Manhole Entrapment

Rescue-1 Respond
NNext EMS Unit Respond
208-210 Keller Street

*I get woken up by my pager going off and scream obscenities before even listening to the rest of my pager i grab it and head out to my durango and hope in and flip on my light and race toward the station. I arrive and head into the bay throwing my gear on I hop in the back in the forward facing seat and put my headset on. I stow my fire helmet under my seat and grab out my rope rescue helmet and rescue gloves and put them on*
'Lt. were ready to roll back here'

(Nevermind waht I said on the EAT about you getting on your harness)
'Moon when we get there, get out your harness. Mitch when we get there, lets get the z rig set up.'
*I put on my gloves and turn on the PA300 phaser as we ease out of the station.*

'Rodger got it lt i gotta go in first with my gas detectors to make sure it's safe.'
*I pull my harness out from under my seat and get it ready to go.*

'Alright.'
*I look over to the side as we turn a corner. I pull the airhorn above me and I look around.*

"Rodger Hannahan, after setting that up I'll get ready for the kid who is injured."

I continue driving staying aware of my surroundings.

'Lt when we get on scene there should be a ventilation blower in the top compartment on the right it's orange has a long pipe and basically pumps fresh air down the hole set it up for the kids i'm gonna put my HRES SCBA on i should still fit.'

'Alright. I'll get that set up first then get the z rig up. Mitch, your gonna be starting the z rig by yourself for a while since I'm gonna set up thast fan.'
*I reach over changing the siren tone, pulling the horn and stepping on the Q.*

"HRES Botfish on standby if needed for rope rescue"
'I hope I get this call! I haven't had one in looooong time.'

'Man i love watching that roto ray spin. whats our ETA LT so depending on gas levels and if there still concious we might be able to just have the walk up the ladder if there unconscious which is more likely we'll hvae to sked them up did PD say if there en route because last time i checked climbing down manholes is illegal.'

*as I'm flying down the intersate coming up on cars, I grab my radio mic*

"DCF1 to R1 OSC, I'm still about 5-7 out, you are still gonna be in charge, I'm just responding to assist and deal with smart kids."

*I kept holding my mic in my hand as I continue down the interstate and comin up to cars in the fast lane waiting for them to move over. I then come up on an idiot who decides to move over to the left shoulder and blocks half the lane so I can't continue in this lane and slows me down. I put down my mic and grab my PA mic.*

'FLASHING RED LIGHTS AND A SIREN MEANS MOVE TO THE RIGHT!'

*I then put that mic down and speed around the guy quick while there's a break in the other lane.*

*I say to myself* 'People are really idiot drivers today.'

*I run out to the truck and hop in. I pull out and flip on the lights and sirens as I head for the scene.*

'Right now.'
"R1 command to COPA and DCF1, I copy and we're on scene. COPA, can you give me an update on PD? Were they called also?"
*I look around as we pull up to the scene with a small crowd around.*
'Goddammit.'
"Uhh COPA, lets get PD responding code 3 for crowd control."
*I jump out with people already yelling at me. I ask them to calm down as i get my helmet on. I get the fan out of the rear side of the truck and also open the compartment to the z rig setup tools. I take the fan out and run over to the manhole bending down, people at my left and right.*
'We're going to get you out guys! Hold on! How are you feeling? Any lightheadedness?'
MMMmmmmmuuuhhhhhmmm
'Not a good ssound. Alright, we're getting you guys out soon. I'm going to pump some fresh air down to you ok? You should feel better soon.'
*I stick the pipe down the hole and start up the fan sending nice fresh air into the hole.*
"COPA, can we get another med unit down here? It's not looking good. We have approximately 3 kids out here possible suffering from carbon monoxide poisoning."

*I hope out of the rear of the truck and step into my harness then head to the side and grab my small HRES SCBA tank and grab my small light pack and stab the monitor onto my harness.*
'Ready to go LT.'

'Alright.'
*I back up and look at Mitch.*
'I'll help you with that.'
*I attach the other end of the z rig to a light pole off to the side and another to a hook on the rescue.*
'Alright get the winch hooked up.'

"Central to Rescue, you have EMS-5 responding. You need PD too?"

