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.