Homepage / Patient Care / ...for the head injury, PD on scene
Happy 2018, Y’all! CHP Officer Andrew Camilleri’s Family on the first day back at school Patient – Defined. Wrong, but defined. Merry Christmas from #TCS! Three Discipline Sponsors – Kosher or Corruption? Has Video Killed the Radio Star?! Dispatch centers tracking the wrong things? Does your confidence exceed your abilities around the homestead? This post is about fentanyl so you shouldn’t read it, you’ll OD 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

Patient Care

…for the head injury, PD on scene

Back into the “You called 911…for this?” format thanks to a recent interaction with the BIB (Boys in Blue).


Awoken by the tones at just past 130 in the morning.  Dispatch gives us the location and the chief complaint of “Head injury, PD on scene.”  Shoot.  This could be a medium deal, I better head on over there and help my crews out.  After all, if the cops called in a head injury it could be serious.

Stop laughing, it’s not nice.

On scene PD have awoken one of our regulars found asleep in public view, not unlike the dozen or so others trying to rest until their early morning flights.  None of those folks have been awoken and had an ambulance summoned for them though.

Being at the end of a public transit line, often folks wander out in search of food and shelter, not realizing where they are.

The officer talking to the person we are to assess is well known to us as a trouble maker.  This is the officer who always uses the “You can goto the hospital or goto jail!” argument just as we arrive onscene to most calls.  However, when a patient gets combative he’s suddenly a few yards off sipping coffee.

Back to this call and I’m not seeing any blood on the floor and the person is sitting up in a chair.  I’m thinking the same thing you are…where’s the head injury?

“She needs to goto the ER, she’s got stitches.”

Sure enough she turns her head towards me and I see a very nice, tight set of 4 stitches over a brow, maybe a day old.

“Looks to me like she’s already been to the ER, Officer, but let’s take a look.”

“She can’t stay here like that, she HAS to goto the hospital.”

I pass the assessment off to the ALS crew and ask the Officer to step away with me.  Of course he does not.

“She doesn’t HAVE to go to an ER if she doesn’t want to.  And why did you call us?  This is a pre-existing injury.  It’s like me calling PD for an armed robbery and you arrive to find Starbucks shorted me 15 cents on my coffee.”

“She’s got an open wound, can’t stay here.”

“I look over at the ALS crew fighting for a BP and wave them off. “Would you like a bandage for your stitches?” I ask her and she nods.  I reach in and pull out a standard size band aid and the Officer let’s out a “Oh, hell, no.  She’s going.”

As he shifts his weight trying to figure out what to say next I obtain a refusal of transport and cancel the ambulance responding.  I then remind our regular that this isn’t the best place to grab a nap and turn to leave.  That’s when I see this call is about to get interesting.  Standing behind the officer is his Lieutenant, who calls him over ever so subtly.

“Officer (Jones)…a word please.”


Related posts:

Post a Comment

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