A Day on the Job of an Air Ambulance Paramedic | Paramedics | Only Human

They are the people we hope we never need, but when an emergency happens, they are the

only

thing we depend on, unless the emergency tells me exactly what happened. I want to tell you how to stop the bleeding. Okay, filming with 999 callers, emergency

paramedic

s and their patients. this is the continuing story of the men and women of the HSE national

ambulance

service ok ok this time powerful in a remote location requests an aeromedical response it became very clear we needed to manage this lady's pain we soon got there, so she was absolute agony what trainee

paramedic

s face in their first week out of the classroom he wasn't speaking well and then the exercise effectively took over in front of us what are we doing?

We decided to get in the

ambulance

s as soon as we found out and how. No matter the call, every second counts, we want to take her by helicopter to the Dublin hospital. She has a chronic condition. I don't know how much longer I could have maintained the level of Sharpe bathing and suppression when I was. in the intermediate care service, what we had to do with the innovative lighting for the paramedic program, Trevor himself is not to many people in the country, so maybe some of us got it. I'm up at the National Service College in Dublin Intelli. training to be a paramedic no, it's a long process, two years tirelessly Grace was trying to get used to things from the accident.

I think if I don't understand someone's eye, I'm just a little deaf. Can you repeat that? So they are fans of the Snow doesn't want to smile, but then you say okay, it's okay if I

only

get it for the life of the service, a building of only two rivers, it's a new building and state-of-the-art problem-based learning rooms , we have the back of an ambulance and the Hell of the Safety School, as well as simulation mannequins, the Hell is the same size, the same waves, the same overall height as an average person. I take ECG, get blood pressure and pulse and his eye blinks as paint shines into his eyes. contracts dilation, you can do the whole big tank, provides a very realistic workout, as realistic as it gets well, we found that to be absolutely fantastic, so we would imagine that the instructors are looking through cameras and talking to us over speakers, we are connected to a microphone. so they can hear us in the room when they look on their monitor, they can see what we're doing, but there's also a projector and a screen outside in a room so our classmates can watch as well, instead of just having two Leaving People aside, we're just two people learning, at least everyone in the class can participate after each scenario, right?

The instructor will come to you and repair the table and give you advice on how to best approach it. No, I would. Without that, you could have been a little more timely when performing an ECG. Whatever, it's good to get criticism from instructors. It is probably one of the most difficult courses I have ever taken. So you go on with your 12 week placement at your local training administration they took me back to the car where I was even getting to be the caretaker, I was allowed to go back to people I knew and things like that so they were very accommodating within the best of Nietzermann during the first two or three.

Days and my location with him, I was followed by them and I saw which direction half of your camera was, so when he came in it was witnessed that he knew you were leaving on the next call Sonya, oh my God Almighty, what is going to happen here later? I don't know if I have sleep monitored all the time, you have to log in your log book from my service school, so you have to press the key markers with the cruises when finally, when I got into the rover stuff, it just flows neither. no two cars are ever the same.

No, no day is the same. It is a difficult job to do. It is difficult to complete the training, but you can understand from an MLS service point of view that you are dealing with people like. So they want to train you as best the organization can. Now a lot of people don't have the same type of primary training and they did what we did on this particular day. We got a card for Ghent when he was disoriented inside his house. I'm so good today and I scored more while you're tied to the chairs, no one went, did you bet the story there? 68 your judgment, we have been drinking, who is confused, has an unsteady gait, then, sorry, he amended and asked me to know, because it is part. from my training to do differential diagnosis after differentials David for an unsteady gait and slurred speech we have a nurse draw it could be you could have a head injury come on it could be seizures it could be sepsis it could be hypoglycemia it could be absolutely anything they knew of his kind of star audio and cellular speed is not this is not that ghost he gives it in a walking diagnosis then later you have to think about everything he could have some kind of infection or something like that yes Jesus God it is Jesus easy dog ​​he has been reading the books so we got up to the house, I remember this, there were family members outside, they were enjoying themselves, they were directing us towards the house, so he couldn't open the front door, so we had to get through the back door, so he told you Many things came to mind.

