Days Go By.

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Climbing, nature, photography and my personal journey through life.

Ive seen and experienced a lot. I hope I never deal with something like this again.

Today I was called to the scene of a 15 year old child, threatening to commit suicide.  We staged our ambulance one block out per norm.  After about 15 minutes of waiting, we heard a single gun shot.

Less than 10 seconds after we heard the shot, PD came over the radio saying the scene is secure, and they need EMS right away.  We arrive less than a minute later.  

On entering the house, we find the child laying on the floor.  Single  9mm gunshot wound to the head.  Entrance wound on the right side of the head, obvious exit wound to the left.  One officer is holding a bandage to the left side oh the childs’ head.  Noticeable loss of blood.

On inspection, the child still has an erratic pulse, and irregular respirations.  Not medically deceased.  

On scene we begin bagging the patient and secure trauma dressings to both wounds to attempt to control the bleeding.  Load the child onto a backboard and stretcher, and book it to the ambulance.  

Both my partner and I stay in the back, while one County PD officer drives us lights and sirens to our nearest Trauma 1 facility, a 6 minute drive.  2nd PD officer climbs in back with us to assist as needed.  No EMT-Basics were dispatched to the original scene.  

En-route I intubate the child while my partner secures an IO with a bone injection gun.  We slap the pads from our monitor onto the child, monitor shows irregular sinus bradycardia.  Blood pressure 40/palp.  Respirations controlled through artificial ventilations.  1000L saline bag hung, running wide open.  ETA to receiving facility now approximately 3 minutes.  

PD called report to the hospital for us, thankfully saving one more step we need to do.  

2 minutes before arrival, child goes into pulseless ventricular fibrillation.  Immediately charge and shock 200J biphasic.  PD officer who is with us begins chest compressions, I continue ventilating, and my partner pushed the first round of epinephrine.  

Arrival at receiving facility, child still in pulseless V-fib.  Second shock delivered as we arrive at the hospital. Driving PD officer opens the doors.  Second round of epinephrine delivered.  Pre-filled Amiodarone vial is pushed as we exit the ambulance, attempting compressions as we roll into the trauma bay.  

Total time from arrival on scene to arrival at facility is 9 minutes.

CPR continues in the trauma bay, now with hospital staff assisting.  PD officers step away and lets us work.  

On arrival in the trauma bay, child is now in asystole.  Saline bag is replaced with type-O blood bag in a pressure infuser.  

I continue with ventilating the child while my partner gives report to attending physicians and nursing staff. Assorted ER techs, nurses, and other unknown hospital staff rotate doing chest compressions.  

Child remains in asystole.  

After approximately 20 minutes of CPR in the trauma bay, the attending physician calls time of death.

My partner and I collect our equipment from the trauma bay, roll to the ambulance and begin cleaning the mess.  Blood, discarded packages of used equipment, spent drug vials.  Document and exchange our drug box, and get a new backboard, and IV/IO supplies.

Radio dispatch, were clear and back in service again.  40 minutes till the end of our shift.  We don’t get another call. 

———————————————————————————————————————————-

There isnt really a point of me writing this.  I don’t know why the child pulled the trigger.  Someone might argue that it wasn’t worth all the trouble we did trying to save him.  Im not going to debate that with you.  To be blunt, I don’t give a fuck about your opinion.  

All I really know is that Im tired, mentally and physically.
I love my job, and will continue to do it to the best of my ability.
Ive seen death before.  Ive seen life before. These arent new things to me. People come into the world, and people leave it.
I hope I never have to deal with someone so young, leaving in the way that he did, ever again.  

— 1 hour ago with 12 notes
#me  #paramedic  #ems  #emt  #death  #suicide  #i just need to vent 
frshmag:

Intsa-Awesome: Inside Fantasy Camp with Ian McIntosh http://bit.ly/X1x2C8

frshmag:

Intsa-Awesome: Inside Fantasy Camp with Ian McIntosh http://bit.ly/X1x2C8

(via coffeeandclifbars)

— 1 day ago with 62 notes

escapekit:

Stars Bursting In The Night Sky

Australian photographer Lincoln Harris collection ‘Star trails’, surreal swirls in the sky, created from a multitude of long-exposure shots and the effect of the Earth’s rotation. 

(Source: lincolnharrison.com, via letthesuninside)

— 2 days ago with 188285 notes

Pamela Pack in Moab, Utah. Photo by Nathan West.

Pamela Pack in Moab, Utah. Photo by Nathan West.

(Source: endeavourwest, via findadventure)

— 4 days ago with 208 notes

livsansoz:

After climbing up the 1000m of the Couturier couloir on the north east face of the Aiguille Verte (4122m) we skied down the famous Whymper couloir. That was a committing day, with the steepest ski I have ever done in my life. No fall allowed.


Thanks to Boris Dufour for sharing such an intense and emotional adventure ;)

More photos here : http://du4photo.blogspot.fr/search/label/ski

(via t-r-a-d-i-c-a-l)

— 4 days ago with 67 notes
patagonia:

The purple glow of sunset through the notch of Yosemite Valley upon Half Dome.
Submitted by Nick Ocean
Instagram  @nocean

patagonia:

The purple glow of sunset through the notch of Yosemite Valley upon Half Dome.

Submitted by Nick Ocean

Instagram  @nocean

(via nithopoly)

— 4 days ago with 1717 notes
benjikenobi:

marcommarco:

Jasmin Caton stemming her way up The Shadow [via gripped]

steady on!

benjikenobi:

marcommarco:

Jasmin Caton stemming her way up The Shadow
[via gripped]

steady on!

(via letthesuninside)

— 4 days ago with 66 notes
wnderlst:

Glacier National Park, Montana | Nikhil Shah

wnderlst:

Glacier National Park, Montana | Nikhil Shah
— 4 days ago with 3543 notes