[male EMT] 32-32 on the scene. This don't look good, player.
No lights in the house. <i> We get a call
for a 64-year-old male,</i> <i> unresponsive inside
of his home.</i> <i> I'm thinking low sugar.</i> <i> I'm also thinking
possible pass-out episode.</i> On the high spectrum,
cardiac arrest. -[indistinct screaming]
-I hear 'em hollering, so that's not good. -Thinking like 29?
-I don't know. -Oh, no.
-Oh, man, no. [female EMT]<i> I immediately
see Jeremy doing CPR,</i> and I can smell animal feces
and urine. [male EMT] Holy [bleep]. [female EMT]<i> I go
to put my things down,</i> and thousands of roaches started scattering. There's roaches, rats,
there's everything in here. We gotta get him out
of here. We gotta get him...
Yeah, this is a biohazard. Don't put anything down. -Just give it to me.
-Yeah, this... -Don't touch anything.
-I got it. You wanna pick him up
and bring him over here? -[cat meows]
-Here you go. [groans] Get him in the truck
and we work him. [female EMT]<i> His initial status
is clinically deceased.</i> <i> We wanna reverse that.</i> We're gonna try
to get his heart restarted and hopefully get him
breathing again on his own. [dog barks] All right, turn our monitor on. Our pads are right there. Do we have a rescue pad on? Here we go.
Here's the rescue pad. -What you got? Anything?
-Nada. Where's the asystole? 88, so I'm cool with that.
Everybody cool with that? -Yes.
-Whenever you're ready. [female EMT]<i> As time's
really going by,</i> <i> it seems to be
confirming the suspicions</i> that we're not gonna get
a pulse back on this guy. -He's still PEA.
-PEA. Thank you. At 12, we're gonna do
a rhythm check and push another Epi. -Got a pulse.
-You do? -Let me see.
-We're at 84 on the monitor. Oh, look, we got a BP.
118 over 96. <i> We have a pulse.</i> And all of a sudden,
boom, back to life. You were clinically dead
two minutes ago and now we have a heartbeat. Yeah. That's paramedicine. [male EMT] Loving it.
That's pretty. Yeah. All right, buddy,
let's keep this pulse. All right? [sirens wailing] [indistinct chatter on radio] We copy. All righty. <i> Since CPR instructions
are being given,</i> this is a high possibility
that this is a code. <i> And not knowing the age
of the patient that we're about</i> to treat is gonna
make it challenging. Scan that way in case they need
an extra set of hands. We got it. Lieutenant Joe
coming with us. -Got Old Frizzle coming?
-Yup. Alpha 32-51,
you can show us on scene. Hello? [woman speaking] [EMT] What's her name? Miss Judy? Miss Judy? Is she a diabetic? -Yeah, let's check her sugar.
-Yep. [Titus]<i> I see the patient
laying on the bed.</i> <i> She is breathing,</i> so I know this is
definitely not a code. But she is mimicking a low CBG, which is hypoglycemia. -At 44.
-44, we good. We good here. We just
gonna get an IV on her and give her some sugar. Even though this is not a code,
this is still serious. <i> This lady needs glucose now.</i> She would never regain
her consciousness unless she gets sugar
added to her body. Good job, you. All right, there we go. Set that. Give it to her. Hold that.
It's a diabetic wakeup. Need me to smack that
for you, man? Yeah, I don't have
another flush, bro. All right, so, this is
what I need to know. How long she's been down before y'all checked on her
to see that she was like this. Right. I know you did. Thank God that you was
in here with her. Typically when you give the D50
to a patient with low sugar, <i> they tend to wake up
within 45 seconds to a minute.</i> <i> But we don't know
how long she was down for.</i> This could turn
into a life or death situation. [Joe] Hey, Judy, can you
open your eyes for me? Look right here. Judy, Judy. Miss Judy. -[Titus] Hey, love.
-Miss Judy. Hey, Judy, can you
open your eyes? Judy, look over here at me. Judy. [Titus] There she goes,
moving that leg. -[Judy screams]
-There you go. [Titus] There you go.
I know, love. We got you. -Hey, baby.
-You're all right. -There she go.
-There you go. Hey! -I know, I know.
-I don't wanna lose this IV. Let me check
her sugar again, bro. -217, so we brought it up.
-There you go. She's gonna be all right. [Joe]<i> This patient still
needs to go to the hospital,</i> <i> because she's still altered.</i> And this is a quick fix. -Hey, Miss Judy.