As you go in general, you're just aware of the social circumstances, so we go into the houses and we get a little bit of a shock, so he's taking what she's taking a statin on a buffer meter and it's good from the point of view. from a student's point of view. It is also to see these conditions that you don't always walk into 5 star houses and the conditions are perfect, no cracks, the water just squeezes in, it's okay, look, it makes no difference if there is someone living inside the box. or someone who lives within the dimension, we still enter and treat the patient with dignity and respect for the quorum.

The whole family told us that they had called too late and at first our main concern was to see exactly what was happening with him and check it out. He came out and you've ever been in the middle but you could be ahead. Imelda initially led the car but involved assisting in decision making as part of the team. We were now a team of three people. They let me tell you my primary server on the secondary one. server and get my observations on that incident, so then make your decision on how we are going to get a mouse, so let's not say we are going to bring a chair and we just tell you also what kind of things are in our own environment, then we have our team. there and things that in case something goes wrong, how are we?

The patient seems to be very confused, he wasn't feeling well, you know, he wasn't speaking well and then he starts actively looking in front of us for us to check him out. Come out, come so you can see me, you see me, iris, it being the first time I see someone. Cesar formed me. I didn't take a step back. They have an enviable window of time under the guidance and care of Para and Amanda, very experienced people. New, grab the cart, Jeff, we decided to take him to the ambulance as soon as we caught him and do more investigations in the ambulance before transporting him to the hospital.

Well, we've got you wrapped up in the robe. Okay, I'll sit you in it. Lying here after a minute is easier, we opted to put him on a stretcher which was uncomfortable as the houses smoke, but then you boot here, okay, I guess there's no training in the world, let him tell you how to feel which can sometimes hurt you. the training I received last time and the service was kick ass and makes you focus on the car so we took the gentlemen to the ambulance where we treated him further. Let's go to the dog seats.

A woman will put more stickers on it. not good, after an enlargement, he started to come back, he became cognitive again, he did what he should hold us accountable, one to try, always, straighten, reassure patients as much as possible and it's great if you can find something with whatever you have in common. the person then skips anything but the sports team or where are you from oh boy of this man oh really yes, yes I want to be one Dave was quite comfortable with the patient, you know, there are a lot of people who find it difficult to even engage in a conversation with Patient Dave doesn't have that problem.

Here he has the gift of gab and he is very capable of defending himself in a conversation. We put more stickers on it again and then we would have his word for a picture of him, etc. Okay, it's very difficult to train someone to be talkative and Dave is very talkative and he likes to harass people and talk to people non-stop, so even when they don't want to talk to him, he keeps talking to them, like this which was great to have someone chatty with a patient like that. of my only thing oh man Dave took over the main treatment with the patients then with a ruse the gentleman made mistakes and took more responsibility that the noise is just for traffic okay no no I'm good to me, I'm proud of what I do that everyone can turn around and say it makes a difference every day, every day.

I want to know that we take off all these things often. I walk here, we always try to do the best we can with people. Erica 1 1 2 was the call sign for the aircraft which is based in the emergency medical service not only is it a joint operation between the Irish Air Corps and the national environmental service the emergency air medical service which we refer to as EAS It is based only on that Jews the fact that it is the center of the country, once we take off from Athlone, it was 45 to 50 minutes, we can be anywhere in the country, the plane reaches a cruising speed of 140 knots, which It's approximately 280 kilometers per hour in a straight line, no traffic lights, no robberies, there are a lot of parrots, right? which are quite rural as we know it is difficult for ground amnesties to reach the patient and then for crews to get the patients to an appropriate hospital, so the beauty of the close medical services which we can obviously fly directly to From there, for example, we could take a patient from Bell Mullet to Galway in just under 30 minutes, which equates to more than two and a half hours of travel, so it would be impractical to take a patient where, using the plane, we can significantly shorten those distances while the aircraft and the crew on that loan are one part of the operation, the aeromedical medical desk in the control center and Tyler is another vital part of the service, so they are basically attentive to the calls in a place where the aircraft will be. a benefit first thing in the morning, we take the plane out of the hangar, we go up and we have a morning briefing that involves all six people on the crew and we do a structured morning briefing, so it's the same structure every morning. any areas that may be problematic for the weather hospital availability what things we take our last call ash because the interior of the core operates daily like Arizona when we get the call that file will then go to the technicians and they will start to start the plane and then the The advanced paramedic crew member and co-pilot will work out the finer details of where exactly we are going, where we will land consensually, once we have done our planning we will all buckle up, move away and then in any direction north, south-east or west.

