This one with out a doubt falls into the B.S. category ... get a call at 4 am for the 22 yom with chest pains and no history of heart problems. Upon arriving at the residence (after taking some time to find it due to crappy numbering systems) I began to walk in with medics when we passed the father outside who said as we walked past "that boys a damn pussy" (come to find out later it was his girlfriends father) but none the less we continued to walk inside to find the boy sitting on the couch crying because he and his girlfriend just got into a fight. We asked him what was wrong and he stated that his chest was hurting his arms we tingling and he had trouble breathing. When asked how long this had been going on he stated that it started after the fight was over with his girlfriend, ( the boy is now bawling like a 3 year old). While of course he was bawling due to him being upset he began to hyperventilate, noticing this one of the crew members asked if he had a history of panic attacks, in which he stated yes. Noticing this i began shaking my head and collecting the equipment to take it back out to the truck (just for fun we ran a 4-lead and checked all the vitals and go figure they were all normal), he began to wonder what we were doing and i told him that he was just upset and when he calmed down he would be fine. While walking out to the truck i walked past the girlfriend's father again and he just looked at me and said "pussy" (refering to the boy). but the ems crew on the truck decided to take him anyway so he would just shut up.
So... as much as we all get tired of the usual chest pain calls, we really have to take a step back and look at the whole picture once and a while...
This coming from the patient end of the spectrum... I had a really bad strike of medical problems in May... the first day in the morning, I woke up having some chest discomfort but I'm an asthmatic and just figured I needed to take my inhaler to make everything loosen up and then that would relieve the pain... following 2 inhaler doses and a nebulizer treatment, it was necessary for my boys to come and take me to the hospital... The hospital blew off my chest pain saying that I had just over worked my accessory muscles and that was what was causing the severe pain...
That same night, I called for the same crew to take me back to the hospital because my chest pain was getting progressively worse... a 12-lead proved inconclusive... and the hospital seemed to think that it was muscular caused by the asthma attack from the morning...
The next Wednesday morning, I was back in the emergency room with continuing chest pain and again I was released with no answer and no solution... finally the following Monday, we had enough of the stupid run-around and my doctor admitted me to the hospital... by time I got discharged, I was said to have 3 pyloric ulcers at the base of my esophagus and in retro spec, would explain the burning, crushing, midsternal pain I was experiencing...
So although a patient has a prior medical problem that would require a simple fix, not all the time do the answers work themselves out to be right... So one thing we all must remember to do is to listen to every BS call we get handed but realize that there might be a true injury or illness behind it...
And P.S.: Hyperventilation can cause or lead to Respiratory Alkalosis which could have a serious effect on the body caused by excessive carbon dioxide left in the lungs...
Someone must be in the acid base part of her paramedic class.
This goober that Brad is talking about definately falls in the BS class. Chance are, he's not going to be affected by resp. alkalosis. He needs to suck it up and stop being, like his girlfriends father called him, a pussy. A 22 y/o is most likely not going to have problems with that. The idiot will pass out and then be fine.
We run on so many of these drama queens, it's just ridiculous. And some people will call an ambulance for the stupidist stuff, as you will learn after you do this long enough.
Yeah... but it's these BS calls that are the ones that turn into true emergencies... just because some people have been doin' EMS for a million years doesn't mean that they've seen it all or can predict what's going to happen on these "BS Calls"... I've run many, many shifts with someone that's been a paramedic for 20+ years and we've run into situations where he's clueless... you just have to treat your patient whether it's BS or not...