'Lt. when I get down there i'm gonna give a quick assessment and see who appears in the worst shape if any'
*I double check my gear and make sure i'm secured and i grab 3 skeds out of the back compartments and set them by the hole*
'Just i ncase we need them'

"Yes COPA. Let get them here code 2 actually. Its a big crowd but it isn't too bad yet."
*I try to speak over the many people talking behind me. I look at Mitch.*
'Remember to get the jump bag after your done.'
*I look at Moon.*
'Good job. Alright lets get them out of there. When you want to come up, tug on the rope so I could pull you up.'

"Pc-6 arriving."

*I get out and see a crowd gathering,*

'Ok people, lets get back and let the fire fighters to the job.'

*People for once listen and actually go back with little resistance.*

'tug the rope? hey lt. you know we have these things called radios?'
*I hook up to the ropes and get ready*
'okay lower me'

"Rodger Hannahan, it's ready for them."

I help lower Moon down the manhole with Hannahan.

*I grab my mic*
"man what in the hell this isn't a drainage pipe its a sewer pipe"
*I watch my step to make sure I step on the ledge instead of in the stuff as I get lower my gas meter begins to go off I pick it up and look at the LED display and grab my mic*
"No one else down here unless cleared by me i'm reading around 180ppm on hydrogen sulfide make sure that pump is running full bore we need as much fresh air as we can get also notify the sewer company they need to check this there is no reason i should have that much of a spike"
*I finally make it down to the kids and I set up my light pack to both illuminate me and the tunnel but also keep the rats and roaches away.*
"Okay I got all three kids semi-concious however one appears to have a broken leg he's coming up first but i'm going to need the sked for you to hoist him up"
BREAK
"LT under my seat should be a haz-mat treatment protocol book you and mitch can use"
BREAK
"LT is ERDC available i have spikes over here of almost 600ppm thats can be fatal if not treated rapidly"

(this time can we please actually keep the people with the sickness i gave them or at least RP it so it sounds like i just messed up the assessment since last time my head wound almost dead guy ended up with broken ribs haha)

"I'll check Moon hold on. BREAK Rescue 1 to COPA, can you get the ERDC out here code 3? We've got a problem out here."
*I get the ERG under Moon's seat and I put it on the ground.*
'Alrigh Mitch, let's get this sked attached.'
*I grab the sked on the ground and me and Mitch start to attach it on.*
"Alright Moon, its comin' down to ya."
*I lower the sked down to Moon.*

*I pull up onscene and park out off the way and shut off all my lights. I grab my portable out of the charger and hop out of my truck. I lock it and then start walking over towards the rescue.*

"DCF1, I'm onscene."

*I catch the SKED before it lands in the sewage and I unhook it and set it up on the landing*
"got it"
*I roll the man with the broken leg up and lide the SKED underneath him and I get the ropes and tighten down the ropes to keep him in tight and make sure the bottom is secured and pulled up tight so they can't fall out of the bottom and I re attach the top of it to the line and hold the rest of the sked up off the ground*
"OKay start to pull slowly we have 1 on the way out probably broken leg as well as the hydrogen sulfied problem"




(1 casualty out 2 left)

"Your coming up."
*I pull up the on the rope as Moon comes out. I help him get his footing and I back up so Mitch could start treatment.*
(Anyone have a website to look up the ERG for H2S?)

(i didn't come up)

"Negative lt. your pulling him up i have 2 more people down here"
*I watch the sked go up through the hole*

((Guys don't injure the kids badly, it said that in the EAT.))

I set down the jump bag and start treatment.

*I pull up on-scene and radio in to COPA, then grab the jump kit and head over to the manhole.*

"Hello again, boys. What we got?"

(a broken leg isn't bad and poison isn't an injury besides when i read injure to much i figured she meant multiple things we gotta give them something if there was nothing wrong with them they'd call pd they'd walk out and be fine)

"Get my the next sked down here when you can the quicker we get them out the better"

*I see O'Reilly walk up.*

'Dump kids trapped in a sewer. One has a broken leg and I beileve they are carbon monoxide poisined.'

*I look over at the rescue crew as they are starting to pull the kids up.*

"Alright, boys up. We'll lower the sked back down soon."
*I take the boy off of the sked and set him down. I then bring the sked halfway down so Moon can just grab it when he needs to.*

(chief just so you know it's hydrogen sulfied aka sewer gas not carbon monoxide.)


