Pre-Hospital Service. #51 is our car. Shiny Red Jackets!
Duty begins at 6:00 am. 5:45 am assemble. Almost as soon as I arrived, we got a call and went to the place.
A car hits another. The driver had a seizure while he was driving. He had a history of epilepsy. I don't know he had been properly assessed; it has a strict regulation about driver's license when a patient has epilepsy because it is very dangerous if one has a seizure while s/he is driving.
The driver seemed in a confusion, maybe post-icteric phase. He could not tell his own birthday, although he can tell his name.
The other driver on the hit car seemed fine. He was also sent to our ambulance car but he looked fine, so he was discharged from our ambulance care. But the patient was sent to a trauma hospital by our car.
Of course, the police came and their investigation also started.
 Car Accident |
 The patient(driver) In the amulance car |
Patient: a history of adenocarcinoma of the lung. a long history of COPD. (note adenocarcinoma has less connetion to smoking, although it has a strong corelation to COPD. Squamous cell carcinoma and Small cell lung carcinoma are associated with smoking.) Age: 50s-60s. Reported Symptoms were dyspnea. He was under home O2 therapy.
When we arrived, he was alive. But almost immediately we arrived, his head turned upward as if he was looking toward the heaven. He collapsed. Our driver put him down on the floor. (He had been sitting).
The paramedic did not bring the ECG monitor with defbrilator. I was asked to bring it. When I came back CPR was already started.
ECG was connected and it was PEA almost flat(asystole); Non-shockable rythm. We swithced to ALS. The paramedics did intubation(ETI: endotracheal intubation) , quickly. She already started Epinephrine(tonogen); 3 shots. We continued CPR.
We continued and continued for 20 mins. We gave up. The sad new was delivered to his wife. She started to cry with cry pushed through her mouth. That sounds very very sad, make me almost cry. There was very sad atomosphere around it. Paramedics made a document.
