Bomb Threat Triage Area

* I continue to bandage him up and eventually he is feeling a little better. *
Me: So how did u get shot but dont freak out on me I dont want any Vietnam flashbacks now lol.
Gordon: ohhh ok lol no Some weirdo was running down the hall and shot me as he ran into of all places the damn bathroom lolol.

* I raise my eyebrows *

Me: Theeee bathroom?
Gordon Mmhmm go figure, I jusst layed there hoping he didnt think i was still living.
Me: Well i thats gotta be a first i havent heard that before.

*I rush over to the burn victim*

'How are we doing today?'

'Hurting'

'Yeah, I can understand that'

*Since patient is talking, we must have ABC's*

'Alright lets remove his clothes and get him on O2 15 L/m's via NRB'

*I reach into my drug box*

*I start an IV of Lactated Ringers*

'Whats your pain on a scale of 1 to 10, 10 being the worst pain you ever felt?'

'About a 12'

'Ok'

*I look behind me and see Riles*

'Hey Chief, hes in serious pain. Can I give him some morphine for the pain?'

+1 Red Tag, Patient is unstable

"RA1 to DCE1, I'll be bringing you a red, patient is a 25 y/o male, c/o severe leg pain found under a desk by FF's. Upon exam, patient has possible bilateral femur fractures, and we supect shock. Most current vitals are HR 146, B/P 80/50, R 12 assisted, Monitor shows Sinus Tach. Upon arrival to our rig, patient was found in SVT rate of 200, cardioverted once successfully. Pt. is currently intubated and we are assisting his ventilations. We have him on 25 lpms O2 via BVM/ETT, 18 ga IV L AC, Etomidate 60 mg initatial dose, 2 mg/min maintainance dose. I have him on 2 traction splints and on a back board. I'm rolling him out of the RA and am on route to your location now ETA 3 min."
(Same as in Call thread)
"RA1 to DCE1 who am I handing patient over to?"

* I finish up with Gordon and hand him off to PEMS for transport. *
' Hey Gordon, take care now and stay away from crazies next to bathrooms. '
Gordon: Yea u be safe Jamie thx.

* I get on my radio after watching the ambulance drive away. *

" DCE-1 this is Medic 1 who is our next Contestant. "

"RA1 to M1 I need an ALS unit to take this one so I guess this is it."
*I roll the patient over to Jamie, while one hand is tied up with the BVM aand the other addjusting the drip rate. Good think M1 is a staright shot from the point I was at.*
'Hey Jamie. OK so we have a 25 y/o male, c/o severe leg pain found under a desk by FF's. Upon exam, patient has possible bilateral femur fractures, and we supect shock. Most current vitals are HR 146, B/P 80/50, R 12 assisted, Monitor shows Sinus Tach. Upon arrival to our rig, patient was found in SVT rate of 200, cardioverted once successfully. Pt. is currently intubated and we are assisting his ventilations. We have him on 25 lpms O2 via BVM/ETT, 18 ga IV L AC, Etomidate 60 mg initatial dose, 2 mg/min maintainance dose. I have him on 2 traction splints and on a back board. Oh and by the way, I have absolutely no idea who did that but whoever did also hit Hannahan.'

' Ur such a freaking liar, help me get him into my rig i will take this one. '

* Cory and I load the male patient into my ambulance and i start working on him. I notice his bags are almost empty so I quickly switch them, I see Cory walking back to the conv center so i yell out to him. *

' Hey Cory, next time give me SOMETHING to do other than transport him LOLOL. be safe. '

" ETC, Medic 1 we are going to be en-route with a 25 yo male with fractures to both his femur's, Patients last vitals are as follows. P 146, BP. 80/50 R.12 assisted, sinus tach on the strip. patient was converted once w/200, Patient is currently intubated with 60mg Etomidate initial 2mg follow-up. im going to start a second iv W/ Ringers and will be transporting w/ ETA of 6 minutes. "

" Command Medic-1 transporting 1 Code 3 to ETC. "

"RA1 HT to command, returning to RA1."
(Back to Call thread)
"RA1 HT back at RA1 BREAK to M1, check your EAT for message."
(Will be in you PM box.)

