Nightwatch: EMTs Comforting Patients - Top 5 Moments | A&E
Summary
TLDRThis transcript captures the dynamic and intense experiences of emergency medical responders in New Orleans. From a young woman injured in a streetcar accident to a two-year-old with an allergic reaction, the team faces a variety of urgent situations. They navigate motor vehicle accidents, including one with a car on fire, and treat patients with seizures and breathing difficulties. Amidst the stress, they find moments of humor and compassion, highlighting the human side of emergency care.
Takeaways
- 🎧 The speaker reminisces about their past as a DJ, highlighting the contrast between their active social life pre-pandemic and the current confinement at home.
- 🚔 A dramatic 911 call describes a serious accident at the intersection of St. Charles and Bordeaux involving an SUV and a trolley, emphasizing the urgency and potential severity of the situation.
- 🚑 Emergency responders arrive at the scene of the accident, showcasing their quick response and the importance of immediate medical attention in such incidents.
- 🤕 The script details the careful extraction and treatment of an injured young lady from the accident, highlighting the responders' attention to preventing further injury.
- 🚨 The responders discuss the potential for fatalities in streetcar accidents in New Orleans, underlining the inherent dangers and the need for public awareness.
- 👶 A call about a two-year-old with an allergic reaction leads to a discussion on the signs of anaphylaxis and the importance of prompt medical intervention.
- 🚒 The script describes a motor vehicle accident on a bridge with a car on fire, illustrating the diverse and high-stakes scenarios that emergency responders face.
- 👩⚕️ The responders' interaction with a child patient and her family during a medical emergency provides insight into the emotional and psychological aspects of their job.
- 🏥 The script touches on the impact of the COVID-19 pandemic on hospital visitation policies, showing the challenges faced by patients and their families.
- 🚨 A call about a child with difficulty breathing and a history of asthma and pneumonia underscores the importance of immediate and accurate medical care for children.
- 🩺 The final scene with a child patient and the responder's empathetic approach demonstrates the human connection and emotional support that is part of emergency medical services.
Q & A
What was the initial situation described in the script?
-The script starts with a person missing the social activities of being a DJ before the COVID-19 pandemic, and then shifts to emergency response scenarios involving accidents and medical emergencies.
What type of accident was the first emergency response team dispatched to?
-The first emergency response team was dispatched to a motor vehicle accident involving an SUV and a trolley with people trying to help and not being able to get out.
How did the emergency responders handle the young lady involved in the trolley accident?
-The emergency responders comforted the young lady, placed her on a stretcher with a seat belt and a c-collar as a precautionary measure, and carefully removed her from the vehicle using a backboard to prevent further injuries.
What medical condition did the two-year-old child have?
-The two-year-old child was experiencing an allergic reaction, possibly due to shrimp, with symptoms including hives, redness on the skin, and swelling under the eyes.
What was the nature of the second motor vehicle accident described in the script?
-The second motor vehicle accident involved a car on fire and another car with two children and a driver. The driver of the burning car was rescued by a passerby before the car was fully engulfed in flames.
How did the emergency responders assess the children involved in the car fire accident?
-The responders checked for signs of trauma, including checking if the children could move their limbs and assessing for pain. They also noted that the children were properly secured in car seats, which likely saved their lives.
What was the patient's condition in the seizure scenario?
-The patient had a history of seizures and had fallen, hitting her head during the seizure. The responders evaluated her for internal injuries and the potential for further seizures.
How did the emergency responders manage the situation with the nine-year-old having difficulty breathing?
-The responders calmed the child down, reassured him, and provided breathing treatments. They also checked for chest pain and other symptoms related to his asthma and history of pneumonia.
What was the significance of the 'struggle bus' comment made by one of the responders?
-The 'struggle bus' comment was a humorous way for the responder to express that they were going through a tough time, possibly due to personal or work-related stress.
How did the emergency responders handle the emotional aspect of dealing with patients and their families?
-The responders showed empathy and compassion, using humor and reassurance to calm patients and their families. They also provided physical comfort, such as holding a patient's hand or giving a child a stuffed toy.
