Hey, good morning guys.
Your overtime shift has just arrived.
Hey there, Johnny.
Welcome to Station 8, the house with all the action.
Oh, all the action, huh?
All the action.
Listen, a trash fire is a really big deal to you guys.
I'm only here for a rest.
Yeah, well you know about borrowing time off.
You gotta pay it back.
I got that.
There's a paid vacation.
Hey, uh, where's Stoney?
In his office.
Since we just started the shift, he's probably only working on his second batch of papers.
You know how new captains are.
Sure, listen, that new captain used to be a paramedic.
I trained with him, you know.
Oh, which shows how forgiving the department can be.
They promoted him anyway.
Squad 8 with engine 7, unknown type rescue, 315 West Highland Terrace.
315 Highland Terrace, Cross Street, Maywood.
Ambulance is responding.
Time out, 812.
Squad 8, KMG 356.
Captain Stone, firm engaged reporting for duty, sir.
Johnny, good to see you.
How you doing?
Oh, look at that.
The bugle's very impressive.
Congratulations, Stoney.
Oh, thank you.
Are there any more congratulations?
You and Connie, are you...
Five weeks from next Tuesday, I'll be a married man.
Well, all right.
Let's get some coffee.
How you like playing captain?
Well, it's exciting.
Lots of responsibility.
Remember how we felt those first few weeks we were paramedics?
Uh-huh.
Just like that?
Yeah, sort of like that.
Stoney, you miss being a paramedic?
More than I thought I would.
Where are you gonna keep up your certification then, aren't you?
Well, you better believe it.
I worked too hard as a paramedic to just let it go.
Besides, I want to be able to keep my eyes on you guys.
Engine A, spot 39, in place of spot 8.
Man unconscious, destruction site.
741 Third Street, cross street, Vista Crest.
Time out, 822.
Engine A, KMG 356.
741 Third Street, take Toronto to third.
Engine A, KMG 356.
Line in here.
Okay, we better hurry.
Okay, guys, let them have it.
At the fire department.
Okay, let's leave them flat.
Okay, what happened here?
He had a bad heart attack last fall, and he wouldn't lose the weight the doctor told him
to.
Well, what happened today?
Well, about half hour ago, he had that pain.
It got real bad, and he took one of those pills.
What kind of pills?
I don't know, they're in his pocket there.
Here?
Yeah, he seemed to feel better, and then he passed out.
He's going to be all right, is he?
Kind of.
Patrick, listen, 39's not going to be here for at least 25 minutes.
The par squad could be here, unless it's in 10, if they're available.
Oh, my chest.
It feels like somebody's crushing it.
All right, you just take it easy, okay?
We're going to get a little air to you.
Just take it easy.
All right, take some deep breaths.
All right.
LA, engine eight.
Engine eight.
We're with a victim of 741 Third Street.
Is squad eight available?
Stand by, engine eight.
I took one of them pills.
Squad eight, what did you say to him?
All right, now you just take it easy, okay?
Engine eight.
Engine eight, go ahead.
Squad eight is not available.
10-4, LA.
We won't have a squad here for at least 20 minutes.
Cap, why don't we find a phone, get on the phone to Rampart,
at least give them what we got, the vitals and everything.
That's all we can do until the squad arrives.
I just hope he's still around when they get here.
The
secure nuke informing reports
tons of chemicals are stored in Tanger.
Use caution.
One fifty one, this is Rampart.
Can you send me some EKG?
10-4, transmitting EKG.
We're sending you a strip.
Vital to follow.
Balsus 160, the victim is in extreme pain, Rampart.
The patient is in V5.
Rampart, we have lost the victim's pulse.
Beginning CPR.
We're defibrillating victim, Rampart.
Rampart, we've defibrillated victim.
He's inside his rhythm.
Minister two amps sodium bicarbonate.
Start an airway.
Start IV-51.
Light-saving rigors.
IV-51, continue monitoring vitals and transport immediately.
Fly away, Rampart.
Rampart base station.
Dix, this is John Gates.
I've got a heart attack victim here.
Stand by.
Dr. Brackett, base station stat.
I had John Gage on the hotline.
What do you got, Johnny?
Brackett.
Doc, I've got a victim age, uh...
51.
Age 51.
He's got a history of myocardial infarction.
He's conscious and he's coherent.
He's suffering from what appears to be another attack.
The victim is cyanotic and diaphoretic.
He's complaining of severe chest pains.
His extremities are cold and clammy.
He took natural but no relief.
We've got him on O2.
