Drug Overdose

27022011Echo
911 Call to 7Tulip Street, Nightlife Club

RA-1 Due
One PC due
PD Supervisor due.

*I put on my headset in the back of the truck and press the talk button*
"Collins I got the PD experience so I'll talk with the possible assistant and see what her story is Rodger?"

"Pc-6 arriving, where is the victim located?"

As I pull into the complex I see the RA-1 pulling out. I give a quick wave to the Ambulance and proceed into my reserved COPA spot. I grab my COPA lanyard, my portable radio that needs to be charged and grab my keys. I get out lock the car and walk up to COPA. I walk through the double doors,walk up to the sign in area and sign my name into the the current dispatcher list.
Dispatchers
Mitch Daniels

I swipe my ID, turn on my computers and grab a water. When I get back the computers are ready and I log on. I grab my headset and lanuch the dispatching program aswell as the unit live tracker. while they launch I put my portable radio into the charger. I press speak: Alright RA-1, I'll help you on this call, I will still be second contact for the call. Update when on-scene COPA Out.

"COPA can you advise PD if they arrive before us to detain the possible assistant by force if needed"

*I tell Doug to park us at the corner of Keller Street and Eighth Ave. I grab the radio.*
"RA-1 to COPA, is the scene secure? We're staging, until we have the scene secured, at Eighth ave and Keller St."

"Security has her up, no need to get aggressive"

(does that mean scene is secure?)
*I see Doug look at me.*
'I got to keep us safe before anyone else, if that scene's not safe we aren't going in.'

"Rodger just meant to make sure she doesn't leave"
*As we pull up on scene I grab the jump bag airway kit and drug box and throw it on the cot I reach in the compartments under the seats and grab an extra BP cuff and stethoscope since i'm going to have to check the other lady out and the paramedics are going to need all there gear*

"RA-1 is out, 7 Tulip."

*I put the microphone back on the clip, press teh Anti-Theft button on the console, take the keys out, clip them onto a belt loop and step out.I walk around to the side and get the jumpbag,.*

'Since we're in a place like this let's just bring the stretcher in now.'

*I throw the jumpbag over my shoulder, slam the door shut, then walk to the back and open the rear doors, I push the bumper up then pull the stretcher out. I put the EKG on it along with a drug box, then pull it out. I roll it into the club thru the door that a security guy is holding open for us.*

'The gear is all ready to go I'm going to check out the second lady while you and hutch deal with the OD'
*I hop out and follow Mcguire into the building*

"Pc-6 to RA-1, scene secure."

*I say as I set down my medic bag to the side as I hear they are here.*

'Hey, I'm officer Libor of ERT. Can you tell me whats going on?'

'I feel tired, I went in the bathroom because I felt hazy, but I dont remeber anything else.'

'Ok, the ambulance is here, they will take care of you.'

" Be advised, person is awake and conscius, common signs of seizure."

*I leave the stretcher outside the bathroom door, I carry the jumpbag and chart in with me. I set down the jumpbag and kneel down next to her as she sits against a wall with Libor standing next to her.*

Me 'Hey, how you doing tonight?'

Patient 'Been better, you?'

Me 'Eh, same stuff, different day. I'm Doug with ERT, What happened here?'

Patient 'I don't know. I came in here kind of tired and hazy, then I blacked out, and woke up with some bouncer or something and a woman standing over me.'

Me 'Alright.'

*I turn around to Moon*

Me 'Moon, can you get me vitals for her?'

Patient *I turn back to her*

Me 'What's your name?'

Patient 'Skyler Berger.'

Me 'What's your date of birth?'

Patient 'January 17, 1990. I'm 21. Here, let me just get you my drivers license.'

*She gets her license out of her purse. As she fishes it out of her purse, I notice and orange prescription bottle and a white OTC bottle.*

Me 'Have you taken any medication today?'

*She hands me her license*

Patient 'Umm, yeah I took some Tylenol for a bad headache.'

Me 'How many normal doses have you taken today?'

Patient 'I took four or five or six pills about 3 hours ago to last me the night, I don't remember how many exactly.'