Outlines
🚑 Emergency Response to a Streetcar Accident
The script starts with a reflection on the absence of a DJ, possibly a metaphor for the lack of social activities due to the pandemic. It then shifts to a dramatic account of a motor vehicle accident involving an SUV and a streetcar in New Orleans. Emergency responders, including a medic named Alpha 3250, arrive at the scene to find numerous injuries and begin immediate care. The responders prioritize stabilizing the victims, using a backboard and C-collar to prevent further injury during extraction. A young lady is the focus of care, showing signs of shock but no severe injury, and is carefully moved to an ambulance for transport to the hospital.
🦐 Allergic Reaction and Children's Emergency Care
This paragraph describes a situation where a young child is experiencing an allergic reaction, likely to shrimp, with symptoms including hives and swelling. The emergency team takes the child to the hospital, explaining the necessity of starting an IV and administering Benadryl. The child's reaction to the medication, including vomiting and drowsiness, is monitored. The responders also provide comfort and reassurance to the child, highlighting the emotional challenges of treating pediatric patients and the importance of maintaining a positive atmosphere.
🔥 Motor Vehicle Accident with Fire Involvement
The script continues with a motor vehicle accident on a bridge, where one car is on fire. The responders find a family involved in the crash, with the mother having a potential broken arm or elbow and the children showing signs of minor injuries. The children were secured in car seats, which likely saved their lives. The responders provide first aid, comfort the children, and arrange for their transport to the hospital, emphasizing the importance of car seat safety.
🤕 Seizure and Head Injury Emergency
The fourth paragraph details the response to a 41-year-old female who had a seizure and hit her head, possibly causing internal injuries. The patient has a history of epilepsy and seizures related to stress, which may have been exacerbated by the pandemic. The emergency team evaluates her condition, checks vitals, and prepares for potential further seizures by starting an IV. The patient's children are present, and the team must balance caring for the patient with providing reassurance to her family.
🫁 Child with Asthma and Difficulty Breathing
This paragraph focuses on a nine-year-old child experiencing difficulty breathing, possibly due to asthma. The child has a history of pneumonia, which adds to the urgency of the situation. The emergency responders calm the child, administer breathing treatments, and reassure him that he will be okay. They also take the opportunity to connect with the child on a personal level, offering words of encouragement and advice for a healthy lifestyle.
🩸 Urgent Medical Response to Severe Bleeding
The final paragraph provided is a brief but intense statement about a medical emergency involving severe bleeding. The responder expresses determination to save the patient's life, indicating a situation where quick action is critical to prevent the patient from bleeding to death.
Mindmap
Keywords
💡DJ
💡COVID-19
💡Accident
💡First Responders
💡Anaphylaxis
💡Seizure
💡Epinephrine
💡Asthma
💡Trauma
💡Pandemic
💡Stress
Highlights
A DJ named DJ Skip-a-Beat misses performing due to the COVID-19 pandemic.
A New Orleans 9-1-1 dispatcher sends emergency responders to a serious accident involving an SUV and a trolley.
Emergency responders provide calm reassurance and medical care to a young lady injured in the trolley accident.
The importance of using a seatbelt and a backboard for patient safety during emergency transport is highlighted.
A child with an allergic reaction to shrimp is taken to the hospital for treatment.
The potential severity of allergic reactions, including anaphylaxis, is discussed.
A motor vehicle accident on a bridge with fire involvement poses a significant rescue challenge.
Children involved in a car accident are found alive thanks to proper car seat usage.
A 41-year-old female with a history of epilepsy experiences a seizure and hits her head.
Stress from the global pandemic may exacerbate the patient's seizure disorder.
A nine-year-old with asthma is struggling to breathe, and his father seeks medical help.
The child's history of pneumonia adds to the urgency of his current asthma attack.
A paramedic connects with a young patient, providing reassurance and a sense of personal care.
A dramatic motor vehicle accident results in a child with a broken nose and the mother with a possible broken arm.
The crucial role of car seats in protecting children during severe accidents is emphasized.
A paramedic reflects on the emotional impact of treating children and the rewards of seeing them recover.
A patient's children are unable to visit her in the hospital due to COVID-19 restrictions.
