The beauty of the beast (sftblqt14) wrote in goodstories,
The beauty of the beast
sftblqt14
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what to do?

Not really sure what to do, if anything, I disagreed with my crew chief and so did the other EMT with me. I am new she has been there for 5 years and he has been there for 20+ and is an instructor to boot.

Arrive on scene to find an 86 years old man alert but not oriented sitting on the couch. Right away you could hear that he was having trouble breathing and you could see the liquid coming out of his mouth. He was incontinent, had a elevated bp and pulse and respitory rate. It sounded like he was gargling on his own spit, so my first thought is possibly suction and oxygen. He was a diabetic, so my crew chief right away says we need glucose in him, I said I don’t think he is alert enough to take glucose, he can’t even talk, I don’t think he can swallow. He says lay take his feet and lay him on the floor, I said to him he shouldn’t be laying on the floor, he is already having difficulty breathing, but he proceeds to take him off the couch and lay him on the floor, even more so now you could hear him, it sounded like he was choking on his own spit, So my crew chief says give him glucose I refused, he couldn’t’ swallow he need oxygen and he needed to get out of the house into the rig for the medics and he needed not to be laying supine. So I get oxygen ready and the women that was talking to the family , the other emt says to this man he can’t swallow why are you giving him glucose, he says look I know what I am doing he can swallow look he is swallowing now, this man was holding his head just pushing all the glucose in his mouth and the pt was just gargling and most of it was coming up out of his mouth, the cc just continued to give it and wipe his mouth, I said can you sit him up, he needs to sit up, after a while he finally says fine and sits him up, the other emt by now says the same thing. I leave, he asks for the stair chair, I said should we be using the stair chair he can’t stand or talk, or even keep his head up shouldn’t we use the reeves, he says get the stair chair he is fine. So I go out and this other emt is now helping with pt care, he asks her for yet another tube of glucose, she says he can’t swallow I am not giving it, if you want to give it to him you get it out of the bag yourself. He put 3 tubes of glucose in this mans mouth and all if it basically just came out of his mouth. The medics come b4 we get him out of the house, and as what’s going on, he says he is a diabetic and I gave 3 tubes of glucose.. they say well can he swallow he says yes and my other partner says No but he gave them to him anyway, they start assessing and say he needs to finish getting him out. They take his sugar it was around 33 or something in the low 30’s and immediately start an iv to give him glycogen s or whatever it is called, eventually the man starts to wake up. However, the call went horribly, after the call I went up to him and told him my thoughts on how the pt couldn’t’ swallow and should not have been supine while getting glucose, n should not receive glucose because of all the indications weren’t met. He say to me, he was fine, didn’t you see an improvement, I said no, I didn’t , not until the medics did what they had to. I spoke to the other emt that was with us she has the same thoughts, and hates riding with this one cc because he does things like this. I tried to do what I thought was right for the pt but I just got shot down and I am not a cc, he wouldn’t listen to either of us. I don’t know, but it just didn’t’ seem right. I hate being in that position, and I don’t know what to do about it, he is older, he has been there longer, he teaches it, but he wasn’t right on that call. How do you deal with situations like this?
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