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******************************************************** From: "Derrick" <rescueman1962@yahoo.com>
Date: Thu Dec 29, 2005 3:36 am through Wed Jan 4, 2006 12:29 am Subject: Up and
At 'Em
Johnny Gage's alarm clock radio popped on in his Marina Del Rey apartment at
5:30 in the morning.
It was time to get up and prepare for another shift at Station 51. And
his radio was tuned to KROR 99.9 FM "The Roar", one of the FM hard rock station in Los Angeles, where
Ken Kruiser, a popular morning dj, was on the air.
The dj said to his audience. ##Wake up
L.A., it's half past the six o' clock hour. Time for you working folks to get up for another day
of work, and for you kids listening to get your butts to school on this windy Thursday morning
and here is your weather. The weatherman is calling for patchy morning fog along the coastline and
partly cloudy skies inland with a slight chance of a shower or two after the noon hour. Your highs
today in the City of Angels and surrounding vicinity will be in the upper 60's along the coast to
the mid 80's inland, and the overnight lows will be from the low to upper 50's, with those pesky Santa
Ana winds kicking up with gusts up to 50 miles per hour by this afternoon. Red flag warning is in
effect for the hills and canyons so be careful with fire. ##
::Now he tells us.:: thought
Gage. With that in mind, Johnny knew that it was going to be a long day.
He arrived two minutes
late at the station for the start of his shift and said. "Well, good morning all. Windy out there,
ain't it? I--"
Captain Stanley interrupted Gage and said. "Good morning to you, too, Johnny.
I don't want to ruin your day but may I remind you that you are now three minutes late? That means
that you have exactly two minutes to get in uniform and report to the living room. You too, Chet."
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Chet Kelly tried to make up a good excuse for his tardiness, replying. "Cap, you know how hard I
try to be here on time, but the traffic is murder out there! Especially with the wind blowing!"
Gage agreed with Chet. "It's still early, you know what I mean?"
Then Captain Stanley stated.
"Well, o.k. But don't make it a habit. McConnikee has been on my back about this. And I agree, this
new starting time for our shift at seven in the morning just doesn't make sense." The captain
yawned as he finished his conversation. "I kind of cut it close getting in here myself. I'm still
tired."
As Kelly and Gage entered the kitchen for coffee and exchanging hellos with the rest
of the crew, Marco Lopez was looking out the back door window. He said, laughing. "Geez , you've got
to see this. The wind just picked up a trash can and tossed it like a rag doll down the street!
There's trash everywhere!"
"No kidding?" said Roy DeSoto. "Our neighbor had a tree branch land
on a power transformer early this morning and it knocked the power out to the whole neighborhood for
two hours."
"Two hours? Why so long?" Marco inquired.
"Because that's how long it took
before Pacific Gas and Electric could get out there with a boom truck to get it down and restore
the power. As a matter of fact, they had just turned it back on when I left this morning. The guy
told me that they were already ten calls behind and they were still getting calls for more help
by the time they got to us."
"Wow, looks like we may be in for a busy day." replied Marco as Henry
the station's basset hound mascot sunk his head into the couch in a sign of pity for the guys.
Chet Kelly scratched his nose. "I remember one time when I was over at 7's when a power pole fell
onto a house up in the hills near Bel Air. Huge house, and it had squished it right in half! The wind
took the pole right off of its base and we had sparks flying and arching wires everywhere. It was
a miracle that no one got killed!" he added.
Mike Stoker had another story to tell. "When
I was up at 69's, we had Santa Anas up to seventy miles per hour. We had a whole family with seven
kids in a station wagon that got blown off Altadena Pass Road and rolled off to the side about ten
feet down an embankment. That was a miracle there because the way it looked, we thought that everyone
would be dead or badly hurt. But it turned out that everyone only had just a few bumps and bruises.
That's all. We were glad to be out of there with them when a spark caused the gas tank to explode,
which then caused a five alarm brush assignment. We were there all night putting that one out."
Hank swallowed a bite of donut. "When I was working at 58's, we had an assignment where one
of those steel power poles somehow blew over onto the tower of the shortwave radio station in Idaho
Canyon. McConnikee was walking up to inspect the damage to the tower when a gust of wind caught him
off guard and blew him right onto his rear. We all got a good chuckle out of that! Like the saying
goes, once a b----- ."
Captain Stanley was interrupted as the station's tones sounded. ##Station
51, Engine 95. Antennae on top of a structure. Two seniors trapped. 11864 Pocohontas Circle. 11864
Pocohontas Circle. Cross street, Alta Vista. Time out: 0714.## The men scrambled to both
the squad and engine as Captain Stanley acknowledged Sam Lanier's urgent dispatch.