*I turn and look at Cory for a second then look back*

Me '4 to 6 all at once?'

Patient 'Yeah, my friend told me the more I take, the longer it lasts and the less pain I feel.'

Me 'Alright.'

*I stand up and start filling out info on the drivers license onto the chart*

"Any other PD units, come code 1."

(I'm going to wait for the Patrol before talking to the other person.)

*On our way in I see a lady in a chair and a security officer next to her.*
'I ask the man if this is the lady that reported it and he says yes.
Hi mam i'm EMT Cressler with the ERT FD I just have a couple questions for you and a sheet i'm probably going to need you to sign.

*I get her information down*
Name: Jane Brooks
Age: 23
Address 243 Highlands Ave Apt. C

'Okay mam have you being doing any drugs tonight I'm not accusing you i'm asking because of the current situation I need to know if you need help.

She looks at me and says no I just went to the bathroom and found her. Listen I just want to go home and go to bed. Mam I'd really like to check you out to make sure your okay. NO she says i'm going home. Okay mam I have no reason to believe you are under the infulance of any drugs and you are capeable of refusing any treatment so if you follow me out to our ambulance I'll get you a sheet of paper you can sign it to refuse treatment but your going to need to wait for our officer to interview you.

*I look up at the security officer*
'Hey can you escort me out we'll tell the other guy to watch her.'
*I lwalk to the RA and I hope up into the back and grab a refusal form and fill out her information and put my extra equpiment back, then head back into the club.
'Okay just sign here and your free to go after the police officer interviews you and clears you. She signs it and I fold it in half and put it in my pocket okay Mam if you need anything or change your story feel free to come get me i'll be in the bathroom.*
* I have the security officer watch her and wait for libor, and I make my way into the bathroom.*

'Doug, I'll get Kaizer, I think he has the antidote on his rig.'
*With one look at the pt. I see that she is very jaundiced. Crap already having liver failure.*
"RA-1 to COPA, can you add ERDC to my location, we have a patient ODed on Tylenol and need him for the antidote."

'Hutch when did she take them we have 8 hours to administer N-acetylcysteine from the time of ingestion we can keep her stable and transport her to the ER where they can administer it and probably pumper her stomach and give her a charchol.'

I pull up outside put my car in park and get out locking the cruiser as I put my heavy jacket on.

"COPA be advised UMC 1 is on scene with Libor"

I walk up to Libor.
'Alright man whats going on here?'

'well, the victim who seized says she took 6 tylenol at once 3 hours ago. She said a friend told her that it worked better taking more than recommended. There is a person who is a witness, who didnt cooperate well with the medic, so we got to find out who she is and how she's involved.'

*I overhear libor*
'Hey just to let you know i'm and EMT not a medic I really dont care what you call me but some people around here get cranky if you misspeak. Incase your not sure what the difference is basically an EMT can't pass through the patients skin so no drugs IV's stuff like that. Just letting you know like I said I dont care but some people (Medics) get mad when you call an EMT a medic haha'

'PD says 3 hours, and I think Kaizer has it in his drug bag. He can also place the NG tube and give total bowel irrigation. Charcoal doesn't have an effect on Tylenol OD. I've got COPA sending Kaizer, so he should be here soon.'
(Kaizer and Bruke are probably asleep IRL, so let's let them get on and respond. Also its not when other call an EMT a medic that makes people mad, its those who are EMTs that call themselves medics that get people mad. )

* I pull up next to RA-1, and bring my drug bag.
'Hey guys. What do we have? The EAT said possible MDMA OD.' * I kneel next to the patient, red eyed and with stubbles on my face. I stifle a yawn as I put on a pair of gloves.

*I see kraizer walking in*
'Morning mate long time no see haha reports are she told McGuire she took 4-5 tylenol about 3 hours ago the pill bottles are over there. There is a Px bottle and an OTC counter I haven't got to see them yet I'm not sure if it was Px tylenol or how strong it is I'd take a look at them while I grab her vitals.'

