A fragment from the emergency medical service's duty ...

The room is twilight, only the television hanging on the wall is silent.
She is drowsing peacefully on the couch.
Suddenly, the calm alarm interrupts the awful alarm bell from the phone.
I glanced at his cracked screen - I'm going to work today.
Duty on duty.
I completely forgot about it because the more mentally I was not ready.
Since then, the action has been fast.
I looked at my watch and swore a thirst - 35min and I'll be at work.
Life has gained momentum.
Quick teeth brushing and 10min later I drive the car to the ambulance station and the minutes run away disproportionately in relation to the number of kilometers driven.
In the end I reach the place - 2 minutes before the time.
I run up the stairs nervously.

• Hi guys. How's the day?
• Do not ask. We did not even have time to eat.

I sit down to the computer. I am logging in to the SWD. I am reporting my readiness to act on the tablet.
I change into a "red pajame" with a medical emergency logo on my chest and with a hint of hope I think - if the day was "ridden" maybe the night will be better.
Time, however, will soon show that my hopes were vain.
I put myself on a cooo and drink a sip of bitter black coffee.
For a dozen or so years at work, I can drink it "goodnight" and it does not bother me to sleep.

20.07 - calmness interrupts the signal of the business tablet.
We accept the call and 2 minutes later we rush on the signal to an unconscious man lying at the bus stop.
Heads of resuscitation circulate in the head.
Permanent team partner so there are no unnecessary questions about the division of duties.
On the radio flies some light music drowned by the siren of an ambulance.

We arrive at the place.
A crowd of onlookers.
I lean over to the man lying under the bench.
Relief. Breathing. I smell the scent of non-alcohol alcohol broken by the smell of an inner tube.

• Hello, please,
  I'm shaking him.
• What the fuck .... we hear as if in thanks for our concern.

Thanks to this form of help, we often hear rescuers very often. At least a few times a day.

• What are you doing here? Do not lie on the street.

A man with a beard who would not be ashamed of Robinson Crusoe opens his eyes and slowly scrambles from beneath the bench

• Come to the ambulance. We'll examine you.
  An early interview in the ambulance. Study. And a fundamental question.

• Do you want our help, do you want to go to the hospital?

• No. I want to go home.

• Approx. So we'll call the police. You are drunk. You will not go alone.

Documentation prepared on a business tablet reduces waiting time for patrol.
First visit for us.
We're back to the duty room. Unfortunately, we did not even manage to get up the stairs.

Next visit. 22.06 high pressure 200/90, grandmother 86 years old.
I clicked the "trip" and drive through the almost empty streets of the town in search of the address of the summons.
An elderly grandmother opens us on the spot, full of energy, completely unimpressed by something.

• did it happen? What is the reason for the call, what brings you to us?

The grandmother shows a badly wounded wrist and claims that he is the cause of the call.

• Okay, but we'll measure RR first, are you treating something?

Grandma lists a standard set of diseases that could be shared by at least several people.
Our blood pressure monitor shows the value of 140/90, the measured heart rate.

• You have good pressure.
• There must be something wrong with your blood pressure monitor. (Of course, the battery replacement helped)
• What about this wrist?
• And sir, it hurts like hell. Maybe some prescription, doctor
• Since when do I ask?
• For about a week.
• And what did you not do with it all week? Have you been in the area?
• No, my doctor on leave.
• Well, madam. We are medical rescuers, not physicians. We do not write prescriptions. In addition, it would be good to do X-rays. You have to go to the hospital.

Granny, she would willingly agree.
She spends most of her time alone in the 4 walls of a flat in a block of flats, so she had the unique opportunity to stay among people.
Loneliness and insomnia are another reason for the ambulance challenge, generally justified by bad mood, so that CPR will not refuse to leave.
We're back after midnight.
Apparently 2 trips but very time-consuming, the distance from the hospital almost 20km is impossible to leap even for the driver.
We are both silent on the road, despite the fact that there are plenty of topics for talks.
Fatigue and drowsiness is a sign.

