What changed you as a medic?
I was watching "Combat hospital" tonight. If you've never been to Kandahar Afghanistan, you should watch it. It is so true to life that it freaks me out a little bit...
Anyway, I'd been helped into Afghanistan as a new medic, by an amazing friend that I won't name, out of respect to him, but am more than happy should he feel comfortable with it. Two things changed me as a medic forever...
The first. I was called to transfer a patient that had a traumatic amputation of his right humorus and left femer. He was 4 hours post op. I was told that he was comatos, yet when I approached him he seemed to track me with his eyes, and when I ran my pen up his existing foot it flinched. B/P 120/90, H/R 130, RR 26, skins moist, diaphoretic. In other words he seemed to be alert and in pain to me. I told the male nurse that he wasn't unresponsive, and that his vitals seemed to indicate significant pain, and asked what he had on board for pain management. You see, our treatment was likely to be the only that he would recieved before he was transferred and died. I was told by a Canadian nurse that, "If he wants proper pain management that perhaps he should show his insurance card!" As I began to unwind on him I was told that I could just manage his pain on my own...I moved him to our plywood ambulance and just did that..but never forgot the look on the nurses face...
The second call..only a few weeks into my time overseas we get a mass cas alarm. Expected casualties...400. I've never done a mas cas before that involved more than 3 patients. I call to my supervisor and he says, "Do your job. Call me if you need help." At the end of that radio contact, all of a sudden everything becomes clear. I see ambulance lanes, placement for red, yellow and green patients. I have a gazillion people lined up waiting for me to tell them what to do....And we end up with 4 pts.....The bomb had gone off over the top of a building and though there was a bunch of property damage, very little human damage. But I could have done it...though I might have never known that if this person hadn't had faith in me...
Both times, when things seemed really hard, the same person gave me the same advice...if you can guess who, and should he give permission to say, I'll send you something really important to me...a challenge coin from the remote medics in Afg....
Have you had such times? Times that defined you and let you know that you would rather do the right thing than anything else? That you would walk away from your medic/EMT cert rather than violate the morals/ethics as lay down by someone you respected?
Lets hear it if you want. I believe that this is the most important aspect of paramedic medicine. Unfortunately, me and my mentors are in the minority....but....what do you say?
Dwayne