Then Roy yelled after Johnny. "Hey Johnny! |
What do you got?"
"I got four Code F... This guy's
got a ton of broken ribs
on the left side. I'm finding signs of marked flail
chest. And he's
having a lot of trouble breathing.
The O2's not helping. Gonna have to stabilize
this first before
we move him out. Man, don't these
guys believe in flack vests and helmets?"
"Nah, " Roy said
tightly. "They don't want
to wear them because of the extra weight."
"That's gotta change.
Oh, man. Look around us. This
is a just a senseless massacre..!" Gage swore.
"I don't make
the rules." Roy replied.
"No, you just support the industry by
condoning them with bets on
instead." Johnny snapped as he carefully
had some track crew help him roll the
injured jockey onto his bad side
once he had been immobilized.
Roy tactfully didn't say anything.
The motion drove the wounded man awake and
he began to swear a stream of words that
in understandable english. Marco
calmed him in animated Spanish getting a quick
history and verbal
account of injury from him.
Kelly and Stoker were hard at work with the
hose. Stoker was holding
head straight out so the heat overwhelmed colt
could breathe while Chet played a powerful
of icy water over his head to cool down his brain
pan as rapidly as he could. Soon the
began snorting in tight gasps and his legs
began to kick out as he started snapping out
of his unconsciousness.
"Look out!" said a few of the starting gate guys and
down from the tractors with ropes
to tie around the colts legs so he wouldn't hurt
trying to help him.
A gnarled old trainer huffed and puffed his way up|
to Chet and he patted him in the shoulder.
Ok, keep it up boys, just like that. The
crew's got his legs pinned. Now, play the water
rest of him. Get his chest first. Then
everywhere but the legs for that will cause the
to bow permanently if they're cooled
too fast. Don't want him irreversibly lame."
Stoker, startled at the trainer's
sudden appearance. "Can we do anything
for the other racers down
around us? We
have an extra hose."
"Nah. They've cooked too much in the sun.
gonna wake em now. It's too late.
We can only save this young colt here."
"But.." Kelly started
"Just keep working young man.." the wizened
trainer told him. He sighed and got up
his crouch and wandered over to the dead
stallion in the dirt with the blood filled nose. He
on the horse's flank and pressed down
with a foot, cocking his head when he heard the
gurgle of lungs drowned in an artery
burst. "Oh, Dusty Schraeder. Now you've gone
Near him, Gage was writing down the vitals he
had obtained on his patient. "Don't tell me.
Lasix treatment to cut budget corners
with a little insurance money collection on the side?"
older man in the straw hat looked up
at the dark eyed paramedic who had spoken to him.
Oldest track scam in the book 'cept for
calcium stunting to cause bone failure." the trainer
"You know about horses, young man.."
"I know a bit.." Johnny said. "I have a ranch full of em.
Excuse me.." and he started to relay his medical
information to Cap via his walkie talkie.
From : Sam Iam <email@example.com>
: [EmergencyTheaterLive] Sticky Situations
Date : Sat, 8 Mar 2003 23:16:01 -0800 (PST)
to P. Keiper for providing
an EMT scenario allowing for a believable
to Dr. Jeff Seltun on
giving me the doctor speak.
Thank you Sue Hampton ER RN/EMT-D/FF
the IV type pointers.
"Squad 51 to Engine 51. Uh, Cap, advise L.A.
we have multiple fatalities here. Numbered four."
Johnny Gage lowered his voice so the kindly trainer
nearest him standing over the dead, bled out racer,
couldn't overhear. "And... ask for a police response.
I have reason to believe this pileup wasn't an accident."
Then he spoke louder with a heads up
glance at Roy
for his history.. "Stand by for vitals on two victims,
Squad 51. .............L.A. has been notified.
Standing by and awaiting vital signs.## Cap replied.
Johnny Gage bent over his agitated victim. "Hey..
senor..Can you hear me? Just try to relax.
Strapping ya on this board's just a precaution. Now
you've got some broken ribs here that we need
take care of. Just try to keep from moving around
okay? Having ya on your side like this is
help you breathe better. Marco, keep holding
him just like that. If you have to, get some
of those guys over here to help you."
