Last night, I called one of my squads to ask about additional hours and found out that I had been rescheduled to work today. I came in at 6:45.
As I posted my earlier entry today, someone fell down a flight of steps and struck their head. It's hard to say why they fell; they may have had some kind of episode at the top of the steps. But fall they did.
The phone rang; I answered it. It was the dispatcher, sending us across town. It was for a fall.
We got in the truck. Dispatch called us with more information; the patient was not breathing.
We stepped it up. We arrived on scene and went in, directed by the frantic spouse. The patient was on their back on a landing, halfway up the stairs. They were cyanotic. Their eyes were open. There was a small amount of blood on the floor and more on the side of the patient's head.
There was no room to work so we picked up the patient and carried them to the bottom of the stairs. My partner started to get the monitor set up; I started compressions. Once the patient was hooked up to the monitor, I backed off and started to get a combitube ready while the machine analyzed the rhythm. It looked like asystole to me; flat-line. The machine apparently agreed and did not want to shock the patient. I went back to performing compressions while my partner placed the combitube.
After two minutes of CPR, we again picked up the patient and carried them outside and placed them on the stretcher. The fire department was arriving; we asked one of the FFs to drive. My partner and I both got in back.
Transport to the hospital took fifteen minutes. We placed a pair of large-bore IVs en-route. My partner and I alternated doing compressions and huffing breaths into the patient with a bag-valve-mask, stopping CPR every few minutes so the monitor could analyze the patient's heart. The rhythm was asystole throughout. The patient watched us as we worked.
We arrived at the hospital and wheeled the patient into the trauma room, transferred them to the bed. The ER doc, a person for whom I have a great deal of respect, asked us a few questions about how we had found the patient and what we had done. The doctor apologetically noted that we had done a good job but that there was nothing more to be done; the patient was gone.