Tuesday, October 2, 2012

umm that is a broken leg

Wow what a week this past week was.  I am just going to jump in with some of the crazy calls that I had. The first and foremost crazy call was a motor vs. pedestrian.  This poor homeless man was walking across the street with his shopping cart full of all the things the man owned, including a whole bunch of cans.  He was hit by a ford edge (white of course).  When we got the call we just heard that it was a vehicle collision and so we didn't think much of it.  When we got to the scene we realized that it was a motor vs pedestrian and there was a man laying on his back with cans everywhere.  We looked at his cart and it didnt even look like a cart, it looked like a mangled piece of metal.  We hurried and got out of the ambulance and we realized that there was puddle of blood that was coagulating behind his head.  I hurried over to grab the backboard, then got it ready.  I was down by his feet and seeing how I was leading the call I did a quick rapid assessment of his legs I felt some blood on his left leg and then felt some crepitus in his left leg.  So I knew that the leg was broken but did I realize it was as broken as bad as it was.  I will describe later. We would have called it at the scene but he had agonal respirations.  So we had to take him. We got him into the ambulance and I went for the intubation.  The mans tongue was swollen so I could not get around the tongue so I said to my preceptor "I'll let you take a whack at it"  and she said the same thing.  So we put a king tube in.  We then started CPR.  His rhythm was PEA until we made it to the hospital.  When we were taking him out of the ambulance the new fireman (did not have a clue what he was doing).  pulled the cot out like it was a sled and made it so hard for me to do chest compressions on him. We then got it out and here comes what I will describe later  as we were going to door the door snagged his foot and (please click the link to find out what happened) http://www.youtube.com/watch?v=9avT0e5KPPU.  It was nasty.  when we entered into the hospital I guess a nurse was yelling at a family because one of the family members punched him in the face.  yeah the whole call was epic.  We had many other calls but that pretty much sound up the week.  I only have a week left with my preceptor and it was so much fun.  Cece is the best preceptor out there I have learned so much.  well stayed tuned for more of the adventures of Oklahoma City.  oh ps we finally got couches in our apartment, thanks to stephen layton, josh johnson, brennan larsen, and jo mills.  what great friends they are.

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