Transcripts
i do miss dj here i'm missing d.j i miss
it man like you know
before covert if i'm sitting there with
nothing to do or i got a weekend free
you know call somebody up and find a
spot to go dj it and now i'm stuck
sitting there at the house no i'd never
thought she was a dj it's the country
accent man people know
it throws everybody off what's your dj
name
dj skip a beat
dj skype
city of new orleans 9-1-1
i am at the intersection of st charles
and bordeaux and there is an suv that
just ran into the trolley bunch of
people trying to help they're not
getting out it was really scary okay mom
dispatcher has your call they're sending
someone out they'll be there as soon as
they can
alpha 3250 you guys are going to be
going to st charles avenue at bordeaux
this could be bad man yeah it's
definitely gonna be bad
titus and i are responding to a motor
vehicle accident involving a vehicle and
a streetcar i've seen several people
killed by streetcars here in new orleans
so this has the potential to be a pretty
bad situation
[Music]
32.50 we don't see
all right love look it's gone
everything's gonna be all right love we
got you it's all right calm down we here
it could have been a lot worse is
anything hurting you baby
calm down
let's get the stretcher in a seat collar
right now i do see that the patient is
still alert and able to talk this young
lady is just scared of what happened
which is understanding she's a young
lady that just got hit by a trolley pull
it up scoot it up under her butt so you
feel this board right here up onto you
we're going to twist you around we're
going to sit on it then we'll lay you
back all right
whenever you're ready you count and then
you move okay we put a c collar in place
as a precautionary measure and we
decided to use a backboard to remove it
from the vehicle we don't want to cause
any further injuries because we don't
know what injuries she has at this point
all right lay straight back
all right
one two three
what we're gonna do is we're gonna get
you out this weather all right we know
this could be serious she's complaining
of leg pain now but until we get her
into the ambulance we really don't know
what's hurting this young lady
so
this left leg is the one that hurts you
and this left arm right yeah and your
side you have your seat belt on large
yes all right we're going to shut those
gates and we're going to get the gun all
right i think you're going to get that
new 2021 joint though
i look like that's a pretty new car too
let's roll out get this young lady to
the hospital
when i was young when tyler was driving
i hit a street car too so
yeah that's it like i was looking but i
didn't see it you just didn't say it and
i didn't hear it either usually you know
yeah you can hear it coming right you
born and raised here right so you used
them so you thought that you could hurt
it all right just for you live and you
all right i'm gonna throw you a bead all
right
so look we going green so it's for
running into the street car we're gonna
get your whistle so next time you plan
in front of three car we want you to
blow this whistle so they can stop okay
at this point people just need a good
joke man good laugh to calm down and
then once you bring anxiety to a low now
you're able to assess the patient and
get good vital signs and just get that
communication with the patient let me
get a little information
i feel comfortable that she's going to
walk out this hospital just being a
little sore but she could have a broken
leg or internal injury she did just get
hit by a two-ton object all right love
we help y'all make you look good when
you go in this hospital
y'all look beautiful
so there you go
that hasn't been cheap enough
i don't know why mine went up a little
big i'm gonna work at it
i'm on a struggle bus right now so yeah
i'm gonna have more gum in my beard than
i'm gonna have in my mouth you're gonna
be captain gumby or tonight i know
aboard the struggle bus
we get a call for a two-year-old that
the parents noticed some swelling she
has some hives so possibly having an
allergic reaction
hi
what's going on
shrimp shrimp she might be allergic to
shrimp we're gonna take her to the
hospital okay she's got a little bit of
swelling under her eyes and i can see
some hives and redness on her skin so i
would call it you know an allergic
reaction definitely i'm just warning you
sadly we're about to make her cry
because we're gonna have to start an iv
on her and give her some banana grill
you want to sit let me slide right over
there baby allergic reactions
and children are scary can i see this
arm
i know peanuts and shellfish both can
cause anaphylaxis very quickly
oh my gosh oh my gosh
what is this i know it's wet you see
that
you're terrible at distracting
watch that water treats food water
cheese flavor oh gosh oh my gosh
[Music]
you want to sit in a big girl chair
allergic reactions are so weird you can
have that first initial one put you in
anaphylaxis and you can die from it
let's go um one to two milligrams per
kilogram or you could be one of those
people where you have that mild reaction