"Station
51, 10-4, KMG 365." he replied on the mobile radio inside the Ward La France engine. Both the squad
and engine left with lights flashing, sirens wailing, and air horns blasting on the way to the
scene which would take them seven minutes to get there. ::But seven minutes can seem like an eternity
for those in need of help inside the damaged home, especially if you are elderly.:: thought Cap.
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According to the mail box, the house that the firemen could see they had the response to, belonged
to Mr. Frederick Risenborough and his wife Carolyn. Cap saw that it was a modest home, most likely
with a couple of bathrooms, a den, maybe four bedrooms, and a large backyard with a barbeque pit
and wooden deck. There was also a three car garage, some fireplaces due to the type of chimneys Hank
could see, and a built-in swimming pool round the side.
Now it was a pile of rubble. And the fate
of its occupants was still unknown according to the police over the radio.
Soon enough, Station
51's crew pulled closer onto the scene where they were greeted by Officer Howard as they exited their
vehicles.
Officer Howard explained that the upright base station radio antennae in the back
yard of one of the next door neighbors had snapped near the base and had landed on the roof of the
house. He said that the neighbors had built and used it to pull in ham and shortwave radio transmissions.
"It used to be about seventy feet tall." he said.
Captain Stanley noticed that the antennae was
also lying across some power lines. He told Officer Howard. "Well, Vince, before we do anything
we have to get the power turned off. Are there any other outages in the area?"
"None that
I know of, Hank. But there may be in the rest of the neighborhood. Anything I can do?"
"Why
don't you keep any onlookers and cars out of the area except for immediate witnesses. Also see if
you can get a crane to clean this mess up later on. O.k., pal?" asked Captain Stanley.
"Will
do." Vince said.
Cap got back in the engine cab to give out his report. "L.A., Engine 51. I
have a heavy steel radio transmitting and receiving antennae approximately seventy feet tall on top
of a residential structure with two elderly people perhaps still trapped inside at this time.
Send a truck company for assistance in rescue operations and an ambulance. Notify PG and E and have
them expedite if all possible. Advise of their ETAs."
##10-4, Engine 51.## dispatcher Lanier
replied.
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The firemen tried to find their way around the house safely to make their initial damage assessment
so they could identify how to gain access and locate potential hazards, including the antennae
on top of it. They also had to decide what resources they would need as far as equipment and manpower
was concerned.
Roy called over to Captain Stanley. ##Squad 51 to Engine 51. We have located
a way in on the west side of the house. We will need the Porta-Power, air bags, K-12, and the Hurst
tool to gain access to the victims.## he said over his HT.
"Engine 51, Squad 51, 10-4. Engine
95! Assist my crew in any way you can." Captain Stanley ordered as he spotted Engine 95 was coming
on scene.
##Engine 95, 10-4, Engine 51.## the engine's captain replied.
The scene action
progressed.
Chet Kelly, with his gloved hands, used a crow bar to break out a bedroom window
to allow the firefighters to get inside the house. He peeked inside the bedroom to look for obstacles
that might impede their advance toward the victims and found a bureau dressing drawer in the
way. He crawled through the window, able to pull himself up and through the couple of feet that separated
the window from the ground.
Engine 95's crew hustled with a ladder to aid their fellow co-workers.
Then they retreated with Station 51's crew to get more equipment to set it up.
Chet and
Marco moved the dresser out of everyone's way, shoving it into a corner wall.
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Johnny got out the biocom and called into Rampart near where Dixie McCall was standing within
earshot of the radio. The light flashed and the alert buzzer sounded as Johnny said. "Rampart base,
County 51."
##Go ahead, 51.## Dixie replied.
"Rampart, we are at the scene of a rescue
operation. We have a seventy foot steel antennae that has fallen on top of a house. It has trapped
at least two victims inside. We are working to gain access at this time and will let you know when
we have contact with them. We're estimating about a forty minute extrication time. Over."
As
the conversation kept going on, Dr. Morton listened attentively as Nurse Mc Call stepped out of his
way for him to use the radio. ##51, this is Rampart. We read you and are standing by. Is an ambulance
there yet?##
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"Affirmative, Rampart. It just arrived along with an engine, a truck company, and the Battalion
Chief." Gage told him.
##Okay, transport as soon as possible but only after you give us a
full report on your patients.## said Mike.
"10-4, Rampart." replied Gage and he headed from the
squad back to Roy and the rest of the guys at the house.
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As the firemen made their way inside, Captain Stanley stood at the window where they had made
entry as Chief McConnikee arrived to be filled in on the situation.
"Hank, what have you got?"
McConnikee asked him.
"Bill, I have a seventy foot radio antennae that has collapsed on top of
a house with two people trapped inside. My men along with 95's and the truck company I called
are still gaining access. I've heard that they are older people." said Hank glancing over to the
worried bystanders across the street. "I hope that we can get to them while they're still alive."