We won't worry about knowing from dawn by the 4d Resort charity apartment, that's all the artistic and giving us clinical information. When we call the traumatic event, you are the only person initially who knows what that call is. We try and isolate the pilots from clinical information as much as possible because it's not really relevant to what they're doing, they need to focus on flying the plane and navigating, so we don't want them to hear any clinical details that they might get. influence your decisions Roger, that Urkel one two one four minutes to see and unfortunately our ambulance is quite far away at the moment, so you will be the first to arrive on the scene.

Well I have an approximate latitude/longitude for the bowler who has brought his people to the entrance to the property three one decimal five four five better than a couple come here Don okay yeah looking probably 15 maybe 20 minutes from a long distance, I could hear only the lady was screaming, a frying pan was in agony, we reached her. she was sitting on the floor she had fallen off a picnic table or I know what she was also on oxygen at home so I was like okay, obviously she has a pre-existing condition and it turns out she suffers from emphysema, so what are we going to do?

Let's put some gas in the air so he can breathe for a second? Our age could not live quickly because of her breathing, so her daughter kept her in an operational position. It became very clear to us that we needed to do it. Get this dad's pain under control as soon as possible, instead of it being absolute agony. We will do everything possible to get rid of as many ofpain we can. Okay, you're ready, one, two, three, sniff the best hair, as you know well. ready, half of us will get the other half in here ready, big sniff, come on 1 2 3 guess what you hear that whistle, you may have had this before years and years ago open the Terek when Sarah was a little smaller little scratch okay I want like soft peonies it did a little better okay rocker so the islands will be here in a minute okay the bad news is you're going to have to come to the hospital but the good news is we'll take the helicopter mm, let me take ten. minutes, forgive me.

Oh, for a minute I'd be doping back and forth. Oh, right, it was evident that she had a relatively serious injury to her racing femur, her legs significantly shorter on one side than the other. I'm just browsing. So we had an advanced paramedic in a good paramedic, she always looks at the legs and searches, we make a plan, the helicopter was not far from the replication, it was going down a slope and on the other side of the field we had to discuss the logistics of how we were doing. I'm going to carry her from her front yard to the arrow-tested helicopter pit.

In Troy Jim, he works for us, okay, you're still drinking a big red soda, we couldn't layer up so we had to make a mattress of void in a long dispute. The Legacy data load was then loaded onto the ambulance stretcher, placed in the back of the The ambulance secured a stretcher and then backed the ambulance. Trudy Gator from the fields came down as close to her as we got her off the helicopter and unloaded the stretcher from the ambulance to the helicopter. All those movements of hers were obviously causing him pain, so you can only imagine what happened.

It would be that if she left the scene in an ambulance and drove to the University of Chicago Hospital, it would take her more than an hour of round trips. I think I'm probably really sorry, you know, yeah, I wonder now, the wallets end here. interesting, she was actually very patient with the camera once we felt pain in the controls, but she was very good. Galway and potentially it was going to be two hours before maybe someone came down and had a bag and all that started so we took Desi, her husband with us, he was clearly quite worried about her but not in a way that would be get in their way, as we generally don't.