*I grab the sked as it's lowered down*
"got it man this place is disgusting down here "
*I say as I see a condom float bye.*
* I pull the SKED off to the side and set it on the platform*
"Levels seem to be going down in here but that will just stop any additional damage"
*I roll the skid onto the SKED who seems to be coming to as does the other one but there still very sick and need attention. I strap up the SKED and make sure the teen is safe and check to make sure it's attached to the rope*
"Go ahead and lift LT."


(2 out 1 left)

"Lifting"
*I take the rope in my hand, twist my wrist and pull on it. I pull the kid up and he feels heavier than the last kid so I use most of my strength and get him up. I then pull him onto the concrete and detach him from the sked.*
"Its coming back down. BREAK Rescue 1 to COPA, can we get another EMS units out here?"

"Rodger one more LT. then i'll be up"
*I catch the SKED one last time as it comes down the kid behind me starts to freak out.*
'Woah woah man calm down i'm with the Frie department i'm here to help you get out'

Kid: 'I can't see anything I can't see it's all blury'

'It's that gases we need to get you out of here I'm going to strap you in and were going to get you out okay'

Kid: 'Where are you all I see is lights and blurs'


'It's alright lay down here'

*I have him lay on the SKED and strap him in*

'There going to pull you out and get you help you'll be fine'

"Cressler to LT. 3rd kid ready to pull up he is conscious and frantic we have confirmed eye damage it should be temporary its from the gas all kids should be treated for it."
BREAK
"After you get him up lower the rope I'll hook it up to myself and my light back and i'll climb out just pull up the slack as I go."

"I copy"
*I lift the kid up and put him on the side. I look at Angus.*
'You could fit two on backboards in your truck right? Mitch, your free to work on him. I'll help you as soon as I get Moon up.'
*I let the rope back down so Moon can connect.*

*I hook up to the line and grab my light back and tie it off to me and start to climb up out of the hole I finally get up to the top I remove the air pump and slide the manhole cover back over for safety*
'It is not fun down there LT. did you call the sewer company there is no reason levels are that high something is off but i need to go change.'
*I head to the back of the truck and removed all my gear and stow in in a bucket in the back.*
'Remind me to wash all that when we get back.'
*I head to the HRES compartment and get an extra set of turnouts I step into the boots and put the jacket on but don't secure it.*
'We need another unit here how are we going to work this we have 2 medics 3 kids that all need ALS treatment and two of us have the Haz-Mart cert and know what we need to do to help counter the hydrogen sulfide.'

"Angus, come over here and help me with this patient. You do all his vitals and i'll do the physical assesment. Ok?"

I start on the physical assessment while Angus help with the vitals.

(to be clear so we dont' mess this up...Mitch you and angus have the unconscious and broken leg...i have the panicing one and john you have the one thats just unconcious and has no other problems aside from the hydrogen sulfied...there is a reason i gave them different conditions so we can keep order haha)



'Okay john we gotta balance these two i'm going to try to calm the panic one you get the one thats unconcious'

'Okay man i'm going to give you some oxygen this should help you breath and calm you'

*I get out a nasal cannula and hook it up to the oxygen and open it up to give him a fresh flow.*

'Okay now i'm going to be hooking you up to a few machine as soon as I get your vitals I can get your eyes cleaned'


*I get out the leads and the pulse ox and I hook up ths pulse-ox and the and do a quick hook up of 5 leads.*

'Okay rapid heart beat but your in a panic so thats expected hearts beating normally but low ox level the oxygen will fix that.'

*I also put the auto BP cuff on him*


Pulse: 110
BP: 130/85
Oxy: 86%
Breathing: fast and shallow

*I open the bag and grab the water from the pack and tilt his head to the side*

'Okay i'm going to flush your eyes out hopefully this should help with some of the pain.'

*I use an entire bottle and his left eye and grab another one and rotate his head the other direction and flush out the other eye he starts to calm a bit before panic again*

Kid: 'I still can't see it's all blurry'

'Is the pain gone'

Kid: 'Y....Y...yeah'

'Okay we thats good your eye sight will come back I stopped the chemical reaction now your body needs time to heal'

Kid: 'Okay i trust you'

'Do you have any allergies'

Kid: 'none that I know'

'Okay i need to put these drops in your eyes'

*I dig to the bottom of the bag and find the Minims tetracaine and apply two drops to each eye.*

Kid: 'I don't know what that was but it feels a lot better now'

'Good good'

'Okay I need to check on your friend your going to be okay here the ambulance is on the way.'