Chief McConnikee surveyed the damage to the roof and sighed, "I sure hope so."
Inside
the house, the firemen made their way down a short hallway that had serious damage to the interior
walls in which crumbled sheet rock and cracked paint and plaster lay. Ahead of them, there was a
huge pile of rubble in what could have been the living and dining room. It was where the tower had
landed. Roy called out to listen for a response from the victims they all thought were trapped there.
::I hope someone's conscious so we can have an open line of communication to them until we get
there.:: thought Roy. "Hello. This is the fire department. Can anybody hear me?" he said.
There
was an eerie silence.
"Hello! Fire department! Can anybody hear me?!" Roy DeSoto shouted
louder.
There was still no response. ::We're not going to give up that easily.:: Roy decided
mentally.
Johnny Gage, following behind Roy, shouted as loud as his voice could carry. "Hey!
This is the Los Angeles County Fire Department. We are coming to get you out!"
Ten seconds
later, there was a muffled cry ; a female voice within the rubble.
Roy, Johnny, and Marco
heard the elderly woman with difficulty, but they smiled. They knew she had survived and perhaps
her husband, too, if he was anywhere near by her.
The firemen urgently, but very carefully, placed
their equipment down to get it ready to get to them both. They were especially careful to not cause
any sudden moves.
The Battalion Chief, watching his men work, thought. ::A further collapse
would endanger the lives of the other rescuers inside if they aren't.::
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Johnny asked the woman. "Are you trapped?"
The woman replied. " ..*Gasp*...yes, help me. My
husband is, too. He is out cold." came her muffled voice.
Johnny then asked. "Is he breathing?"
"...yes, but not that good..*gasp* I feel ..short of ....breath. Please get us out of here!"
"Okay. Stay still and we will have both of you out in a few minutes. There is going to be a lot
of noise. That will just be the equipment we'll have working to get you out so try to relax." said
Johnny through the tangle of debris still between them.
Captain Stanley said. "Chet, Marco.
K-12 and easy with it. Henderson and Briggs from 95's, man the inch and a half just in case we
spark something and the rest of you, start clearing out some of this debris as we go. Stoker, standby
the biocom to Rampart."
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"Okay, Cap." he replied.
All the firemen then busied themselves with their tasks.
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The wind outside made the shrubs, tree limbs and power lines dance. All loosened debris around
them was being hurled through the air by it as it suddenly gusted up to forty five miles per hour.
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Inside the house, there was a loud creaking that seemed to be coming from the threshold leading from
the hallway into the living room.
Captain Stanley, who was standing nearby, heard it and went
to investigate. He knew that the supports to the roof had been pretty weakened and that the whole
roof could cave in at any time, trapping everybody inside. He heard another groan above him just
seconds later and ducked instinctively. He got on his portable radio to Chief McConnikee, who
had since gone outside to head command the incident while standing on the street in view of the house.
"Battalion 14, HT 51." Captain Stanley's voice crackled into his radio.
##Battalion 14. Go
ahead, Hank.## McConnikee said.
"Battalion 14 , the roof on this structure is weakening as I speak
and can go at any time. I have sixteen men getting to the victims inside and it will be at least another
thirty minutes before we gain contact. But we maybe have fifteen to twenty only to get them out before
this place falls down. Any suggestions?"
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Vince, overhearing Captain Stanley's radio conversation, said to Chief McConnikee. "I have men
up on Alta Vista and Loma Prieta shutting down traffic, except for you guys, to come through. I put
in for a crane to come even before you arrived. They should be here in twenty minutes." Vince
said, looking at his watch.
McConnikee glanced up directly into Vince's eyes and replied. "I
don't know if these guys have twenty minutes. Hank Stanley says that roof can go at absolutely any
time. Is PG&E here yet?"
"They just got here a minute ago. They should have the power off by
now." Vince said to him, looking around for the flash of utility lights.
It was then, they
both noticed that the sparks and arching of the power lines that had fallen down because of the windstorm
and the antennae, had all but died away.
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:: Hmm.Things are now a little safer for everyone.:: Bill thought. :: But the peril of the roof
collapsing remains.:: the chief worried. Battalion radioed inside to Captain Stanley. "HT 51, Battalion
14. The power has been turned off. Repeat. The power is now off." ##HT 51, 10-4. What now?##
"HT 51, you're going to have to step it up but be careful. Do you need additional manpower?" asked
the chief.
Hank Stanley surveyed the scene in front of him and knew with about sixteen men,
that he was fine. He conferred with Engine 95's Captain Eddie Green, a 26 year veteran, working near
by.
Eddie nodded to Cap. "Another engine company would be nice. But we don't want too many
cooks spoiling the pot. We'll be outta here sooner with just ours if we can push it a little."