Carrying passengers with patients in EAS, any kind of relatively isolated injury, although very painful for her, so I spoke to the pilot in charge of her and asked if it would be okay if we took Desi Witter. The pilot was happy to be able to take him with the greatest peace of mind. anyone can get it from a loved one who saw him holding her hand and giving it a squeeze to tell her that everything would be okay from time to time if she moved on the stretcher she would feel pain and that reassurance seemed to be very conflicting for her if she happened to we took Desi with us, she would have had to trust me because he was a great help, an honorary member of yes, interestingly, the design is just about I know, you don't have anything stronger, unfortunately, the inflator visited yet, I think people in Italian in a peanut we have been there in a minute a university, so in the air to bomb most of the patients we fly, we take them to some of the largest centers in the country, for example, Clark University Hospital st.

James's is an issue at University Hospital Dublin due to the shorter flight teams we have versus the actual transfer. We were able to take those patients beyond maybe their local hospital for definitive care many years ago when I talked about starting a first aid course with the Saint. John Salmons and that's where I got a big interest in helping people provide first aid and from there I can go on to university and the course came out of Georgia Stefania where I did my EMT and that's how we got into it. at work at at work not three years chris is a colorful character we have our jokes and we go crack I always consider him mentally I'm like that, I think he's an intelligent one among them you know he's very good - He fixed his eyebrows bigger, he has fantastic hair, so he keeps telling me that Damon, my husband at work, does this and my seven m... the job for him was to get him Eames, they recently finished work for the teens on staff, so I'd say five or six hair loss if he's a good joke about the AG, he's a temporary man, so he's making a good joke about burning cork and football at the time when Tipperary were doing well, you know, actually both We could follow an Israeli officer and another who was there before to let me return.

I'm the only temp guy working here in Cork City, but to be honest, I've loved Park City since the first day I walked through the door. All my colleagues have been very welcoming and kind to me. Christmas is usually armed with multiple partners, but usually armed with Steve most of the time. He wouldn't call Steve his head like a man would wife his Lake Bodom, so he was used to shouting his name and Steve's name. Roger controls, you have Crist, you and Stephen. Wetland and AME put out a tender for something smaller and he brought us the wrong name in my head.

I told him he's great. I have no problem with being called a different name, but I hope he doesn't make the same mistake with his girlfriend. The negative The negative is that Christian can even forget about aiming, he actually has a good sense of direction, it's just an uncomfortable environment at first, but getting to know the Cork area is great because Carcas is definitely the best country in Ireland in everyone, so even a Council, know that when you first arrive here, there are many streets even in the city that you should know, but you learn quite quickly on the job, the intermediate care services, mainly the transfer service , so our main function is to transfer a patient.

From one facility to another there is a lot of diversity in our work. I always had an interest in helping people from an early age. I guess it took me a while to figure out exactly where I wanted to work when a wife who is a nurse, she was the one who really pushed me to get my qualifications as an EMT and she was behind me to apply and apply for the ambulance service, just stick it on your arm in this field we travel everywhere we start here in the morning in Cork and we could end up in Waterford we could end up in Dublin we could end up in Limerick Claire Galway we can end up anywhere and come home here even say hello to our tanks past jobs like I would have done a lot of drive-ins, Draven as a salesman and Draven is a truck driver, they just spend many hours and the more tourists or to drive, the imperative betting service does not seem so daunting to me for PC lovers, the cat lab in Cork, this is where The patient will go in an emergency ambulance when he has st elevation, so when they have an attacker, people usually know that this bag doesn't, the gentleman has had a heart attack in the 48 hours earlier, he went to the cath lab and has a stent in service, he was being transported home from coh, don't leave the facility in your local area and Bantry knows you're comfortable there, a few more checks, no, before we get Come on, what did the PCIe lab do? in the morning in the afternoon you could be transferred back to the hospital the day you came out okay, you will feel a tension around Aaron Oh Timothy, it's okay, that's why the intermediate care service is a big advantage, I'm the the service is releasing Bates in the main hospitals for people or extremely sick by the intermediate care service taking people from the PCA laboratory to the intermediate hospitals it will not take longer or ten someone will meet Jim pantry waitis say hello to her on the way up and no They can catch it with the stick.