-Hey. [Titus] She's like,
"What's going on?" The body metabolizes
this medication quickly and gets rid of it, <i> so we need to get her
to the hospital,</i> <i> ensure that her sugar
doesn't drop again,</i> and make sure
there's nothing else going on. It's gonna be all right, bro. It's all right. I know... Hey. I know how that is, bro. I know how that is. Hey, love. How you feeling? You don't know? Well, what happened was, you done freaked
your old man out. -[chuckles]
-Big time freaked him out. He woke up, you was
making some noise, all right? So I think your sugar dropped, so we gave you a little sugar
to get you up, all right? Is anything hurting you? No, you just a little tired? All right, love, we got you. -You need anything, T?
-Man, just need my girl, bro. [chuckles] City of New Orleans 911,
what's your emergency? Okay. Know what he's choking on? Tell me, is he able
to breathe at all? Okay. All right. I'll have Fire and EMS
en route to you, okay? Can you turn him on his side? Listen to me. We need to do the Heimlich maneuver
again, ma'am. You're gonna put your arms
around his waist and make a fist for me. Grab him with the other hand
above the belly button. Jerk really hard. And it's a quick motion
up into his stomach. Gonna keep doing that until
he can breathe, talk or cry. You're gonna have to keep going
until they arrive. All right, ma'am,
they're en route to you. [siren wailing] I am headed to a person that was initially choking
on a piece of meat. And then went unresponsive
and stopped breathing. So this sounds like
a full airway obstruction, which can very rapidly
then progress into respiratory
and cardiac arrest. If it is a full obstruction,
especially with food, we can try to, you know,
pull it out of their throat. See if we can ventilate them to the point where
they start responding again and breathing. This is one of those true
life-or-death moments where every second matters. <i> Because there are two things
that are happening.</i> Number one, he's not getting
any oxygen to his brain and to his organs,
and number two, his heart's gonna stop. Right here? Oh, yeah,
it sure the [bleep] is. Okay, okay, okay.
We're gonna help him. No, no, no,
don't do the Heimlich. You can stop.
Don't do the Heimlich. We're gonna get him. <i> Once a patient
reaches the level</i> <i> of being unresponsive,</i> they cannot support themselves
in an upright position, and so the Heimlich maneuver is not appropriate anymore
for this patient. Do you all know
what he's choking on? Hurry up and get the stretcher! [tense music playing] [speaking indistinctly] [Holly]<i> I am responding
to a call</i> <i> for a male that is choking</i> <i> on a piece of steak.</i> <i> While choking,
this patient started to panic,</i> <i> which is how he maybe
ended up outside.</i> He is unresponsive, purple from head to toe, <i> and barely breathing.</i> This guy has
a full airway obstruction. [male EMT] Come on. [Holly] All right, buddy. All right, we got you, man. [male EMT] I know, I know,
we got you. [Holly]<i> The first thing
that I do</i> <i> is grab our video laryngoscope</i> <i> and the Magill forceps.</i> So in being able to visualize
what is in his throat, I can come in with the forceps, grab it
and pull it out manually. Let go, buddy. Let go.
There we go. All right, okay.
Good, good, good. Sit up, sit up, sit up. Sit up. Hey, man. He's still got
a large chunk of it in there. [man coughs] -[male EMT] Spit.
-[Holly] There we go. -[coughs]
-[male EMT] Can you speak to us? Tell us your name.
There you go. All right. Whoo! [Holly] Can we try to put
that oxygen mask on you for a minute, bud? All right. Just take some
deep breaths for now. And you're also gonna feel
some swelling and some things like that, so don't want you
to keep coughing if we can't get
anything up, all right? <i> He's able to talk to us,</i> <i> but he doesn't really
know what happened.</i> He doesn't realize
he just almost died. You were purple, yeah. [man coughs] I would put it on him. If this is what he's gonna do... Yeah, I would go to the hospital because he's gonna
have some airway swelling and they may
just wanna tube him. That your family
out there, buddy? I'm gonna go let them know
since they're so freaked. Hey, guys. So we have the piece out.
He's up. He's breathing on his own, okay? Um... We're gonna transport him
to the hospital because I do still...
There is still a piece in there. But he is up,
he's breathing on his own, -and he's aware.