Cap lifted his head sharply in agreement and turned back towards the victims' pocket. "Hey, let's
hurry it up in there. The hallway roof's gonna go real soon and bring down the one above us with
it." Hank Stanley warned everyone. Then he turned to Green. "Let's give these guys a hand, Eddie,
ok?" Finally, he answered Battalion's question over the radio. "That's negative on additional manpower,
Battalion 14." "HT 51, 10-4." McConnickee answered.
"Cap. We've made it to the victims!"
Gage yelled.
"How are they?" Captain Stanley shouted back.
"....The lady is semi-conscious,
but coherent. The man is unconscious. Responds to painful stimuli. Looks like they are both pinned
down. The tower debris is lying on the lower part of their bodies. We'll need ....the airbags, jaws,
......and the Porta-Power to just lift it up off them a bit so we can get em' out." said Johnny.
Roy DeSoto then filled the captains in with their medical priorities and he said. "The older
man goes first! We'll need O2 for both of them."
Captain Stanley ordered Mike Stoker out
to the squad to get the O2 and he told Chet Kelly to retrieve the O2 kit off of the engine. Then
he advised the chief on the portable radio about their reaching the victims inside and what their
conditions were as both being trapped by their lower extremities. He shared also that Kelly and
Stoker were on their way out of the house to get the medical equipment. ::Come on. We now have just
fifteen minutes at the most to get them out before the roof collapses for good. Time's not on
our side.:: worried Hank.
##Okay, Hank. It's too windy for me to be standing out here. I'm coming
in to help." McConnikee replied.
Hank Stanley was suddenly concerned about his Battalion Chief.
::Wow. I wonder if he can still hack it with the rest of the guys.:: Cap thought. Then he keyed the
mic on his handheld. "All right, Battalion 14, 10-4. But be careful." Outside, Chief McConnikee
popped open the trunk of his red battalion chief's car by pressing a button inside of it. He walked
briskly to its back and put on his bunker pants after he had taken off his coat and helmet to get
their suspenders onto his shoulders. Then, putting his bunker coat and white helmet back on, he
made his way into the house with Stoker and Kelly who then followed behind him with the oxygen kits.
"Chief?" Lopez asked. "What are you doing in here?"
"I'm gonna help you guys. Maybe teach
you all a thing or two while I'm at it. Hurry it up!" McConnikee said to Stoker behind him.
The
chief got behind Captains Stanley and Green who were working the Porta-Power and he said to them.
"Good. Keep going. Just a little more."
"Yes, Chief." replied Green.
"Henderson, as
soon as you get the tower up a little with the jaws, get a good bite on those poles and a good lift
on the tower struts. Stoker and I, with the other two guys here, will get those bags into proper
position. We don't want any mistakes." Bill added.
"We've got four more air bottles off of the
squad, chief. " shouted a young rookie firefighter of Oriental descent from Engine 95 as he propped
them upright for the porta-power's hydraulic use. "Good, Tse. Set them up for 51's guys and fill
the lift bladders fast." said McConnikee.
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Gage returned to the biocom once again to advise Rampart of their current situation. "Rampart base,
County 51.." he said.
Dr. Morton, still in charge of the base station over the call, re-entered
the radio room and replied, ##Go ahead, 51.##
"Rampart, I am updating you about our situation.
We have made contact with our victims and they are being extricated at this time. We have a shortened
revised time of ten minutes due to the danger of roof collapse. As far as I can tell, we suspect
both our victims' conditions as having critical lower extremity injuries and possible internal injuries
to their abdominal cavities. The female is still semi-conscious. Earlier she was somewhat incoherent.
The male is now responsive to verbal stimuli. We have them both on 15 liters of 02 via non-rebreathers.
Over..." reported Johnny.
##51, can you visualize their upper extremities?## Dr . Morton
inquired as Dixie and Dr. Brackett walked into the radio room to listen into what was going on.
"Uh,..stand by, Rampart. We have another development." Johnny replied at a sudden cessation in
sawing noise behind him.
##Okay. Keep us posted.## Morton answered.
"What's going on?"
Brackett asked Dr. Morton.
"Do you know the case we have been working with 51 for almost a
half hour now?" Mike asked him.
Kel nodded.
"Well, it seems that they have gotten access
to the patients and are extricating them now."
Brackett sagged in relief.
Mike shook
his head. "However Kel, they are in immediate danger of having the roof collapsing right down on
top of them. They're saying that it can go at any time."
Dr. Brackett and Dixie bowed their
heads in deep concern.
Dr. Brackett sighed then, looking up."Well, I know that the boys, with
enough help, can really get the job done. Let's hope for the best." he said.
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Meanwhile, the air bags were ready. The large black squares marked with an X to indicate area
of placement, had been inflated fully. And with the other equipment in place, they had finally lifted
the heavy antennae off of the victims. They had provided just enough space for the firefighters
to move in to remove the injured couple.