*I grab the pulse ox meter and put it on her finger then put the BP cuff on her other arm and look at the monitor to get a reading I call it out as it comes in*

BP: 85/60
Oxy: 92
Pulse: 120

*She has calmed down enough and stabelized enough to get a tounge thermometor in*
'Mam I'm going to stick this under your tounge please hold it there till it beeps..Okay thank you'

Temp: 96*F (35*C)
Breathing is shallow.

'3 hours? They've been absorbed into her system then. Can one of you get me IV access please.' * I take a look at the bottle, seeing that it's just paracetamol, then turn to the patient. 'M'am, I'm Michael, I'm one of the doctors from the ERT hospital. I'm going to give you some medicine.' * I open the large drug bag, and pull out a vial of acetylcysteine, and draw up 9000 mg.

*I got over and look for an IV on the right arm...nothing. I check the left arm...again nothing. I trun and look at Kaizer.*
'Doc, I got nothing I can shoot at, you want me to try IO of EJ?'

'Alright Libor I will go and question her'

I walk outside and see the witness sitting down on the ground.

Me:"Ma'am I'm Corporal Linda with the ERT Police Department can you tell me what was going on today?"
Female:"Well officer Linda she overdosed on some pills I told her not to take that many but she didnt listen to me."
Me: "Have ya'll been doing drugs tonight?"
Female: "No sir not at all"
Me: "Do you know how many she took and what they were?"
Female: "I think she took 6 or 7 I just saw her take a handful of pills"
Me: "You didn't try to stop her or anything like that?"
Female: "Shes old enough that she knows whats she's doing and I didnt think it was that big of a deal."
Me: "So are you sure you didnt tell her to take 6 or 7 pills because the pain will go away faster?"
Female: "No I didn't is she saying I did"
Me: "We just need to know for the investigation. Can you tell me your name and date of birth for me?"
Female: "My name is Jane Brooks, DOB 4/8/87" *Write on a note pad*
Me: "Alright thank you ma'am dont leave just yet til we come back and talk to you."

I walk back over to Libor and start talking to him.

'Libor she says she didnt tell the patient took 6 to 7 pills. I got her name and DOB I'm about to go run it in my EAT. What do you want to do next?'

(ok, I have to say it.)
'What's up, doc?'
(Back to topic)
'Alright, I'm gonna try for an EJ, since IO is a pain for all involved. Doug, raise her legs up like your treating for shock. Dean can you grab me a 10 ml syringe.'
*I take the syringe from dean, and I take the cap of the flash chamber off the cathater. I screw the syringe on to the back of the flash chamber and put the chamber under suction once I enter the skin, to try and prevent an air emboli. I then hit the Jugular and get flash. I secure the line and hang a bag of D5W at TKO.*
'Got the line, Doc.'

'Good stuff Hutchy.' * I attach the syringe to the D5W bag, pull some in to mix it better, then inject it into the bag and turn up the drip.
'Alright, that's the loading dose. Rest will be given over the next 21 hours. Just load up and take her in, I don't expect anything dramatic to happen. The effect of the paracetamol peaks at around 24 hours after taking them. Or, the danger to the liver is highest then.'
* I turn to the patient. 'Which means you m'am, will be spending the next 48 hours in the loving care of the ERT Medical Center. If you have any family or friends you wish to call you can do that when you get there. I'll stop by when my shift begins tomorrow morning.'

'Dean you and Doug get her on the cot and loaded up. Moon and I will go a head and get the truck ready to get out of here.'
*I walk past Moon motioning for him to follow me out to the truck.*

'Rodger hey does a drug box count as heavy llifting?..Ah whatever'
*I grab the extra bag and drug box and walk out tot he back of the RA on the way out I wass Linda and Libor*
'Hey guys were gonna be running this one to the centre if her friend changes her story and you need us give COPA a buz.'
*I continue on my way and hop in the back of teh RA and stow the drug box away and I remember the refusal in my pocket. I grab out the refusal sheet and attach it to clip attached to the hall*
'Remember we got to file that when we get back to the station.'

