Homepage / EMS / yeah, yeah...ok, ok
Off-duty: Intervene or Be a Witness? Mass Shootings in a Small Town: What are Your Resources? #TapTapTime: The Latest Trending Topic Police Responsible for Ambulance Bills on College Campus? The Spooktacular Episode “I’m out of ideas” Advanced Airway Seminar HM on Medic 2 Medic Podcast Respond to the Rollover – Tales from the Interwebs Hazards we can most certainly remove Witty Banter with the Unaware – Volume 3324 the Crossover Ep 125 – Who Gives Two Sh*ts Why Giving Two Shits About a Patient is Not a Bad Thing the Crossover Episode 122 – Annual Kilted Show! Things keep getting worse for Cop who likes arresting Nurses My Beautiful Blue Eyes The Seizure Patient 500 – An EMS Race Crossover Podcast – Ep 116 – That’s Not Why we Have Cameras, Gary …for the head injury, PD on scene Crossover Podcast ep 113 – Middletown Ohio or Deathville USA? the Crossover Ep 112 – Are you a good hair boss or a bad hair boss? Stop Responding for Overdoses? Sign Me Up! Yup. Still Barfing I Heard You, She Heard You, the Baby Heard You Is there a Doctor on board? the Crossover Podcast – Ep 111 – Paramedic Perv Reporter Unclear of Aircraft EMS Operations The new rigs are here! the Crossover Show – Ep 110 – Do You Poop Where You Eat? What to do for an allergic reaction…or not The Last Shift of the Lost Cause The Crossover Show – ep 109 – Is that Cocaine or Anthrax? How to respond when your spouse tells you to be safe at work Always, In Service – EMS Week 2017 Lost Cause gets cocky FDIC 2017 – Structural Response to Aviation Incidents: Engine Company Operations I Got Lost Going to a Call – So I made sure everyone knew about it Crossover Podcast Ep 102 Mrs Happy Medic and Mike the Cop Arby’s Roast Beef Ad angers EMTs, not sure why Strippers and Cocaine watch – 2017 Seizures! Seizures Everywhere! Nothing is certain except death and taxes. I can help you with both What to do when the powers that be – just can’t. Episode 99 the Crossover Ep 98 – Off Duty and Fancy Free NO is Never Easy to Hear Ohio Cop vs Ambulance Crew Member on Video – Crossover Show Investigates! An MCI With Wings: Aviation Incidents EMS Today 2017 First in Ambulance MCI at EMS Today 2017 Crossover Show Learns How to Take a Joke To Haul or Not to Haul – Should the Complexity of a Refusal Influence Transport? Crossover Show – Ep 91 – ACLU cameras Tip of the Helmet – Bj’s Brewhouse the Crossover Show – Episode Eighty Eight Eminence Based Medicine If You Don’t Give Him Insulin He’s Going to Die Lost Cause Strikes Again the Crossover Podcast – Ep 85 – Florida Cry Baby “I Can’t Breathe!” you keep using those words… the Crossover Show – 84 – TN Bus Crash Happy 150th Anniversary San Francisco Fire Department! Thank You For Your Service? A Complete Secondary Assessment the Crossover Episode 81 – Let’s Talk Politics! Aircraft skids off runway, rescue task force ill equipped Crossover Show – Ep 79 – Do we need so much active shooter training? How to Ignore Everyone in the Room: Be an Intern Your Meme is Bad and You’re Not One of Us Anymore Goodbye tarps, I never loved you The Crossover Episode 76 – Flashback to the Beginning You found me how? Less CSI, More Columbo EMS Festival Standby – You can’t just park a car there the Crossover Show Ep 72 – Florida EMT photo game A&O vs able to make decisions Kilted to Kick Cancer Cops vs Firemen Writer calls for Medics to risk more in shootings, misses the target What’s with the French? the Crossover – Ep 69 – Twelve Ninety Désolé the Crossover Show – Ep 67 – Traffic Stops and Profiling Actually, Officer, No. It Really isn’t that hard to try When Patients Don’t Play by the Old Rules Letters in the File – Oklaloosa Selfies the Crossover Podcast – Ep 64 – Turning Passion into Retirement Why Pokemon GO is so much like EMS Us Against Us Apathy is worse than absence So Now I’m Back! Changes are a-comin’ The Sounds of Silence I know that feel, Bro TCS – Ep 59 – SHOOT HIM! CISD with OK GO part VI the Crossover – Ep 56 – Rooms for Shooting the Ballad of Big Dave the Crossover Episode 55 – Text me Bro Why vs How and Book vs Street A Mother’s Day Crossover Show Dear Valencia County Fire Chiefs Dear Random Township Fire Department at FDIC