"Okay, that's enough! Let's get them out of here."
McConnikee shouted, bending low to see into the victims' gap. "Gimme the extrication collar for
this man,.. uh-ah , what's your name?" the chief directed at Chet Kelly.
"Chet Kelly." Chet
replied.
"Kelly. Right." The chief said. "Chet, get the second one while you're at it, too."
The chief shouted with dismay as another groan came from the roof above him. It seemed to
be much louder than the first one heard by Captain Stanley, who was still working on locking off
the Porta-Power with his friend, Captain Green.
Truck 11's Captain Marlon Hankins ran into
the house. He was one of just three African-American captains that Hank knew about; a 20 year
veteran of the County F.D.. Hankins ordered two of his men, Fisher and Jenkins, to get 51's back
boards propped up against the wall behind the two other captains and nodded as Battalion told him
the names of the victims that he had read off of the house's streetside mail box.
McConnikee
made sure that he said them loud enough for all the rescuers around to hear as well.
Chief
McConikee slipped the first collar easily behind the old man's neck, making sure to get the trachea
hole facing center forward on it. He wrapped it around the man's neck then, to immobilize it. He
spoke to Mr. Risenborough as Roy maintained manual traction to the man's head. "Sir, please don't
move your head. I'm placing this collar around your neck just to remind you to keep your head still."
"Oh ,.... sonny . Please help. I hurt..... all over. I still can't...... move .....my legs!
What's.... that..... board .....for ? " Mr. Risenborough gasped.
Roy explained to him. "It's
to make your whole body immobile so we can keep your head, neck, back, and body straight, okay? We
are going to roll you onto your side and place you onto this. Then we'll support your head with
a head immobilizer and your body with straps. All right?"
The old man didn't reply. His attention
was starting to drift.
McConnikee, Lopez, and Jenkins, rolled Mr. Risenborough easily onto
the backboard as Johnny placed a HeadLoc device and its straps on that were still needed to safely
remove him from entrapment.
The old man was soon carried out of the house and set onto the front
lawn where it was truly safe.
The small crowd of onlookers, a few houses down, standing on
a neighbor's plush, newly mowed lawn, applauded the firefighters as Mr. Risenborough was brought
out. They had seen that he was in and out of consciousness; still alive.
Johnny, Chet, Hank,
Wally Tse, and Tony Fisher were hard at work preparing to remove Mrs. Risenborough from the wreckage
of the home. Davis, Truck Company 11's tillerman, dragged the biocom nearer to both the woman
and the paramedics.
The roof let out a really loud groan above suddenly and some light roofing
material showered onto Gage, Chet, and Fisher. They hit the floor protecting Mrs. Risenborough
with their bodies as the others inside protected themselves by covering their helmeted heads.
"Everyone all right?!" Gage shouted, looking up, heavily frightened.
"Yes." Chet yelled after
he had checked with the other guys in his group.
"Are you, too, ma'am?" Johnny asked Mrs.
Risenborough.
"Yes! Just get me out of here. I ..*groan*...don't want to die now." she cried.
"You're not going to die, Mrs. Risenborough. We're taking you out of here right now." Johnny
said .
"How's Fred? Where is he?" she asked, blinking in the falling dust.
Johnny said.
"My partner Roy and some other firemen are taking care of him outside. I can tell you that he is
alive, but he may be hurt bad." he told her truthfully.
Mrs. Risenborough's face twisted at
the news. Gage reassured her. "Easy. We will do everything possible to help him and you,
too. Okay?"
"Thank you. You paramedics are just wonderful." the old woman said.
"Thanks."
said Johnny, trying to smile at her.
Johnny and the guys soon rushed Mrs. Risenborough outside
and they placed her onto the grass next to her husband, positioned so that she could see him.
He had had splints applied for fractures to his legs, hip, and for an ankle.
Gage could see
that Roy was readying an I.V. of anticipated Lactated Ringers, that covered Dr. Morton's usual silent
standing orders, stringing it out for him.
::I'll probably need one of those as well.:: he
thought. Johnny began his full updated primary and secondary patient survey on Mrs. Risenborough.
Privately, 51's paramedics were also concerned about the status of the firefighters still
inside. They both could see that only Captains Stanley and Green and two other of 11's firefighters
were reported as out of the wreckage with their Porta-Power. Gage and DeSoto knew that Captain Hankins,
along with his crew firefighters Henderson, Brown, Bridges, Collinsworth, Gentry, and Terrelli and
a couple of others, were still inside taking down equipment.
::I hope they get out of the
house before the roof collapses.:: Johnny thought as he treated his patient.
Time was running
short.
Again, the roof gave out another loud and menacing groan, dumping more shattered material
into the inside of the house.
