An example of EMT testimony

Summary

In this transcript, Roy Scott Nix, a firefighter and paramedic with 22 years of experience, describes his response to a critical incident involving a two-year-old girl, Layla Daniel, in 2015. He recounts the events as they unfolded, detailing his efforts to revive the child through CPR, medication, and other emergency protocols. Despite their best efforts, including intubation and drug administration, Layla remained unresponsive. Nix also observes bruising on the child's body, indicating potential trauma. He emphasizes that no medical procedures performed contributed to the bruising, though he could not identify the cause.

Takeaways

• 😀 The paramedic, Roy Scott Nix, responded to a call on November 17th, 2015, regarding a child who was choking and later became unconscious with CPR in progress.
• 😀 The initial dispatch reported the incident as a choking case, but it changed to a CPR-in-progress situation while en route.
• 😀 The paramedic was working with Rescue 13, an ambulance stationed in Henry County, and arrived at the scene approximately 11 minutes after dispatch.
• 😀 The first responders on-site included Engine 4, with Lieutenant Gibson and Captain Gibson among the first to handle the child.
• 😀 Upon arrival, the paramedics found Layla Daniel, a two-year-old, in a lifeless state, wrapped in a towel and showing no signs of pulse or respiration.
• 😀 After initiating CPR, Layla was connected to a heart monitor, which showed asystole, indicating no electrical activity in the heart.
• 😀 The paramedics followed Advanced Cardiac Life Support (ACLS) protocol, which involved attempts at intravenous access and administering epinephrine, though the child never regained a heartbeat or independent breathing.
• 😀 A failed attempt to insert an intraosseous (IO) line was made before successfully inserting it into the child's leg to administer fluids and drugs.
• 😀 Layla’s body showed signs of multiple bruising across her limbs and torso, which was noted both before and after being turned over during resuscitation efforts.
• 😀 The paramedic confirmed that no actions performed during resuscitation, including CPR or intubation, could have caused the bruising observed on Layla's body.
• 😀 At the hospital, further assessment revealed that Layla’s left arm appeared deformed, but there was no indication that the paramedics' medical intervention caused this deformity.

Q & A

What was the initial report about the child's condition when the paramedics were dispatched?

The initial report was that a two-year-old female was choking.

What change occurred in the child's condition while the paramedics were en route?

The report was updated to indicate that the child was unconscious with CPR in progress.

How long did it take for the paramedics to arrive at the scene?

The paramedics arrived at the scene approximately 11 minutes after being dispatched.

Who was the first unit on scene, and who was present with them?

Engine 4 was the first unit on scene, with Lieutenant Gibson (now Captain) and Ken Jones present.

What was the child's condition when the paramedics first observed her?

The child, Layla Daniel, was lifeless and was being carried by Captain Gibson in a towel or blanket.

What medical steps did the paramedics take upon assessing Layla?

The paramedics started CPR, placed her on a monitor, and followed ACLS protocols. Captain Gibson also intubated the child.

What did the paramedics observe on Layla's body once she was exposed?

The paramedics observed multiple bruises on her arms, hands, legs, hips, and torso.

What abnormality did the paramedics notice about Layla's left arm?

The paramedics noted that Layla's left arm appeared slightly deformed.

What was the method of resuscitation used during the transport to the hospital?

The paramedics performed CPR, administered drugs like epinephrine, and established an interosseous (IO) line to deliver medication.

Did Layla ever regain a heartbeat or breathe on her own during the transport?

No, Layla did not regain a heartbeat or breathe on her own during the transport.