First day with a busy 911 system as an EMT Basic and we had one serious call. 13 yo f drowning victim with no pulse or resp. upon arrival the volunteer FD had a combitube in place and was ventilating via BVM. no one was handling compressions so i hopped on board. approximate DT 6 mins. Ventricular Tachycardia on the monitor. shock delivered, still a ventricular rhythm. IV initiated by partner and he pushed 1 round of epi. pt was boarded and taken to the rig for transport. As soon as we get in the back I am handling BVM and hand compressions over to FD riding with us. I take over vent and request ETCO2 monitoring (was not in place, 88 mmHg on scene after applying)I decide to hyperventilate the patient and we get a pulse of 138 with bp 80/49! i continue to hyperventilate trying to bring CO2 down with fluid in her lungs (SP02 100%). the medic D/C'd compressions and i just bagged fast. full color return, lungs clearing slightly and she begins vomiting out of lumen #2 so medic suctions as i am still able to bag on lumen #1 (Blue). agonal resp return and slight movement. i was able to bring co2 down to 55 mmHg on arrival at facility and TOC to ER staff. physician later that evening (im on a 24h shift) states they RSI'd, she maintained a pulse and regained Normal Sinus thru CT (no brain damage) and was flown to an appropriate unit at a larger hospital with a bp of 103 systolic.
I am so proud of all of the pre-hospital providers on scene and grateful for the opportunity to work in EMS. A collaboration of trained professionals coming together seamlessly to give that girl the best possible chance at survival. the entire team of providers from the volunteers to the ED did what they knew how to do and that girl just might survive with little to no impairment. the operation was seamless, no chaos like i have seen on codes in the hospital.
I am so proud of all of the pre-hospital providers on scene and grateful for the opportunity to work in EMS. A collaboration of trained professionals coming together seamlessly to give that girl the best possible chance at survival. the entire team of providers from the volunteers to the ED did what they knew how to do and that girl just might survive with little to no impairment. the operation was seamless, no chaos like i have seen on codes in the hospital.
h34r: sounds good.. after that you go get lunch and take anything that comes your way