I lost in this one where women don't listen, they never listen to us. Were you having a party during the '150s or '78s? No, okay, happy, come on, yeah. okay, so we're going to hit there, no, I'm going to hit Cusan, I'm going to relieve the hill and go back to the west, Carcas, here, back to the west, we'll read your money paying, you know, it's you. I have no pain, no discomfort or anything at the moment. If you feel any pain that rents you on the way down, be sure to tell me that it is very, very important when working in the ambulance service that you have good interpersonal and communication skills because you will.

I have to talk for long periods of time to patients and they are very happy and sometimes after a couple of minutes, Dave and they forget that they are at the end of a number when we travel again, it is very important to do our best. as calm environment as possible for these patients because they are going through excruciating pain maybe today before and you are also monitoring them so you try to observe their vital signs and then look at the patient, it is the most important thing because you can tell. A lot of just looking at the patient and when the patient talks to you, you get on a personal level with them, they seem to open up to you, especially when they're in the back.

I'm going to mentalize it. It's a daunting experience being in the back of an ambulance. Make sure she doesn't spend your money. You know it's not a good time for them, but where should you help them pick it up? I'm on the way. house don't spend all this money hey, did you leave? Enter the God website. I was working in the pantry for a while, so I knew a little about her, honey, go on a date, talk about donuts, you better like yourself and not like sexy. Temporal accent It has been noted that the temporal accent was forced with the sexiest accent in Ireland and I just like to say it.

Now it's fully appreciated here in the car, which statistically proves that we have a very, very sexy accent if you take an bit of confirmation when I entered Banshee. The streets will be the easiest of all, everything here, pointing right, right, right, yeah, thank God for Chris. He had no problem with his hair putting your career on. We are not fair, no, no, we get you in and help you sit in more comfortable seats, yes, more comfortable and you can relax for the night. Yes, it was very hot. tomorrow, did you know that we got along very well?

There were eight of us to talk for two solid hours while driving down the highway. No, there is no problematic conversation. It's a lot of fun when you can talk to people like that and talk about the area and how happy they are. are living in that area and how happy they are to be closer to home or to a family or if they see them in the hospital, you know, you might have a little bit of time, it's just easier if you don't or wait a lot. easier for them. Now you know it's over, go down to the end, the workshop theory, I mean, and you'll go left, take a super temporary monkey?

He panics so much, we're here, you know, four beautiful wheels, oh, no pain, no interior, no discomfort. that's excellent, excellent, turn left here, yes, Emma is moving again after this, with that, no, we have an internal job lined up, yes, we have been moving there, no, okay, take them away, let me take this out. Anna, my hope, the trip has come true, there is no fear, just put a blanket over it. No, here we go, he answers that we shouldn't knock, let's go outside. I love what I do, it's the variety in the work, it's not.

I've been stopped somewhere, you know, and it's fun, don't you think? Okay, we have many more. Yes, are you including corgis before? When we walked through the doors, the receptionist knew her name and that's what local communities give everyone. each other, so she was very happy to return home with the job done and just get on with her life. The Air Corps has basically played as a helicopter and a staff attorney and our service provides an advanced paramedic to come on board and provide treatment and care to people. a great addition to the service they have done and it has made a big difference for some people who could have had such a good outcome if I was not in the country so it is a really good service yes Glen County Glen Miller Victor seven five. seven charity and a lab endorsement no yes minutes place thank you Jerry rings five with a 74 year old woman with COPD with severe difficulty breathing.

