When I’m within the speedy response paramedic fly automobile, I often all the time arrive on scene, earlier than the hearth division, earlier than the police, earlier than the ambulance. (Except, I’m requested to stage for a violent psych or an assault if the assailant remains to be believed to be on scene).
I carry with me my paramedic home bag, my coronary heart monitor, oxygen tank, and PPE bag. I attempt to be aware and all the time get my PPE on.
The decision is for unresponsive with precautions. “With precautions” is code for affected person both has COVID or screens in as a potential COVID.
I stand now outdoors condominium 7J. The door is closed and I can hear no sound from inside. Within the pre-COVID days, I might knock, after which whether it is unlocked, open the door and say “Ambulance.” Now earlier than knocking, I set all my gear down within the hallway. I open my PPE bag. I take out a yellow an infection robe. I pretie the neck loops, drape it over my head, after which twisting to the aspect and attempting to make myself skinny, I tie the waist strings (some manufacturers have loads of string, however these the strings are too quick to simply tie behind my again on my own.) I take out an N95 masks, put that on. Put my surgical masks over it. Seize a face defend and apply that. This may occasionally solely take a minute, nevertheless it looks as if an eternity. I placed on my gloves, choose up all my gear, knock on the door, open it and say “Ambulance.”
The laborious half comes when the door is huge open while you arrive. Even tougher is while you pull in to the curb, and as you get out of the automobile and go round to the again and carry the hatchback to get your gear and a younger girl is standing there crying, shouting, “Please hurry! Please hurry!” You throw the home bag over your shoulder, seize the monitor in a single hand and the O2 tank and an infection management bag within the different and observe her in via the entrance door, down the corridor, up three flights of stairs, and since she is barely twenty and you’re sixty two and are carrying heavy gear, she turns and waits for you begging you “Please hurry!” Down the corridor and the door is open and her grandmother is mendacity immobile on the ground, and you’re alleged to cease and take a minute and put all of your PPE on earlier than getting close to the affected person, and the granddaughter doesn’t perceive why you aren’t shifting faster. Please!
These are the alternatives that we now have to make typically. A health care provider pal of mine mentioned in a pandemic, it’s important to all the time put your PPE on – no exceptions. In instances like this, I discover that tougher to do. We’re taught in cardiac arrest, each second counts. It’s been not less than 4 minutes for the reason that 911 name was made. If she has been with out oxygen that lengthy, she is already falling off the precipice of the residing world, heading down into the void.
Apply the pads or put in your PPE?
It’s a simple alternative when the door is closed and also you don’t know what’s behind it, however when an individual is dying in entrance of you, it isn’t so easy.