He's lost consciousness, Johnny.
Doc, the victim has lost consciousness.
All right, start an IV with D5W, administer 2.
Uh, Doc, we can't do that.
Uh, I'm with engine 8 with Captain Stone.
We have no squad here.
We have no paramedic equipment available to us.
Well, what's the squad's ETA?
What's the ETA?
About 10 minutes.
Uh, 10 minutes at least.
10 minutes?
What's the victim's pulse?
You got a pulse on him?
Pulse is weak and rapid, 130.
Uh, weak and rapid and 130.
You got respiration?
Respiration is, uh, breathing is shallow, 30 per minute.
Breathing is shallow, 30 per minute.
Johnny, no carotid.
All right, Johnny, as soon as the squad arrives,
start an IV with D5W, administer 2 amp sodium bicarbon
transport as soon as possible.
10-4.
Two of the best paramedics we've ever trained,
and we're all helpless.
Now, all we can do is wait for the squad to arrive.
Is that the squad or the ambulance?
Ambulance.
Yeah.
Sweet.
Rampart, as soon as the squad arrives,
we'll establish radio contact and send you a strip.
You better let me spell you.
One, three.
One, two, three.
Squad starting.
We got a full arrest.
It's going to ease your junk box.
You better step on it.
Get the D5W started and get an airway in.
All right.
Patch him.
You got the airway?
Turn that over there.
Ah, good.
Give him the sodium bicarbonate as soon
as they get the IV started.
Got him patched in?
Yeah.
All right.
Let's go.
Take over.
D5W.
D5W relay.
Clear.
Hold it.
Three, four.
Still nothing.
Again.
Hold it.
Three, four.
Administer 5 cc's 1 to 10,000 epinephrine IV.
Administer 5 cc's epinephrine.
Take over.
10-4, L.A.
10-4, continue CPR and transport as soon as possible.
10-4, Rappart.
Got it backward.
OK.
Now, from the side, secure.
I got to get his arms out.
Ready?
OK, be careful now.
OK.
Up.
Easy.
Good, Kirk.
OK.
Got him?
Ready to go?
OK.
Watch your legs.
Get up there.
OK.
You got to keep it, Kirk.
OK.
Easy, easy.
Where's his IV?
Got it?
OK.
Grab his IV there.
You got it?
I got it.
You keep doing CPR.
OK.
Keep that CPR going.
OK.
Go ahead.
Keep going.
You got it.
OK.
Good.
Keep on it.
OK.
Got it.
OK.
Easy.
OK.
Easy.
OK.
Easy.
L.A. Engine 8's available.
Pull the rest, number four. Let's get a bit of it.
Okay.
Backboard loose?
All right.
You good? Ready? Go!
Okay. All right, let's get ahead of the trick of the tube in him. Mike, hook him up to the monitor.
All right. Where'd the scope?
Dix arterial blood gasses.
He's hooked. Connected.
Epinephrine, one to ten thousand.
Full CPR. I'm going directly into the heart.
I got it.
Resume CPR. Mike, let's try a transthoracic pacer.
Here you go.
Full CPR.
All right, turn it on, Dixie.
Black, black.
All right, turn it on.
It's on.
No capture. He's gone.
We did everything we could.
If he'd have gotten help five minutes sooner, just five minutes sooner, he might have made it.
How you doing? Nothing like a day off to make a man feel good.
Took Joanne and the kids to the beach. A lot of ocean, a lot of sun, a lot of pretty girls.
What's the matter?
Nothing.
Worked overtime at eight.
Went out on a cardiac.
Squad wasn't available. Thirty-nine just cleared across town.
Did you lose a patient? I don't know. I don't know.
He was in V-Fib. We did everything we could. We just didn't have any equipment.
Yeah, I know it happens sometimes. Yeah, I suppose. I guess.
It just doesn't make any sense to me. You know, that man is probably dead right now.
Because we just didn't have the basic equipment that we have right now.
It doesn't make any sense.
Station 51, Station 18, Engine 54, Truck 93, Waterflow alarm, 417 East Main, Cross Street, 417 East Main, Time-up, 817.
Station 51, KMG 365.
Station 51 is a scene. Nothing showing.
Station 51.
I'm going to check this out. Roy, you and John, check around the front. Mark, over here. Go around that side. Judd, let's go up the alley.
I still don't see anything. Take a look up there. Okay.
Cap, I got a warm wall and a real hot door here. Okay, better get lines and air masks. We got to...