We were allocated an elderly woman in the south of County Wicklow who was suffering from severe breathing difficulties at the moment we have around four. one thousand three designated landing sites or PDL Z throughout the country and there are many photographs and fields that have been rubble and are considered suitable to be landing sites, so we could be designated to go to PDL Z number one, two, three , four, we have them. in the plane file in the photograph and all the details the latitude and longitude of where it is so that the co-pilot is important in the plane's navigation system and that it covers our course and a flight time towards a bomb two more critical phasesThe fleas take off and land when we arrive on the scene The pilots will take the plane into enormous dangers The lawyers need soft ground animals in the field then the pilots will take it off the ground law just before clear servers arrive, you know, just I'm trying to avoid that, suppose I look at your side, your chin, Bobo okay, let me guess, I'll use some good without your hole there or Obama; usually makes a groan, Lazar stares as he clears in time and there was a senior omnes officer he was also an advanced paramedic at the foreskin scene and was beginning treatment and assessment of the patient if the lone response officer had not arrived there and by the time he did it and started treatment, I don't know how much longer it could have taken. sustained that level of sharpening the fish, she has a long-standing condition called COPD or chronic obstructive pulmonary disease, which means she has constricted airways and can become short of breath, often as a result of something like an infection.

Paul is my name, she was very, very caring for her family and a role model equipped for the patient's needs, but she had deteriorated overnight and it's an equation, well, good morning, we sat him down on the bed in a better position to facilitate their breeding, he continued, but Lady Cheetah, we're just going to get this little guy, we need a sergeant, your armor, we'll get you some medicine, then it's okay and hopefully we'll lead your breeding. The officer on scene before we arrived had begun administering nebulizers. You had the patient on a monitor. You gave him an IV. steroids tighten and help with his breathing we want to get him in the helicopter to the hospital and open him up, okay, done, it was imperative that he get to definitive care quickly, it's very difficult for us to say how long he could tolerate that level of Sharpton suppression.

I'm not really sure how long she was suffering before we came headlong. You're okay, Tina, good lady, if you get a little loud, no, in a minute, once the helicopter starts. oh, we're going to have a hospital in ten minutes, okay initially, when the air medical service was established. , to talk to him as it's a quick time to move, but walking in the back compared to working in a regular ambulance with your partner doesn't mean Economically compared, the size of the back of the plane is probably a space bigger than the back of an ambulance, but it's not as tall or shorter so you can't stand in the back, it's narrow, it's noisy, there's a certain amount of vibration, the equipment is not arranged as it would be would do in an ambulance, oh, you can't easily stand up, deform, press and pull something out.

Any rapper we open, we can't have any on the movie floor. Open the door, he and Don roll in and it recirculates inside the cabin, maybe it takes them out into the ocean potentially into the engine inlet or something, so everyone needs to get cleaned up during the flee as much as possible. We strapped ourselves into a four-point harness. but if we need to stop moving, we have a strap that goes around our waist and then connects to the roof of the plane to protect us at the edge of the train as much as possible. Hey, doctor, can you hear that comedy?

Remember? Sound is a very important factor, so we have two jet engines right above our heads. I put the roof on so obviously we have to wear helmets through the air shield you need to plug in so you can hear the other crew members talking to the patients. they don't wear a helmet, they wear headphones, so sometimes getting a full history on a patient in the back of a helicopter while it's on site could take a lot longer than doing it in extreme temperatures, so that's another problem, so In the winter it can be very difficult to keep a patient warm on the back and in a helicopter, the patient who has suffered trauma or blood loss can be quite cold and then in the summer it is difficult to keep him cool because he becomes a real oven in the back. you have very big windows - an idea - The sun was shining in the windows we wore badges with a helmet attached to our heads and at times I did a good Christie Moore impersonation with a whistle, both of us getting off of me and you have to dream.

Put that aside and take care of the patient, but it can be quite distracting. Five more free, only one sees that one feels a little better. Whoever talks to him about the others, there is a great improvement. Yes, we didn't give his horse any moisture. so you are in a hospital no, Gina, the warmest, yes, November Matsumoto, remember that we have delivered one, tell a hospital with education on board, Sheila, well, then your room, very good, we are sorry that your family is also on the way, okay, uproot yourself to adapt. hospital, which is where after calling, she was able to talk to him a little more clearly at the seams, she didn't even talk at all, how long have you been living with your daughter?

Four years, she is doing well, so after the treatment we had given her, she actually seemed to improve and her oxygen levels increased.