first and then if you come into contact
with it again it's a little more severe
and then more severe until eventually if
you come into contact with it it'll
cause you anaphylaxis
let me see
[Music]
[Applause]
yeah it's actually common for the throat
to itch a little bit right afterwards
plus be her being upset she'll pass in
just like two seconds i saw that
screaming yeah
okay here you go
i gave her the benadryl and you know she
started to vomit a little bit which is
fine that's a normal side effect
especially for kids it's okay it's okay
still you know watching this cute little
baby vomit and and get a little shaky
from the benadryl it makes you a little
bit sad to be the bad guy it does
you want to hold it for a second would
that make you feel better
okay
and look she might get a little tired
too okay that's pretty normal so she
might actually even go to sleep all
right anytime we get you know such a
sweet you know pediatric patient it's
like a little break what kind of
birthday party is she having
mickey mouse clubhouse your skin looks
better already you're gonna be perfect
for your party tomorrow you're welcome
you know you're dealing with grumpy
adults or very sick adults and so to get
you know that little breath of fresh air
and to just have
the chance to laugh with a child and you
know play with them a little bit and
things like that it's definitely a break
in the night why are you so cute
[Music]
we're going to a motor vehicle accident
that's out on highway 11 bridge
we got fire
in both aspects
we've had some really bad accidents on
that bridge it's just a little two-lane
bridge
and it's very dark
not on scene
[Music]
her seat there's a wow in the car also
was in her seat got a busted nose mom's
probably got a broken arm there's nobody
in the other vehicle
or the other okay so we have four total
yeah all right we get a call for uh mva
there are two vehicles one that is still
smoking and another that has two
children in it along with the driver
the driver of the car that caught on
fire she was very lucky apparently a
passerby stopped and opened the door and
helped her out of the vehicle before it
got fully engulfed in flames
we got around i hadn't moved here
all right let's get a i got the this i
think this one has uh the seat the car
seat in it the baby is maybe four or
five months old she's a newborn almost
i see some brush burns on her like
little abrasions to the head
she starts crying so that's always a
good sign
oh my goodness
because that means that they're feeling
any pain that they might have and that
they're scared and know what's going on
if you have a baby that's quiet
that has just been through
something as traumatic as this that's
always a cause of concern that one's
okay
i get the baby girl all set
and firemen bring her older sister in
okay
that hurt
all right all right you want me to get
you a little something that's cold and
put some coal on it all right
i'll start to talk to her and and assess
her i see she's got some swelling to her
lips and nose area you want a whole lab
you want me to hold it all right i'm
going to sit right here and hold it for
you can you wiggle your feet
oh
very good i like those tennis shoes
[Music]
the firemen were taking care of the mom
apparently she had
what appeared to be a broken arm or a
broken elbow
um your mama we're gonna get your mommy
in in just a minute okay
the baby look i got your baby
she's doing good too she keeps asking
about the baby i thought she was asking
about her sister
i kept telling her baby's right here
she's fine she's fine
[Music]
all right we're gonna we're gonna get
your doll for you
come to find out she was talking about
her baby doll christine's gonna go get
your doll okay
oh christine got your doll
yay
all right
she's got that little mark on her head
that would mean trauma criteria the mom
is in a lot worse shape than the
children so we need to get her to the
doctor you're all right with them going
to ochsner or you want them at
university
the two children they were very lucky
that they were properly secured in car
seats and that's the only thing that
saved their lives
if that hadn't had been in play
i'm almost pretty sure it would have
been at least one fatality if not two
times
[Music]
i keep thinking i'm having hot flashes
[Music]
gonna be a 41 year old female that had a
seizure in his head people began to see
going to a
41 year old lady who evidently had a
seizure hit her head when she fell
so she's an epileptic has a history of
seizures
she has a history yeah she has a history
of seizures such as epilepsy
hopefully she'll be awake from talking
whenever we're there
[Music]
when you fall and hit your head there's
always a risk of some sort of internal
injury that we can't see you could have
a bleed into your brain which can then
cause more seizing and then more trauma
and then more injury and it's a bad day
are we here yeah we like oh there's
nobody here
it's in the back
i don't know hop out let's see
how you doing
did y'all call ems
how you doing dear
i know
[Music]
you had a seizure you failed and hit
your face on the bend
all right
can you walk on up to the ambulance for
