S/O EMT Perez: A Case Study

My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to

The claimant was admitted to Tennova Healthcare Lebanon from 5/17/2016 to 6/01/2016. On 5/16/2016, the claimant had some drinks and was not able to drive home. She was in a confused state and apparently her son drove her home. She was last seen about 1 o'clock in the morning and was put to bed. The claimant's mother tried to contact her in the morning, mid morning, and got no response. Her mother went to her house at about 1 in the afternoon and found her in the bathroom laying between the commode and the wall breathing but unconscious. The EMS was summoned and she was brought to the emergency room. She reportedly had taken several tablets of sedatives. In May 2 or 5, the claimant was given Valium 2 mg for some leg discomfort and muscle spasm.

On May 15, 2016 at approximately 2335 hours Security Officers Steven Evans and Omar Alonso were in the E.D. Security Office when we heard someone yell for help inside of the E.D. entrance doors in regards of a “Gunshot Wound” patient. Out of the Office, we observed a Hispanic male hoping towards the PFS counter with blood on his left abdominal area. Security Supvr. Evans grabbed a wheelchair and wheeled him to one of the E.D. triage room, while his friend, Joseph Park (witness) register him with PFS. Security team in coordination with E.D. Charge Nurse Robbie Phillips placed the Emergency Department in a lockdown, Security Officers responded and kept watch over both E.D. entrances. The patient, Daniel Lopez (DOB: 10/16/1997, FIN #85640879) was transferred to E.D. #35, he had 4 “GSW”, 2 on the right and left buttock, 1 on the right

On Thursday, July 23, 2015, at approximately 0509 hours, I responded to Arbor Creek Apartments, 1120 South Main St #13 for a person down. I arrived on location and noticed black male lying on the ground with blood emitting from the back of his head and out of his noise. I checked his common carotid artery and noticed that he did not have a pulse. I was then greeted by the complainant, Sumautree Hardison. Hardison advised that she heard a bang, went outside and noticed Brandon (unknown) was lying on the ground.

At 1005 this clinician made contact with the patients CPS caseworker who reports he was scheduled to meet with the son at his daycare. He reports he met with her roommate who made him aware the patient was taken away from the home by ambulance. In addition, the roommate also reported

The Department of Human Resources received a report on Ms. Sue Salter on 9/17/14 alleging Ms. Salter a paraplegic who is paralyzed on her left side was living in a home with no water, power, and had an inadequate caregiver. During investigation, utilities were reconnected and Hospice service provided. Hospice stated Ms. Salter was losing notable weight and found lying in urine during visits. Due to this, several bedsores increased and the doctor ordered a catheter and low air mattress. Ms. Harville, the caregiver was educated on wound care numerous times and demonstrated a working knowledge but choose not to administer wound care.

Upon arrival, I had initially provided support in standing by while the Narcotics team went through the house getting everyone out. I then was asked to assist in search the two female subjects that were detained. While searching the females I went back to my vehicle to grab another set of gloves. While I was doing this, I had seen Officer Fredrick #1111 had one of the subjects identified as Keith Gray W/M (DOB: 07/09/1958) on the ground. Officer Fredrick had advised me the subject just fell face forward. With my EMT medical knowledge I looked at the subject and noticed that he was having what appeared to be

Approximate 1414 Soc received a call from Deb Pyle (Nurse) about a Young female feeling Cold, Dizzy, Pale & Heart rate increased. Nurse Pyle requested Paramedics on site. 1416 Paramedics was called by security officer Satinder Singh. 1420 Supervisor Marques Diaz sent MERT E-mail to the MERT TEAM about the Medical Assistance. 1423 Paramedics arrived on site to treat the young female. 1425 Fire Department arrived on site to attend to the female. 1438 Paramedics took the female (Kristina Milkovic) to Santa Clara Kaiser to be check for increased heart rate, dizziness, feeling cold, pale, shakiness.

