Private Ambulance Crew Stopped for Extra Patient Care Assisted by Police, Firefighter/Paramedics

[@scott8908]

In instances where a patient experiences cardiac arrest, transport no longer becomes the priority. The priority becomes cardiopulmonary resuscitation (CPR) along with other life saving measures to resuscitate the patient. So the paramedic needed the help of his EMT partner (who was driving) and other rescuers as it takes multiple people to sufficiently perform CPR (one person operates the BVM, one person performs chest compressions, another person monitors rescue attempts, etc etc). Ideally, you want at least 2-3 rescuers to perform CPR. Here in California, we must resuscitate a patient before we can transport them. As CPR takes priority over transportation. I am an EMT for a private ambulance company.

[@JA-jb4ti]

Wow! Very interesting! We have different practices here in New York. Thank you for your service!

[@tiffanyl.7234]

@@JA-jb4ti where is your general area in new york because im from upstate new york and our protocol is to stop and call for assistance unless we are less than 3 minutes from a hospital even then we will still pull over just to get them atleast a little more stable

[@1Autostrada]

Спасибо

[@bwalts6570]

well I agree with some of what you are saying, as a 20+ yr medic i have worked a code in the back alone. but anyone that has been in here for awhile will agree. Yes you call for help, keep channel open, BUT YOU CONTINUE to the hospital. its called a meeting point. If the responding crew isn't there you keep going. Thats pretty much the common practice of everywhere I've worked from upstate NY to the City, to Arizona and the south.

[@shyowl3453]

In Florida where I'm at we have LUCAS devices so we can transport but it is obviously preferred to have more people, at least a firefighter to drive if nothing, so it can be done solo effectively but its not pleasant for the medic and limits what they can do otherwise, so for us we tend to work codes where they fell, or move them to the ambulance and continue it closer to materials/in air conditioning but most likely just work it where it is, if we get a pulse great then we transport but if cardiac arrest happens in route to the hospital it gets tricky but again if we have a driver we can keep going

[@philsmidwestclassiccars150]

You folks are commenting & having a shitfit over nothing. Somebody probably went into cardiac arrest in the back of private ambulance. Folks that requires all hands on deck. They left the siren on in the ambulance as the driver went into the back to assist. Fire is called because they contain paramedics who could possibly save a life (which is what this is all about). The cop moved the ambulance out of the way while the others were working on the issue in the rear. Looks like a textbook case. Hopefully who ever it was in the back survived.

[@SMiller5488]

This guy gets it

[@austinlego216]

You could see when the firefighter opened both doors they were doing compressions. You get it tho, it’s life over some crabby people any and every day.

[@philsmidwestclassiccars150]

@@austinlego216 Yes, Life over crabby people any day . As an over the truck driver, I have witnessed some pretty ridiculous shit from people who are just in too big of a hurry, to move out of the way of emergency vehicles. I have seen folks deliberately block passage lanes that 1st responders could of used while responding to a serious accident. What you see here in this video is an attempt to save someone's life. Yes as some of the armchair quarterbacks chime in, they should of done this or they should of done that, we all need to remember, this was not a drill or an exercise. It is a real event, filmed in real time, of a life saving effort by a community of workers, who are dedicated to helping others when the chips are down. For those who are counting the people involve, not a problem with them showing up. In a life saving effort, maybe, one of the guys or gals who shows up later has had enough experience with the situation at hand to really help out & possibly save a life. For those who think it was over kill, too many no matter what. Remember my friend, we have strength in numbers. That goes without saying that I know if that was me on that stretcher, I would hope folks around me would do everything they could to help me out.

[@binky8501]

doing CPR is exhausting the more pepole you have to rotate the better care you can give

[@Cjtemt]

The ambulance has a medic on it already. It says paramedic unit on the door. Most fire services in rural/small towns don't have medics and aren't even licensed at the basic level. I work for a private ambulance service and we have a very large 911 coverage area. As a ems provider that works on an ambulance it's very easy to go from a bad moment to a "oh crap" moment. Most Ambulance services in the USA usually only have 2 crew members. Both are fully capable of keeping someone alive. (Yes, even a basic can keep someone alive.) In this situation obviously they went into oh crap mode quite quickly and the emt probably wasn't thinking about a siren. In this particular incident 2 people cannot handle a pt that is in full arrest. (Especially without a Lucas) You have to remember that BLS comes before ALS. In this situation the paramedic would not be focused on ALS skills. They would be focused with BLS until more manpower got there to do CPR. I've been in this very situation. Me and my partner rotated CPR/Ventilation until we got help from fire or police. CPR is absolutely exhausting. If our supervisor arrived on scene and saw that the medic was focusing on ALS and having his partner do all the CPR the medic would be wrote up. They teach you in paramedic course to not forget to do BLS before ALS. Personally my partner and I have a nice system down and we work well together. When fire/police is doing CPR one person will usually focus airway, and the other will focus cardiac drugs.

[@zacharyrodriguez8200]

I’m actually amazed by how many units showed. I’m from South Florida and it usually goes Engine/Ladder/Quint(whoever is closest), a Rescue, and Battalion. That is 5 ALS certified guys because we’re all required to be medic down here plus a Chief. District might show up but it depends on how the cardiac arrest happened.

[@afcgeo882]

It is different everywhere.

[@woogy17]

Now thats what you call team work,great job folks!!!!!

[@wallochdm1]

A buddy of mine just lost his Dad in similar circumstances. He was following the ambulance to the hospital when the father went into cardiac arrest and the ambulance stopped on a bridge. He stopped his car, threw open the doors, and saw it all. Two medics fighting to save his Dad. The FD came, and assisted, but he was pronounced DOA. These guys are probably in the same shitty boat.