Well, Engine 51, we have a man down at this point requesting ambulance. This building is now fully involved. Have all the other units come on in.
Are you burning anywhere, Chuck? Check the out here. Okay, lay on down.
Check here. 90. All right. Those vehicles are responsive.
How is he? Pretty good. Pretty lucky. Terrific shot. Get a BP on him. Rampart, this is Squad 51. How do you read? Go ahead, 51.
Rampart, we have a fireman down at this location. He's just got minor cuts, no lacerations. Stand by for vital signs. Pupils are responsive. Stand by for BP. 105 over 70, BP.
Rampart, vital signs are BP 105 over 70, false is 90 and respiration is 20. The pupils are responsive. Squad 51, continue to monitor vitals and transport as soon as possible.
You two get on the rampart with him. We don't need a squad here at all. Okay. Take care, Kelly. Johnny, you want to go in with him? Sure. Okay. I'll take the stuff and meet you at the hospital. Okay. Just pick up my helmet and things? Yeah.
All right, truck 93, come down the alley and open up the roof.
Room 1.
Room 1. There you go. That didn't hurt, did it? Tell her mother to bring her back in about a week, take out the stitches. She's going to be fine.
Okay, let me go, Joe. He's all right. How you feeling? Like a fool. No, he's not talking about your personality. He wants to know how you feel.
Let's get a BP, Carol. And Vicks, have X-ray standby. I want to pull skull surgeries. You don't need me to do that.
Okay.
He is going to be okay, isn't he? Listen, if he can stand your jokes, he can stand anything. What joke?
X-ray, Dr. Early is sending up a fireman, Chet Kelly. He needs a full skull series as quickly as possible. Fine. Thank you.
Vicks, 139 is bringing in a 78-year-old man. History of asthma appears to have a collapsed lung and broken ribs. ETA is about five minutes. His name is Fletcher. Set up two, will you?
Uh, Doc, listen, about that, uh, full rest that we brought in, you know, the... Flatline, Johnny. We did our best, you did your best.
Oh.
Right, now, Chrissy, bring me that ice drink.
Easy.
Here's the x-rays.
BP is 100 over 60. Respirations are 36.
Oxygen.
Yeah.
I don't want an AP of the chest until the lab. I want to report on his blood stat.
How did this happen to you?
Oh, I've been a tree surgeon for almost 50 years. Today I was taking a dead limb off an almond tree.
Were you up in the tree or on a ladder?
Of course on a ladder. You don't see any winks on me, do you?
All right, you just relax. We're gonna take some pictures.
This limb was tough. It started bouncing. I guess I hadn't tied that ladder. And the next thing I knew, that limb just bounced me.
Easy, man.
Bounced me right over.
Easy, easy.
All right.
All right, now you just take it easy. We'll be right back.
Oh.
All right.
I'm back here. I'm gonna tie some dynamites in that.
Yeah, well, I know there's broken ribs. I'm pretty sure it's a 50% pneumothorax.
Malcolm, those films are a rush, huh?
Mr. Fletcher. Mr. Fletcher. Have you ever had any lung trouble besides asthma?
No, not yet.
It's not my eyes, Doc. It's my chest and head.
Please don't talk.
No.
Normal?
Mr. Fletcher, I want you to breathe as deeply as you can. Come on, deep.
Doctor, he has a P02 of 44, a PC02 of 60, and a pH of 7.38.
That looks like his whole left lung has collapsed. Probably three broken ribs.
Severe bronchospasm. Check on those x-rays, will you, Dix?
His pulse is 130 in week.
Michael, let's go in with a chest tube. We've got to re-expand that collapse lung.
I've got the x-ray.
Yes, sir.
Pneumothorax, multiple rib fractures, urea pain and trouble breathing.
Please go, Doc.
Thank you.
His blood's never due, but he's unconscious, Cal.
Scalpel.
All right, hold him steady, Mike.
We've got to re-inflate that lung or we might lose him.
Retract it.
Looks better. You want to get this to the lab?
Doesn't hurt so much.
Well, you're a tough one, Mr. Fletcher. I'm betting on you, not that elm tree.
Hey, Cap.
Hello, John.
She's got off the phone with Sarah, the duty nurse. She said Chet's going to be fine, but they're going to have to keep him for observation until in the morning.
I had to hear he's all right. We'll have a replacement here in an hour or so.
You having fun, Cap?
Oh, yeah, this is a lot of fun. Why don't you grab a towel and have some fun yourself.
Engine 8, Squad 51 in place of Squad 8. Child down, 111-55, Lemon Grove.
