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Monday, May 13, 2013

Chief's Briefing for May 6 through May 11, 2013

Here is a summary of Brentwood Fire and Rescue’s emergency responses for the period of May 6 through May 11, 2013.

We responded to 37 emergency calls for service.

These calls can be broken down into the following categories:

EMS/Rescue: 24

Hazardous Condition: 2

Good Intent: 4

False Call: 7

Here is an overview of significant events from this period’s activities:

Tuesday, May 7 at approximately 10:45 pm:

E3 was dispatched on a report of a gasoline spill. Upon arrival crew members found approximately 10 gallons of gasoline on the ground. E3 deployed absorbent to the area to contain the spill. Once the hazard was mitigated, E3 cleared the scene and returned to quarters.

Wednesday, May 9 at approximately 7:42 am:

E1 was dispatched on a medical call for injuries from a fall. Upon arrival crew members found one PT unresponsive. Bystanders reported that the PT had been seizing prior to BFR arrival and had struck their head on the ground. Bystanders also reported the possibility of drug use or overdose. E1 performed a rapid trauma assessment and collected baseline vitals. The trauma assessment revealed a head injury and the vitals showed delayed pupillary response. Supportive care was initiated, to include oxygen therapy, and the PT was immobilized and packaged for transport before care being turned over to EMS. The PT was transported emergency traffic to an area hospital.

Thursday, May 10 at approximately 5:39 pm:

E2 was dispatched on a report of an irregular heartbeat. Upon arrival crew members found one PT sitting in a chair and complaining of difficulty breathing. The PT reported a history of heart arrhythmias and stated that their heart was racing. E2’s paramedic applied the 12 lead to the PT and determined that their heart was not in the appropriate rhythm. EMS arrived on scene and PT care was transferred before the PT was loaded into the ambulance for emergency transport to an area hospital.

Friday, May 11 at approximately 3:16 pm:

E2 was dispatched on a report of a possible diabetic emergency. Upon arrival crew members found one PT who was exhibiting signs of altered mental status. A PT history and baseline vitals were obtained which revealed a history of diabetes and severely low blood glucose levels. Because the PT was awake enough to control their own airway, oral glucose was administered, resulting in an increased blood glucose level. Glucagon was then administered via injection, which further improved the PT’s mentation. Despite these efforts, blood glucose was not increased enough to safely leave the PT, so the decision was made to transport them to an area hospital once EMS arrived on scene.

Friday, May 11 at approximately 6:48 pm:

E3 was dispatched on a report of a possible diabetic emergency. Upon arrival crew members found the PT lying on the floor being attended to by family members. The PT was exhibiting an altered level of consciousness, and a check of their blood glucose level showed it to be extremely low. Crew members started an IV and administered a 50% Dextrose solution followed by additional fluids. The PT’s mental status began to improve and the PT was eventually able to stand on their own and consume food. The PT refused transport to the hospital.