* I pull back to the scene this time keeping my engine and Lights running but shutting of my siren. *
" DCE-1, Medic 1 back at scene. "

* I get out and look for Chief Riles to find out wha has gone on. *

"RA1 to DCE1 and M1, I have a 30 ish male patient, found trapped under some debris, patient is coming in and out of consciousness. Performing assessment now, standby for further."
**later**
"RA1 to Jess can you meet me at the door downstair with the cot. BREAK to M1 and DCE1, this is regarding a 30 ish y/o male, floating in and out of consciousness, assessment reveiled marked tracheal and JV distension indicating a pneumothorax which has been decompressed. We found a zipper scar on the chest which indicates open heart surgery, we have a 12 lead, showing elevation in II, III, aVF, V2,V3,V4,V5,and V6. We also found a large abdominal evisceration involing the Transverse Colon. We have a 14 ga IV est. in the L AC with 2 bags of .9 NS hung on blood tubing, we are ventilating via BVM at 12 pm and have an OPA inserted. We are covering with 2 5x9 pads soaked in saline. We have a c-collar on and will be back boarding this patient. I will also be administering 4 mg of MS, no nitro due to inferior involvement and unable to sallow so ASA is out of the question. ETA 10 min."
**Ten Minutes later**
*I roll in to the triage area.*
'Where am I going?'
*I get waved over by PEMS. D@mn I think, I was hoping to see Jamie, oh well. I roll the patient over to PEMS and help move him to thier truck.*'
'Ok guys, we have a 30 ish y/o male, floating in and out of consciousness, assessment reveiled marked tracheal and JV distension indicating a pneumothorax which has been decompressed. We found a zipper scar on the chest which indicates open heart surgery, we have a 12 lead, showing elevation in II, III, aVF, V2,V3,V4,V5,and V6. We also found a large abdominal evisceration involing the Transverse Colon. We have a 14 ga IV est. in the L AC with 2 bags of .9 NS hung on blood tubing, we are ventilating via BVM at 12 pm and have an OPA inserted. We are covering with 2 5x9 pads soaked in saline. We have the patient in full C-spine proceedures, and have administered 4 mgs of MS for the possible AMI.'
*I see the medic nod, and he turns to his partner signals, then thanks me and they roll off.*

*While waiting to give the patient morphine I notice he starts to act differnt*

'Hey are you ok?'

'No, I can't breath'

*As soon as he says that he stops breathing*

'Richardson get yourself over here now'

*I yell and see a PEMS Medic walk by*

'Hey, what's your name?'

'Bill'

'Well get the **** over here and help me'

*We put the patient in the back of my truck*

'Medic 4 to dispatch and DC-1 be advised we have a burn patient in full Respiratory Arrest about to intubate and transport'

"Forward the DC1 call to DCE, not me, I'm out on this one."
(Guys, Riles is your boss, and richardson is gone)

"Cressler to triage we have an incoming patient sucking chest wound shrapnel in his chest probable deflating lung stand-by."

Togheter with jackson I walk our suspect down to triage.

There I see the PEMS and PPD crew waiting
'Hi guys, here's our suspect, around 30, male, 3 gunshot wounds, one left arm, one right, on in the left leg, got it'

'Got it sir, we'll bring him to your hospital'
'thanks, be carefull'

They leave with the suspect.
I walk back with jackson

"Cressler to triage we have incoming sucking chest wound 30 yr/old male shrapnel in chest. Vitals are as follows HR: 110 BreathPm: 10 Oxy: 87 Bp: 60/40. I've started two bags of ringers wide open. ETA 3min."

*****6 minutes later******
*Me and botfish com lumbering into triage.*
'Medic we got a red tag here. Sucking chest wound 30 yr/old male shrapnel in chest. Vitals are as follows HR: 110 BreathPm: 10 Oxy: 87 Bp: 60/40. I've started two bags of ringers wide open.'

'He needs to be intubated ASAP!'
*I turn to Cressler*
'Are we done here?'

((ive sent one walking guy over here for a check up))

*I turn back to the lady.*

"OK, ma'am, if you will walk that way, the Red Cross is set up. Please visit them."

Next comes a man, who appears to be uninjured. I point in the direction of the Red Cross.

"That way. Red Cross is set up."

((Are we transporting Greens? Or do they go to the Red Cross?))

(My bad I meant to put DCE stupid phone, and I know Richardson is gone, but ambulances run with 2 people so I have to have a partner)

'Hey can you guys tube and transport this guy?'

