Car accident

As Tim points out hotspots with the TIC, I scoop a dirt clod onto, occasionly a flair up occurs and moon quickly extiguishs it. "Good job guys we are almost done here!" I say getting kinda hungry for breakfast.

"10-4. Can we get some Coroners here as well? We have a DOA."
*The tow truck arrives on scene shortly after COPA replies back to me. I put my hand up quickly to say hello. I get some kitty litter from the truck and get it ready while the man picks the car up. Soon after, the guy is done and I could work on that gas. I opent the cylindrical can, pur some kitty litter on it, cover the kitty litter, put it back, then grab my broom starting sweep around the kitty litter. The tow truck driver takes up the big pieces like the door and what's left of the windshield and somehow, stuffs it into the mangled car. I sweep most, but not all, of the little pieces of rubble out of the way then start working on sweeping up the gas.*
'Ewan, can you take the KED off of him for me please?'

'Ewan, is there any use for me here or should I head back'

* I see i missed a call and get into my POV and drive CODE 1 to the scene*

"Hello, what do you guys want me to do"?



(((Sorry i missed the call, i had a big house fire IRL)))

" Hey chris, you can just join jack and I, not much left, just start tearing up the ground looking for any flare ups" I say as i point to the boundries of the burned area

"that's what I'm doing"

*I get in my POV and head back to the station*
"Botish heading back to base"

*Listening to the radio, I hear Botfish go in service, so I grab the mic.*
"RA-1 to Command and COPA, we're clear at the hospital, in service, returning to quarters."
*I put the mic back on its holder on the console as doug pulls us out of the ED parking.*

"Coroner will be on scene shortly, when units are cleared of overhaul, TOs may give orders to return to base"

((He's not considered gone yet, considering I haven't even started working on him? You started CPR, we're doing everything because of you Hannahan))

"Hold off on the coroner"
**I Check the monitor and check for a rhythm. It shows Asystole.
**I start a 14 gauge I.V with saline wide open. I have some other people help with cpr and ventilations, as I push epi. After 2 more minutes and 1 dose of epi, a shockable rhythm comes up on the monitor. "I'm clear, your clear, all clear!"

**I defib, and get pulses back**

"Ewan, can you verify pulses for me?"

"copy that, alerting coroner"

"P-11 COPA, Cancel coroner, patient going to be transported, alert bh for a trauma"

**I keep a close eye on the monitor, and pulses are getting a bit stronger**

I bend over the patient and start a Bicarb push into the IV and adjust the drip.

**I go ahead and start a 2nd i.v line now that we got pulses back, and start re assessing the patient. I notice some bleeding, so I apply pressure and stop it.**

"Alright guys thats everything" I say I walk bact to the ladder and put my shovel back. I walk to my line and take off the nozzel after shutting off the water supply to that line. I let the water drain and walk back to the pump panel and dis connect the hose. I through the line over my shoulder and walk the line down getting all of the water out and start to roll the hose up.

*puts the shovel back*

"you guys need me still for anything?"

"Unless you wanna help roll hose, I think you're good"
I say to Chris after putting the rolled hose on the ladder, "When we get back to the station we need to hang all this"

*i shut down and drain my line and pack it back on the ladder. Then i walk over and take off my BA and get a drink of water*

"alrighty then y'all. Im out. I'll be around going back to my time off."

*walks over to my pov and takes off my turnouts and throw them in the bed of my truck. I then walk over open my drivers door, hop in the drivers seat and puts my radio in my cup holder. I put my truck in reverse back up some, turn off my directional, put the truck in drive and make a u-turn. I then start driving off, shut off my emergency lights, and heads home.*

"ALS 1, Please transport this patient Code 3."

(Dammit guys, sorry bout that. No PM came on for a while so that's why I said DOA. Oh well, live and learn:(.)
'Alright lets finish it up here.'
*I do my normal stuff, get back in my truck and wait for Burke to say we're good to go.*
"Ladder 1 awaiting clearance."
*I then jump out of the truck and talk to the other Lt's.*
'We done here?'

Everyone clear

* Roll up the red hose and throw it...somewhere to be re-racked back at the station. Then I walk back disconect the LDH and roll that up. I shove a halligan bar through the middle and tell the other guy to grab the other side so we can lift it easier.(neat trick) Then i put away the flood light hop in the driver seat turn down the idle and take my coat off.*
"P-11 clearing to station cressler has the truck Garcia is in POV."
*I turn towards the station hit the speed limit and shut off the lights and finally I can relax*
(you didn't put the in "" or in '' so i assumed it was in "")

*i climb in the truck put it in drive and head back to the station*

"Ladder one returning to station and back in service."
*I put my head back and wait tapping my fingers until we get to the station.*

**I keep a close watch on the patient's vitals and watch as the crew from ALS 1 comes to get the patient on the way to the hospital. The patient's vitals remain stable. We load the patient onto the gurney, they load up, and take off code 3.**

(Sorry, no1 posted for quite a few hours, and all units cleared.)