[@willispautz]

The white box you see at 4:40 is a LUCAS cpr device. Can confirm this was most likely cardiac arrest in a most likely previously fine p.t. Being transported by private service. Most likely the private service paramedics, didn’t have the experience/cajones. I work for a 911 ems county service

[@LetsLaugh2Getha]

@@willispautz since you are so knowledgeable to know about the LUCAS you should know that the private service may not have had Medics on board in that transport so it is a all out bitch move for you to say they "may not" have had the cajones to handle the code in transport. No....they did right in stopping to ask for ALS assistance in the code to provide pharmaceutical interventions that they, as basics, could not provide. I'd go around with no balls every day if that was what it meant to have a ego small enough to know when to ask for help to give my patient the best chance of survival. 🙄🙄

[@willispautz]

@@LetsLaugh2Getha I’m not shaming them for calling back up... you also can’t conclude that this isn’t an ALS rig. Their truck literally says “paramedics” on it. BLS transport services usually don’t throw around paramedic on their truck unless it’s an ALS rig. I’m not shaming them for calling for backup. Don’t know why you’re so butt hurt🤣. Must of been you working that code.

[@LetsLaugh2Getha]

@@willispautz nope, no idea where this was actually. It just wasn't cool to say they had no balls when it very easily could have been 2 basics used to nothing but simple "granny totes" so when the shit truly hit the fan it was a straight adrenaline rush for them and they at least had the wherewithal to stop and ask for ALS intercept. Here all trucks say Paramedics down the side somewhere unless they are a private transport only service.

[@zacharyrodriguez8200]

Don’t know what’s going on here but most private transports are only staffed with 2 guys and if it wasn’t or was an ALS unit they would’ve needed the man power anyways. 2 guys can’t handle a code. Here in South Florida, minimum is Engine/Ladder/Quint(who ever is closest), Rescue, and battalion. That’s 5 ALS certified guys because in SFL everybody is ALS certified(paramedics). Sometimes even District shows up.

[@suewilliams2880]

You all are amazing at what you do we thank you for your service thank you so much everyone out there

[@johnjelinek7643]

That last item was an automated chest compressor....they are doing prolonged CPR...which is never a good thing.

[@shyowl3453]

never a good thing but better to have a machine do it than people that will get tired, that way the people can focus on drugs and other things they need to do

[@jasbarsoph]

The Lucas device aka the thumper. Terrific piece of kit.

[@jesuschrist5302]

Great job to all emergency teams and Law enforcement 👍

[@ThatDamnPandaKai]

ALS intercept. In general it's better to work a patient with both medics in the back and wait for back-up, rather than try and treat with 1 medic drive to the hospital.

[@SMiller5488]

That was a BLS transport that went south, they needed a medic and drugs.

[@billydunwoody]

@@SMiller5488 wrong, it says Paramedic on the ambulance lol

[@Max_n_ruby]

@@billydunwoody yeah but it was probably a bls unit meaning they might not have equipment on board for a cardiac arrest an als usually has more equipment

[@tannertoejam2196]

@@Max_n_ruby it said paramedic unit on the truck. For multiple legal reasons there has to be a medic on that truck for it to transport a patient. Laws also determine what equipment and drugs must be on an als ambulance

[@lightsnmore6253]

@@Max_n_ruby in order to be labeled as a paramedic unit, it must be staffed with at least 1 paramedic. This looks to be a transport that turned into a cardiac arrest. they called for manpower. The FD arrived and brought out a LUCAS device in the Squad unit. with the LUCAS coming out and being set up, that is how i know it was a cardiac arrest. (not to mention the active CPR when the doors opened) Having been in EMS for 15 years, i know how tiring performing CPR can be and know how much just having one extra set of hands on that scene can improve the quality of care. Good call bay this crew.

[@maverick4220]

Oh i see now so the Private ambulance was on the way to hospital with a patient and the patient stopped breathing so the private ambulance stopped where it was to provide CPR. At first i was confused.

[@villainizuku3934]

Yeah, i finally get it now because the private ambulance decide to help the patient care and wait for back up for soon as possible. So they can save patient in no time. If that patient response, they able to sent patient to private hospital.

[@scott8908]

In instances where a patient experiences cardiac arrest, transport no longer becomes the priority. The priority becomes cardiopulmonary resuscitation (CPR) along with other life saving measures to resuscitate the patient. So the paramedic needed the help of his EMT partner (who was driving) and other rescuers as it takes multiple people to sufficiently perform CPR (one person operates the BVM, one person performs chest compressions, another person monitors rescue attempts, etc etc). Ideally, you want at least 2-3 rescuers to perform CPR.

[@damaribrackett1159]

Thank u I watched this like 3 times

[@byrontaylor9235]

Yup that's standard s.o.p for prvt ambo's though not all states utilize prvt ambo's in texas its either an fd run ambo or a major contracted company contracted to the city and county but the rule is the same thus usually if its a med call both fd and a contracted ambo respond in this case either careflight or AMR depending what part of the county your in

[@kaspernbs]

@@scott8908 That makes sense. And I can understand the police being there. But why 3 different types of fire truck?

[@julioguzman6898]

The reason why they stoped for further treatment is because the hopital might of been too far ant the advance life support unit was closer, so they contacted medical direction at the hospital and the doctor told them to wait for the ALS because the hospital was too far and the life of the patient was at risk. Some people have no clue they just talk mad shit. What you see in the video was done corrctly

[@tannertoejam2196]

Leaving the siren on and parking in the middle of a busy city street is correct?

[@coover65]

American EMS crew have to get permission from a doctor at the hospital? Amazing.

[@tannertoejam2196]

@@coover65 in certain situations, yes we have to call and get orders from a doctor, but all ambulance services have a doctor as a medical director who provides written or standing orders which you can perform without asking. 99% of the time your written orders will cover the situation and you don’t need to call for assistance, but sometimes we do.

