Ugh, please excuse me this one time for sharing minor TMI, but for Cobes I just want to highlight for 911 Advanced Life Support Protocol:
1. If the call came in as unresponsive or respiratory or cardiac related -- that is automatic ALS upgrade from BLS. City or county sends you the fucking engine with 1 medic and 7 firefighter/EMTs. Or a private ambulance with dual medics if rural but Casper is modern enough for him to get the Paramedic Assessment Unit engine.
2. This residence on N Forest Drive reportedly got the engine with the ALS monitor, epinephrine, amiodarone, big boy meds, IVs, intubation, the works -- if the audio mentioned on scanner is correct along with the news report.
3. If the patient is already deceased and there is no family around, I would not run a code and would immediately notify police and the EMS Captain and/or dispatch: the patient was clinically dead with signs of rigor mortis, apnea non breathing. Asystole flat line. No Fire/EMS transport to hospital. Police if foul play/crime. Call the morgue or coroner because they would take him to the hospital morgue depending on Casper protocol for the county. Sometimes I run the code if family is there to show we tried. Hospital does the same. Cobes would've been alone if Papa Clunt was jerking it in Europe or wherever.
4. If patient was unstable... but had a perfusing or workable rhythm (sinus, tachy, brady, vfib/vtach, anything not shit), signs of life -- like spontaneous breathing, even if blue as fuck, either do the code on scene for 20 minutes or do it enroute. Call hospital for Medical center recommendation whatever the MICN or ER doc wants.
5. Time is tissue. If he really did end up at the ER he absolutely would be: Subsequently placed in the ICU or step down critical care if stable, after ER clears the unstable symptoms/abnormal vitals like BP/HEART RATE/O2 SAT., get blood test/correct all shit values outside of norm/
toxicology if needed, antidotes, etc. and he gets moved from ground floor emergency to another floor (like the 3rd at Casper Medical Center, for example).
6. Again, ER: Stabilize/correct all abnormal values/treat and fix/stop the primary cause-> then, transfer to critical care/icu/step-down, monitor, etc. Discharge once all WNL (within normal limits) and eliminated the cause/planned for follow up healthcare to address.
7. Only hypothetically Cobes could called 911 or a stranger/alog did a welfare check. He doesn't live with family so maybe an alog did a welfare check/genuine medical emergency call and said to dispatch he was unresponsive and cyanotic to trigger ALS Engine dispatched with a medic.
8. If it was a generic (genetic lol) 911 call for medical non urgent like stomach, an engine probably would not be dispatched and a BLS ambulance would arrive with just EMTs. Waste of resources to send a medic/ALS to bullshit issues overexaggerated. But a tummy ache leading to respiratory problems/circulation issues/lightheadedness and passing out? That's an ALS upgrade from BLS.
9. I am praying this is a prank but if he was admitted, cleared the ER bed, and placed in a ICU same hospital assigned a room number,
that would be good news to me -- for this situation at least. Boy can still fight. . He can still keep rocking on. .
10. Don't take the EMS dispatch as what really happened, it was what was logged and initiates the response. The right words were used to trigger the highest and priority rescue response possible to that address. Otherwise it would just say deceased male found and transported to morgue with police to autopsy or forensics deceased/ temporary unknown life status (they will rule cause of death -- all roads lead to cardiac arrest though, for example organ issue -> septic/hypovolemic shock -> respiratory arrest/failure -> cardiac arrest).
11. Most hospitals will confirm patient status if you can identify patient full name, date of birth, circumstances, and identify yourself as a relative. You can also call the Fire or EMS Station assigned to that county and jurisdiction and they would at least tell you so and so was transported to this location.
12. I'm not encouraging alogging just giving 2 cents and my bad for sharing my professional POV.
My personal PSA:
13. For folks reading, it doesn't cost any money for paramedics to come and run a cardiac monitor 12 lead or check up to rule out anything life threatening. Don't let family or friends be all macho, if somethings off you can always request an ALS unit for unstable symptoms like altered mental, dizzy, cardiac breathing. Don't regret the one time your dad played off that heart attack and he got the big M.I. [MYOCARDIAL INFARCT], just have medics check him out doodt for free.
14. YOU ONLY PAY WHEN YOU GET IN THE AMBULANCE AND IT LEAVES! Otherwise, let them run the tests in the back of the rescue and then decline transportation and say you will take them yourself. If it really was emergent then yeah, no shit, hospital will get their money with or without insurance but at least they had a chance to get care and live/be stabilized. Again, for loved ones, don't hesitate to demand they send a ALS unit/medic for grandma even if unsure.
Stay safe Cobros and fuck sickos, fuck the troles, fuck the Hagraven.
Wrote this real quick. Sorry for grammar or run on sentences.
Circle of protection. Love that dank food hack guy, doodt. 