EMS, Medical Aid

yeah, yeah…ok, ok

The brain works in amazing ways.  Our understanding of what is happening around us can be completely distorted by chemicals we ingest or otherwise introduce into our bodies for a variety of reasons.  Be it medicinal or recreational, habitual or experimental, the brain interprets it’s surroundings as best it can and adapts actions based on those signals it receives.  The signals, however, are often changed by the substances we have ingested.

Case in point:

“Scooter Dude.”



I’ve been special called as the Paramedic Captain to a “Major MVA” involving a cycle.



As I arrive first on scene, since this occurred not far from my favorite coffee shop (MC would be proud), I find a man slumped over the remains of the windshield of the scooter in the middle of traffic on a rather busy 2 lane road.  The engine is not far behind and we approach the scooter, which is still running to assess what has happened.

I’ve been to more than my fair share of “man slumped over steering wheel” calls but this is a first.  I have to pull my sunglasses down my nose just to be sure what I’m seeing isn’t a reflection or other distortion from my $25 Target glasses.

Sure enough, he’s balancing the scooter and unresponsive over the shattered windscreen, helmet on the ground nearby.  The front of the scooter is also smashed and the engine driver has discovered a few nearby cars with damage consistent with a run away scooter.

Our initial interventions were obvious, get him off the scooter, but as we grabbed under his arms he suddenly awoke.

Confused and clearly under the influence of something you would find on a pool table, his 6’2″ 225lb frame is rigid and mimicking trying to start a motorcycle.

Our calm introductions are met with a diaphoretic face, lip licking and a simple phrase repeated over and over again, “Yeah, yeah, ok, ok,” all the while his brain is convinced he is trying to make an escape on a motorcycle.

As the police arrive our friend is convinced he will remain on the cycle and even our basic interventions to lift him away are putting us in danger of not only a physical altercation we would surely lose, but the concern the scooter will drive off or fall over onto us during his extrication.

Seeing no visible trauma I instruct the officers, who are allowed to fight back when needed and have training in forcibly moving people, to move him to the ground.

That’s when his brain suddenly realized he was not on  a Harley, but in hand cuffs on the pavement.


It takes 6 of us to restrain him and apply a spit sock since he has taken to trying to show his displeasure with saliva mixed in with creative verbage regarding my mother and a slew of other relations.

As the ambulance arrived my hero leaped out with a dose of  IM Versed that brought our new friend back into the realm of the moderately co-operative.

It was an interesting presentation that later allowed us to discover, from witnesses, that he seemed to be confused and riding the scooter in circles in the narrow street, crashing into a number of cars before inexplicably stopping in the middle of the street, looking all around as if he was hidden, then slumped over the handle bars, seemingly asleep.

It was also a reminder to work carefully and clearly with law enforcement since their end game is a person unable to fight back and ours is being able to treat them safely.  Talking through your plan ahead of time with the officers to ensure your plan matches their concerns is key to making sure a handcuffed recumbent patient becomes a properly restrained supine patient with no injury to any party.

And although chemical sedation was indicated and used, be sure to follow your local protocols when encountering agitated people who could mop the floor with you on any given day.

Related posts:


  1. Brad Buckler September 19, 2011 12:26 pm

    I’m guessing low blood sugar ended up being his issue?


    • Thehappymedic September 19, 2011 4:14 pm

      Brad Buckler – Zebra Hunter.

      • Too Old To Work September 19, 2011 4:29 pm

        Good thing I wasn’t drinking anything when I read that comment. I’d think some sort of adult beverage or maybe Crack around these parts.

      • Brad Buckler September 20, 2011 10:28 pm

        upon re-reading, I retract my previous statement. I skimmed the opening lines about the brain….


Post a Comment

Your email address will not be published. Required fields are marked *