[@coover65]

@@tannertoejam2196 Many thanks for that. It's something we don't need to do in Australia. You get trained, certified then authorised to administer set drugs or procedures based on clinical judgement. The clinical practice guidelines use terms such as "consider using drug X" rather than something like "if patient has chest pain, anginine MUST be given". Cervical collars for example cannot be put on "just to be on the safe side", you have to justify using it based on proper clinical assessment. I'd imagine it's the same in the US?

[@tannertoejam2196]

@@coover65 pretty similar. Most modern and up to date services run under “guidelines” that allow medics to “consider” xyz treatments. Unfortunately us ems is not standardized so it varies place to place

[@daynegomez8334]

I've been in that situation cudos to the officers and responders who helped out.

[@danmack3173]

Pretty unique catch, good job

[@OSUfan757]

Clearly most of you know NOTHING about how lifesaving care works and how critical every second is.

[@s.matthews6781]

Great job! Especially to the cop who turned off the siren! (I kid.. I kid..)

[@xiomaraguevara6075]

That’s not funny

[@zeushighlights5891]

Do nothing in the class project but still get the a

[@klk1900]

That cop walked away pretty confidently after he got to drive that ambulance! Haha it’s a nice friendly joke between fire/ems/PD. He’s gonna be driving a Fire Truck next time around!

[@chucksmith155]

I’m a paramedic and we sometimes do the same when the patient goes into arrest on us the percentage of patients survival is higher when stopping for other techs to help

[@barryg4927]

Exactly… Cardiac arrest calls at this point are not a scooping run. They are definitely a stay and play for better. Patient outcome.

[@brandonhower49]

Pretty sure a lot of people do not know what they are talking about, the private ambulance company was most likely working a code and accidentally left the siren on so what? I've done codes before in ambulances and in hospital, after 2 minutes of doing CPR you are now doing ineffective CPR after that point statistically. What the fire department brought out is a LUCAS Device that does CPR for you perfectly, every time, and does not get tired. The reason the BLS crew or ALS crew called 911 is for more help, if there is a code going on they will always bring the fire truck to assist, why just have 2 medics or even 1 medic and a emt come? I worked for private ems for 2 years and work in the ER. That ambulance was either 2 EMT Basics or 1 EMT and 1 Paramedic, it was the right thing to do is to call 911. I also work in this area, and they were about 15-20 minutes away depending on traffic from any hospital.

[@tannertoejam2196]

The siren is annoying while trying to work and run a code. I’ll do cpr for another 30 seconds and tell my partner to go turn it off. The big problem is they didn’t take the time to park the truck safely. Especially on a busy city street like that. Get in a parking lot and off the street

[@brandonhower49]

@@tannertoejam2196 They parked in the center divider, a pretty safe parking spot if you ask me. That street isn't even busy max speed 35-45. And you must never have run a code than with 2 people. "Hey, partner can you ditch the patient for like 10 seconds so you can turn off the siren it's pretty annoying and probably the only thing letting people know exactly where we are, Oh no I can put all the pads on, EKG stickers on him, start drawing up EPI, identifying rhythm, intubating the patient and bagging him" Yeah sir you can leave the conversation right now as it seems you have no idea what you are talking about. If they parked in the middle of the interstate understandable argument however, they are in a not so busy street, with lights and sirens on so everyone knows they are there. in the central divider. If someone hits them, they deserve a medal. Everyone would slow down when they see that.

[@tannertoejam2196]

@@brandonhower49 people can’t hear the siren when we’re driving behind them. What makes you think they can hear it when they’re driving up behind it and it’s facing the wrong direction? Getting rear ended at 35 to 45 still hurts when you’re standing in the back. Do compressions for 30 more seconds while your partner parks in a parking lot or side street and turns off the siren. Then start your interventions. Not difficult to do as competent medics do it everyday

[@brandonhower49]

Um, you must have hearing damage then, you should see a doctor about that. And they're in the center divider by the way with there lights on LOL. You're funny

[@tannertoejam2196]

@@brandonhower49 you worked private ems for 2 years running dialysis transfers I’m sure. If you even ran priority once you’d know people don’t hear you or move for you. Stay in the ER

[@dw4778]

Patient was in Cardiac Arrest. You can see the Lucas Automatic CPR device at 4:46

[@Bubbarain717]

Hopefully the patient came out fine. For those that don’t know what is going on, I Highly recommend a TV show called EMERGENCY! When a patient becomes unstable it is dangerous to continue to move because any jolt could make matters worse and kill him.

[@RedT...TheOriginal.NotANumber]

The patient left the scene alive. That much I can tell you for certain. They wouldn't have turned on lights and sirens leaving the scene if they were transporting a corpse. Edit: I'm a paramedic. I've never seen "Emergency" the show, but I've seen these things in real life.

[@shyowl3453]

last I checked the more unstable they are the faster you want to get them moving, now theres a point to not jostling them for no reason such as concern over spinal injury, or in the case of extreme cold sometimes moving them too roughly can cause them to go into cardiac arrest but you still need to get them out of the environment they are in, but that is a VERY specific case and for the most part you want to get them to a hospital as soon as possible barring cardiac arrest you want to work on the scene just from a man power perspective which is likely what was happening here, and "any jolt" is just a wrong understanding of it, easy example, a patient with a brain bleed and severe burns to lets say their whole front torso they are very unstable and HAVE to get to a hospital as quick as possible if I hit a speed bump doing 5 mph its not gonna make them worse than they already are and if we stopped they would be more likely to die cause we cant fix the issue thats going to kill them the fastest (ie the brain bleed), so no just cause a patient is unstable 99.999% (noting various agencies have different protocols for different things so some cases may be treated differently based on local protocols, ex some places let you transport CPR in progress some make you work it on scene and some let the medic decide) of the time doesnt mean you dont transport, the place that will help them the most is the hospital and we are the medium to get them there hopefully alive (for reference I am a nremt, that is where I get my understanding from)

[@RedT...TheOriginal.NotANumber]

@@shyowl3453 I'm sure there's a good point in there somewhere, but I'm not going to give myself a headache trying to find it amongst the run-on sentences in the wall of text. Will you break it up a little so us old people can read it more easily? Thanks.