* I yawn and take off the gloves. 'Have a nice evening guys. I'm heading home to catch some Zs before my shift in the morning.' * I follow Cory and Moon back out to the vehicles. 'Do we know if it was intentional? Do we need to put her on suicide watch?'

'I would put her on it just in case, if you could call that in so that I don't have to ask for it infront of the pt.'

'From what she told us she was taking them because she had a headache and she thought more would make it last longer. Sounded like an honest mistake she didn't tell us anything else I hope she not lying to us though..
..Man I remember suicide watch when I was in bootcamp I was there for about a week before one kid tried to hang himself..The attempted suicide rate down there is crazy...
..but anyway unless the find something out from that other girl we have no reason to believe it was intentional. Theres still pills left in the bottle and the other bottle seems like it hasn't even been touched yet.'

'I don't quite buy that story. Most of the 'accidental' pain killer ODs we get in the ER are people who've had second thoughts about killing themselves. I'll call them on my cell. No need to broadcast it on the radio either. I think ODs like this trigger a psych consult as well. In the morning at least.' * I look at my watch. 'Alright, good night guys.' I say, and get back in the EDRC. Before pulling away I call the ERT hospital and order the sucide watch for the patient.

'Rodger doctor just telling you what we got it's your call'

'Oh Doug, before I forget you, Dean and Moon are in back on this one. If you have any questions just hollar at me up front.'
*I climb in to the driver's seat and grab the radio as Dean and Doug load the patient in the back.*
"RA-1 to COPA, we'll be en route to ETC code 2."
*I flip on the lights but keep the siren off as I pull us away from 7 Tulip st.*

'Hey, Linda, I got to go, we have an officer needs immediate assistance with K-9.'

"Pc-6 en route code 3 backing pc-2."

(code 2)

*I put on my headset in the back of the RA and wait for them to bring the patient out I take the time to call ahead to the trauma center*
"ERT centre this is RA-1 we have 1 patient incoming tylenol OD 9000mg of acetylcysteine administered stand by for vitals. Expect a call from Dr. Kraizer."

(Lights, no siren except intersections. For non-life threatening, but emergency transports.)

(I know what it means but I was just saying that Libor respond code 2)

I walk to my car and get in and get on the EAT.

**EAT**

Name: Jane Brooks

DOB: 04/08/1987

243 Highlands Ave Apt. C

Records:
Outstanding- Clear

Past records:
Possession of narcotic with intent to sell
**EAT**

Walks back over to the witness.

Me: "Alright ma'am your clear there probably will be a detective to follow up with you since your were an eye witness. Thanks for you time"

I walk back to my cruiser.

"UMC-1 is clear of Tulip Street"

M. Cressler wrote:*
*I get her information down*
Name: Jane Brooks
Age: 23
Address 243 Highlands Ave Apt. C

haha she has two addresses

*Through EAT To Kaizer*

Please include city when posting residence for out of town visitor.

*I take a seat with the chart as the truck starts to move. I fill in medicines given, other treatment, a second set of vitals, and other personal information*

*I see teh lights shut off as we turn into the complex, as we come to a stop in the ER, I hand the clipboard and my pen to the patient.*

'Alright Skyler, I need to sign here right on this line. It basically says that we brought you to the hospital in our ambulance and that we didn't kidnap you.'

*She grabs the pen a clipboard and signs with a small chuckle at the kidnap joke*

'Here you go.'

*She says as she hands it back. I put the sheet with her signature inside the clipboard, then put it on the back of the stretcher, and open the rear doors.*

*I pull us in to the ETC parking. I grab the radio.*
"RA-1 to COPA, we're out at ETC."
*I shut down the lights and get out of the RA. I open the rear downs and help Dean get the cot out. I then watch as Dean and Doug head to the ETC.
'Doug go ahead and fill out your paperwork. I'll decon the rig and get the cot ready to go.'
*Moon and I clean out, restock, and disinfect the truck. I get the cot as Dean brings it back out, disinfect and load it up. I hop in to the Officer's seat, waiting for Doug to come back out.*

"RA-1 to COPA, we're clear of the ETC. All FD and PD units will be clear of 7 Tulip St. RA-1 en route to quarters."