"Careflight One to Dispatch" I call out as we cross over the scene on our way to the makeshift landing zone.
"Dispatch"
"On Scene and on the ground" I call as Jeremy sets our helicopter on the ground. I wait for Jeff to signal that it is ok to exit the aircraft before heading out to the car to see what is going on. Lily and Becca quickly follow me over to the car so that we can see what is going on. I am amazed that anyone survived this wreck as the vehicle is mangled beyond recognition. I quickly find Mike and start talking to him. We discuss the patient as the engine and rescue crews work to free the young girl from the destruction that she is currently trapped inside. I try to stand in a position that I can see the patient and talk to Chris at the same time.
"Hey where is the driver?" Becca asks.
"He is in the back of Medic 92. From all looks of it he only has a few scratches compared to his other friends. He is also quite out of it at the moment and lawyering up already." Chris replies.
"ETOH?"
Chris starts laughing. "Um he smells like a brewery."
"Great"
"Hey Chris, you guys might want to get over here, she is looking a little pale." calls out one of the rescue techs.
Chris and I rush over to the side of the vehicle and I see that she is starting to go into shock. Lets get her on a board and into the back of a truck so that we can get the processes started. We quickly get her strapped to a backboard and lift her onto the stretcher that we brought from our helicopter. We move rapidly to the back of one of the medics and quickly work to do a primary survey. Becca and Lily work on checking out what kind of injuries our patient has while I start an iv and talk with her.
"Hi My name is Michael and I am a flight paramedic with Careflight. Can you tell me your name?"
"My name is Maria, and can you tell me how my friends are doing?"
"Maria, I am not sure, We just got here and my main concern is taking care of you right now, can you tell me what happened tonight?"
"The last thing I remember was telling my what is going to be former boyfriend Jeff to slow down. After that I am not really sure until the guy standing next to you started talking to me. I realize that I was in some kind of accident but I can't tell you what happened."
"That's ok. I am going to explain to you what is going on right now. My two co-workers Lily and Becca are getting you ready for a ride to the hospital. Because of time that it took to get you out of the car, you are going to ride with us in the helicopter. I am going to start an IV in this arm to give you some medicines. Hey Chris, can you get a blood pressure for me?"
Chris quickly gets a blood pressure as I hook up our heart monitor to Maria, as I am hooking her up, I look at Becca who makes the signal that we need to get moving.
"Chris, do you need us to take anyone else?"
"Yeah, the other female in the car needs to go with you guys.
"Lily can you go with Chris to do a quick eval. Becca and I are going to Load Maria and we will wait for you at the helicopter."
Becca and I pull Maria's stretcher out of the back of the ambulance and start for our helicopter. We quickly load her into our aircraft and get her situated. I provide her with a pair of headphones so that she can hear us and talk to us. I am talking with Maria as I listen to Becca talk to Lily on the portable radios.
"Michael, I am scared. I have never been in a helicopter before."
"Becca, it is ok to be scared. We are going to take great care of you and get you to the hospital in one piece." I look up at Becca who is motioning me to listen to the portable."
"Hey, I think that we aren't going to be able to take both of these patients on the helicopter. I am going to go with the ambulance to Crescent with her where we can get her stabilized and then transport her to SVRTC. She is not looking very good at all." radios Lily. "I am going to come grab our second nurses bag and ride with them."
I look outside our helicopter and see Lily hop our of the ambulance and start high tailing it over to our aircraft. She shakes her head and grabs the nurses kit and waves as she turns to head back to the ambulance.
Jeff looks at Becca and I and shrugs and starts to get the aircraft back to flying mode.
"Careflight One to SVRTC." I call over the medicom radio.
"Valley go ahead."
"Careflight One on Medicom 1 enroute to your facility with a 19 year old female. Patient has bilateral repeat bilateral femur fractures, and a broken wrist. Patient was restrained front seat passenger in a SUV that was struck by a semi. Patients vitals are as follows Sinus tach at 118. BP 140/99, respirations 18, pulse ox 98 % on 2l. Patient has 2 16 guage IV's running wide open. We have given 4 of morphine for pain control at this time. We expect to be at SVRTC in 20 minutes. We are requesting a trauma activation at this time. No orders requested at this time."
"Valley copies. Trauma one on arrival. Please advise when five minutes out. Call with any changes enroute."
"Careflight One."
Jeff has already gotten us on our way to SVRTC and let our dispatch know that we are headed for SVRTC without one of our nurses.
==
tbc
Thursday, September 11, 2008
Tuesday, September 2, 2008
Chapter 1
Preface: Hey everyone. I have started several different stories at some point or another. Well I decided to write this one on the internet so that I could share it and try to improve upon it. Let me know what you think so that I can improve it. This story is told from several different perspectives. So bear with me. We have the narrator who will set the scene, Mike a Flight Nurse, Chris a Paramedic, and at least one other character.
"Jeff will you please slow down, your scaring me." says Maria.
"Relax. I know what I am doing." replies Jeff. With that he speeds up. As he comes over the hill he sees the traffic light in front of him cycling from Yellow to Red. The couple in the back seat are not paying any attention to what is going on outside of their little world in the back seat. Jeff guns the car and thinks to himself that he can make it through.