It is playing the TV quietly on duty. Night light illuminates the desk lamp at night.
Just sit back, finish the documentation, make a pharmacy and go to sleep

1.30 the phone sounds.

CPR - what about your tablet, I do not have you in the system. (Emergency Notification Center)
I will check it right away.
The device based on traditional GSM communication has lost its range. We repair the defect and then the order arrives from the march.

36l. man ZZA (Alcohol Dependence Syndrome), malaise, lingering, to the dispatcher scares that if he does not send an ambulance, he will throw himself out of the window.

2 minutes and rush to break the patient's neck.

On the spot we find a dark, smelly melamine, with no electricity where the figure of a man emerges from the depths of the night.

• Welcome to the ambulance.

• What is the reason for the summons?

• He has been drinking for 3 months and I feel very bad - our patient claims.

• Sir, I'm interrupting. Since you have been drinking for several months, you should not be surprised by the feeling of being unwell.

• Why do you drink?

• Because if I do not drink, I have epilepsy.
  I thought. In fact, there is logic in this.

• And what. At 2.30, you decided to heal yourself, and gave you all remorse and a strong resolution of improvement? Unfortunately, under the Emergency Act, I can not stand on the path to happiness and I think that at this time the local psychiatry ward will be open, and the staff with flowers, bread and salt will greet the Lord in the door, thanking you for choosing their outpost.

• We're going to the hospital.

On-site test with a breathalyzer,

3 promiles and a Citizen goes to the local sobering-up center with the Police.
He will come back here as he will cool down.

We are coming back more and more impatient.
How much can you drive.
Abusing alcohol is the next almost essential trip almost on every duty.
We're back to the duty room.

I almost fall asleep sitting in the window and smoking a cigarette.
In the end it is already 4 am.
A smell of freshly baked bread from a nearby bakery comes from the window.
The world is slowing down, eyes are closing themselves, may it be until morning.

5.30. Incentive. 65l man, unconscious, does not breathe.
The dispatcher confirms by phone the sending of S (team with a doctor) to help.
Again, signals, and we're running, people are impatiently waiting at the bus stops waiting for a morning bus to bring them to work.

On site: backpack, defibrillator, oxygen, mammal and riding to the 4th floor.
The discharge of adrenaline causes drowsiness.
A man is lying in the middle of the room, he does not really breathe, gasping, agonizing breaths suggest that it happened quite recently.
A teammate cuts his T-shirt, we apply Lifepack 12 (defilibrator)

• Rhythm for defibrillation - ventricular fibrillation.
  -Note, defibliration. Load and shot.

The man's body shudders under the influence of a discharge.
Rapid CPR, rhythm score, AMBU, venous tube, endotracheal tube, laryngoscope and mammal.
We operate.

• 1mg of adrenaline.
  We work almost unknowingly, for 12 months we had the opportunity to get together "on the job".

The second assessment of the rhythm - again "flickering" and arrows.
"Make" rhythm, score and the sinus rhythm appears on the screen.

At this moment, the band S-ki falls in.
Doctor, old hand, lifeguard on a backpack and rescuer driver also.
They take over the patient.
It can be observed in a still unconscious man chest movements indicating that he began to breathe on his own.
Finally, there is some time to gather an interview.

He cured himself for something, Abused alcohol?
Commands are coming. RR, pulso, sugar, EKG and hospital to the hospital.

• Dopamine, transport sheet and S crew along with the patient disappear like ghosts in a dark corridor.
  The signals of the ambulance are heard in a moment.
  We were left with an unaware seriousness of the situation to the family, which had to be explained what had happened.
  It is left to clean up, fill in the gaps in the backpack and ambulance, return to the base and wait patiently for a change.
  Horribly tired, but happy that this time succeeded.

Such a situation always restores faith in the sense of our work and the entire rescue system.
On average, 1 out of 5 trips is justified.
The vast majority is the abuse that the parties of patients.

We're back well after 8am.
On duty the smell of freshly brewed coffee and the question of our alternatives.

• Like night?...

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