Monday, 12 January 2009

That's That

As I press 'Go Mobile' on the screen I re-read the address, I know it. Not a regular caller but something in the back of my mind is recognising the number and the road in combination.

The job is a cardiac arrest, query Purple call (Purple - may have been dead for sometime)

We pull up and grab the kit, I know which door to the block it is. I head straight for the stairs not needing to look at the numbers. I already know its the orange door on the first floor.

We're met by a family member who shows us to a tiny room at the back of the flat. The man is lay on his back on the floor, very pale, mouth open, eyes starring blankly upwards. The family can't tell us how long he's been there. They only came round because they couldn't get him on the phone.

He had been feeling unwell last night, apparently having trouble with his breathing. He had decided to sleep sitting up in the armchair which partially blocks our entrance to the room. The small table next to it is littered with evidence of his illness, GTN spray, ventolin inhalers, aspirin.

We feel his temperature, he is still slightly warm to touch so we start to go through the motions which we know will be futile but at least we can say we tried. He is asystolic throughout and after 20 minutes we explain to the family what will happen. They knew he was gone as well but tell us they appreciate our efforts.

Control are informed and the police notified as is standard practise. I grab a blanket and the report computer to head back up. I'm racking my brain to think about when I saw him last. I think it was an urgent call for him to go to Holy Hospital for assessment as his GP wasn't happy with something, was it his heart? Breathing or something less obvious considering the position I find myself in now?

I had reasoned before that I felt detached from cardiac arrests and DOA's (dead on arrival) because I didn't know the person. As I didn't know them I was unaffected by their death, it's my job and that's that.

But this was different. I knew this person, not in any great detail but I had sat and talked to them and seen them very much alive, he may have told me about his family and what he did in the prime of his life. And yet I still felt unaffected by his death and my role in seeing the end of his life.

I guess I'm still learning that its my job and that's that.

9 comments:

Elaine said...

Oh, yes, the detachment is not easily learned.

James UK said...

"Query Purple call"; would you mind posting a list of the others? I've not Googled for them, but I guess they start at white, perhaps, then going through orange, red etc., up to purple?

If you were affected by this kind of call, just imagine how quickly your... stress / emotion "water tank", for want of a better analogy, would fill up to overflowing. Once you get there, then you're talking nervous breakdown territory. Remember, it's part of the training to "tune it out" to a certain degree. You aren't being unaffected "on purpose"; you couldn't do the job if you were.

I would guess that you did play a bigger role than you think, simply by listening to him and talking to him the last time... it may have seemed insignificant to you then, but I expect he cherished that time to speak to someone willing to listen for once.

Hope that helps.

Louise said...

Hi James, Cheers for your comments. Tough time at the moment and I think I keep choosing posts that are a bit reflective and down..... a happy one soon!

Call classification goes as follows:

Purple: DOA or Cardiac Arrest

Red: Highest priority e.g. Chest Pain, difficulty breathing etc

Amber: Slightly lower priority e.g. possible fractures, falls etc

Green: A 999 call that does not (according to the system) require a blue light response

Urgent: GP calls, the doctor has requested the hospital be seen in hospital and arranges transport by us.

MarkUK said...

Our trust has several, mostly "kilo" codes.

K1 is "probably dead but not certified"
K2 is dead.
K13 is police
K99 is "crew in danger"

We also have "echo" codes that describe medical conditions although I'm not familiar with those. Some First Responders will tell control "I'm going off call now, except for echo calls".

Anonymous said...

Louise, Just wanted to say keep the posts coming. Their always well written. Some we learn from and some make us smile.
Hope things get better for you. Keep smiling

Josh said...

Going through a bit of a tough time myself at the moment Louise. I hope you're keeping you're head up!
Nothing better than a day in the hills to clear you're thoughts.

Take it easy and take care.

Louise said...

Cheers Josh!

If I could afford the petrol I would be a lot further north than my current location!

Having big problems with training at the moment and its like banging my head against a brick wall, combine that with some other things not being great and it gets difficult to get motivated.

I'm sure things will pick up soon........ have some mountain expeditions planned soon so will look forward to them!

Josh said...

Ahh...our great training departmet! As officiant and understanding as usual i assume?!! lol
The paramedic pre entries are in Feb in my division, and to be honest I dont think I'll be sitting them this year. Totally lost my motivation at the moment, plus I have other 'things' to deal with.

Anyway....

Maybe see you on the mountains!

Keep you're head up :-)

Anonymous said...

Hey Mrs, keep the posts coming, you how i love to read them and if you need anything let me know

Cx

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