Severe respiratory problem emergency bizarre treatment
A patient was being transported by us at my work service from Mcleod in Florence to his home in Sumter for his final days. He was on 25
liters oxygen by the newer oxygen output on portable tanks mixer. We got to his
house, him even at 25 liters having trouble pulling in it when he got some
upset at what was happening to him. His hospital bed was just being finished
and for us to wait a few minutes to take him in, I think we were on our 4 or 5th
tank by then. Oxygen delivery was there taking a lot of large tanks inside
while he was there. I had my partner go inside to see if he could get the time
till we could take the patient in. He came back, and told me that the large
tanks had only 15 liter out maximum fixed to them. The delivery man said a
manager at his company in Turbeville might have another one that’s 25 liter one
at their station. He left to see if he could go get it if he could contact that
fellow. Our patient was getting so hurt that I figured he was going to go down,
and make us take him to the ER in that town. I was trying to come up with
something to deal with this, since the family did not want the patient to leave
the house with us. We were going to have to when we were going to go out of
oxygen and have to start bagging him. I came up with this idea. We took a large
suction cylinder with the large hole and the other two sealable holes on top.
We put the tubing going to him in the large middle hole inside the head, and
taped it around the inside of the cylinder. The small tank oxygen supply was
cut down to 10 liters per minute. One oxygen supply only line was hooked to the
portable tanks meter. Another oxygen supply only line was hooked to the large
tank on the wall output at 15, since it was full. We taped the entire cylinder
to keep it to not pop in two from pressure. This let us cut down on the use
from the small tanks almost by half for a little while, even though the large
oxygen tank was now going down also. This was a solution while we were still in
the ambulance parked at the house. We were thinking about moving him inside to
the large tanks inside, which would help the time frame with us still having to
use some of our small ones for this in there. But then we found that the delivery
man had taken the 15 liter one back with him, to get the 25 liter one if he
could. With the time getting this high, we started to get low on the total
oxygen available on the unit. We asked to family if they had heard the fellow
was on the way back yet, and they said he had not called yet. I told them we
were going to have to transport the patient to the ER, because in 15-20 minutes
we would be dry of oxygen. They did not like it, and the patient was getting
very worried, but we had no other choice. We left there and called the ER on
the phone. Getting him out of the ambulance, we got him off the large and
portable combination, and we went down to the 25 liter output one on the head
of the stretcher. As we were moving him over on to the stretcher in the ER, the
needle on the tank we very using was going down. They changed him over to the
wall unit. They could tell he was going to be a bad patient, because they
pulled his record of when he had been there in the past. We were finishing up
the patient ambulance record when the family arrived. They said the man called
and would be back at the house in about an hour from where he was at with the
high output meter. They told him to bring it on, and maybe the ER would let him
come back.
If we had more oxygen tanks, hooked to our invented oxygen
lines connected with a suction cylinder, we would have been able to stay
possibly till he go back with the high output meter. But we had 8 small
cylinders, plus one under the stretcher head for moving, and the large one
onboard. On a van style ambulance. We thought we had enough extra's, but the on
scene part did not get enough information from who ever called to make
arrangements, which if why we had to invent this. If the time frame on a lot of
things is off, you have to come up with strange things to keep reality working. |