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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


Witty Banter with the Unaware – Volume 3324

One of the things I love…LOVE…about being a Paramedic is the ability to spot Trouble from across the room.  That’s a capital T in Trouble, saved for those who need me to put a spring in my step and toss by bag and monitor strategically as I approach a person in need of immediate intervention.

That was last week.  haven’t seen an IVR with pulses that slow in years…but that’s another story.

This story is almost a call up from the past, back in the days of Medic 38, running 20+ calls in a shift.

3 calls are already running when a crew calls in that a person has collapsed not far away and are requesting an additional response.  Out the door I go knowing the local ambulance company will be flexed or delayed considering how many of their rigs are already on the property.

Usually it is the chronically inebriated who participate in my witty banter, not so this time.

Sitting in a chair, brand new T shirt for an out of town walk a thon, brand new simple black pants and brand new simple plastic flip flops.  This is the Shelter starter pack.  When folks goto some shelters, they get the dignity of a shower and some clean clothes.  For some it is enough to get through a rough patch, while for others it is simply a revolving door, similar to the ones very close by.

She sees me approach from behind the Policemen and her body language changes immediately.  Because I entered from behind the seating area I saw someone maintaining posture, moving hands and arms in concert with head movements and adjusting eyeglasses.  In short – everything is close to just fine.

As I approach she is suddenly slouching to one side, breathing at over 30 a minute and shaking her hands in the way only seen in TV shows and right there right then.

Our back and forth was swift because we have both had ample chance to practice.  Her chief complaint is severe, but vague, knowing what I can and can not assess.

My questions seem distracting and catching her off guard a few times, making eye contact, her frustration breaking the tachnypnea, just as I hoped.

When offered options suddenly a family was waiting for her, but she can’t keep straight witch family members it is.  Mom, a son, a sick son (yes a different one) then a sister.

In the end she finally caved and admitted she felt fine but simply had no place to stay, to eat or the get help.  My feelings of victory were met equally with my compassion to help.  We don’t always push a medication to help someone recover, sometimes we have to grease the wheels of the system to make sure someone who wants a chance to break the cycle can do so.

She ended up going to the hospital, simply because there was no other way to ensure she arrived at step one of her healing process, but she gave me a run for my money alright.

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