Comments by "Stephen Villano" (@spvillano) on "Waterline Stories"
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My very first military EMS patient was an advanced hypothermia patient. Conventional wisdom at the time was, he'd have zero memory of when his body was locked rigid in a continuous shiver.
He remembered me, what I did, an argument with some senior NCO's that I won, a MacGuyverism to warm him during nonstandard emergency transport and more.
As I learned when he thanked me at a unit Christmas party some years later.
Kind of embarrassing, as I was just doing my job. But, good to see he was not only OK, but still serving and his family had grown.
Had only mild hypothermia once, had severe hypoxia a few times, once to tunnel vision and gray out before I recognized what was going on and mitigated it. Neither was pleasant, to put it mildly.
The last hypoxia event being due to a form of CHF, due to a thyroid crisis - during the first big peak of COVID.
Uttered by me to the ED doctor, "Oh, thank God it's only CHF! Wait, did I just utter those words?"
Doctor gave a great belly laugh, hard won, "Yeah, but I understand".
A few days later, I rebounded due to new treatment, despite one endocrinologist considering iodine to shut down my thyroid. Driving the poor nursing staff to distraction. I am, by nature, a rather energetic person, so idleness isn't really in my nature.
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When you work in a hazardous environment, it's just the norm to do whatever you have to do to pull someone out of the shit. After all, the next time, it just might be you.
Hence, it's not a big deal, it's literally business as usual. Although, if it was preventable, all manner of hell gets raised over the excessive risk imposed.
And well, I'd be moving heaven and earth to help out too. Might be an old army dude, but long ago I learned, although we are mostly water, water vs human, water normally wins, so help a brotha out.
And the most infamous and common last words heard on radio typically are, "aw shit" and I'm damned tired of hearing those final words.
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And in EMS, the now current saying, based upon that entire practice and former ordeal, "Nobody is dead until they're warm and oxygenated".
Ironically, my very first military EMS patient was an advanced hypothermia patient. At a stage where consciousness is largely considered absent.
Dude remembered me and my efforts, some involving some MacGuyverisms. Shocked the shit out of me and well, embarrassed me, "Just doing my job, man". Got a medal for it too, never wore the fucking thing. Didn't wear medals awarded for just doing my damned duty.
Besides, in peacetime, it's doubleplus ungood to wear more medals than one's commander has. ;)
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