On November 16, 2017, at 1236hrs, Nurse Supervisor for Desk A and B notified Police service of a sexual assault. VA Police were dispatched to Room 1F340. Upon arrival, I met with Nurse Supervisor who stated that the Veteran had been sexual assault. The Veteran was located in room 1F337, where VA police made contacted the veteran. The Veteran stated that between 0300hrs, and 0400hrs, while at a 1211 old FM 440RD Apt #1-202 Killeen TX, 76549 she was sexually assaulted be a friend. The Veteran informed the VA police that she had not showered and had changed her close. VA Police then notified Austin Police Department (APD) who had an officer respond to the clinic. At 1205hrs, APD Officer arrived on scene and attempted to get the get the Veteran to report the sexual assault to Killeen Police department. At 1337hrs, The Austin Victim Service Counselor arrived on scene and provide information to the Veteran. During this time, it was determined that the Veteran did not want to file a police report about the incident. The Veteran departed the VA Property.

On Thursday 12/24/2015 at approximately 2307 hours. Security Officer Omar Alonso (420) was contacted by E.D. Charge Nurse Sharey Selover about an uncooperative intoxicated male patient, Jose D. Gonzalez (DOB: 03/30/1977; FIN# 85006354), come in through the EMS Offload area. Officers Alonso and Ayuso reported to the call and observed an intoxicated male being wheeled into the Special Care Unit (SCU) E.D. room # 39. According to his assigned Nurse Sara Lopez, the patient had been involved in a physical altercation and had been kicked hard in the groin area. Patient did not behave badly or disruptive once he saw that Security were present and his Nurse was able to get his vitals, blood work, and urine without having any issues. Security staff

Upon arrival I asked the Officer which way the EMS travelled through the crime scene to establish a pathway to walk. Then I asked the Officer if there were any witnesses other than Jody de Cleaner. After the initial walkthrough it was found that a blood pool of about 5.5

On Monday January 4, 2016 approximately 11:40pm Stephen came downstairs looking for EMS for his mother who was having an epileptic seizure. C. Horton went over the 900 side to see what was going on. C. Horton saw Ms. Sophie lying down on the bed. EMS Gonzalez #4333 unit 39 victor arrived on seen at 11:35pm on the 900 side. Aisha was notified about the incident and also approved that Stephen can stay with his siblings overnight. Ms. Sophie was taken to Brookdale

On 10/4/2015 S/O EMT Perez was dispatched to MG-T15. S/O EMT Perez knocked and announced his presence at the door and was greeted by the resident, a Mrs. Maxine Montgomery. Mrs. Maxine Montgomery stated that she needed some help re ajusting her sling and was unable to do it herself. S/O EMT Perez adjusted her sling and asked if Mrs. Maxine Montgomery needed any asistance with anything else and or needed any aditional care. Mrs Maxine Montgomery stated that she was fine and needed no adititional care and escorted S/O EMT Perez out. S/O EMT Perez cleared the scene without further incident.

Anna is a fifty five year old homeless, unemployed woman who was admitted to the Emergency Room (ER) at Victoria Hospital in London, Ontario for pelvic pain and postmenopausal bleeding. During the nurse’s head-to-toe assessment it was found that the patient also had presenting abdominal distention, prompting her physician to order an X-Ray to determine if a gastrointestinal issue caused this distention. Once this was ruled out, Anna’s physicians continued to search for the underlying cause of her abdominal distention, in addition to her other admitting symptoms. As a result, Anna was admitted to the hospital as an inpatient on the Acute Medicine Unit. The day following admission, Anna went for further testing to hopefully discover the cause of her symptoms. The first test completed was an

Joanna is an experienced nurse taking care of Mrs. Kelly, who was Joanna’s patient many times in the past for her primary problem which is COPD. This time Mrs. Kelly was admitted with complaints of abdominal pain what was different from her primary diagnoses. Her vital signs were with normal limits and no significant changes from privies results, but for the nurse she looks sick, and Joanna know that something is wrong. She calls the resident doctor, but he tell her to watches and calls back with series changes. Joanna multiple attempts to report that something needs to be done to evaluate the cause of Mrs. Kelly pain was ask to calm down. However nobody took patient symptoms series and the next day patient died.