The man is breathing like a fish cast up on land. He is quiet, then with all the effort of his chest, he gasps. He’s quiet, then he gasps again. His wife says he started losing conciousness an hour ago. He has terminal lung cancer. It has all been very quick. It started with back […]

I’m precepting a nice young man who is very on the ball. He knows his protocols better than I do. I ask him the dose for Cardizem. He rattles it out. .25mg/kg first dose. .35mg/kg second dose after fifteen minutes if the first dose didn’t work. Once the rate slows, you run a drip at […]

We’re called for a fall at a private home. When we pull up my partner says he’s been here before. He gets on the radio and cancels the district car. “What if she’s a big lady and we need a lift?” “She’s a little thing,” he says. We go to the front door. It’s locked. […]

We’re called for a domestic in an apartment complex. Minor injuries. The police are already there. They lead a man out of the front door. He is a big muscled man, six three at least with linebacker shoulders. Except he walks with a cane and I see a brace of his left foot. “What happened?” […]

A lot of EMS is bullshit. People using 911 for runny noses, sprained wrists, and stomach aches from eating too much greasy chicken. Then there are the legitimate calls like strokes and traumas, but too often in those calls there is really not much we can do to fix them. They are dead from getting […]

I got an email titled “Sad news.” It is from my friend Tom. “Hate to break this to you in an e-mail, but David died yesterday. He was found in his home when he did not report to work, dead of an apparent heart attack. I will forward funeral information in case you can attend. […]

I’m assigned a paramedic student. And while I love students, I’m not too happy to be precepting this one. She is as close to clueless as you can get and still be allowed to ride. I precepted her a couple weeks ago. She talked a good game so I figured it would be an easy […]

We’re called for a stabbing. Its dark and when we pull up on scene, we can see officers with guns drawn. We stage and wait the word to go in. It’s hard to tell what’s going on, then another cop comes running out into the street right for us. We step out. “You’re going to […]

I’m standing in triage with my patient when I find myself looking at a man standing unsteadily by the entrance to the ER. A security guard has his hand on the man’s upper arm, both holding him up and keeping him from walking away. The guard tells the nurse. “I found him outside. What room […]

About Tuesday I noticed a foul smell in the ambulance — a smell like someone had left a meat sandwich under the seat or a mouse had died somewhere in the woodwork. We left the ambulance outside with the doors open for two hours, but it didn’t help. It was a nasty smell, sometimes it […]