Chief McConnikee, nearby, shouted into his radio. "HT 11, Battalion
14 . Get the h*** outta there, now! You might only have three minutes or less. Move it!" he told
Hankins.
##Battalion 14, HT 11. We have gathered the gear and we're coming out now.## Captain
Hankins replied.
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As Hankins' firefighters and Stoker made their way, without incident, to the window through which
they had all come, Johnny started relaxing while Roy got back on the biocom to Rampart.
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The incoming buzzer sounded at the hospital. Dr. Morton finished his second medical case
off quickly. It was one from Squads 110 and 36, in which four patients had been injured due to
an auto accident on the San Diego Freeway.
While he talked, Mike motion invited CHP officers
Baker and Poncharello to listen in on Johnny's radio transmission. Mike had seen the two officers
at the nurses station, filling out an unrelated accident report.
##Rampart base, County 51.##
Roy called.
"Go ahead, 51. This is Rampart." said Dr. Morton.
##Rampart, we have extricated
both victims successfully. Patient number one is a semi-conscious, but arousable seventy two
year old male who's a critical trauma patient. He was trapped for approximately thirty five minutes
due to a fallen radio tower antennae that collapsed from its base onto a house. It caused the
roof severe structural damage. The victim was unresponsive when we initially arrived, but his LOC
improved when O2 was given to him during his extrication.
##At this time, he has a fracture
to his left ankle, left hip, and right femur. He is complaining of pain in the cervical spine but
we're finding only tenderness. There's negative deformity to it. We also have found some abdominal
swelling. He has no signs of distention. Negative on absent bowel sounds. Vitals are as follows :
BP is 92/70. Pulse rate 116. Slightly abnormal, are respirations at twenty eight and shallow,
but his SaO2 is at 98% on O2. He's on 15 liters per non-rebreather. The patient has a history of
arthritis in his back for which he takes over the counter medications as needed. He has no known
allergies. We have him fully immobilized on a long spine board with an extrication collar via HeadLoc,
and straps. A Sager traction splint has been applied to the right femur fracture and the leg's
now stabilized. Vacuum splints are also immobilizing the ankle. We're supporting the hip fracture,
too, for pain relief. Any further?## DeSoto asked about medical orders.
Dr. Morton glanced
down at the toggle switch and pressed it. "County 51, start an I.V. of Lactated Ringers, followed
by piggyback I.V. of 250 milliliters D5/W t.k.o . Administer 5 milligrams Fentanyl I.V. Monitor
his vitals and get him set to transport."
##10-4, Rampart. Stand by for patient number two.##
replied Roy.
Johnny took over the biocom. "Rampart, County 51 with patient number two."
he reconfirmed for the radio log.
"Go ahead, 51." Dr. Morton answered.
##Rampart, patient
number two is a conscious, but somewhat disoriented seventy year old female. She's a potentially
critical trauma patient from the same incident with the same length of entrapment to extrication
time as patient number one. Her chief complaint is severe pain to her left femur, right foot
and its tib-fib. She is complaining secondarily of minor c-spine and general back pain. She has pain
in her left wrist and left hip. On exam, I found her to have an open fracture to the left femur
with gross deformity. Absent distal pulses were present on first arrival. She has an open fracture
of her right tib fib with moderate to gross deformity of the leg. Noted initially there, too, were
no distal pulses. She has a closed fracture with deformity above the right foot. She also has
tenderness and slight pain in her neck and back with a small contusion and swelling on her left side
neck. And Rampart, she has moderate pain with any slight movement of the board.## Johnny added about
her awareness level.
##There's a large deep bruise on her left hip with severe swelling
and acute tenderness but with no pelvic deformity. Her vitals are : BP 122/92. Pulse 110. Her respirations
are also at twenty six with an SaO2 at 98% on oxygen. Patient has prior history of migranes and
has taken Cafergot. She says she's also allergic to horse dander. Reaffirming at this time, we have
her in general c-spine precautions and we've immobilized the left leg with a Hare Traction Splint.
The wound's covered with dressings and is bleeding controlled. The leg's distal pulses are still
showing and limb color and temperature to that foot are normal. We have the right open tib-fib fracture
immobilized with a full leg vacuum splint which is likewise dressing covered and bleeding controlled.
##Distal pulses have just returned there with half normal limb coloring and temperature. I have
an ice pack applied to the left hip contusion and she states some relief from pain in that area. We
also have the wrist splinted with a short vacuum splint, sling and swathe. There's ice there as well
which is gaining pain relief. Note, I have her on 15 liters of O2 per non-rebreather. Any further
instructions, Rampart?## asked Johnny.
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"51, start an I.V. Lactated Ringers on patient two along with a piggy back of 250 milliliters of
D5/W t.k.o. Administer 5 milligrams Fentanyl I.V. for discomfort. Monitor vitals and transport both
patients as soon as possible. What is your ETA?" Dr. Morton asked.
