My First Code

Tales from the Street

 

 
 
 

Guy H. Haskell | | Thursday, August 16, 2007


It was the first run of my first day of field clinicals for my paramedic class. I had been an EMT for about a year and a half, doing mostly interfacility transports. We had a dual response system with a medic truck with two medics, Ed and Terry and a BLS transport ambulance.

The very first call of the day was a cardiac arrest. I am reminded of it even two decades later every time I pass the address. When we entered the apartment, our patient, a 50-something-year-old man, was lying on the couch -- pulseless, apneic and purple from the nipple-line up. Jana, one of the EMTs on the BLS unit, walked in, took one look at him and, in one swift move, yanked him off the couch and onto the floor and started CPR. This was an amazing feat, pitting her diminutive frame against his massive (and passive) bulk.

It was like mega-code practice. Our patient threw every cardiac rhythm in the ACLS book at us. The medics couldn t get him tubed because his jaw was clenched, so we ventilated him with a bag-mask device throughout. We managed to get a pulse back and decided it was time to hit the road. We prepared to move him onto a backboard to load him on the cot.

I remembered that our instructor had taught us that we should always talk to a patient, even if the patient was unconscious, because sometimes they can hear and may even remember what was said afterward. So, being a conscientious, na ve student, I believed most things my instructor proclaimed, and said to the patient, OK, sir, we re gonna move you onto the backboard now.

OK.

Everyone froze. Mouths dropped. We looked at each other across our patient. Who said that? Did he say that?

Sir, how ya doin ? I asked. OK, I guess, he replied. Oh, my.

By the time we had him in the squad, he was talking to us. The whole time I was thinking, this is the greatest job in the world! The first call of the first day, a save, and he s talking! I m an American hero!

Of course, it was another 10 years or so until my next code spoke to me in the ambulance, and months would go by without anything more than band-aid calls. But that evening, high on the resurrecting powers of my new profession, I stopped by the patient s room in the ICU to see how he was doing.

He was sitting up watching TV. I said, Hi, my name is Guy. I was one of the EMTs who brought you in today. Without looking away from the TV, he said, Hi.

No Thanks for saving my life ; no happy hugs at the fire station just an uninterested Hi.

Thanks, pal, lessons learned. So, I guess some patients really can hear you, and just because the crustier medics don t do it doesn t mean it shouldn t be done. And sometimes you really can bring back a cardiac arrest not often, but sometimes. But most of all, it s essential to maintaining a fulfilling career in this business to find satisfaction in your own work any thanks you get are just an added, and very occasional, bonus.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Cardiac and Circulation

 
What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS

 

 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Innovation & Progress

Follow in the footsteps of these inspirational leaders of EMS.
More >

Multimedia Thumb

Tennessee County EMS Shows Off CPR Tool

Lucas 2 in service in Bradley County.
Watch It >


Multimedia Thumb

Abilene Loses Helicopter Service

Native Air leaves city with only one air helicopter service.
Watch It >


Multimedia Thumb

D.C. Fire Chief Proposes another Controversial Ambulance Plan

Staffing change will leave immediate neighborhood without fire apparatus.
Watch It >


Multimedia Thumb

FDIC 2014 CHAT: MIKE MCEVOY AND A.J. HEIGHTMAN

Mike McEvoy and A.J. Heightman discuss some new EMS technology at FDIC 2014.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


More Product Videos >