[@shyowl3453]

@@RedT...TheOriginal.NotANumber in short the more unstable someone is the more you want to get them to a hospital

[@RedT...TheOriginal.NotANumber]

@@shyowl3453 Thanks for the summary. Much appreciated. You're right to a point. But a fast (and often bumpy) trip to the hospital can do more harm than good in many cases. It's the job of the EMTs to stabilize the patient prior to transport, otherwise the trip may kill them. Edit: There are a lot of people (especially some nurses) who see EMTs as glorified taxi drivers... and the "glorified" part isn't always true. We are medical professionals in our own right, and capable of doing quite a bit on scene. I don't know if you were under the same impression as those people, but there it is for certain. :)

[@minchkin8936]

They stopped because the patient went into cardiac arrest, you can see one of them doing CPR when they open the truck up at 2:23

[@MsFiregal8]

Patient must have coded or required intubation invention. Good teamwork but wondering way both engine and rescue responded as Arlington Heights firefighters are crossed trained as paramedics. Another great video! Helps me keep track of activity in the area. Retired firefighter/paramedic now living out of state.

[@Leotheconstructionguy]

Better to have more help than not enough help

[@legohead6]

Either they just toned out a box call for cardiac arrest, or the engine was considerably closer to the call.

[@afcgeo882]

I know it’s late, but engine was closest and squad had a LUCAS.

[@lynnetrathen4587]

Well done to all these guys 🧡🧡

[@peanut111shorty]

Squad rolled in so hot he almost past up the scene

[@jessejacobs2488]

Wow great teamwork, never seen anything like that here in Canada. Love the fast response from the FD. We actually have the opposite problem here in Ontario at least and I think the rest of the country. Being that, fire fighters are not permitted to practice paramedicine. However in Ontario every ambulance is a paramedic unit. I think fire fighters should be allowed to practice this. And via the us, although emts can do most emergencies it would be reassuring nationally to have all paramedic ambulances whether fd or not for better patient outcome, different country, different health care laws. Great teamwork none the less

[@keithsy75]

Pay for it. Firemen are all EMT's. Paramediic is a higher skill with lots of hours of training. We do damn good anywhere in North America.

[@billbun6077]

@@keithsy75 why don’t you shove your tampon in a little further, fire fighters are not all emts. Some are EMR, or lower

[@RedT...TheOriginal.NotANumber]

200+ comments, and I'm not gonna read through them all. Especially that one down there with someone claiming to be an EMT and still somehow doesn't actually understand what we do. Green or liar? Lol. (Please at least read the last line of this post, even if you skip the middle. Credit where credit is due!) Anyway... 🚑This looks like a pretty typical scene. Either the private ambulance had a patient which coded (breathing and heart rhythm reached a life-threatening state, up to and including cessation), or the private ambulance was considerably closer to the scene (either because distance or Arlington FD was on another call) and so could respond first. 🚑Others have stated CPR takes more than two people to be performed effectively. They're absolutely right. IDEALLY, you have at least two people to rotate doing chest compressions, one managing the airway, one drawing up and administering medications, one watching time and recording everything, and one calling the shots. That's six people - way more than normally ride in an ambulance. 🚑Next, try doing effective chest compressions in a moving vehicle. Hah!! I'm so glad they have a Lucas device! (4:23 - that thing is a Godsend.) Between that and the number of people getting into and out of that ambulance, they ain't moving. 🚑I am happy to say they probably got ROSC (return of spontaneous circulation - the patient has a heartbeat and is breathing, although most likely not awake, unlike Hollywood's version). They wouldn't go lights/sirens for a corpse. I could be wrong, and they're able to continue CPR because of that wonderful Lucas, and haven't actually gotten ROSC... but hopefully I'm right in that part. Last, and this needs more love... THANK YOU to the person filming this! You did a good job getting a solid view of the action without A) getting in the way, or B) violating HIPAA by filming the actual patient.

[@kaspernbs]

Can you explain why they had all the fire trucks arrive?

[@RedT...TheOriginal.NotANumber]

@@kaspernbs Extra personnel. Firefighters are (almost always) trained as EMT-Basics. That means there is a LOT they can help with. Pretty much the only parts of CPR above their level is starting an IV, drawing up and pushing medications, intubating (unless it's a King tube), and actually running the scene (that is, giving instructions to the team). More progressive stations/medical directors may allow Basics to do some of these tasks. And at the very least, they're helpful for lifting/moving heavy patients safely. Hopefully that answers your question well enough.

[@kaspernbs]

I get that for one engine crew but not 3 vehicles worth.

[@RedT...TheOriginal.NotANumber]

@@kaspernbs You never know what you're gonna need. As the scene comes more under control, some of those crews will be released back to "available" status.

[@tactofu]

Good work, Advantage! Worked with Elite for years. I'm glad to see commercial and municipal EMS working hand in hand to provide the best possible patient outcome. I'm wondering who's in the back, I might have ridden with ya!

[@MsFiregal8]

Glen Blakley What service? I might know you.I retired 10 yrars ago

[@CHITOWN8072]

Bro they left the cab with the siren still going. They prolly had a real run where shit hit the fan and panicked. Shit is pathetic.

[@Jamesott86]

Glenn Holy shit whats up? Remember me.

