I Tried Paramedic Academy

[Music] [Music] good when somebody calls for help it's not a doctor it's not a nurse who shows up it's us when those tones go off you need to be ready for anything [Music] your scalp is live sir can you hear me sir what's up guys welcome back to my youtube channel and on this episode of challenge accepted i am in colorado with south metro fire rescue to experience paramedic academy i will be going on a 12 hour overnight paramedic shift and at the end of this challenge i'm going to experience not one but two final challenges my goal with this video was to highlight the amazing first responders in the work that they do especially in the circumstances of a global pandemic challenge accepted my name is john curtis i'm the division chief of emergency medical services here at south metro fire rescue michelle seems like a smart gal that's for sure but i will just say like this is not something that people learn overnight this is a career that takes years to really master that kind of craft and be able to do that under stress that's really hard to manage so i think it'll be a little wake-up call to really understand all the pieces that go into taking care of sick patients my name is garrett stowwall i'm a paramedic firefighter here at south metro fire rescue and i've been a paramedic for five years this is station 21 we call ourselves the animal house we like to consider the experiences and the calls that we run up here to be a little bit more wild and unpredictable than the rest of our district first of all i want to make sure that i'm as prepared as possible to assist you in any way on any of these emergencies i think the best way to do that is go inside and check out some of our stuff come on in hop in i'll go around this side all right wow have a seat we can show you just how to use like a four lead which is how we check somebody's heart so if they're complaining of chest pain it's a quick easy task and it saves us time if like we have an extra set of hands that can do that for us and how quickly should i be doing this as quickly as possible pretty helpful [Laughter] show me what you got okay garrett it's gonna be just fine we're taking you to the hospital communication is very important one last sticker perfect awesome so what's about to pop up you'll see is what garrett's heart is doing you're a little dehydrated aren't you probably too much coffee so then we can print this stuff out so you can look at your own oh so you give this to the physician if we can go into a hospital and say look i have point of care ultrasound i know this person has blood in their abdomen that's going to get the patient to the operating room so much faster what do you think you think you could do that on a person yeah it's good i like that they're labeled that helps with it yep do you know how to take a pulse without any tools without any tools no my dad's gonna be embarrassed why what's your tattoo my dad's a doctor getting a pulse is simple is counting it we look for beats per minute count how many beats you get in 15 seconds times it by four eighteen times four okay twenty times four is eighty minus six seventy four looks like he was at 81 so you're about spot on okay pretty close but it's the most basic skill we have but one of the most important so a typical shift here south metro is 48 hours long that includes us sleeping here eating all of our meals here and constantly being available for calls in between those times that we're responding to help we're cleaning cooking working out go myself you got a girl run run get him get him catch em [Applause] [Music] control you're breathing everybody down good yes good all right we're going try to cool off get swept my eye michelle can you hear me yeah everybody's holding she sought help from her neighbor who was the one who called 9-1-1 for her all right we're here show will you grab me that orange kid that's in there thank you when we first arrived on scene the neighbor was very agitated was upset that we used the wrong entrance fire department i'm sorry nobody told us that when people call 9-1-1 they're at maximum stress they can be aggressive they can be rude it's hard to go to somewhere you've never been before and be treated poorly it's just going to be you and i back here we'll take a nice easy ride up to the hospital okay one of the things that's unique about being a paramedic or working in the back of an ambulance is it's really the only time in the health care system where it's one on one i only have one patient and they only have one provider you're always going to have some setbacks so it's okay there you go it was just really heartbreaking to see someone having their worst day what was really beautiful to witness was garrett responding so well in this situation not being judgmental when she was being self-critical of her own life choices okay i wish you the best of luck okay she's in a situation where she's exhausted what she's capable of doing on her own and she doesn't know where else to go for help so she calls us and that's not our job to judge or do anything we just try and point her in the direction of resources that will actually help her hi my name is brian mccoy i'm an ems district supervisor hi paul folk also uh ems training ems battalion supervisor what we're about to do is teach you how to manage a cardiac arrest as a paramedic this is our fairly realistic looking mannequin there's definitely some uncanny valleys i feel like it's just gonna like wake up like animate on at any moment we look at the patient's ability to maintain their own airway without oxygen the brain dies and the body follows this is called the eye gel or a supraglottic airway that means it sits above the epiglottis when you take a drink and you start to choke that's because the fluid went down your trachea your epiglottis is a little flap that protects that trachea from foreign objects going into it there you go all the way down to where this black line meets the teeth right