Thursday, March 12, 2020

Day 19 - Day 13 on the Cruz Verde Norte Ambulancia


Today was quite slow for the most part. We started with a RTC first thing in the morning, one female was injured and due to not wearing a seatbelt her head hit the windscreen causing the glass to smash. The woman complained of neck pain and we took c-spine precaution and delivered her to the hospital in a timely manner.(shown above)

Next we were called to an elderly homeless patient (again "Enfermo") who it turned out was experiencing pain from his catheter. Again, we transported him to the hospital, where he then after being discharged stayed the majority of the day annoying other patients.

My final call of the day was to a stabbing. Obviously due to what we had been told we rushed to the scene, only to find that the patient had a small incision on the inside of his left leg. Very little blood, no pain, and there we were expecting a major trauma call.... I dressed it at scene before transporting the patient for a couple of sutures.  

The most interesting job of the day however happened about half an hour before I was due to finish. At about 19:30 a car sped into the ambulance bay before the driver got out and started screaming for help. I rushed over to find a male on the back seats soaked in blood. One of the others quickly grabbed a hospital bed and we rushed him into one of the resus rooms. Cutting his clothes off quickly I found six stab wounds to his abdomen, one of which near his left kidney was hemorrhaging massively. I grabbed some gauze and applied pressure whilst the hospital staff rushed into the room. After taking an initial blood pressure, which was 90/60 we cannulated and started giving fluids and at this point we realised that on both wrists there was tape and also a ball gag that was loosely around his neck. I assisted one of the doctors in suturing the hemorrhaging wound in an attempt to stem the flow. After a little more than an hour in the room, which was absolutely boiling, I felt a little light headed, and all of a sudden I was being woke up by one of the nurses with some alcohol swabs under my nose, in the corner on the floor. I gathered myself and stepped out for a moment, grabbing a cup of water, before heading back in.
Once stable we transferred the patient to one of the ambulance stretchers and transported him to another hospital, that was better equipped to see what damage had occurred inside. This was by far the fastest I have seen anyone drive whilst I have been here, we were under police escort, a car in front and an armoured truck behind.
(image below)

All in all, it has been a quiet yet interesting day.

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