Homepage / Patient Care / How to Ignore Everyone in the Room: Be an Intern
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 the Crossover Show – ep 50 – Revenge of the Vine Stars Strippers and Cocaine need your help Educational Standards in EMS Engine Company First Strike MCI – FDIC 2016 the Crossover Show – Ep 48 – What’s in your feed? Washing the Chief’s Car What Should I Do With This Knife? – The Crossover Ep 46 Firefighter Jokes Medical/Legal Advice, Google Style the Crossover Show – Episode 45 – Cop Vines and the Cajun John Wayne You Make the Call ebook Now Available To the Intern Who Froze the Crossover Show – Episode 44 – Day of Remembrance New at Uniform Stories – Raising Revenue BLS Fire Officer or Paramedic – Who Makes Scene Decisions?

Patient Care

How to Ignore Everyone in the Room: Be an Intern

Just as my head was settling into the pillow after a Haz Mat call and much needed shower, the lights come on and the tones drop for the ever popular bystander diagnosis of “Possible heart attack.”

As I move towards the buggy radio comes over the speaker in the large bays, “Control to units responding for the heart attack we have an AED activation nearby.”

 

OK then.

 

Of course it isn’t a cardiac arrest case, or even a heart attack as we piece together a story of exhaustion, stress at home and a few missed meals (replaced with some hard alcohol) and the assessment continues.

I’m gathering a history and the story from the witness while my medic team is preparing to run a 12 lead since we have reports of a near syncopal episode.  They’re thorough…at least when I’m nearby.

As the ambulance crew arrives the familiar blue BDU pants, shirt and stethoscope of a Paramedic intern come into view and I prepare to give a report.  This is a good case for an intern. I’ll give him the basic findings so far, vitals, then make contact with his preceptor to determine how much of a lead to give him on the rest.

I stand 6’2″, am wearing turn out pants, a radio sling and a sweatshirt embroidered with my name and title.  I mention this because he approached me, saw the patient behind me about 10 feet and performed a careful side step saying only, “Excuse me, paramedics.”

I had 2 initial reactions:

First was the reactionary side of my brain saying, “Oh no he di int!”

The second was the rational brain realizing he has tunnel vision, just like I used to, and wants to get in there and get a report from the folks performing an assessment in real time.  After all, I hear them telling him to sit still for the 12 lead.

Nope.

Not a word from the intern as he pulls out the stethoscope and begins to listen to lung sounds of our conscious, alert and speaking patient sitting up in a chair.

“12 lead compiling” my Medic states less than 12 inches from the intern.

“Hi Sir, turn towards me please” the intern asks as he is again reminded to remain still for the trace.  The leads on the screen look great, PsnTs where they should be, good R wave progression and I motion to my medic to let the assessment from the intern continue.

The preceptor is well known to us and he is at the doorway and flashes me a 1-5-0 on his fingers, letting me know the intern is at 150 hours on the ambulance so far.  We have a complex set of hand signals that would rival Motorcop and his tactical pals.  Without a word I express my displeasure with the sidestep, the lack of a primary exam or even a request for history of event or vital signs and interventions from the first crew to make contact.

He replies with a shrug and the clunky, random wandering assessment begins to draw to a close.  The stroke scale test (already administered and documented) looks good, and the patient shows the intern a band aid from the last blood sugar test when the intern tells him one will be completed.

“Would you like a report from fire?” the preceptor asks, clearly dealing with this situation…again.

“Not yet, I want an unbiased look first.”

And….we’re done.

 

 

Related posts:

3 Comments

  1. Bcfd36 October 20, 2016 9:50 pm

    Paragod syndrome. Kill it now.

  2. Nelda March 9, 2017 12:34 am

    Unallplaered accuracy, unequivocal clarity, and undeniable importance!

  3. Dayana March 9, 2017 12:41 am

    BION I’m imrsdspee! Cool post!

Post a Comment

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

*