Lost another one

sarweim

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Last night I went from EMT-B class, which was dismissed early, to a fatal MVA that was being toned out as we were being dismissed. Old lady, who reminded me of my gram, pulled out at an intersection onto a main road where the speed limit was 55mph. I guess she didn’t see the Ford F-350 coming, and pulled out, anyway. T-boned the driver side of her small car. The beam between the front and back doors was broken right in half and pushed in, and the lady’s seat was where the center console had been. No extrication needed, since the car was already opened up like a can opener hit it. I got there while they were working on her in the rig. They had me secure my vehicle and ride in the back to help. Took turns doing compressions and bagging. We lost her. She was really bad, and I knew when I saw her we couldn’t save her. But we try, anyway. I found myself waking up this morning, smiling, knowing we did our best, and I was a part of it, rather than mostly an observer. We can’t save them all, because they’re not all meant to be saved.

I got to take a really hard look at the car when we came back. Me and another corps member had secured our vehicles at the scene, so we got dropped back off at the scene. The Capt and I took a look at the car, with a flashlight, and he explained to me a lot about what happens in crashes like that. It was good learning. So was being able to poke and feel the subQ emphysema that developed while we were transporting. :rolleyes:

But it also reminded me of my gram and her accident out in Syracuse a few years ago. And got me to thinking about the people who responded to help her. They must have felt so good about themselves and their work that day. They actually managed to save her. At least for another year and a half. She was never quite "right" afterward. And I wonder if there was someone there like me, just learning this stuff, who helped and learned something that day. About their work, and about themselves.

Here was my gram's van, eerily similar to the damage of the little Buick last night. This was the only picture of it I was ever allowed to see. I guess my family thought I couldn't handle it. :rolleyes:
car-01.jpg


BTW, I'm up to three deads in two months. Maybe it'd be better for our patients if I stop responding. :P
 
Why did you guys transport a working trauma code? Just wondering. And I feel sorry for the driver of the truck that hit her...
 
Why did you guys transport a working trauma code? Just wondering.

Meh, depends.

Blunt trauma, such as this was, has such dismal ROSC that it shouldn't have even been worked in the first place, let alone transported.


However, penetrating trauma (GSW, stabbing, etc) stands it's best chance of survival by getting to a trauma center asap, so I'm all for transporting penetrating codes.
 
Unfortunately it seems like most trauma codes get transported just to do it.
 
Unfortunately it seems like most trauma codes get transported just to do it.

Some (many) agencies don't let you pronounce a trauma, even if it's blunt, and requires transport to a trauma center.
 
I believe our protocol requires it. But don't quote me on that, since I'm not looking at our protocol book right now. My corps is BLS (most of the time -we're getting a few medics ride now and then), and we always have an ALS team from a local paid respond, too, no matter the call. (Yup, even the stubbed toes, though they'll sign those off to us). ALS could have called her, but they didn't, so we road her in. I don't know, maybe they thought they could have saved her, but I'm pretty sure the bloated jello-y abdomen, pneumothorax, fluid from the ear, and the fixed and dilated should have given it away. And that's coming from a basic student. But what do I know? ;) There must have been something there that they saw that I didn't. Or they wanted to work on skills. :rolleyes:
 
There must have been something there that they saw that I didn't. Or they wanted to work on skills. :rolleyes:

Maybe they are not comfortable enough in their experience or training to call somebody?

Maybe they didn't call her because they didn't see what you saw?

Yet another post that demonstrates too little time is given to trauma education for EMS in my mind.
 
We lost a great 19 year old girl, who was the daughter of one of our firefighters on Monday in a very similar accident. She was called at the scene due to obvious death.
Damn, I hoped to never go to a funeral of someone so young.
 
We lost a great 19 year old girl, who was the daughter of one of our firefighters on Monday in a very similar accident. She was called at the scene due to obvious death.
Damn, I hoped to never go to a funeral of someone so young.

I know. A search team friend's daughter had a brain aneurysm at age 24 a few months ago. I know he spent a lot of time wondering if he could have saved her, if only... I feel for your friend and the family.
 
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