Marco spoke a few short words in spanish
members of the grounds crew
came and knelt by them to help hold the
injured man in position.
"Como te llama?"
Lopez asked the injured jockey.
"Jose' Rivero. Aiiyy.." said the man irritatedly.
The jockey continued to swear and cuss in
spanish but his anger wasn't directed at
Gage or Lopez.
It was aimed towards a second
trainer who was staying well away from
the dead thoroughbreds. The
dispassionately chewing tobacco as he
watched track officials taking photographs
the dead horses and riders.
The fallen jockey swept off his oxygen mask
and spit in insult
as he continued to glare at the dark
dressed man. "Jefe Schraeder! Hablas usted con tu'
Por que? Mis amigos son muerto!
Por nada!!" cried the wounded racehorse
rider and he once more
tried to lift his head up.
"Y mi caballo is infermo sol malo porque de tu!"
Gage held him
down firmly by the
shoulders. "Hey, hey.. Now settle down.
That C collar's there for a reason.
Stay still. Now
tell me what's wrong? Your breathing's a little off...
Listen to me.. Hey..Where
else are you hurting
besides your chest here?"
The jockey ignored Gage until Marco grabbed
him by the face firmly, motioning for him
to look him in the eyes intently.
son ayudar. Donde
es su dolor?!"
The jockey tried to pull away from Marco's grasp,
locked up in agony on the long board, ignoring
both firemen as he continued to rant at Dusty
standing just within range of
eyesight. Lopez shook his head in frustration
and glanced up at
Johnny. "I told him to listen
to us and that we're trying to help, but he's
not answering me about
where else he's
Johnny looked at Marco. "What DID ya
get from him? He's off in
his own little
world here. Man, if I didn't know better, I'd
say he's out for vengeance." he said
drawing out his clothes shears from his
hip holster. Gage began to cut away the
and brown silks from
the man's torso for a closer survey.
"Set that 02 back onto his face again
Marco. He's getting a little cyanotic."
Marco nodded his head moving the
mask back over the man's
struggling mouth. "His name is Jose'
Rivero. He is begging his boss for
why his friends died and he's blaming him
for his horse being sun sick like he is."
"That guy over there?" Johnny pointed
to Dusty Schraeder.
Johnny looked up
at the black cowboy
hatted Texan and felt an immediate dislike
for the man. ::But he's something
Vince to worry about when he gets
here.:: His eyes then swept to the colt
and Chet Kelly were trying
to save with the assistance of the kindly
was now resting on his belly,
quivering like a newborn as he fought the rest of
the way to wakefulness
under the flowing
stream of the fire hose. His soaked coffee
bay coat literally steamed in the
sun in twisting
curls of sour smelling humidity. A thick
foam began to spread over his whithers
and flanks. Johnny heard the kindly old trainer
murmur that they were succeeding in drawing
young horse out of heatstroke. "That's it.
Just kidney sweat now.. That's a good sign."
"Is he going to make it, Mr. Farley?" Chet asked.|
The man he had learned was named Walter,
reply and the worried look on Kelly's
face returned in force.
Gage kept his face neutral as
through his head. ::No, that will be up to his
owners. Heat stroke recovery usually
months to half a year. That colt's got good lines.
Hope his share holders make the
Johnny thought glancing away from his coworkers.
Gage looked down and swept
agile fingers around
Jose's head and down his body, looking for deformities.
He found a small
oozing gash on his chest that was
alternately retracting in and burping out as the
angry man respired.
The tiny sucking wound was
on the side away from the man's main ribcage injury.
an occlusive dressing and tape
it over this wound here. Seal it off only
on three sides. Looks
like this laceration's penetrated
through into his chest. He must have fallen on
when his horse went down."
"Got it.." Lopez said.
Johnny felt along the jockey's sweating
thoroughly but found grating, moving bones
only on the flailed side. He snatched for his
stethoscope out of the drug box and
listened to the holed side carefully, then
compared the breath
sounds he heard
there to the ones under the rib fractures.