Kid: 'okay'


* I walk over the Lt. *


'Hey lt. whats the status of this one and do you know if ERDC is coming we can transport like this and they can finish there but I need Amyl Nitrite, and sodium nitrite to help counter the full effects.'

*I grab my portable.*

'You guys want me to start botfish too or the RA?'

*I look up at chief*
'Well right now we have 3 patients one ambo so the RA would be nice this patient is stable enough to be sitting up and transported in the RA with the other on the board but we need another ALS unit because we can't send angus with that one'

'I don;t know if they heard my transmission. I'll try in a minute.'
*I open the boys airway but still he is unconscious so I keep his airway open and start on a rapid trauma assessment which shows nothing. I find that he is breathing a bit too rapidly and I grab an extra BP cuff and stethoscope. I check his BP and find that it's 130/92. I then take my trauma shears out of my turnout pants and cut his shirt. I auscultate his lungs and find that it's clear. I palpate his chest and find nothing wrong then I stand up and check the boys breathing which has slowed to 20 bpm. I then think about my EMT training and I see that I can't do much. I grab a pulse oximeter and place it on the boys finger. I then look over at both Mitch and Moon.*
'You think activated charcoal would work on this kid?'
*I then remember to call TEC about the sewer problem and two more ambulances.*
"COPA, can we get TEC running down here for this sewer problem? A firefighter has reported that the concentration of poison is too high. Also, have the RA and another medic unit respond code 3 for transport of these two other patients."

'Okay kid i'm gonna start an I.V. in your arm and you'll be good to go to the hospital your going to be fine'

*I reach in the kit and grab a bag of normal saline and a 6ga catheter.*

'Okay this is going to pinch'

*I find a good spot on the boys left arm and begin to advance until I see it flash when I twist out the needle place my finger above the catheter and secure it. then I hook up the NS bag*

'Okay there you go I gotta go check on your friend.'


'Okay john he's stable right I'm going to start an I.V. in him to.'


*I repeat the process and start a bag of NS in the second teens arm*

'Okay there as stable as I can get them here we just need to get them to a hospital.'

"I can take two, Hannahan."

*I move over to Daniels and begin taking vitals.*

"Respirations are low, BP is normal, pulse is a little fast."

'But you don't have ALS equipment if something goes wrong well we've been through that before ALS patients don't go in BLS transports ask Lt. about it.'

*After dispatching RA and EMS, I pick up the phone and call TEC

"Central to Keller Command, EMS and RA-1 dispatched, TEC advised 20 minutes or less."

((When I said "1 teen reporting injuries, others just shaken up" and "Don't injure the (single) kid too much" I meant, only 1 would be injured and require transport. But I guess I didn't word it good enough.. And where did the CO and gas come from? I said this was a drainage ditch, not a sewer. But whatever. Just go on with what we have going now.)

(1 it's not CO it's hydrogen sulfied...2 you said the caller reports it's a drainage ditch do you know how many t imes a caller is misinformed or just flat out wrong when they call 911 and when the caller found them they probably were just shaken up it wouldn't affect them immediately the only restriction was don't injure to much which is a broad statement i don't believe there very injured all they need is some medicine at the hospital and they should be good in about 24hrs)

'Looks like we got ems coming now LT. we should be good.'

((I don't care what was down there and inhaled, since I never even planned that to be in the call. The restriction was don't injure the one injured kid too much. Meaning he was the only one supposed to have any injuries. But clearly I need to be more specific next time. Whatever though, just keep going. Send me a message if you feel this needs to be continued))

*I step into the truck and pull up the EAT menu to notify the hospital of the incoming haz-mat patients so they an prep*

(((Notification will be in EAT and Emergency Treatment)))

(ANgus could take two patients since we kinda morphed the ambo's so they do have ALS equipment but he could only use BLS supplies unless he has ALS training. Also, lets quit this little argument. We were misinformed so I'm sorry Kelly and it was a common misunderstanding now lets just have some fun with this)
"Rescue 1 command copies. Thanks COPA."
*I do another assessment on the boy.*
'Thanks Moon. How's it going over there Mitch.'
*I do a rapid medical assessment and find that he is doing better than before. I do vitals again and see his is stabilizing.*
'Alright son, you'll be fine.'
*I stand up and look around. I go to the back of the truck and put some cones out.*
'Traffic flow should be better.'
*I go back over to the boy.*