An emergency call in an ambulance for imminent child-birth goes like this...
Time
0730 Dispatch sounds a Loud Beep - "Paramedic 10 for imminent child-birth, 66 Half Moon Street, between Sun Ave and Mars Lane"
The Paramedic 10 crew looks for the quickest route on the map from their current post0732 Paramedic 10 "Dispatch, 10 responding"
A safe fast drive through the city traffic0737 Paramedic 10 "Dispatch, 10 on scene"
In 5-10 mins the crew
- introduces themselves to the woman
- gets her trust
- checks for how imminent the birth is
- gets her medical history including GPA
- gets her onto the stretcher
- moves her into the back of the ambulance
- and heads for the hospital
0737 Paramedic 10 "Dispatch, 10 in route for DownTown Medical"
A safe fast drive through the city traffic0738 Paramedic 10 "DownTown Medical, Paramedic 10"
DownTown Medical "Go ahead Paramedic 10"
Paramedic 10 "We are 3 minutes out with a conscious and alert 25y/o female, chief complaint imminent childbirth, normal pregnancy, full term, Gravid 2, Para 1, contractions 60 seconds apart, lasting 20 seconds, not crowning - will give you vitals as soon as I have them"
DownTown Medical "What are the vital signs?"
Paramedic 10 ignores them, she is busy...
- getting a complete set of vital signs
- establishing an IV
- checking for crowning
- preparing to catch the baby
0741 Paramedic 10 "DownTown Medical, Paramedic 10"
DownTown Medical "Go ahead Paramedic 10"
Paramedic 10 "We are 1 minute out with a conscious and alert 25y/o female, chief complaint imminent childbirth, normal pregnancy, full term, Gravid 2, Para 1, contractions 60 seconds apart, lasting 20 seconds, is crowning, O2 and IV established, Vital Signs are BP 160/90, Pulse 114, Resp 30, contractions started 4 hours ago, water broke then, see you in 1 minute"
0741 Paramedic 10 "Dispatch, Paramedic 10 at DownTown Med - 0.9 miles"
0742 The stretcher is unloaded, and the woman modestly but swiftly wheeled into the ER - no time to get to Labor and Delivery
0743 ER doc to Paramedic 10, as they look at the hand-sized crowning of the baby - "What is the history?"
The ER doc expects a concise answer right now.
In the midst of this, Paramedic 10 needs a solid mnemonic to remember the difference between Gravida and Para.
/Bevin