[@afcgeo882]

@@CHITOWN8072 They were in the middle of the street. That siren helps to prevent an accident.

[@CHITOWN8072]

@@afcgeo882 yeah ok or they just left it on 🤣🤣🤣🤣🤣🤣🤣

[@JaydonSmith01]

"I've always wanted to drive an ambulance" - The cop 2k21

[@medic2807]

Oh, shit...he's breakin' out the Lucas...

[@SIGINT007]

Yeah..and why the hell isn’t it on the ambo in the first place?

[@ScottMStolz]

@@SIGINT007 Apparently there are different levels of ambulance. The lowest level would be private ambulances that transport the elderly or people who need assistance moving from one facility to another. They often transport patients that they need to monitor but are expected to make it to the next facility without incident. And then an incident happens and they need more equipment and more manpower so they call for backup. Then medics arrive with more equipment to assist. They probably should have more equipment on board, but ambulances that just transport people who are not ambulatory often have minimal equipment.

[@SIGINT007]

@@ScottMStolz I’m talking about the FD ambo.

[@ScottMStolz]

@@SIGINT007 Because larger fire departments in the U.S. are also the emergency medical services. A fire truck can fit more equipment than an ambulance and the fire fighters are trained as medics. This is why you often see a fire engine arrive before the ambulance. It has the equipment.

[@yes-ic3qp]

@@SIGINT007 It might be a BLS ambulance ( Basic Life Support ) the squad that rolled up had ALS equipment ( Advanced Life Support ) or even CCEMT-P Critical Care equipment

[@tylerjohnson7897]

I don’t live in Arlington heights however I will pray

[@terryhardy4725]

I remember my mom when she had her 2nd Heart Attack I was in the living room sleeping and I heard someone on the phone I thought who is calling my mom's phone at 2am then come realize mom was the phone with 9-1-1 dispatchers telling she was having chest pains and the Carson County Sheriff Deputy and Carson County EMS showed we had a Puppy in the house and I had to get the puppy on the Chain the Carson County EMS didn't use their Siren on their Ambulance when we got to Amarillo switched out with Amarillo EMS the Amarillo EMS used their lights and siren I was scared but before the Sheriff Deputy and EMS came to my mom's house in Groom Texas I called Brandy my Sister and told her Brandy meet me at the BSA Hospital Mom's having another and I need you to go to BSA and wait me to get there I want to thank both Carson County EMS and Amarillo EMS for being there that May 2004 Morning and Now Mom had passed away a 3rd Heart Attack in Goodnight on June 20th 2007 R.I.P. Mom Love your son Terry Amen. If anybody that has friend that is EMT I give you my Honor Thank You!

[@matthewgreener7069]

I love the police officer driving the ambulance out of the road😂

[@000Responses]

Geez that’s a helluva lot of units dispatched for a medical call...if it was one patient here in Aus they’d probably have one normal ambulance and maybe an Inspector or Intensive Care helping out, definitely not Fire & Rescue

[@afcgeo882]

Fire and rescue are all one and have varied medical equipment on board. A basic private transport ambulance may not be set up for advanced care and if cardiac arrest happens, they need more people to carry out CPR. Since most fire fighters are licensed EMT (emergency medical technicians) they will dispatch the closest, along with an ALS (advanced life saving) ambulance. In this case they also sent a rescue unit with a LUCAS device, which performs automatic compressions. All to save a life.

[@josephalexander3884]

I pray the patient is stable. Thank you to all involved; but the police officer deserves additional recognition. He may have “turned off the siren”, but he made the situation safe then moved out of traffic. Police officers wear so many hats, we owe them a debt of gratitude. Thank you for your service.

[@DominickWalenczak]

Yikes. I'm all about stopping and coding it where we are, but really you need to use your professional discretion. There is a parking lot literally 10 feet away. That would be a much safer option for them as well as additional responders showing up to help. And I don't know that I or any of my partners have gotten out of the ambulance with the siren still blaring. I can't imagine the sheer level of panic that made him do that.

[@TravisWBurton]

It wasn't panic, the was driver needed to help with patient care in the back immediately and simply didn't have time to turn off the siren or wait for traffic to clear enough to allow pulling out of the middle lane into the parking lot.

[@DominickWalenczak]

@@TravisWBurton mmmm, no. I've had patients decline and even arrest in my ambulance. There is no situation so dire that a 1 second delay to flip off the siren would make any clinically significant difference. In fact, I can handle the situation for 10 - 20 seconds... So I would rather my partner park the ambulance somewhere that fellow responders don't have to play frogger getting out to help us or risk our vehicle getting clipped by passing vehicles being stupid.

[@afcgeo882]

@@DominickWalenczak If you are in the middle of the street, leaving the siren on would be safer.

[@ukharttv6035]

@@DominickWalenczak Absolutely.

[@DominickWalenczak]

@@afcgeo882 Leaving the siren on does not increase safety or visibility parked in the street. There's a reason you don't see (or hear) all fire trucks and ambulances leaving their sirens on when parked at an accident scene. Does not improve safety. Only hampers communication and just causes annoyance.

[@jacobpawelek6441]

great job by crew to those who are confusesd some private ambulance service cant transport cpr or critical paients why rescues squad or hosiptal ems or fire ems tranport and aid the patients and crew

[@c.raymccurley772]

That was a paramedic unit. I'm not sure why they stopped. I worked as a paramedic supervisor in a rural area. Our transport times were sometimes 45 minutes. The only thing I can think of is equipment failure but instead of sitting still keeping transporting and get a intercept.

[@doncoleman4938]

Hi, I'm in Australia so not totally informed on US training. Do rural paramedics get extra training compared to those in cities? Some paramedics here stationed in remote/rural locations get extra training as paramedic practitioners. In my area we can also have 45-90 minute transport times, but lucky to have our own helicopter, with another 2-3 available if needed.