"Rodger that P-11, Showing you and all units cleared from the car accident."

**I quickly message Burke and tell him he can start posting the call summary.**

((Sorry I haven't been active lately, with floods and stuff....))

((Well either Garcia or Ridgeback needs to fill out the papers in the Emergency Treatment Center.))

((I'll take care of it for the code.))

Alright, report time. EMS : Tagging patients was a big thing. Also, that tracheostomy...? seriously? always go least invasive to most. If your working on an M.C.I, in bold, put what patient it is, and their condition. This is what it would look like :

PATIENT 1 : MILD PATIENT 2 : MODERATE PATIENT 3 : ACUTE PATIENT 4 : DECEASED

A cardiac arrest would be deemed acute. If a patient is apneic but has a pulse, acute, reposition the airway for mci's, or treat if you have time.

Now, the exception for cardiac arrest is obvious signs. I.E gray matter or decomposition.

Fire will be taken care of by ewan, lol

(I thought there were only 2 patients? did I miss something)

(No he was making an example.)

(ohhhh haha I was confuesd haha)

F. Garcia wrote:Alright, report time. EMS : Tagging patients was a big thing. Also, that tracheostomy...? seriously? always go least invasive to most. If your working on an M.C.I, in bold, put what patient it is, and their condition. This is what it would look like :

PATIENT 1 : MILD PATIENT 2 : MODERATE PATIENT 3 : ACUTE PATIENT 4 : DECEASED

A cardiac arrest would be deemed acute. If a patient is apneic but has a pulse, acute, reposition the airway for mci's, or treat if you have time.

Now, the exception for cardiac arrest is obvious signs. I.E gray matter or decomposition.

Fire will be taken care of by ewan, lol

(We'll continue this whenever we have call summary, but is triage at a 2 victim accident really necessary? We check out both victims, see which one needs the most attention, and we had more than enough paramedics on scene to be able to treat both at once.)

(Also I had called the person trapped in the vehicle because fire was incroching on the compartment, I was unable to gain access to the patient, and with no pulse and apenic. Fire + No access = Unsafe Scene. So we also need to consider scene safety into the triage equation.)

(( Patient update:
Victim 1: Underwent surgery to repair C-3. Quadriplegic after surgery, situation might improve with time, as swelling goes down.

Victim 2: Treated, but declared brain dead. Was taken off life support after authorization from his wife. Patient was organ donor, and several organs were harvested. ))

Fire was overal good, but the addition of what 3 victims, because people were not reading posts correctly threw in confusion, YOU HAVE TO READ. When there were 4 posts on how we extricated the victim, do not say you start your bit. It's over, move on, the next failure to read an incident will result in a reprimand. Don't let it happen agian.

And you think he will reprimand you, then you're sadly mistaken, I'll be doing it, and I reprimand much harder

There was only supposed to be two. Please just rememebr vic count everyone.
(If i'm allowed to say something)

F. Garcia wrote:
PATIENT 1 : MILD PATIENT 2 : MODERATE PATIENT 3 : ACUTE PATIENT 4 : DECEASED

Your patient count. I don't care if it's 2 or 200, it makes it easier to follow.

D.McGuire wrote:
(We'll continue this whenever we have call summary, but is triage at a 2 victim accident really necessary? We check out both victims, see which one needs the most attention, and we had more than enough paramedics on scene to be able to treat both at once.)

Yes. It is.

C. Hutchison wrote:(Also I had called the person trapped in the vehicle because fire was incroching on the compartment, I was unable to gain access to the patient, and with no pulse and apenic. Fire + No access = Unsafe Scene. So we also need to consider scene safety into the triage equation.)

It did need to be added, but I already know you can pull people from a burning car in an emergency move. If their dead, it's already the worst it can go, so get them out and try to fix that. If you have a want to cut up the car, at least use some extinguishers hose isn't the only way to put out a fire.

For the patient count thing, don't have to do a fully summary at the bottom of your post, this would suffice:

(Victims: 2, 1 green, 1 black)
Nothing else would be needed unless you transported one away
(victims:1, 1 black, green transported)

I really don't think it is. 2 Patients, more than enough paramedics, and a bunch of EMTs. Even with fire doing their own thing, both patients could be worked on at once and don't need to be tagged.

EDIT: Garcia, I understand the colors in the victim count, and I agree with that. It's just that in a 2 victim incident with all fire apparatus with a lot of the guys doing little-nothing, and an ALS EMS truck out, tagging them is not necessary.

Considering 1 emt was treating an acute while a bunch were treating the moderate. Maybe not on 2 person, but when it gets above 3 or 4, it's going to be complete chaos in trying to find which victim is which. Also, because the resource management was bad medically, it would help.

How about, we'll try my way, and if that doesn't work, we'll bump it up to another level..