You are working on a rural ambulance service that staffs three units. There is one ALS unit, one BLS unit, and one on-call BLS unit. You are working on the BLS transfer car.
You were called to transport the recent physical assault victim that your other unit had picked up earlier today. It turns out that she has a fractured cervical vertebra and a left tibia and fibula fracture as well. She was to be transferred to higher level of care for further treatment and possible surgery.
Before you are able to load the transfer patient, dispatch calls for someone to respond to a stabbing. There is an awkward silence after the dispatched message as you wait for response from the BLS crew. They will be delayed for about five minutes as they are on the other side of town.
The ALS crew is currently out on a transfer and is not immediately available. You make the decision to respond to the emergency call and postpone the transport of the awaiting transfer patient. Your BLS unit will have to back you up.
The scene is approximately six blocks from the hospital. When you arrive on-scene there are four police cars with lights flashing and one of the officers comes to the window of your ambulance to say: “You better hurry, he's in really bad shape.”
A 45-year-old male is sitting at the bottom of a flight of stairs that lead into a basement suite. A police officer is standing beside the victim and another officer is standing inside the residence.
There is blood on the walls, door and steps where the victim is sitting. Your patient overview shows the alleged victim with no shirt holding his right lateral chest wall with both hands and a bunched up t-shirt. His skin is pale and caked with both wet and dried blood. He appears to be in moderate distress. His cheek was apparently cut open with the cut exposing some of the teeth on the right side of his mouth. A stab wound is visible to the left of his sternum and it is obvious even from a distance that his left chest is not moving with his rapid respirations. His left hand is also cut and oozing blood.
You are an EMT-A and your partner is an EMR.
-Quiz by Dale Bayliss and Ron Oswald.
Quiz 1: One of those days