Phantoms

“Medic 9 with Ambulance 9, respond for the reported shooting.”

It’s 0730 on a Sunday morning. What the heck are people thinking? Go to church!

We roll into one of the sketchier areas of our small city, asking for a status on the police units. The last thing I want is to stumble into a hot scene. Fire Alarm tells us, “They’re still looking for the patient.”

Hmm. No mention of the shooter. . .

We wander into the neighborhood and pull up beside the first cruiser we see. The radio crackles, “Units on the shooting, PD is requesting you stage clear of the scene.” That would be great if A) we knew where the scene was, and B) you’d mentioned it 6 minutes ago. The officer tells us they’re not sure where the patient might be and asks us to stage in the next block. We happily comply as numerous units descend on the area.

It looks like the whole duty shift of our small city has converged on these four square blocks. One of the officers tells us that they had a single phone call, but the caller is not at that location anymore. They scour the neighborhood with no luck. We wait patiently.

After an exhaustive search the neighborhood remains quiet and patient-free, and we move on with our day.

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“Medic 9, respond in front of St. Vacant’s for the unresponsive party.”

St. Vacant’s may be right downtown, but it’s been abandoned for years. It’s located on the edge of an interesting neighborhood, and its steps often play host to an assortment of sinners.

We arrive to find three police units and a fire engine but no obvious patients. The flashlights come out and we all go to work. The steps are clear; the bushes are empty; the alleys are vacant; and everyone in the park across the street is verified to be vertical. No one has seen anything. The giant carved crucifix on the front of St Vacant’s towers fifty feet above us, but there is no one to save here.

We move on. The night is still young in our city of ghosts.

Garage

The curtains are closed against the summer heat, and an air conditioner chugs away in the window. Our patient sits in an overstuffed chair to one side of a dimly lit room, loudly protesting that he’s fine.

In fact he probably is, but we have to assess him anyway. To one side sit a couch and a love seat, with a fireplace behind him. The coffee table is littered with framed photographs and trophies. A large television glows mutely in one corner. The room is cluttered but clean, not like some places we see.

In the other corner of the room stands a fully-decorated Christmas tree with a tire leaning against it. Through the kitchen doorway I can see a cooler and 3/4 of a sleigh bed, disassembled on the floor. The fourth piece leans on the stairs behind me. A golf bag and a tree pruning saw stand in the corner along with two snow shovels. Two infant car seats hide in the lee of the coffee table.

Our patient insists on staying home. He signs our paperwork and points us out the door. As we drive away, I notice the garage door standing open and empty.

Rose colored glasses

I should be annoyed.

It’s a holiday weekend, and I had to work a 24 Sunday instead of spending it with my family. It’s been HUMID; not hot, but wet and sticky. We wished for a good thundershower to wash the air and replace it with ozone. We never got one.
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It did look kind of nice, though.

The shift seemed to be overly populated with folks who think they know how to do my job better than I do. For the record if you are not my boss, my family, or someone I admire, I’m not going to lose much sleep over your opinion of me.

Regular Partner is on vacation, but Partners du Jour were all good people.

This morning I did a few chores and then set off to meet the family in the Great Green North. It’s 85 degrees, the windows are open, and the music is good. I took a few extra laps around the Route 1 rotary in the TDI just to enjoy the G’s.

My polarized shades show a fabulous bright blue sky with puffy clouds in front of me, and the forecast is for four more days of the same. Bring it on!

Your mileage may vary. . .

Our computers at work have recently been plugged directly into the CAD. When everything is working right, we see all of the information the dispatchers see. In theory this is a good thing.

The radio says: syncope
The computer says: chest pain, nausea and fainting with nitroglycerin

Uh-oh. Chest pain and nausea together generally means something bad. If the patient took NTG and lost consciousness, that means his blood pressure dropped. Taken all together, this looks like a very sick person.

We find: Nausea. No chest pain, no difficulty breathing, no nitroglycerin even. He does have a past cardiac history and is worried.
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Memorial Day

“Fire Alarm to responding units, the caller reports the patient is turning blue.”

It’s a ‘nice’ neighborhood; one where we don’t often see an overdose. We arrive in the kitchen of a well-kept single family home to find the firefighters manually breathing for our patient. He’s not our usual heroin overdose patient, either. He’s in his mid-twenties, well fed, well groomed, and surrounded by caring and concerned family. With one fresh track mark on his arm.
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Breathless but caffeinated

Spring is finally here. The morning is sunny, not warm enough yet but it will be. One of the off-going medics stands outside the half-open garage door smoking a cigarette as I arrive. “Morning. How was the overnight?” — my usual greeting.

“Not too bad. Truck’s in good shape.” — his usual reply. We chat briefly; the standard formalities and gossip. My partner arrives; the offgoing crew hands over The Keys, and we become officially responsible for the city.

