Role Play Instructions for Medical Calls with police involvement
After the 911 call comes in, change into your uniform and hop in an ambulance, and respond. Key your radio with vehicle designation and Estimated Time of Arrival.
Open the bay door, turn your lights, and drive carefully to the scene.
Upon arriving, leave your lights on.
Wait until the scene has been cleared, the police have a job to do first. Only after the scene has been cleared by the police, enter the area, they will let you know when it’s safe. Our safety is very important, if we are injured on the job, we can't get in there to save someone else, and in turn need saved ourselves.
Posting Order. When you first arrive on a scene, you can post whenever you get there that you are there...example "Jessi Noel pulls up and waits for clearance to enter the scene" keep track of who posted before you, you will in turn post after them the next time. Do not throw five posts out in a row, no matter how short they may be, it only confuses people. DE is full of pararpers (paragraph role players) and they need time to type and respond to what everyone else has said, you too will become close to a pararper in responding to large groups, but, with that, try to keep your posts simple, for those with medical experience, most people don’t know what exsanguination is. Simply keep it to "bleed out"
The following is with or without involvement from DEPD
Step 1: Do a quick visual exam of the patient (this is when you IM your vic, ask how bad they want the injury to be, what injuries you would find upon the visual exam, if they are able to give you vitals, keep those in the back of your mind) and determine the severity of the injury. Ask their name, tell them who you are, keep talking in a calm voice to them, even if they don’t respond, studies show that those in an unconscious, or semi conscious state can still hear what is going on around them.
Step 2. Do your best to stabilize the vic for transport to DEMH, we are not surgeons, we do not stitch people up; we carry bandages and life saving equipment.
Take a look at this site as well and thank Rog Messmer if you see him for finding it.
http://www.ssgfx.com/CP2020/medtech/procedures/protocols.htm
Do your best to determine the vic's respiration, heart rate, and pupillary response
During stabilization. More often than not you will need to run a line (find a vein, run a line to a saline bag) and place an o2 mask over the patient. Chances are they will be bleeding, especially in DE, most common injuries are Stab wounds (sws) and blunt force head wounds.
Run your plasma; give a pain killer, typically morphine, because it’s easier to spell than propoxyphene. Don’t forget to place compression bandages on the wounds and try not to kick them too hard if you have to step over them, I know the duty boots are heavy sometimes.
Step 3. Use your "radio" the 911 group chat (DE Emergency Services) at this time to call in you’re run. example “DEFD transporting female vic with sever case of heartburn, requesting trauma unit on standby, ETA 10 minutes"
Step 4. Transport.
Load the gurney into the back of the ambulance and ensure that it is locked in place, if you have two people on the call, whoever is driving will close the doors and jump in the front, the emt that is in the jump seat, will continue to monitor the patient during transport.
Step 5. Arrival at DEMH. Jump out of the bus, move to the back and pull the gurney from within, carefully shove them through the ER doors and into one of the exam rooms, all while hollering over your shoulder why you are there, the patients vitals and what you have as far as injectables. example "Jessi rushes through the door with the young woman, hollering as she enters exam one "Sever headache, she’s been given four thousand mill morphine (please see the humor in that). If there are no doctors at the hospital, look for a nurse...if there is not a nurse, and you are not sure of the proper procedures for whatever the injury may be, hand the patient off to an NPC staff..
Step 6. Make sure your patient is happily being taken care of and exit through the ER doors to the ambulance, return to the station and clean clean clean, blood born pathogens are not a fun thing to have hanging around the station and I don’t want to see a dirty ambulance when I get in it the next time.
I’m sure I’ve missed something, but you get the idea.
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