us
so you had a seizure you fell and hit
your mouth okay
come on let's just walk right out here
and we're going to check you out all
right dear
you got a jacket on yeah let's just walk
out just like this
we're just going to get you a set of
vitals make sure everything's okay all
right come on sweetheart
responding to a patient had a seizure
she fell she's injured herself it's
important that we evaluate her quickly
so that she gets the care that she needs
okay
come on sweetie hey you even got to cry
mama's all right
you stay right here for just a second
all right i got something for you
come on baby i'm gonna help you out a
little bit
kendra can you have a seat right here
for me sweetheart
just have a seat right there there you
go sub seat there we go it's always
difficult to see a patient's children
upset but right now our focus has to be
on the patient herself to make sure that
she's all right all right we'll turn the
heater on for you
let me see this i'm gonna take a blood
pressure okay
hey baby
you had a seizure okay
i know i keep telling you that i think
it's because you keep forgetting
i've been having seizures all my life
okay okay since
that's fine we're just here to check you
out that's all
so i'm just gonna start an iv over here
just in case you have another seizure
okay
do you know what causes your seizures
i have um as like
they say if i i worry
stress out too much this is
causing you here
we're in the middle of a global pandemic
which has been very stressful for pretty
much everyone so it's no surprise that
the patient has been feeling extra
stressed and it may have exacerbated her
seizure disorder
hold on one second so we're gonna get a
mask on you okay
sorry all right let me see this arm baby
two more stickers here okay
[Music]
now listen
this little guy
says no more crying okay now he or she's
gonna need a good name okay okay all
right
i want to see a couple things real quick
okay close your mouth all the way
uh-huh uh open your mouth
okay good
now move your jaw from side to side for
me just make sure everything lines up
good make sure your jaw is okay
how long should we have to be in that at
night that i do not know
did you want to give your mom a hug
before she goes
[Music]
the coronavirus pandemic has really
changed how hospitals allow visitation
her children will not be able to visit
her in the hospital and that's terrible
that's heartbreaking
all right
all right off to university
yeah
sounds good
i'm having a kid i can only hope mine's
as cute as yours your kids are adorable
[Music]
[Music]
nine-year-old kid
difficulty breathing
kind of treatments not working
being a dad calls with children
kind of tends to tug at your heart a
little bit you tend to
relate more personally let's go say hi
to little guy before i'll see
hey big guy what's up
you okay
are you scared
what are you scared of
that's from breathing so fast take it
easy you'll be all right
let's take this out your mouth
i'm going to listen to you breathing
okay big guy
yeah
an asthma
how old are you bubba
you look like you're 10 at least i
thought you were like 24. took a nice
easy deep breath
so you're breathing down
there you go
now when you take a deep breath does it
hurt pretty bad right in there
where's the heart point to it for me
right there you've been coughing
you get a headache well you got to stop
that coughing then you don't want no
headache do you
the thing he's saying is when he takes a
nice deep breath he's having some chest
pain now it could be the mommy
does he have does he have a history in
the morning
okay has he had a fever yeah okay asthma
in itself if left untreated can be
dangerous
now we learn he has a history of
pneumonia everything's a little more
serious
our main goal at this point in time is
to keep him calm
and let him know that everything is
going to be okay
that pain feeling a little better in
your chest
no put you back on this stuff again here
you're still scared
[Music]
i ain't gonna do nothing to hurt you all
right no needles no nothing how about
that
sound like a plan
all right you ever seen a picture of
your heart before
you want to
right there
that's your heartbeat
each time it beats this big line
foreign kids i tend to treat them as my
own so i take all kids very serious and
personal you wanna give me a bump
all right
you kind of miss but i'm gonna let you
slide because you don't feel good
you making good grades promise all right
i'm gonna keep track of you
you don't smoke right
you don't drink alcohol
you don't do drugs you better never
start i'm proud of you kid
grandma you do a good job
treating kids can be very rewarding to
see him start to smile toward the end is
a tremendous feeling i think this guy's
gonna be just fine with a little rest
and some breathing treatments
my man what you got there
your heart
you're holding your heart in your hand
he's holding his heart in his hand
that's just crazy hang on to that now
[Music]
be safe be strong let's do this get that
stretcher in here you're going to bleed
to death
they're not dead
i can work with that
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