[@mackflickerson6722]

Hi. I don’t know how long you’ve been out of the field, but things have changed. The evidence is now crystal clear that the only things that save a cardiac arrest patient are continuous high-quality CPR and defibrillation. A single provide can do neither, much less both, safely in the back of a moving ambulance. Stopping to commence two-provided resuscitation is more safe and effective. And additional appropriate resources make survival rates much higher. There was no reason NOT to stop.

[@shyowl3453]

​@@mackflickerson6722 so where I'm at a single rescuer can do it with the tools we have (LUCAS and a AED) however it is preferred to have more people for obvious reasons, and it can be done while moving, where I'm at its pretty much either we work it on scene or we grab a firefighter or two and get moving as we are too far out to go to a hospital without a driver and the hospital is their best chance, so to say it cant be done while moving is wrong even for teams without a LUCAS, one of the Paramedics I've worked with had a 55 minute transport with a patient that the LUCAS wouldn't fit on but he did have the manpower with him to do it, to say it cant be done by a single rescuer depends on your company but it will always be preferred to have more than one person in the back so the medic has more time to worry about drugs and everything else they need to do

[@jamesburton1050]

wow!! That's a busy area!!

[@dylanfisher2594]

This all make no sense. I work as an EMT with AMR running 911 calls in my city. You do not just stop in the middle of the road like that, we pull over as far as we can or into a parking lot if we have too. How did the driver forget to turn off the siren? Why did they not just upgrade and go to the hospital faster like we do. Why did the rescue truck show up? Why did the fire truck and the non transporting ambulance go code to the hospital?

[@alandecowski5945]

Youre in a city- youre lucky. Not everywhere has a hospital close enough that they can just upgrade. God knows how far out they are. If the pt coded in the back, they need help. As for the siren, it only takes a second to turn off, sure, but I myself have left it on by accident when transporting a GSW. FD may have went code 3 so they could be right behind them if something happened, or they turned off their lights/sirens shortly after.

[@helenooft9664]

In all the ambulances in the Netherlands have well trained paramedics on board and communication with the hospitals, so this will never happen.

[@JoelBulger]

I'm sorry what is going on did the ambulance get pulled over? if so WHY

[@alexanderloadsmanthefirebu3753]

Awesome video so the engine is a medic engine

[@peanut111shorty]

I was wondering

[@LetsLaugh2Getha]

@@peanut111shorty that is usually city/county dependent. I know some cities that use Medics on Engines and some only require a Basic at minimum and the being a Fire-Medic is optional. I know in the city I work in they require a basic but there are many Medics as many of them are dual employed by both City of X Fire Dept and X County EMS and work Fire on off days from EMS or vice versa.

[@angeltorkkola3158]

95% of the time they are Yes

[@ScottMStolz]

A lot of the bigger fire departments are also the emergency medical services as well, and many require fire fighters to have basic training as a medic. They also take advantage of the fact that a fire truck can carry more medical gear than an ambulance.

[@thomasfitzpatrick4633]

strong work done by all

[@keegangidley2071]

So much confusion in the comments. From what I see it looks like a private ALS unit was either transporting cold to the ED or doing a simple IFT and the patient went into cardiac arrest. Partner pulled over to assist in the back and called the Fire Dept for extra manpower. simple as that

[@rentaldetectors4397]

Yes someone is in full cardiac arrest.

[@DominickWalenczak]

As opposed to a partial cardiac arrest?

[@doncoleman4938]

How long does it take to be a "Firefighter/Paramedic"? In Australia it's 3 years of full time university, plus a year as an intern just to be a registered paramedic.

[@iacentralfishing5610]

Depends on department, 4-6 months of extensive training for firefighting, another 7 months to a year for paramedic.

[@Doc_Rainbow]

@@iacentralfishing5610 WHAT 4-12 Month?! thats nothing!? Here in germany you also need 3 Years full time education to be a "paramedic" iam myself a EMT B here in germany and done 1 Month Education but i can just drive non Emergency Ambulances for Transport to Hospitals or Homes also i am like a Reserve when we have a Mass Cassualty Incident then we are Crewing the BLS Ambulances and other Civil Defence Units

[@Cthippo1]

most medic programs here are 18 months to 2 years, though they can be compressed to as little as 9 months intensive. Firefighter 1 is about 3 months.

[@doncoleman4938]

Trying to cram so much skills and knowledge in 7-12 months as opposed to our 3-4 years is incredible. Assuming that study is while working full time as a firefighter? Trying to cram about 30 assignments and case studies in 12 months alone would do my head in! That's on top of being expected to learn just about everything about some 60 drugs off the top of your head. Even trying to complete it in 2 years while working would be challenging!

[@alek488]

@@Doc_Rainbow the reason it’s much lower here is because paramedics and emts aren’t paid much, if your a emt your probably making minimum wage

[@LightbarsUK]

Looks like squad brought a Lucas Device

[@chazman4461]

Nice job to everyone!!!

[@MIKES0029]

Great teamwork, you can see the fire medic grabbing the thumper

[@taktaulah1576]

What happen??i dont understand

[@henanigans205]

Patient was being transported to the hospital but their condition got so bad, the medics had to stop to help him (performing CPR, most likely)

[@ScottMStolz]

Another possibility is it was an elderly patient on his way to a doctor or assisted living facility and he went into cardiac arrest. Private ambulances often transport elderly patients from facility to facility in case something like this happens. Ambulances aren't just for going to the hospital.

[@NikkiannVandergrift-t8g]

Yes

[@docmayhem8166]

That cop backed without a spotter.... OSHA hates him.

