You know those speeches (for any other instructors, or former instructors) that we give about the one call that will blow your world apart? Open your eyes to the unpredictability of EMS? Cause you to lose sleep, possibly wanna curl up in the fetal position? The call came in at the worst time, there are five ambulances available for our area, four were on calls. The next closest are nearly an hour by road, and it felt like the bastards took their sweet old time to get there. I had three helicopters on the ground, before I had extra ambulances. I asked for "three additional ALS ambulances, ground or air, quickly, please". I had myself and an Ambulance Attendant (driver), which is a fancy word for someone that has CPR and Advanced First Aid training.
Four patients, three heavily entrapped; one self extricated. The only one that dies, is the only one that was properly restrained, conscious and alert. There were horrible facial injuries that were bleeding profusely, spraying, open fractures, multiple fractures on both ppl in the back b/c the seat broke loose. The front passenger went out the windshield, then slid back in, that person had an impalement on the side of their head. Still not sure to this day, but it looked like that thing between the windshield and rear view mirror, that black peg. It was bad, our truck was totally trashed, we used pretty much everything except the OB kits. If I had time to open them, I'd probably have used the OB pads for bleeding control on my facial injury patients. I think I did everything I could do, and some things I probably wasn't supposed to do in my scope. But they told me, maybe to make me feel better, that even if it happened outside the ER, it probably would have been fatal. Please let me keep believing that.