-Okay. Yeah, you can... You can look
at him for a second. They just wanna look
at him for a second. But we still have
a lot to do, okay? <i> His outcome should
be phenomenal.</i> <i> Without our intervention,</i> this person could have
very much been deceased. 62-49, you could show me clear. So 32-44, code 3 to University
with one patient. Yeah, that was a bad one. [siren wails] That kid almost died
in front of us. I just pulled a whole piece
of steak out from your mouth. <i> That's a sexy save.</i> That's a sexy... That dude's gotta
be so thankful. [dispatch]<i> Alpha 32-46,
NOPD reports</i> <i> unconscious man
on Canal Street.</i> <i> Possible seizure.</i> [siren wails] PD calling us out there for a male possibly
having a seizure. Right there on the corner
of Canal and Bourbon. Corner on the left. 32-46, we in the area looking. Oh, right here. What happened? 32-46, contact. All right, my man. <i> I immediately know
this is an opioid overdose.</i> We need to correct this issue
and move with a purpose. Jay. All right. -Pull this down real quick.
-Yeah, let's get it. -What you think, an overdose?
-Yeah. You wanna get him on now? [Shaq]<i> I immediately know
this is not a seizure.</i> This is not anybody
who's alcohol intoxicated. But rather an opiate overdose. -Ready?
-Yeah, one, two, three. There we go. <i> You can tell opiate overdoses</i> <i> just by the sound
in their breathing.</i> It's a real slow,
almost agonal-type breath. <i> First priority with overdoses</i> is ventilating that patient, and that's what
we started doing. 32-46. -Good.
-Yeah. You have a [indistinct]
for entry real quick? Yup, 26. So you just initially
start bagging? -I'm gonna get that NPA in.
-Yup. Hand me a 18,
so I can drop that too. Come take over bagging
real quick for me. Slow it down. One more. -All right, switch.
-All right. [Shaq]<i> Jay knows
in the airway adjunct,</i> <i> to help keep that airway open.</i> Once that's done,
I'm dropping that IV and I'm giving that NARCAN. [Jay] Wanna hit him
with 0.5 of NARCAN? [Shaq] Yeah. <i> That NARCAN is gonna bind</i> <i> to the same receptors</i> <i> that cause you to stop
breathing 'cause of the drug</i> much quicker
than the actual drug. And this patient hopefully
is gonna pop right on up and start talking to us. All right, 0.5 of NARCAN
about to go in. All right, you ready? NARCAN going in. All right, 0.5 is in. All right, y'all. 100% on the 15 liters. Hey, buddy. No.
Nine-six-six, wake up. All right, BP? You could go ahead
and cycle that, Jay. [machine beeps] -Oh, that's from the 12 leak.
-Yeah, absolutely. Yeah, it's all right. Hey, it's okay. Hey. It's okay. It's all right. -It's all right, man.
-You're okay. You're in the ambulance.
Careful, okay? I know it's a lot, but... yeah. You stopped breathing
for a little bit, okay? All right? <i> At first, he doesn't know
where he's at.</i> Which is to be expected. <i> You know,
these patients who overdose,</i> <i> they don't remember
what happened.</i> <i> But that's part of our job,</i> <i> is to comfort you,
to take care of you,</i> and that's all part
of the things that we're here to provide
as paramedics. We're getting ready
to take you up the street -to the hospital, okay?
-All right. That medicine we gave you,
it could wear off, and we wanna
make sure you're straight. Appreciate it.
Appreciate it, dawg. -You not in trouble.
-You not in trouble. Listen to me, you not
in trouble, all right, big dog? To be honest, man, you was trying
to kick the bucket on us. Yeah. NARCAN is very short-acting, and sometimes the drugs
that the person took <i> can outlast the NARCAN,</i> <i> and they overdose once again
and need more NARCAN.</i> That's why observation
after these types of events is key. But we got you, though. We ain't kicking
the bucket today. Not with 32 Soul Patrol. -All right, Shaq, you ready?
-Yeah, let's do it. [siren wails] So, look, lay your head
back for me. Sir, you got that needle
in your neck on that side. Just keep that head
laid back and relaxed. Keep it turned
right here for me, okay? You was close, my man. You was barely breathing
out there, bro. Yeah. You were breathing like,
two, three times a minute. You were struggling
out there, bro. I got you, man.
I hear that, man. Ain't nothing wrong
with cooling a little bit. <i> Overdoses pose a lot
of different challenges.</i> When was the last time this patient was
adequately breathing? Will this patient
not completely wake up? <i> And potentially aspirate</i> <i>because one of the side effects
of NARCAN is vomiting.</i> <i> Positively, for this,
that wasn't the case.</i> Everything that we could
hope for and ask for, it happened on this call. And we are definitely pleased
with the outcome of it. Tried kicking the bucket,
but you didn't. Not tonight. All right? 32 Soul Patrol got you. Remember that. All right, man.