##Ten to fifteen minutes, Rampart.##
Johnny said.
"10-4. Get them in here." said Morton, smiling at the two highway patrol officers.
------------------------------------------------------------------------------------------------
As soon as Johnny got off the biocom with Rampart, there was a loud crash and a big cloud of
dust emitted from the doomed house.
The roof had caved into the bigger section of the house and
what was left of it was no longer standing.
Gage sighed. ::But I'm not gonna be worried any
more. The chief's relaxed and that means that everyone got out of the house with no one getting
themselves in any kind of peril doing it.::
---------------------------------------------------------------------------------
At Rampart, things were wrapping up. "Wow! This is like being right there in the action, Docs."
Poncharello said with his trademark smile.
"Almost. But we still can't see the patients until
they get here. Someday when video telemetry comes along, we will have that ability." Dr. Morton
replied.
"Every one of these squads you see listed on our board; 14, 24, 36, 45, 51, 99,
110, 116's and these two L.A. city R.A.s, work under our licenses. And here we provide them with
on-line medical direction." said Kel, resting a hand on the recording base station terminal.
"We also share equal responsibility over the patient in the field with the paramedics until he or
she comes here. Then, they are ours." Dr. Morton grinned with mock threat.
The two highway
patrolmen chuckled.
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"We've known Johnny and Roy for a little while. They are great to watch at work." Baker said, nodding.
"They're the best we've got. But I can't leave out the others." Mike Morton said.
##Rampart
Base, Squad 45.## The base radio beckoned.
"Excuse me, gentlemen. I'm wanted again." Dr. Morton
smiled as he stood over the flashing radio toggle to answer the squad call.
Quietly,
the other three left the glassed cubicle, leaving Mike to his work.
------------------------------------------------------------------------------------
Back at the scene, everyone stood momentarily gaping at the house which had been thoroughly reduced
to a pile of rubble.
McConnikee shook his head and turned to the three captains. "You know,
I hate to see beautiful homes be destroyed by an act of nature like this. I know their owners usually
have enough insurance to rebuild... but.. It just goes to show you that everything, no matter what
it is, has an ending."
Green, Stanley and Hankins agreed with him in mutual nods.
They
all watched as the Mayfair ambulance EMTs, Harold and Malcolm, came up to Roy with a wheeled gurney.
Mr. Risenborough was hoisted onto it and placed him on the cot side of the ambulance as Roy sat in
the jump seat in back of his patient. Then the EMTs brought out a flat stretcher to take Mrs. Risenborough
into the ambulance, too. Johnny stood in the jump door stairwell as Mrs. Risenborough was set
gently on the squad bench.
Marco and Chet brought their equipment to them and Captain Stanley
ordered Chet to drive the squad into Rampart. "Kelly, go." He then told him that they would follow
in behind to pick him back up again after the transport.
The ambulance doors closed and Marco
Lopez gave Malcolm the "all clear" signal to drive away.
The Mayfair took off code three
towards Rampart.
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McConnikee said, as Engine 51's crew starting leaving, to all except Chet Kelly whom he had noticed
was driving the squad into Rampart. "Hey, Hank. I'll meet you back at the station for some of
that good coffee you guys make? I need to tell you guys something about this incident that will interest
you."
"Sure. Come on down, Bill. Make yourself at home. Henry will be glad to see you." Captain
Stanley said with a smile.
"See you there." Chief McConnikee said. Then he picked up the mic
on his vehicle C.B. "L.A ., Battalion 14. This incident's under control. Police and PG&E are to take
over with Fire Investigator 3 on scene. Time out : Forty five minutes at 0800."
##Battalion
14, 10-4.## Sam Lanier replied over the radio.
Captain Stanley then got on the Ward's mobile radio
and added. "L.A., Engine 51. We're clearing the scene and are en route to Rampart Hospital to
briefly pick up a crew member."
In his usual fashion on their private station channel off the
main one, Dispatcher Lanier replied. ##Engine 51, 10-4. Good job, guys.##
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As soon as the ambulance took off towards Rampart, Roy DeSoto got on the biocom. He waited until
the yellow busy light was off before speaking since he knew that Squad 45 was using the same frequency
for their patient report. As soon as the frequency cleared, he got on the air. "Rampart,County
51." Roy said.
##Go ahead, 51. This is Rampart.## replied Dr. Morton.
"Rampart, we are
in route with our two patients now with a seven minute ETA. There are still no changes in our victims'
statuses since we've last contacted you. Please have the trauma team standing by, over."
##51,
yes. They are standing by.## Dr. Morton replied.
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"We'll give you another update when we are two minutes out."
##10-4, 51.## Dr. Morton said as
there was another flurry of activity at the ER entrance.