there then we're basically going to take this back valve mask and we're going to breathe for them that way this is the equivalent of putting somebody on a respirator at the hospital and you're going to squeeze slowly basically you're his lungs now think about how you breathe it's over a couple seconds and you let it out and how do you know when to escalate past this so if they're vomiting and they're unconscious what we don't want is them to aspirate that fluid so you're going to take a look and tell me what you see in there with the camera okay okay definitely see stuff all right so we need suction this is like going to the dentist in the worst possible way so we're going to start suctioning use your camera to guide you where you need to clean what's that that's the epiglottis epiglottis right this is like watching one of those ghost shows and they have one camera with a light going through the haunted house except it's the back of someone's throat then you're gonna use this to innovate so if you go in with that tip there you go now push that whole thing forward perfect attach your handbook bag next to you there we go now we're breathing we can see how much went into the lugs oh my gosh so we got way more out than went in which is about the best we can do at that point so have you guys gone on calls covet related and had to begin this process on the way to the hospital to ventilate definitely covet has been a kick in the pants for sure it's changed the entire ball game as to how we run calls everything from personal protective equipment to having to adapt on the fly to medical protocols and that created a lot of fatigue amongst the profession not only nurses doctors but paramedics are in that as well so this is a coveted positive call that they're handling inside and it's just crazy how so much of the world is still dealing with the repercussions of this pandemic proven brought a whole new challenge to us in a lot of different areas that we'd never really considered first was the burden on the health care system and trying to prevent our hospitals from being overwhelmed the butterfly ultrasound that we carry on our rigs it's been incredibly helpful determining the severity of covet symptoms we're able to guide patients to appropriate treatments and even avoid some unnecessary hospital visits as well this is a mid-fidelity mannequin so he'll breathe he'll cough he'll sometimes have pulses depending on model so this is the closest thing to working on a real human pretty much you're gonna hit this yellow button charge and it's gonna charge the monitor [Music] so now you're ready to deliver 300 joules of electricity you got to tell everybody on your crew to clear everybody sees that on tv clear but it's a real thing nobody can be touching this person when we run this electricity through them clear i'm shocking and then you look for changes anything changing so is that delivered through the patches yes so oh so it's not like the it's not the paddles we used to use paddles what we have now are these pads if we don't get oxygenated blood into your brain we can fix everything down here but if your brain doesn't work your quality of life isn't there so what we're shooting for is your quality of life to be the same as it was before your cardiac arrest we are going to simulate a medical emergency somebody walking into a firehouse which happens quite frequently somebody they see a firehouse they see a door open they come in and they shout for help so i'll be responsible for directing the crew you're responsible for our patient's life okay okay it's up to you [Music] in the bay station 41 walking medical in the bay compressions here now you won't get started on no pulse no pulse all right yeah go ahead get started on that okay what's going on male just walked in said he was having chest pain all sudden he just collapsed and fell on the ground just started compressions that's all we've got for you so far oxygen hooked up got the monitor on there 180 charging and what is that rhythm very regular shockable yes okay everybody move clear shocking shot's been delivered on the chest chester michelle i'm gonna spike you in ib good job 175 charging take your hand off shockable or not not chockable telander is incomprehensible compressions you have your iv established we need our first medication epinephrine push the air out and then you're gonna screw it into there push and turn and now push that whole thing in there two minutes of passive oxygenation are out so now what do we need to address the breathing boujee in a mask 200. michelle uh not talkable not shockable resume compressions take a breath take a breath all right michelle i'm gonna push your next round of epinephrine okay like that and now you're going to advance you're good right there pull your bougie let's get an ambu bag he's gonna breathe now okay 180 charging 200 it's not shockable no our rhythm is asystole so we're still flatlined so you are going to take this probe stick it right here and we're going to take an image to look to see if there's hard movement 200. not shockable but the heart is moving so we do need to transport him one two three come up so we got you the phone number for the er so you can talk to the doctor and tell me what we did i'm gonna talk to a real doctor right now or a nurse okay garbage dr this is leah go ahead hi there can you hear me okay yes this is leah go ahead so i have an unknown age male who collapsed at the station cardiac arrest we gave him four tubes three tubes of epinephrine we're performing cpr and he is intubated and iv we'll be there we shocked him once and we will be there in 10 minutes all right we'll see you in 10 minutes we'll have a group on arrival thank you watch a step everybody good good good hello come on is everybody here michelle's gonna give you a report loud wow okay um so we had an unknown male unknown age into the station cardiac arrest we gave him three tubes of epinephrine intubated iv'd that's all we know shocked him one shocked him once one two three good when was the last time about 15 minutes ago we ultrasounded the heart and there was movement do you feel impulse what they've done so far is confirmed that your tube is in the right place your iv is in the right place all our medications are on board giving that person every chance that they can help now we wait and see how we do when was the last time we had a pulse guys uh at least 20 to 30. 