111-55, Lemon Grove. Cross Street, Brighton. Time out, 1458.
Squad 51, KMG 365.
Cap, what we got?
We got a fall, Victor. Breathing's labored.
Are you the mother?
I am. When he fell, I didn't think it was too serious, but he can't move his legs.
He can't move his legs?
No.
False to 70.
I've checked him over. There's no apparent signs of trauma.
All right. Get a respiration on him here.
Pupils are responsive.
Yeah, we got a respiration of 20.
Yeah, stand by for VP.
How old's boy?
He's eight.
Squad 51, how do you read?
Squad 51, go ahead.
Rampart, we have a young boy, eight years old. He fell and apparently he can't move his legs.
Stand by for VP.
85 over 45.
Rampart, VP is 85 over 45. The pulse is 70. Respiration is 20 and the pupils are responsive.
Starved in IV, lactated rigors.
Cap.
Cap, you want to give me a hand on this, please?
You know, he said his legs felt weak, but I just thought he was worn out from the camping trip his father took him on.
He said his legs were weak?
Rampart, additional history on the young boy.
Mother says that he was complaining of weakness in his legs.
51, ascertain that the victim has had his polio immunization.
Well, yes, he's had all his shots.
Affirmative, Rampart.
51, transport as soon as possible.
10-4, Rampart.
We've got to get an IV going here and we'll transport.
I got you.
Thanks.
Okay, see you later.
Okay, sonny, see you later.
Oh, Johnny, that one patient we worked on the other day.
He flatlined when we got him to the hospital.
The bracket said he gave it the whole shot.
See you later.
All right, see you later.
Any change in the vitals, Mike?
No.
Every symptom of acute polio from a patient whose mother insists he had his shots.
Maybe it's a bad vaccine, faulty memory by the mother, or guilt.
She says pediatric clinic treats her son.
And they're about the best in town, you know.
It's true.
I've got a call in to check any records right now.
The original report said he'd fallen, so I'm going to double check his skull series.
It must be my call.
This is Dr. Erling.
Well, look, would you confirm his address for me?
Right.
And you say he's been immunized for polio meleus.
How recently?
Is there any possibility that vaccine could be outdated or defective?
Yeah.
Okay, thank you very much, doctor.
The clinic confirms the immunization.
It was four years ago.
And he's had his booster.
And there are no case histories of vaccine failure.
Joe.
Yeah?
I think I found something.
Look right here.
Looks like some kind of a tick.
Might have to get me a scalpel to test my...
Got a matchstick?
Yeah.
You know, if you scrape, you don't get it all.
But ticks don't like heat.
There you go.
I'm going to take this to the lab myself.
Hey.
I've got an idea.
I've got some satialite.
I've got an idea.
What do you think about this?
What do you think that we have a dinner or something for Kelly when he gets back?
You know, like, welcome home from the hospital, Kelly.
How about a cake?
A cake?
Yeah, a cake would do it.
Yeah, have a fire truck on it and just say, welcome back, Kelly.
That's a great idea. I'm going to go call the...
Call the deli right now.
You know, I never thought I'd miss that guy, but I do.
I think.
Station 51, engine 116, engine 8, truck 127. Structure fire, 1192 6th Avenue.
1192 6th Avenue, Cross Street Olympic. Timeout 1612.
Station 51, KMG 365.
1192 6th Avenue, Cross Street Olympic. Timeout 1612.
Station 51, KMG 365.
How is he?
Much better. His pulse, respiration and blood pressure are almost normal.
What happened? He was so sick.
You see, Bobby picked up a tick. And this particular type of tick duplicates poliomyelitis.
From the weakness in the legs to the respiratory problems.
He must have gotten it when he was backpacking.
That's a good possibility. You see, when I removed the tick, why, the poison stopped entering his system.
So his body should return to normal.
When can I take him home?
I'd like to keep him overnight for observation. But by tomorrow, he'll be ready to go camping again.
Engine 51, Engine 8. Where do you want us?
Engine 8, Engine 51. Lay a dual reverse from the northeast corner to the hydrant.
10-4.
Hi, you the boss?
What's right? What happened?
I'm not exactly sure. I just bought the place a couple of weeks ago.
Is anybody still inside of there?
I'm not sure. Everything happened so fast.
Okay, you check with your people and you make sure. If there's any doubt, let me know.
Marco, grab an inch and a half. We're going inside.
Engine 116, Engine 51. Bring your crew and help us man some lines in the front of the building.
Tuck 127, land in the front of the building and ventilate.