'Yeah, sure thing'

*Another PEMS medic comes over and I help them tube and load the patient up, and they transport the patient to the hospital*

'You got me. I was distracted by that patient to see what we got'

*I say putting on a new pair of gloves*

* I walk over to Dave after his patient has been transported. *

' Well what else do we have over here? '

'Guys, make sure you get all greens to be checked at the red cross registration centre. Yellows and Reds once initial treatment done, or if more is needed, wheel them to the MCU, there is a team on board to treat them'
*I look around and see a young girl, probaly 10 or 12, stood there, shaking, and wet*
'Hi, I'm Jason Riles, I'm a Paramedic, are you okay?'
'Nn-nnoo... Where's my dad?'
'What's your name honey?'
'Brittt-n-n-ey T-t-t-trafir' she says while her teeth chatter'
'Alright brittney, do you know what happened?'
She regains some composure'Yeah I was downstairs with dad when the explosion happened, he was outside of the washroom waiting for me, I used the wheelchair one, he wasn't there when I came out'
'Okay, what did he look like?'
'Brown hair, tall, long b-b-bbeard' she says shivering again
I recognize him from coming in, burns on his arms, and unconscious, otherwise fine, Bradley Trafir
'Bradley is his name right' She nods 'Listen, he is at our hospital now, He's okay though, is your mom in town?'
'She's in New York... Is dad okay?!'
'yes, he just got burned a little. Why are you so wet?'
'The water everywhere...'
'Okay, comehere, I've got some extra clothes, not very nice, but it'll do.'
*I give her the sweats and shirt and she puts it on behind a screen, giving me her wet clothes I put in an evidence bag just incase. I get a PPD officer to take her to registration then the hospital*

" Medic-1 to DCE-1 we are ready to receive patients at this time over. "

* I take my helmet off and sit on the bumper of my ambulance waiting for the next wave of patients. *

*I walk over to Jamie while I'm changing my gloves*

'I'm not sure, I was tied up with my patient'

'Glad PEMS was here to transport for me.'

'How are you doing?'

((Remember we send most've ours to the MCU, at least the worse off or ones that need more treatment only priority get ambulances))

(I gotcha Boss, he was still in Arrest)

*I walk over to Riles*

'Hey boss, do you know of any patients that haven't been taken care of or is that it for now?'

*I say looking around*

M. Cressler wrote:"Cressler to triage we have incoming sucking chest wound 30 yr/old male shrapnel in chest. Vitals are as follows HR: 110 BreathPm: 10 Oxy: 87 Bp: 60/40. I've started two bags of ringers wide open. ETA 3min."

*****6 minutes later******
*Me and botfish com lumbering into triage.*
'Medic we got a red tag here. Sucking chest wound 30 yr/old male shrapnel in chest. Vitals are as follows HR: 110 BreathPm: 10 Oxy: 87 Bp: 60/40. I've started two bags of ringers wide open.'

(dave idk if someone got him)

(I don't think so)

*I notice another patient with a red tag*

'Well boss I see another, i'll be back'

*I rush over to the patient*

*I notice he is breathing at a rate of 10pm*

*I get him started on 15 L/m vie NRB*

'Sir can you hear me?'

*I notice his eye lids flutter a bit*

'Ok, so on the AVPU scale he is Alert to Verbal stimulis'

*I place an occlusive dressing during exhalation (taped on 3 sides) Once occluded, I monitor for tension pneumothorax.

*I then take another set of vitals and notice that his systolic has risen slowly back to 90/70*

*I look over to some guy*

'Hey, you?'

'Me?'

'Yeah, give me a hand picking this guy up and taking him over there'

*I point to the MCU*

'Sure thing'

*We pick the patient up and move him over to the MCU*

'I make a report to the medic in the back'

'Patient has a sucking wound, object has been stabilized no further bleeding because of it.'

'BP is now 90/70, patient is on 15 L/m via NRB'

*I say as I put the patient down and head back out*

*I walk back to where Jamie and Riles are*

'Were starting to fill up in there'

*I say not trying to cheer anybody else up*

"M1 get to the stock exchange rear in your truck, we need you there for a transport, pirority, from there to ERT hospital. Now please, PPD will escort you"

' I'll be back Dave gotta run '

* I get in the ambulance and start towards the convention center. *

" DC-1, Medic 1 is en route. "

'Stay safe'

*I say as I watch Jamie climb in the truck and take off*

Me and Matthews bring a vic to the yellow triage area.

'You sit here Sir, you will be helped soon'
I grab a yellow tag:

=======
Male
30ish

Breathing problems due smoke inhalation
Vitals: unknown

======

"Jansen to Triage, plus 1 yellow"

We walk back

*i bring her over and set her down and grab a red tag*

1 female PT evisceration. one bag of ringers started in her right for arm

((+1 red to triage))

*As we finish up our PCR I pick up my radio*

"Medic 4 to DCE-1 we will be back enroute to Triage area"

"ETA about 8 minutes"

*I say as we get back in the truck and shut the lights off and pull out onto the highway on our way back to the triage area*

"Medic 4 is on scene"

*I walk over to Jamie*

'Hey, what do we have?'