[@shyowl3453]

I mean, in the real world its rare to get a spotter at least where I'm at, it happens sometimes but overall its rare

[@cocothedoggames2321]

You can tell how they where dealing with cardiac arrest because they have the lucas 3,2 or 1 out

[@nuster7816]

Holy fuck? What do hey except? A Structure fire?

[@thomasjsanford4369]

As a retired Paramedic and Ambulance Service administrator, my main concern is WHY was the ambulance left in the middle of the road so long ? If the attending medic needed assistance with the patient, the driver could have either pulled into a parking lot or driveway apron quite easily in only a few seconds more than it took to park in traffic (which puts the crew and patient at severe risk of being hit by another vehicle).... Bad idea...

[@rustblade5021]

private ambo driver was panicking, left the siren on too

[@pjss2203]

Rip earphone user

[@1tactundra140]

Busted out the Lucas, full arrest

[@justsayingopinion6730]

Now you all ruined the end,

[@garudaone4290]

My great grandma went into cardiac arrest I tried CPR to the ambulance came they came in took over with fd n another rescue ambulance took her into the ambulance n she had coded but they brought her back and rushed her to the hospital so fast they were giving her chest compressions so hard I'm the ambulance it was rocking got to the hospital my mom said they doctors and nursing kept switching to keep the compression but she didn't make it I panic st first when I saw her gasping at home so I blame my self for her death R.I.P. love bug miss you every day

[@kurtismckemmie4850]

I'm so sorry for your loss.

[@ALRPBean]

Doing something will always be better than doing nothing, please don't blame yourself for her death, it is not your fault, you did all you could and even more. May she Rest in Peace.

[@gregheyheyhey]

I'm so sorry for your loss. You did everything you possibly could do.

[@alexanderknegendorf4439]

sometimes the fire truck is in front of the ambulance at the station, so the fire truck HAS to go first to the scene before the ambulance can leave.

[@coover65]

Well, there's a simple solution to that. Having a fire truck (I don't know what the hourly running costs of a fully staffed fire appliance is) roll out unnecessarily seems like a poor economic decision.

[@chazman4461]

There have been studies done across the US showing that patient quality of care and faster transport times go with dispatching an engine with cross trained personnel to assist the medic or BLS unit. It has nothing to do with one unit being parked in front of another.

[@coover65]

@@chazman4461 Very interesting way of responding, from the view of an Australian. Here we have 5 FD crews, and 12-20 paramedic crews on in our city rostered on at any one time. About the only time we request assistance from Fire on medical jobs is for extra muscle, or for specialist extrication. Of course you see them at all the RTCs and industrial incidents.

[@Qsqueuellc-q9z]

Common sense. I’m surprised people aren’t trying to argue with you. 😀

[@ScottMStolz]

That does sometimes happen if the department doesn't have a garage with the optimal layout. But often they just dispatch the closest medic regardless of what vehicle they are in. Also, fire engines can carry more gear than an ambulance, which is why they often have both respond.

[@JoelBulger]

There a lot of help there place you all

[@heuhen]

I am not going to comment on this, since I live in Norway and I have probably already said to much, already

[@chei86]

Pro tip: next time turn the sirens off. Communication works better. I swear.

[@niceguygesnone1]

all of a sudden everyone on you tube is a EMP or Paramedic this is a private company not city they have rules they have to follow,

[@ryanh.8472]

Looks like Arlington heights ambo needs a big bath lol

[@cierramontoya5736]

if the hospital was too far...why didn't they just Medivac the person to the hospital instead....helicopters are much faster, and they don't have to stop if CPR is needed

[@technorunner1]

1. Cost 2. Cardiac arrest or chest problems is not a cause for a medivac 3. They only do that in severe situations where there are critical gunshot patients or MVAs really, and they're not going to a nearby hospital for treatment 4. Traffic is also a factor

[@drwheycooler8423]

The geezer squeezer...is never good...

[@augieroman6531]

I thought the stupid cop was pulling them over

[@ntstick06]

This is just embarrassing!

[@ljmcobra0520]

Read the comments, there is only two people in an ambulance CPR takes at least three. CPR and advanced life-saving comes before transportation in order to get the best care. The best thing that ambulance company could’ve done was to stop When somebody needs CPR seconds count if they have to drive another 15 minutes to the hospital when the patient needs CPR now they’re going to arrive to the hospital with a dead patient. The reason they called the fire department was so that they had more hands to do CPR most people cannot do CPR for more than two minutes without needing a break the driver an EMT in the back cannot physically pull over every two minutes and switch that’s why the fire department came assisted with CPR and loaned them the Lucas device which does CPR automatically

[@peanut111shorty]

1. The officer should have turned off the siren the 1st time. 2. I'm confused on if it's an engine or rescue and why didn't they park in front. 3. I'm assuming the FD ambulance is for the extra manpower as well 4 I'm gonna assume the squad is the only unit with the LUCAS device 5.That's a lot of personnel with 2 officers 6.Im gonna say they all responded to the hospital for follow up in cae of additional care and to retrieve the device.

[@Wruff]

Im going to assume that the R is for Reserve so its Reserve Engine 3

[@chazman4461]

They did not park in front so they could get everyone off of the road. That makes it easier and safer for everyone to operate. It is a reserve engine that is why it had an r.

[@EricWhiteTheGamer]

Not everyone does a follow up usually just the squad or ambulance will as for why three fire apparatus responded I assume the engine is at least ALS, the ambulance is ALS or Paramedic and the squad is ALS or Paramedic as the private ambulance is probably BLS I am also guessing that the squad is paramedic and since they don’t transport and is the smallest they were the one to follow up and had a paramedic ride in the private ambulance so they did not need to bring another ambulance out of service for this call longer then needed since they already had one. That being said it depends on the city and state.