20 to 30. okay so we have no cardiac activity on the ultrasound we still have a systole on the monitor it's been 30 minutes since we've had any signs of life at this point the chance of any meaningful recovery is very slim giveaway basically i think we should call him adapt to 1737 said we're done so let's go clean up and get ready to do it again so that's it that's it that's the toughest part of the job is you do everything exactly the way you're supposed to do it and it still doesn't work so you could watch someone die a couple times a day yeah absolutely first one's always the hardest thing i think it's really difficult to describe what it's like just because like i said it's very different every single day sometimes it can be very exciting very thrilling other times it can be scary and frightening and it can be sad or disappointing as well it says difficulty breathing no longer conscious [Music] even before we arrived at the actual apartment where she was we could hear the family screaming crying initially i saw the patient she was unconscious and responsible lying on the floor my first impression was that she wasn't alive daughter said she was in the other room heard her go down while she was eating i attempted cpr got it i had my partners they were starting the iv checking vital signs putting her on our heart monitor i had other partners who were giving her medications so teamwork is super important we're able to accomplish a huge list of tasks that are vital to that patient in a really short amount of time hey this is paramedic stillwell south metro medic 21 coming to you non-emergent altered mental status she's a gcs of 11 this is a possible narcotic overdose should be there in about five minutes it's just like watching the tentacles octopus like reach all around the ambulance you guys are like pulling everything out working together thank you yeah that's the best part is all of us been working together for so long and we've trained together and we practice this together and when it comes down to the real event it works seamlessly so we should eat before yeah let's eat dinner i know because we may not get another chance let's do it [Music] oh my god this looks so good it's awesome so it is true that firefighters can cook real good some of them some of them are terrible you guys go to sleep tonight do you actually sleep i don't know how i'm going i don't think i'm going to sleep yeah no i mean honestly you just kind of have to go about your day-to-day life right because we're here for 48 hours so if it means that we go to sleep for 20 minutes and get a call that's great but you also get to take the chance that you might not get a call all night and you get to sleep so you just kind of have to deal with it you have to really learn how to handle that type of emotional atmosphere along with being ready to perform the next time along comes with that just a true camaraderie that is really bonded between those people [Music] so he's going to run out of bones the fastest yeah working with a crew of 48 hours if you go through an entire year you spend a third of your life with these people so they truly become your family things like playing dominoes or watching movies together those are really important team building moments for us so hp thinks that the point of dominoes is to just screw everybody else over you're eating together you're cleaning together and sometimes you're performing on some of the most stressful events of your life together so that closeness translates into how we perform on the job just knowing that we can trust each other [Music] 54 year old male conscious and breathing he has a peacemaker and feels like he's having a heart attack so michelle we've got a 54 year old male it's been drinking in and out of consciousness we got cancelled [Laughter] oh dang it definitely when you're in a dead sleep and you're trying to get some rest in between calls it can be really challenging to wake up and get ready get down to the rigs while you're still trying to figure out where you are so what happened exactly we were called into an area that's close by that's an actually a different fire department's jurisdiction and then it's just whoever gets there first nothing like being woken up in the middle of the night and it's a false alarm so the next thing is going to be a lot of trauma stuff so when we can't innovate and we can't ventilate we do what's called a surgical cricothyrotomy we're going to cut a hole in this person's neck and we're going to cut through this membrane and we're going to put a tube right into their neck going straight into their trachea it's a pretty invasive maneuver and this is our plan c this is the end of the line for us there's no plan d so we had some kids at a tech high school 3d print these tracheas for us and they're a hard plastic anatomically correct can we point yours out right there you're literally sweeney todding somebody pretty much so with your left hand you're gonna take and feel for that landmark make sure you got a good target there there you go with your right hand very carefully you're gonna make an incision about that big a little bit deeper and a little bit higher up all right without cutting yourself you're just going to kind of stab through that membrane other way and that way we're creating a hole okay don't move your left hand yep well i'm not moving you'll put that tube into the hole you may have to push pretty hard is that okay and then remove this yep pull that out and then your partner won't come and start to kind of light there