Let's go, Mark.
Watch the hose.
Come on, easy.
Okay.
Are you going to lay down easy? Easy. Easy.
Johnny, do you want to get the equipment?
Yeah. Okay.
Easy.
Come on, take it easy.
Hey, Stoney, just so you know, they've changed the whole floor plan of this place since we inspected it last.
No, no. I got my men around the side. I got their lines made. You're going to check it out.
Okay.
He's got a bad gash you over here. This leg. It's like he's lost about a thousand cc's.
How are you making out? Well, we're going to need an ambulance, Cap.
LA, engine 51.
Go ahead, engine 51.
LA, respond to me in ambulance. I'll do an additional engine and squad.
One is for Rampart. Go ahead.
Rampart, we have two victims out of fire, both unconscious.
51, go ahead with the vitals on the first victim.
First victim has a gash in his thigh. He's lost about a thousand cc's of blood.
Okay.
Stand by. He's cold and clammy. He's ashen in color. Stand by for vitals.
Engine 11, squad 39 in place of squad 8. Structure fire, 1192 6th Avenue.
Cross street, 1192 6th Avenue. Time out, 1524.
Rampart, first victim, 1192 6th Avenue.
Rampart, first victim. We've got the bleeding under control now.
He's a male, about 35 years old. His extremities are cold and clammy.
He's ashen in color. Stand by for BP. Get a pulse on him, too.
BP is 60 systolic by palpation.
His pulse is 150 and it's ready.
Okay, 60 by palpation? Yeah.
Rampart, vital signs, systolic BP, 60 by palpation, 150 and it's ready.
51, start an IV with Ringer's lactate. Immobilize and transport as soon as possible.
Stand by.
We've got the other ambulance here. Oh, great.
Okay.
He's got third degree burns on both of his legs.
Rampart, second victim has third degree burns on both of his legs.
Transport immediately, 51.
10-4, Rampart.
Okay, under control?
Pretty much, Cap. We're gonna run out of equipment. We know we'll get some relief pretty quick.
We've got another squad. H's not available, but we're getting 39.
39? That's a long way away.
Well, if they get here pretty quick, these guys have got to be transported.
For certain, too.
Okay, let's bring that in over here, huh?
I checked with my foreman and everybody who was outside.
Yeah. Well, it looks like nobody saw Willie. He's a janitor. Nobody saw him come out.
Yeah, yeah, yeah. Where he might be?
Right?
H.T. at H.T. 51. I'm going inside looking for a victim. Come to the north side and take over.
10-4.
Can't see a thing.
No.
All right. Watch yourself.
Yeah, what is it? I didn't tell him. I make fireworks in there.
Fireworks? You better get out of here.
Hey, clear that whole area. There's fireworks inside that building.
Gage, can you spring loose?
Yeah.
We'll follow the two and a half. It's close to the fire.
Okay.
Look into here, Ronnie.
Ronnie!
10-2. I found him.
Ronnie, can you come over here, please?
Hey, Dad!
Over here!
Yeah, yeah, fine, thanks.
Oh, come on.
Come on.
Come on, let's get out of here.
Put him on the side.
Look at him.
Put him on the side.
Rampart, this is Squad 51. How do you read me?
This is Rampart. Go ahead.
Rampart, we have two victims.
Grab that.
Grab this side.
Okay.
Okay, easy now.
Let's go that side.
Hold on.
Got it.
Okay.
Nice, Cap.
Go right in with him.
Okay.
Okay, one.
Okay.
Let's see if we can get this one knocked out.
Make sure the helmet is not...
Well, it just happened to be at the right place at the right time.
You know, if I was running things, I think I'd scrounge up every piece of paramedic equipment I could find.
I don't ever want to be 25 minutes away from equipment again.
Hey. Hey, how you doing?
Fine, how about yourself? Pretty good. You're looking okay. How you feel?
Well, I still hear some fireworks, but otherwise I'm fine.
Well, what's in the box?
Oh, it's for him. It's for you.
Oh, all right.
Yeah, well, I thought you might like that.
Oh, thank you. It's okay.
Can you open it for me?
You want me to open it?
Yeah.
Oh, sure. All right.
Get that off.
Well, this one.
Can't you hurry it up?
I'm working as fast as I can.
Let's see.
That thing.
Welcome back, Kelly.
Well, you know how that happened, don't you?
I mean, when Kelly was hurt, he took two days off, and we went to give it to him, and he wasn't...
Push Kelly!
Looks pretty good, though.