* I see a firefighter bringing over a patient with what looks like deep cuts to her abdominal injuries. She is bleeding profusely and looks pale. *

' Set her over here. '

* I point to the area behind my ambulance, the firefighter sets her down and I grab a trauma kit and my ALS bag. *

" Medic 1 to Medic 4 Lafferty can you come help me with this patient. "

* I step into my ambulance and grab the EKG and hook the leads to her and start her on a strip w/ o2 Sat. I reach over and start a second IV of ringers and run both of them Wide. She starts to Vomit so i turn her on her side. * I think to myself ( Come on guys, just a little help here. ) *

* I roll her back onto her back after she has finished Vomiting and look her dead in the eyes. *

' Look I know it hurts and this isnt where u wanted to be right now BUT dont vomit again if you can help it, your only causing your stomach muscles to expand and contract and when they have been injured as they have, we dont want that. Im gonna give u something for the Vomiting but try as hard as u can NOT to concentrate on this. '

* I reach into the drug box and pull out a Vile of Compazine, I draw up 5mg and push it into the IV.*

' there that should take away all the urges to vomit. '

* I grab several 4x4's and 2 bottlesof saline water, soak the 4x4's in the water and put them directly over the wounds, I dress them thouroughly and call over a PEMS Medic crew. They run over andI help them load her onto their stretcher and wheel her over to their waiting ambulance. she gets loaded up and they close the doors and drive off. *

" Medic 1 to Central I am back available. "

J.Morrison wrote:* We walk over next to my ambulance and i sit him down on the back bumper. *

' Ok so lets see where did u get hit at? '
* He shows me his chest which on upper right quadrant reveals a small what looks to be a .22 cal hole, I look behind him and see NO exit wound. *

' ooook well im gonan give it to u straight, ya done gots a bullet stuck inside u somewhere lol, but no worries we're gonan get u all fixed up. '

* I go into the ambulance and grab some 4x4's, a dressing and some saline water. *

' Unfortunatly not a ton I can do for u here since u dont seem to be in a ton of distress, im gonna bandage u up and get u transported to the hospital. '

Gordon: Ok Jamie is it, thats a very pretty name.
Me: Yea I know lol. What do u do over here?
Gordon: Im a regional VP of Sales for an advertising company, just happened to be at a convention meeting when this happened.
Me: Wow thats a bummer, well ur gonna at least get a small vacation out of this lol.
Gordon: lol yea 1st one in ten years.

((If your going to take my patient at least read right. -1 because you just killed them, tyvm. GSW WITH DIFFICULTY BREATHING. "I walk him over and sit him on the back bumper"))

"Anyone else need assistance?"

*I come jogging over*

'Hey, sorry it took me so long, I ripped three pairs of gloves in a row.'

'Is there anything else you need me to do?'

'Jamie i'm home honey well i suppose I can settle with dave'
*I say as they begin to roll me into triage*

*The PEMS crew and I roll Moon to the triage area*
'Who's free?'

'Hey moon and Jess I can take care of him. And Moon how about I treat you and Jamie come see you?'

*I say looking over at Jamie who doesn't look to happy*

'Or maybe not'

*I start laughing a bit as I walk over to Moon*

'What can we do for you today?'

'Trying to catch a falling building this time?'

*I see Cressler rolling by*
"Cressler, whats wrong with you? Too many women looking at you?"

'Hes got smoke inhalation haha and Frank that might be part of the problem too hahahahaha'

'Well yeah all these sexy girls were staring at me and it just took my breath away. Now i see jamie I might just pass out'
*I chuckle through the mask.*
'Yeah dave my bottle ran out while I was up there but I stayed up there so I got some smoke inhalation.'

'He thinks hes hot stuff hahaha. Oh and Moon were back to me saving you haha'

'Alright, is he having any difficulty breathing?'

*After hearing Moon was excited about seeing Jamie*

'I guess not'

*I grab my portable O2 tank and put a NC on it*

'Alright Moon, here comes some oxygen'

*I adjust the NRB and start the O2 at 10 l/m*

'Alright, he's ready for transport whenever'


Patient Green Tagged

'Can jamie transport?'
*I say with a smile*
'Ah i love fresh oxygen'

From the back of the ambulance I hear Cressler, "Oi, Mr. Fireman, anymore out of you adn I'm going to have to grab an extinguisher and put you out."

'Ill ride with you Moon haha'

'If she wants too'

'Then again I don't want to hear a call about a Fire Fighter down and have to go pick you up.'

*I say laughing and hoping Jamie doesn't come over here and hurt Moon*