you go okay you just did surgery in the back of an ambulance a collapsed lung can come from a penetrating injury where it could be a sharp object sometimes a dull object a bullet that force causes the air to leak out of the lungs and so that space starts filling up with air it starts closing off the lungs so we use an anterior or the front of the body location to basically needle someone's chest and remove that air so uh the front air needle into the chest correct girl that's pretty deep in there yeah it's a big needle it's like a capri-sun straw i don't like this [Music] right here is our target and as you enter you're going to watch for your green valve it's going to let up that's how you know you went far enough and that's good oh but it didn't happened real fast oh it did come back up yep happened really fast oh my god that's how careful you got to watch it there's a heart in here there's large vessels in there we don't want to poke holes in those what you've done is just given a track for air to come out of that chest cavity those lungs can start to reinflate and they're no longer putting pressure on the heart now that you ran a medical call we're going to move on to trauma so our next scenario we have planned for you is a motor vehicle accident so today i'll be the uh the victim of a car accident took about uh probably about an hour to get me uh fully fully dressed up here and all the uh face makeup and wounds on there did you volunteer to do this or were you told to do this voluntold okay [Music] her second scenario is going to be a trauma scenario she'll be met with a significant auto extrication call she'll be in a vehicle making sure it's safe making sure that she can access this patient and manage that entire scene from a medicine standpoint oh my god the car flipped over start patient care okay let you in on [Music] all right is his chest moving a little bit he is breathing in okay breathe it in he has trauma all over his face he's bleeding out we need to we need to plug it with gauze okay they're about to take the window out let's cover him with this blanket cover him all the way up we don't want to get glass on him all right you're going to need to pack that wound backpack pack he's gonna bleed out if we don't stop that keep packing backpack pack fast fast ah sir can you hear me sir so he's not alert to any of this what do you think about that airway i think we're gonna have to go in through his throat definitely it doesn't look like we're gonna get very far with the mouth i'll set you guys up for a craig all right your scalp is live same thing find that landmark can you feel the membrane all right you got your target all right i think you're cross cut good that's enough watching this finger that's enough put that finger in there don't lose it and it's gonna go towards his toes keep going keep going keep going keep going keep going okay we're in all right stethoscope let brian squeeze the bag we're gonna listen to his chest okay that sounds good yep sounds good sounds good let's get the left side this bag is getting hard to squeeze okay i can't hear anything couldn't hear anything on this side but can hear on this side yeah so what's going on there the bag's hard collapsing the lungs collapsing start tracking downward count ribs second step [Music] right here needle's ready remember hold the top watch your valve watch the green go hold the top make sure she doesn't bury that go pretty quick and then pop back up so that's right where we need to be so you're going to pull the needle out as i advance this and we're in place is that bag getting easier to squeeze yeah it feels easier and we're transporting we're on our way to skyridge hospital here this is jasmine heather can you hear me yeah go ahead okay we have an unidentified male looks to be 30s involved in an mba bleeding out we performed a crycothyrotomy and needle a needle decompression on his left side okay you're starting an iv in about 10 minutes 15 15 minutes all right we will have a room ready for you on arrival now when we get there you're gonna need to be loud big room people they're all listening to you they want to hear what you have to say my hands are getting tired do you want me to take over for a little bit no no no no i'm just like saying these are things i don't think people think about yeah ambulances drive by you all the time in your hometown probably and you have no idea what's going on in the back this could be going on the back the next one you see [Music] you're going to go out on this left side and i'm going to transition the bag to you so go ahead and step down watch your steps [Music] you guys are going into room one room we're gonna make a turn to go head first unknown age male involvement louder unknown aged male involved in an nba arterial bleeding on the right shoulder we packed it with quick clots two ivs we did a crike on his throat and a needle decompression on the left side vitals vitals are blood pressure 90 over 60 heart rate 120. let's see where's o.r alright [Music] [Applause] y'all are amazing thank you so much for letting us i don't know experience a small piece of what you do every single day pleasure oh yeah great start peeling your face off that final scenario was crazy a lot going on right this week i have learned so much about what it takes to be a paramedic even though i just scratched the surface of mount everest of what it truly takes so thank you guys so much for taking the time it's our pleasure you paid attention you learned a lot you really took our lessons to heart and i think you did a great job with our trauma center now so happy to have you [Music] oh [Music]

Channel: Michelle Khare

Views: 6,833,840

Keywords: emt, paramedic, paramedic school, south metro fire rescue, paramedic academy, try, for the first time, try guys, michelle khare, challenge accepted, fire academy, firefighter, first responder, front line worker

Id: XL8_-a1lr5w

Length: 29min 12sec (1752 seconds)

Published: Sun Sep 19 2021