[@zachtrail4235]

Okay so my thing is the ambulance was left in the middle of a road and the ambulance driver was in the back helping the other medic in the sirens were going they don't think of the consequences somebody could have just not paid attention and rear-ended the ambulance or even worse they know better just to pull into the parking lot right there and not have the officer do it they go through extensive training that's called but I'm very thankful for them to they need to make better decisions as far as this is concerned

[@tn1149]

1:04. THANK YOU to the police officer that shut that fucking siren off. Incompetant crew left it running while the truck is freaking parked. They should be lashed for that.

[@crookeddonald3883]

I sure miss the days when we didnt have those UGLY yellow Chevron stripes on the back of our emergency vehicles. We look like Europe now. They look terrible!

[@technorunner1]

They're proven effective, whats the issue?

[@crookeddonald3883]

@@technorunner1 UGLY is the main issue, secondly I worked as a firefighter and on an ambulance for almost 10 years. People running into the back of emergency vehicles was a VERY rare occurrence. If you cant see a big thing with all kinds of different colored flashing lights, then I'm not sure the yellow stripes on back will help much. I would imagine when they run the numbers, crashes into emergency vehicles wont have changed much from pre and post yellow reflectors on back.

[@technorunner1]

@@crookeddonald3883 They're not always on a scene with lights on, like a non emergent incident. It was never a very rare occurrence, hence why they're constantly making changes to rigs and gear to enhance visibility. It may not happen to every department once a day, but that doesn't mean it's rare. They don't make changes like this for the aesthetic purposes, they do them for safety. Hence why departments are switching from traditional to modern helmets or even the european ones. As cool as a leather traditional is, it's proven to be less safe than it's counterparts.

[@crookeddonald3883]

@@technorunner1 When you look at all the hundreds of thousands of calls that are run in America each year and then see how many involve emergency vehicles hit from the rear, it is a very rare occurrence yes. Our dept had maybe 1 in 10 years and that was a drunk that no reflectors would have prevented. When I looked at how many incidents there were in the greater Los Angeles area, it was indeed rare and again the few incidents there were often involved drunks to which yellow stripes wouldnt have deterred. Also I dont recall ever being on a call where some type of emergency lights were NOT left on during a night call. The overhead reds were either on or at the VERY least, the rear facing flashing ambers. To this date I still have not seen a fire engine or ambulance on a call at night darked out with no lights on. I agree the reflectors help, theyre just UGLY and seem to be a solution in search of a problem. When they crunch the numbers years from now, I expect them not to have changed much from the days before the Yellow Chevrons.

[@justkilian7795]

Oh damn at 2:25 you can see them reviving him ;(

[@jptv5250]

Is it a man or woman?

[@dylanzander3296]

Wouldn’t you think that there would at least be a paramedic on a private ambulance incase of one of these events so they can treat right then and there

[@GramsterPlays]

It is standard practice that an ALS provider would require the assistance of the EMT that drives in case of a life threatening change in status in route to the hospital. An ALS provider can’t do CPR, Administer medications and provide artificial respirations to a patient all at once, thus requiring the EMT to step in and assist rather than continue en route to the facility

[@549BR]

That blaring siren must be a real comfort to the ill passenger inside.

[@LetsLaugh2Getha]

At that point the patient inside most likely wasn't even hearing that siren.

[@Firebuff101]

They did call for an emergency vehicle, after all. If you are a patient and your first thought is "I wish the siren would turn off," you don't need an ambulance.

[@gunlover5564]

For people watching this, next time you call because you’ve been throwing up for the last week or your leg started hurting 3 days ago, remember you take one of these units away every time you call for your bs. This is what “emergency medical services” are meant for. Not picking your overweight momma out of the floor because your 2 brothers are too lazy to help get her up.

[@woodstockenvy4666]

Ever notice how firefighters immediately take over situations, resolve them .. and the cops usually wander, should we say .. saunter?

[@Will-ef7cx]

What are the cops meant to do when there’s already medics working on the patient. The cops merely secured the scene to make sure the ambulance didn’t cause any obstructions or get hit

[@Leotheconstructionguy]

What do you expect the cops to do exactly??

[@michaels1432]

For the love of god SHUT YOUR SIREN OFF!!!!

[@Carter-dv4hz]

Solution: Larger bus sized ambulances with full trauma care facilities and EMS ride on motorbikes.

[@michael61985]

Makes no sense

[@DIphone129]

Patient probably went into cardiac arrest in the back of the rig, happens more than you’d think. FD responded for manpower assist and because they probably have ALS (paramedics).

[@nasgothus]

The cop clearly isn't properly trained. The cop should slam the ambulance driver to the ground, write him a ticket & then arrest him.

[@OSUfan757]

You on the other hand must have an IQ of about 4

[@nasgothus]

@@OSUfan757 Nope, I'm a cop.

[@mrsauce9307]

Gothus Touchstone Singularity so that means you’re iq is negative 2?

[@noahjones8213]

Gothus Touchstone Singularity Why! Seems like he did all the best to save a life

[@willlorentz9797]

@@OSUfan757youtube should have a "report" button for stupid comments like these. (Not yours just to be clear)

[@CHITOWN8072]

These guys couldn't handle an arrest 😂😂😂😂😂

[@chazman4461]

@firepat Agreed.

[@PostnutClarity13]

@firepat and no it was an ALS crew

[@OSUfan757]

Go screw yourself dude! Most smaller private ambulance services only run with 2 EMT’s. 1 driving and the other in the back. Give them a break!

[@ThatDamnPandaKai]

You need at least 3 people in the back to work a code. One doing compressions, one doing airway, and another to do interventions

[@doncoleman4938]

That's a pretty harsh comment, and if you're in EMS yourself very unprofessional. Being an Australian I don't know the details of how US EMS works but to suggest any EMS staff can't manage a cardiac arrest is unfathomable. Should be able to manage as a single responder, albeit not as efficiently as a crew.