-------------------------------------------------------------------------------------
Dr. Early met Squad 116 and their elderly patient whom the paramedics said had a history of mental
illness. She had apparently slipped and fallen in the bathroom where she broke her ankle. She
was singing "Amour" from Biset's opera "Carmen" as paramedic Bailey and an EMT from Goodhew ambulance
named Hills, brought her out of the ambulance.
As she was being wheeled in with Hills and their
respective partners, she saw Dr. Brackett and Dr. Early waiting for her arrival at the triage
nurses's station. She instantly broke out singing. ''@Oh, sweet mistery of life, I'm so glad I've
found you@."
The doctors both shook their heads and Dr. Early said to the incoming crew. "Put
her in three." And then he went with them to look after his patient.
Dr. Brackett sighed as
he met Dr. Morton and Dixie McCall back at the nurses's station . "I don't know if it's the wind that's
bringing in these crazy patients, or if I'm going crazy myself, Dix."
"Is there a full moon
out?" Nurse McCall asked.
"No, first quarter." Dr. Brackett said.
"It seems that every
time the santa anas kick up, we get every strange character under the sun with at least some kind
of odd problem." Dr. Morton replied.
"Well, Mike, you are kind of a strange character, too, since
you are the only junior resident we have currently at the hospital." Dr. Brackett chuckled.
"I resent that!" smiled Dr. Morton as he stood in the doorway of the base station cubicle with his
arms folded. "Still being inexperienced in some cases doesn't automatically mean that I'm that odd.
Maybe someone who's odd is a doctor who claims to have seen it all before." he winked, pointing
an index finger at Kel. "Hey, let's not pick on each other!" Dixie said with a smile.
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************************************************* From: Patti or Jeff or Cassidy <theaterhost@voyagerliveaction.com>
Date: Wed Jan 4, 2006 10:37 am Subject: Shuffling The Patient Care Cards..
"....We've
enough work to do without poking jabs at the home team while the bases filling up." she told them
both. Then the amused smirk fell completely off her face. "I'm putting 45's near drowning into
five, Mike." McCall added. "That way, we'll have the x-ray machine in three open for someone else
who really needs it."
"Ok, that'll work. I'll go call respiratory therapy to line up a bird
for her." he replied.
"How's she doing? I only heard part of that run while those two motorcops
were in listening with you." asked Dixie.
"45's said that she still wasn't breathing on her own
during their last transmission to me." Morton nodded, quickly disappearing into that room to get
it ready for that patient's full resuscitation care. "but they also said that her v-tach was stabilizing
on adenosine."
Dixie pursed her lips. "Boy, that was lucky for her."
"Real lucky." said
Mike. "She'll survive this with a little help."
It was right then that Roy and Johnny arrived
with their two tower collapse trauma cases.
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Kel saw them coming and he called out loudly. "Guys! Don't bother bringing them into the "stabe"
room. We've got two O.R. and anethesiology teams set and waiting for them upstairs. Any support
work we have to do, we'll do up there in pre-op. Move them into here. It's on pause." he said about
the elevator in which he was standing.
DeSoto and Gage did, passing off their patients run
charts over to Dr. Brackett who quickly read them while they all piled into the patient freight
elevator still being held open for them by an orderly.
The two ambulance gurneys were steadied
by many hands as the doors closed behind them.
-------------------------------------------------------------------------------
Jon and Ponch from the highway patrol felt themselves backed against a wall by the crush
of patients who seemed to be arriving to Rampart from every exterior door.
"Come on, partner."
said Francis. "If it's this busy in here, just imagine what the streets are probably getting like."
Jon Baker rubbed his nose, reshifting his motorcycle helmet under his arm while he sipped his
hastily grabbed coffee. "You really want to go back out there again? It's boring. You know how it
works for us whenever the fire department units get swamped, we never get anything to do ourselves."
"That's true. And when we're busy, they don't get any calls at all." said Poncharello.
Baker's
face sobered. "Let's go. It's time we left this to those who are actually handling it." Jon said,
throwing a open palm out to all the bustling doctors, nurses and arriving fire department rescue squad
pairs rushing around them. "I'm feeling like a extra left boot."
Ponch nodded. "Just watch
how fast I can disappear. Race ya back to the freeway." he said walking fast out of the emergency
entrance doors.
"Ponch, go slow. You don't want Sergeant Getraer on your case again, do you?
You already have two speeding tickets issued out from our own police cruisers on your records." Jon
said, chasing after him.
"I do? Oh.. yeah. I had forgotten about those. Ok. Just for you then
partner, I'll be a pure featherfoot." Ponch grinned toothily.
The two highway patrolmen left Rampart,
turning right under the skywalk, with an accelerating thrum of rev-ed up motorcycle engines.
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