It's easy for me to quip about how we in the emergency response field are defeating natural selection, but the things aren't so jovial, when I park in someone's front yard and run past a girl that's crying because the paramedics are working on GramPaw, who just had a heart attack. As I came into the living room the other day, said grandfather wasn't looking good, as the EMT, who had just finished hooking up a five-lead monitor, began compressions. The paramedic calmly but efficiently began getting out his heart drugs. This looked like a dog and pony show for the family.
As I moved furniture to make access to get the guy out, I watched the paramedic get out a pretty nifty little red power drill. I'd never seen one, but my buddy Ambo Driver had told me about them before, so I recognized it for what it was: an intraosseous infusion power driver. He drove a trocar right into the patient's tibia. As he did so, I could hear the light little power driver motor bogging down as the threaded insert drew down tight to the patient's shin, enough to make the skin pucker just a bit. The paramedic then screwed in a line, and began squirting drugs into that line. Quite a lot of drugs. It hadn't struck me before how big a guy Gramps had been. Wow. More drugs?
They boarded him. C-collared him (why? WHY? He had a heart attack and fell to the floor. No evidence of neck trauma.), and then began to try to get him out of the house. two of us had the head, and the paramedic had his feet. Like many houses, this one was not designed to make it easy to get a gurney in or out of, so we brought he board out to the gurney. At the turn in the hallway, I just took the head, in time to realize that GramPaw had been a big ol' boy. We got him down the stairs, into the box, and I stood by with a deputy, trying not to look at the growing crowd of family members, crying and hugging each other, talking about GramPaw.
This man was loved. But I really didn't feel like GramPaw had a chance.
Later that night, the paramedic dropped by the P.D. GramPaw was stable when they left the hospital, and at last check had a room at the ICU.