Last week, (due to medic vacations) the company put me into a volunteer town as the paid paramedic (on an ambulance staffed with volunteers) for my shifts. Many years ago, I worked three days a week in the same town in addition to three days of overtime in the city back in the days when…
Author: medicscribe
Forced Sedation
Interesting article on NBC news about the use of ketamine for sedating patients in police custody. Elijah McClain was injected with ketamine while handcuffed. Some medical experts worry about its use during police calls. The reporter centers the story around the tragic case of Elijah McClain, who was apparently walking down the street, wearing a…
A Boy
In 1999, I wrote a letter to the editor of the Hartford Courant about a police shooting in the city. The newspaper reported that an unarmed 14-year old black boy had been shot in the back by a white police officer. They put the story on the front page under the headline Family, Police Want Answers: No Weapon…
Harm Reduction
Connecticut’s harm reduction workers are out on the street everyday trying to make the world safer for those caught in substance use. This is particularly important in this time of COVID-19. I am often questioned whether or not harm reduction – syringe services, community naloxone, overdose prevention sites, drop-in centers– are not just enabling users….
A Complaint
I was accused of being racist. This was about fifteen years ago. At the time my main assignment was working as a contract paramedic for a volunteer service in Bloomfield, a volunteer town to the north of Hartford that like Hartford had a predominantly black population. I was working that day with a black partner/friend…
Kevin Andrews
With all that is going on these days, I thought of Kevin Andrews, one of my first partners in EMS. I first posted this in January of 2011. *** In EMS, we cannot help but be shaped by our earliest partners. They are the ones who show us the way. I was lucky in that…
Wild
Many years ago, I watched a long video of a police scene in California, where a man who was reported to be on “angel dust” (PCP), was being held down by police officers. The officers chatted among themselves while the camera focused in on the man who was pleading for help. I watched as the…
I Can’t Breathe
I have heard many people say “I can’t breathe.” Sometimes the people are full of it, other times they are dying. I have also heard the response line, “You’re talking fine.” I’ve heard EMS say it and I’ve heard police say it. On May 25, 2020 , George Floyd said to officer Derek Chauvin, I…
A Visit
He is an old man with a stooped back, wearing tan work pants and shirt with his name on the right breast and his company’s name on the left. He has gotten out of his old Pontiac, and wearing a face mask, walks toward us as we come out of the dialysis center with an…
Surgical Masks and Aerosolization
COVID-19 is spread primarily in respiratory droplets. Here’s why you need to put a surgical mask on your patients and why we should all be wearing masks ourselves when we are in public. These illustrations come from a study by Vapotherm. COVID-19 Transmission Assessment Report
Shower
The fire department had three of their men in full gowns when we arrived. The patient was up on the fourth floor, unable to walk, they said. They weren’t certain what was wrong with him — he wasn’t answering questions–but he had been shaking and vomiting all morning, and he had just gotten out of…
A Home
A beautiful spring day. The sky is robin’s egg blue. The air smells like fresh cut grass. We cut our sirens on approach, and are driving now through the residential neighborhood. Kids are out on their bikes. There are joggers aplenty. Nearly every house has someone out beautifying their yard. Neighbors talk and laugh with…
Ghost
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…
Rick James, David Crosby and Mike Pence
A large man stands handcuffed, surrounded by six police officers by the side of the road. Nearby two citizens have their iPhones out recording. The man does not mince his words. “I’m going to kill all of you. I hate cops. I’m going to eat you. You’re gonna be in my belly.” It is clear…
Battle Royal
He is naked in the nursing home hallway, rolling over and over. We manage to get a sheet under him and lift him up onto our stretcher. His room air pulse saturation is 74–severely hypoxic. The nurse, who told us he was COVID positive, said he walks around the wing and can hold a normal…
Easter
I worked the city today, and after a slow start, banged out 5 calls, and then they sent us in. Volume is down, plus today, as a holiday, we get double time and a half. I could have stayed at the base and clocked the last three hours, but I wanted to get home to…
See-Saw
The see-saw emotions of this epidemic are unrelenting. The data is looking better. While Hartford continues to increase its hospitalizations, the numbers are slowing and both statewide and downstate, the numbers are going down. While there were another 41 deaths, this number is also starting to slow and be less that what was once feared. …
Rest Day
For the first time, net hospitalizations fell in Connecticut. Still 1,938 people remain hospitalized. Another 50 died. As I’ve mentioned I follow the patients EMS has brought into our hospital who test positive so I can alert EMS for them to check if they had any exposures. For the most part now, it seems they…
Tiger
It’s 12:59 A.M. I have given up on sleep. Fortunately tomorrow is my one day off (I will still go into the office to make my COVID EMS notifications) but I will go in at whatever time I feel like and will only stay for a couple hours. It’s not like I have to get…
A Different Day
I worked twelve hours in the city today. My partner and I lucked out as far as the COVID calls went. I heard a ton of them go out, including a couple of cardiac arrests that sounded like they fit the bill of a person not feeling well for a couple of days with a…