"Jeff the light is red... Jeff Stop the car.... Jeffffffffffffff...." Maria Screams.
--
"Careflight One." I answer the phone.
"Hey Mike, it's Julie at dispatch. Pilote County Dispatch has called activating you guys for a two vehicle crash. Initial reports from the scene are stating that it is a SUV versus Semi. Unknown how many patients at this time. They are requesting that you guys be ready to possibly take two criticals to SVRTC."
I quickly tell her that we will head out that way. I grab my flight gear and grab the rest of our team and we head out for our helicopter.
I climb into the co-pilot's seat as Jeremy our pilot climbs into his seat. Lily and Becca climb into the back of the aircraft and start powering up our equipment. Jeremy quickly and safely brings our Super Dauphin Helicopter to life. He talks to air traffic control as I radio our company to let them know that we are departing the airport for our scene.
"Careflight 0ne to Dispatch" I radio.
"Dispatch go ahead."
"Hey Julie can you patch me through to Pilote County so we can get an update?"
"no Problem... Your patched, they said to contact Medic 7 on Medcom4"
"Thanks Julie" I reply as I push button 4 on our medcom radio.
"Careflight one to Pilote County Medic 7."
"Careflight one go ahead." answers a familiar voice.
"Hey Chris, watcha got?"
--
"Mike, I have two patients for you guys. First patient is going to be a 19 year old female restrained front seat passenger. She has positive femur fractures and a at least a broken wrist. We are currently extracting her from the car. She is alert and oriented times 3. Vital signs are stable for them moment. I was able to start one IV in the right AC on her with a 16 running wide open, before the fire guys kicked me out of the car." I report.
"10-4" Mike replies over the radio.
"Patient number 2 is going to be a 16 year old female. She was unrestrained in the back seat of the car. She is combative and we have been unable to get a good set of vitals on her. Laura has called online med control for a sedation protocol because she suspecta that the patient has a head injury from what we are seeing. We currently have her backboarded and we are setting up to RSI."
"10-4, you know that combative patients and helicopters don't mix right?" Mike replies back.
"Yeah well, I knew it was you and your crew so figured you guys could handle her." I retort back.
"ha ha. See ya in 6 minutes." Mike laughs.
I walk back to the car to see how the extrication is going and see that they almost have my patient out of the car. I hear careflight beginning their approach and start to help the rescue guys slide my patient out of the car.
--
To be continued...
"Jeff will you please slow down, your scaring me." says Maria.
"Relax. I know what I am doing." replies Jeff. With that he speeds up. As he comes over the hill he sees the traffic light in front of him cycling from Yellow to Red. The couple in the back seat are not paying any attention to what is going on outside of their little world in the back seat. Jeff guns the car and thinks to himself that he can make it through.
"Jeff the light is red... Jeff Stop the car.... Jeffffffffffffff...." Maria Screams.
--
"Careflight One." I answer the phone.
"Hey Mike, it's Julie at dispatch. Pilote County Dispatch has called activating you guys for a two vehicle crash. Initial reports from the scene are stating that it is a SUV versus Semi. Unknown how many patients at this time. They are requesting that you guys be ready to possibly take two criticals to SVRTC."
I quickly tell her that we will head out that way. I grab my flight gear and grab the rest of our team and we head out for our helicopter.
I climb into the co-pilot's seat as Jeremy our pilot climbs into his seat. Lily and Becca climb into the back of the aircraft and start powering up our equipment. Jeremy quickly and safely brings our Super Dauphin Helicopter to life. He talks to air traffic control as I radio our company to let them know that we are departing the airport for our scene.
"Careflight 0ne to Dispatch" I radio.
"Dispatch go ahead."
"Hey Julie can you patch me through to Pilote County so we can get an update?"
"no Problem... Your patched, they said to contact Medic 7 on Medcom4"
"Thanks Julie" I reply as I push button 4 on our medcom radio.
"Careflight one to Pilote County Medic 7."
"Careflight one go ahead." answers a familiar voice.
"Hey Chris, watcha got?"
--
"Mike, I have two patients for you guys. First patient is going to be a 19 year old female restrained front seat passenger. She has positive femur fractures and a at least a broken wrist. We are currently extracting her from the car. She is alert and oriented times 3. Vital signs are stable for them moment. I was able to start one IV in the right AC on her with a 16 running wide open, before the fire guys kicked me out of the car." I report.
"10-4" Mike replies over the radio.
"Patient number 2 is going to be a 16 year old female. She was unrestrained in the back seat of the car. She is combative and we have been unable to get a good set of vitals on her. Laura has called online med control for a sedation protocol because she suspecta that the patient has a head injury from what we are seeing. We currently have her backboarded and we are setting up to RSI."
"10-4, you know that combative patients and helicopters don't mix right?" Mike replies back.
"Yeah well, I knew it was you and your crew so figured you guys could handle her." I retort back.
"ha ha. See ya in 6 minutes." Mike laughs.
I walk back to the car to see how the extrication is going and see that they almost have my patient out of the car. I hear careflight beginning their approach and start to help the rescue guys slide my patient out of the car.
--
To be continued...
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