He grunted, making a mental note and
took another set of vitals before finishing
the rest of his survey on the jockey.
no further injuries.
Johnny returned to the man's throat
and felt the cooling skin in the area
carefully and over his chest once again.
Then he looked at how the rider's
larnyx sat in relation
to the rest of his
neck by sight as he reassessed the man's
consciousness level and checked his
Gage nodded at Roy, who had just
completed his secondary survey of the
DeSoto had his helpers carry the girl closer
to Johnny and the drug box until
their victims were side by side, head to head,
nearest all the equipment. Roy crouched over
the EKG monitor case and he opened it. "She's
stable. The 02's keeping her in good color."
said, handing Johnny his pad of notes.
"Add one more thing. She's got a open fracture
left radius and ulna, with sluggish perfusion.
I immobilized her arm in the best position
find and she's still got neural responses
and pulses in her hand and fingers but they're
She may have torn an artery or vein
internally. I'll get your victim patched in for ya
"Okay.." Johnny relayed to Captain Stanley
on his hand held radio once more.
51. This is HT 51. We're set for a
medical relay to Rampart."
##Go ahead, HT 51.##
Stanley watched as Vince and a detective car
pulled up. He re-established communications on
biophone that he had perched on a track rail post,
with apprehension. "Rampart, this is Engine 51.
I'll be relaying from Squad 51 in 2. They are still
inaccessible on the horse track and out of
biophone communications range."
##10-4, 51. Standing by.## said Dixie.
again, Captain Stanley cursed
the whole idea of Santa Anita's turf and dirt race
set into a bowl just so two lakes could
grace the racing infield's garden grove of Queen's
trees. ::Stupid design. Even if having that
extra water there is a boon for any future fire
At least Roy's EKG telemetry will get out.::
Johnny spoke into his HT to Cap.
"Engine 51, Victim
One. Male, age
approximately 19 at 105 pounds.
Vitals signs are; Pulse 124, respirations
20 and shallow, BP is 90/62. Pupils
are equal and reactive. He's diaphoretic,
conscious, and emotionally
on fifteen liters O2. I've found pardoxical
breathing symptoms with a large flail
on his left side. He has a sucking chest wound
to his upper right chest, now occluded.
hearing rales on the left and diminished breath
sounds on the right. Subcutaneous emphysema
is present about the neck and upper chest. He
has been immobilized and positioned flail side
His EKG is showing sinus tach. Sending you a strip,
Cap relayed the information
and soon Joe
Early responded. ##10-4, Engine 51. Tell
Squad 51 to start a large bore IV of Normal
Saline with Lactated Ringers. Run in a 500
cc bolus initially until his BP comes back up again,
leave it TKO. Have them watch for signs
of further breathing difficulty. I suspect
EKG is now showing sinus
tach at a rate of 130. Splint the flail segment
by taping only the effected
side until his
breathing improves. Prepare to assist
his ventilations if his resp rate increases
24 times a minute. Treat for shock. Tell them I
want a new set of vitals every five minutes.##
Cap replied. "10-4, Rampart. Stand by."
and he shared the orders with his two paramedics
working a quarter of a mile away down on the final
turn. He soon got Roy and Johnny's confirmation
on the orders, and he immediately, received
information about their second victim over his HT.
Cap listened, memorizing details. Then he
called in his men's second medical data set
to Joe Early
on the biophone.
"Rampart. Victim number two. A
female approximately 24 years of age.
102 pounds. Found prone over a rail.
Was conscious, now comatose. Vitals signs are, pulse
respirations are 14, BP 100/76. Pupils are
equal and reactive, but sluggish. She's been fully
and is on fifteen liters 02.
My paramedic notes probable neck and back
injuries. There's quivering
in the upper extremities
and bilateral positive Babinski's finding on
both legs. He earlier reported
a growing lack of
sensation on her from lumbar three on down.
There appears to be no palpable
Victim has an open fracture of the lower
left arm. Circulation and sensation
partially compromised despite splinting in
position of alignment."
Cap got his followup
on the woman for a
precautionary IV and a rapid transport order.
