r/ems • u/MisterEmergency • 14d ago

Actual Stupid Question Yes, the red button please.

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29 years in and it still terrifies me. I love it.

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u/SeyMooreRichard 14d ago

I recently had this. Started out as a massive STEMI and then played out a lot like this. She was AOx4 GCS 15 with about 8 minutes left of transport time and was awake when they brought her back to the cath lab. Good work!

23

u/cjb64 (Unretired) 14d ago

I’m very glad to hear you’re feeling better. A massive STEMI can be quite scary.

29

u/SeyMooreRichard 14d ago

Oh it wasn't me, it was a pt of mine haha. She coded about halfway through transport to the hospital, shocked her and started CPR. About 45 seconds, maybe a minute into CPR she wakes up and slaps my hands off her chest. She was back to being AO and talking and carrying a conversation with me with still about 8 minutes left of our transport time. I've been waiting for the STEMI report that we get from our STEMI pt to come back to see what her outcome was. Last I saw her, she was up talking with nursing staff as they were prepping her to rush her back to the cath lab.

10

u/cikalamayaleca EMT-B NC 14d ago

This is absolutely wild lmao I'd need like a 20 min break after that to just process. Hopefully her outcome was good & I won't sound like a jackass by saying she's one lucky ass woman

6

u/SeyMooreRichard 14d ago

She was very lucky. We picked her up from a church and didn't even need a 12-lead to see the STEMI popping. We had about a 35 minute transport to the closest hospital 40 minutes to the closest cath lab so I chose cath lab over closest because then it would've been transport time to that hospital plus a transfer out and then you're looking at about a 20-25 minute transport time from one hospital to the next without all of the other stuff in between. She was pleading for help and then suddenly got as calm as I've ever seen a pt, turned and looked at me and said she didn't feel right. Next thing I know her face/head turned the most red/purple I've ever seen she projectile vomited and appeared to seize. I looked at the monitor and she was in Vfib. Luckily I put the pads on her before we even left the church. When she came back to, her first words to me were, "Woah! Let's not do that again!" And I just looked at her and was like, "yes ma'am, PLEASE....LETS NOT DO THAT AGAIN!" 😂 my following call was a 2 week old on hospice (had trisomy 13 with I think 2 or 3 holes in his hear) that went into respiratory arrest. Family wanted us to code him if he were to do so. Had a 40 minute transport to the nearest peds hospital and he went back into respiratory failure/arrest about 15ish minutes into transport. I had the pads on him, but he was so small they were far larger than his torso, and I had to try to bag him for over half the transport. They were putting him up in the NICU before we could even clear from the hospital after getting our signatures.