an•thro•poph•a•gi — Pronunciation: (an”thru-pof’u-jī”, -gī”). She has beautiful blue eyes, a slender woman with long blonde hair who looks like at one time she was very pretty, but she has been sleeping on a mattress in a house that smells like urine. She says she has back pain and has been hurting too much to…
Author: medicscribe
An Encounter
It’s been snowing all day — a blizzard. Eight or nine inches on the ground already. Now it’s night and I’m hungry, so we drive out through the snow to get a hot pizza. At the pizza shop, I notice a grey faced woman say hello to me as I go in the door, then…
Compressions
Last night one of our long-time members came in at ten to relieve the on duty crew. He has been an EMT for over twenty years and helps teach the EMT class here in the suburbs. He heard about the code we did yesterday and talked to the new kid about it. “I wanted to…
49 Years
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…
Credit
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…
Ruby
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….
Assault
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?”…
Cath Lab
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…
David
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….
Precepting
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…
In the Dark
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…
Codes
“Wife says patient stopped breathing.” I know this one is going to be a code. Just yesterday we were dispatched to a “Cardiac arrest,” but it wasn’t a code. It rarely is when it comes in like that. People don’t know their terminology. Every time we get dispatched for a cardiac arrest and it turns…
Behind Every Door
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…
The Stink
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…
Daily Special
We get called for a fall at the local fast food chicken restaurant. Back in the kitchen, the woman is laying on the ground between the fryers and the food prep table. She’s maybe twenty-two, but a big woman — looks like she’s been dining on the fast food fare most of her life. I’m…
The Stretcher
Arthur is making up the stretcher by the linen cart just inside the ER doors. “I’m going down to the cafeteria to get a sandwich,” he says, as he tightens the last strap. “You want anything?” “No, I’m good. I just have to get times and drop off my report.” I end up getting in…
Coming and Going
We’re sent on a priority to for the unresponsive, but when the cops get there they slow us down. It’s a 10- a dead body. We go in and walk down into the basement where we find the cops standing around the body. A man in his forties is sitting on a couch, his head…
The Man Who Wouldn't Die
We’re called for a person not feeling well in an elderly housing hi-rise not far from the hospital. The man is an emaciated AIDS patient, who is laying naked on the couch in his dark apartment. he has a colostomy bag. His girlfriend says they were at the emergency department for seven hours today, then…
Death in a Nursing Home
We’re called for a child not breathing. The address is a convalescent home. It makes no sense. Then we pull up. There is a car parked askance by the entrance, two front doors and a back door open. The engine still running. In the front lobby two nurses and a police officer kneel over a…