Inwardly, he hope the girl would
get to surgery
in time to save her arm and effect repair to
stop the creeping paralysis she seemed
He finished correspondence between his men
and the hospital. Soon, he
waved the Mayfair
to the road where he was standing as it
arrived in full siren. "We're gonna load
here. The paramedics are bringing in two victims
from out there on longboards.." he told
the attendants running to his side. "The
dirt's too soft for your rig to handle."
men nodded and intently watched
the group of people, bearing the two jockeys
in between them all,
walking their way.
Cap wasn't surprised to see Detective Crockett
Vince Howard when he had put the biophone
into the awaiting ambulance. "Vince. Detective Crockett.
My man Gage thinks our racing accident wasn't accidental.
I trust his judgement since he's a pretty
"We got any witnesses?" Vince asked.
Cap replied. "Two. But
one is unconscious and the other
is in no shape to talk right now. Both jockeys. And I
was hinting about learning something
from one of those trainers milling about, too.
just a hunch I got from the tone
of his voice."
The tall quiet African American detective thoughtfully
rubbed his chin. "Ok, we'll take it from here, Captain.
Thank you. I'll have a talk with your paramedics
they're through with their run. Call me once the squad's
back at the station?" he said, heading
off the fire
captain's worry that the detective would get in the
way of his men.
will." Cap said. He took the card the detective
handed him and pocketted it. He started off
Kelly and Mike as they headed back to the
Smiling craftily as Cap disappeared
around a bend,
Detective Crockett took one look at the deep track
dirt and then once more at his
shiny black shoes,
before he unhesitantly stepped ankle deep into the
sandy loam to rendevous
with 51's medics on the
Hank Stanley intercepted Chet and Stoker as |
they returned to the paddock side road dragging
hoses behind them. "I couldn't see what
you were doing. Are they gonna make it?"
he asked about
"Only one, Cap. Our helping trainer, Walter
Farley, said we got there too late
for the others.
Apparently, racehorses cook to death internally
on hot days like this if they
take a fall more than
halfway through a race. He said it happens because
their metabolisms are
kicked in overdrive."
Kelly said dully.
Cap sighed in sympathy. "Oh, I'm sorry.
I got some
good news at least. Two of the
jockeys are still alive.."
"That's great, Cap." Stoker said
Come on, Chet. Let's get these hoses packed." and
Hank watched his two disheartened
dejectedly back to the Engine with their load.
Cap called out after them. "Stoker,
snag a ride with a track steward cart to go
fetch the squad? You're gonna have to follow
the ambulance with it. Gage and DeSoto really
have their hands full right now."
Mike replied and he jogged back the way
he had come, leaving Chet to do the heavy
work. In sympathy,
Cap pocketed his HT and
helped Kelly out by climbing onto the hose bed
of the engine to be primary
"Crockett! I don't have time to talk with
you now.." Gage said distractedly as he
and the grounds crew and paramedic
struggled to carry
equipment and victims
to the far rail and the firm concrete apron
beneath the grandstand.
"I just want to ask you a few questions."
The detective said, lifting his feet high and
a bit in the loam.
"Fine..then help me by taking over.."
he said, snatching the detective's
forcing him to grab the ambu he was
using on Jose'. "Bag him when he
breathes in and
also when he doesn't.
Twelve times a minute." he ordered.
"But uh, he's still awake."
"Yeah. I know. Assisting him like this is
helping splint some rib fractures he's got
tells me Jose' says it hurts
like h*ll but he's grateful for the help."
"Ok. I got it."|
Crockett began squeezing the ambu bag
after quickly picking up how Johnny had
been managing. He opened his mouth.
"I know Spanish, too. Maybe I can kill
three birds with
one stone by--"
Gage got into Crockett's face. "If you
ask Jose' any question other than, 'How
are you doing?' I'll deck ya.."
Crockett closed his mouth.
The tall detective nodded
outmaneuvered, and just squeezed the bag.
Johnny moved Jose's IV bag from under
the boy's shoulder to his own teeth
to hold as he turned up the dial to wide
open when he saw
the young teen pale
another shade of gray. "Let's move