no serious injuries and by the time we approached the scene the sun was popping back out and there was a brilliant full rainbow over the city you could see great from the elevated highway. Both MVAs we did today we transported two patients in back. I always try to board the lightest person first, load them on the stretcher, and then once they are in back, lift them up on the board and lay them down on the bench seat, and then go back and get the heavier patient. It is nice if the fire department in on the scene, then my partner can board the second patient with their help, while I start doing vitals and getting demos on the first patient. At the hospital, my partner goes in and gets a hospital gurney and wheels it out to the ambulance. We unload the stretcher, move the patient to the gurney, then load the stretcher back in, move the bench seat patient over and then unload him and move our wagon train on in to the ED. I have no problem bringing in two boarded patients in one ambulance. I once brought in four boarded patients in one ambulance. They were all kids and I boarded them two to a board, head to toe. Worked great.

I will tell you for all the benefits of electronic run forms, doing two forms for one call is a pain. Back when we had paper, I could bang out a double transport in no time. Write as I went. It seemed like I spent all day in the EMS room of one hospital today tapping my stylus against a compter screen or typing out narratives with my fast two finger hunt and peck. They had CNBC on their big screen TV and we were all watching the stock market tank, as we worked on our PCRs. It’s a buying opportunity, one analyst said. But that’s what you said last week, another commentator countered. Buy gold said another. No, sell. The metals run is a bubble. Blue chips are where it’s at. Don’t forget emerging markets and the Swiss Frank. It was hard to make sense of all the advice. The only thing I know to do it to keep getting up in the morning and going to work.

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