It begins almost immediately. Before I can finish my morning tea:

Medic 9, respond for an elderly male, reportedly not breathing.”

It’s a witnessed arrest, with early notification and early CPR, an American Heart Associaiton dream. The engine company is doing a fabulous job of CPR when we arrive. We get pulses and a blood pressure back on scene, and we have some spontaneous movement while en route to the hospital.

It looks like a save. We’re riding high, and the supervisor buys our next round of caffeine in celebration.

“Medic 9, respond for the elderly male, reportedly fallen and now unresponsive.”

It’s not exactly as described, but close enough. His pulse rate keeps dropping to dangerously low levels. He passes out multiple times in the ambulance but always wakes to a quick shout. We treat the symptoms, but we don’t know the cause. By the time we reach the hospital his heart rate is back where it should be, and he thanks us.

More paperwork, another tea.

“Medic 9, respond for the elderly female, unresponsive.”

Another octogenarian. This one truly is unresponsive and has been for a while. It looks like a bad stroke. We support and transport. Only the CT scan will tell.

Time for yet more tea and an attempt at sleep.

The phone rings. “Medic 9, respond for the cardiac arrest.” No ambiguity this time. This one’s not quite an octogenarian, but he’s closer to it than I. Two paramedics, two EMTs, three firefighters and a few police officers crowd into the small apartment. We wield our AHA magic again, but the results are not immediate. At the hospital they get a pulse back, then lose it. I hover at a nearby desk, writing my paperwork and eavesdropping on the resuscitation efforts. The battle wages for close to an hour with neither side definitively winning. Finally I have to leave without knowing the answer. I know the statistics say it won’t be pleasant.

The sun is rising; time for one last tea before heading home to my own bed.

“Medic 9, respond for the elderly female, difficulty breathing.” If there’s time for one last tea, there’s time for one last emergency. As we round the corner the sun strikes the harbor. Between the rows of houses, a fantastic sheet of silver shines brightly.

And our heroes drive off into the sunrise.

 

Ghosts

The fire engine idles, double-parked on the wrong side of the street. It’s a spare rig, threadbare and worn, like the neighborhood surrounding it. The block is short and filled with hulking brick apartment buildings. We pull to the curb in the only open spot, and I resist the urge to declare, “Medic 9 has the hydrant.”

Our destination is slightly different. Yellow brick highlights it amid a sea of red-brown. The front door opens onto a short flight of stairs, tiled in white with the occasional black accent. Polished dark woodwork takes the place of the painted and scuffed trim we expect to see. As I round the corner at the top of the stairs, I’m confronted by a tall, mustachioed man. He’s dressed in a reflective uniform and carrying a stair chair. It takes a split second to realize that the landing is lined with mirrors. An adjacent window is covered with ornamental wrought iron.

Down the short, dark hallway two residents peek into an open apartment door. The interior is more faded elegance; polished floors, oiled wood. The bathroom is turn-of-the-last-century chic, a sea of white tile and exposed plumbing with a giant steam radiator to keep it warm. A firefighter emerges from the bedroom swinging a Lifecall pendant from his finger. “No one here,” he says.

Operator, what’s the number for 911?

“Hometown Fire Department, this line is recorded. What is the nature of your emergency?”

(Yes, our Red Line still goes BRRIIIIIING. It’s also still red and was built by Ma Bell. It’s a wonderful throwback to another era.)

Elderly Voice: “I burned some popcorn in the microwave, and I don’t want the fire alarm to go off.”

Confused Fire Lieutenant: “OK, sir, what is your address?”

EV: “Westville Elderly Complex, apartment 24.”

More Confused Fire Lieutenant: “Sir, you called the Hometown Fire Department. Is there a fire there? We can call the Westville FD for you.”

Annoyed Elderly Voice: “NO! I just burned some popcorn, and I don’t want the fire alarm to go off. I don’t want the fire department. I already opened the windows to let the smoke out, but it’s getting cold in here.”

Really Confused Fire Lieutenant: “Sir, if you’re in Westville, why did you call the Hometown FD?”

Very Annoyed Elderly Voice: “‘Well I couldn’t call 911 could I? I looked in the phone book, and this was the number listed under Fire Department.”

RCFL: “. . .”

VAEV: “So what about this popcorn? Will the fire alarm go off if I open the microwave?”

Formerly Confused, Now Amused Fire Lieutenant: “Sir, if it hasn’t sounded by now, it probably won’t. If it makes you feel better, you can leave the windows open until after you open the microwave. ”

Now Satisfied Elderly Voice: “OK, thank you.”

Amused Fire Lieutenant: “You’re welcome. Have a nice day, sir.”

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