‘GORY DAYS’; P 7; CARDIAC CITY
EMS LOG: 9/11/1978; 1671 E 17th STREET, CONEY ISLAND; CARDIAC
I report for my scheduled graveyard shift duty at the ENY EMS Garage and I have been told by the Supervisor that tonight my partner has been placed on Medical Leave. There are two busses scheduled for tonight, and I am the extra man. So for this night tour I am detailed to Coney Island Hospital to cover Coney Island, commonly referred to in EMS parlance as “Cardiac City”.
My partner tonight is an MVO from the Coney Island EMS Station. His name is Martino, a seasoned veteran that knows the Coney Island area very well. The first thing I notice is that the ambulances are in decent shape and appear well taken care of, all of the supplies and equipment on board is stored neatly. It did not take long before we received our first cardiac assignment, a little after 2 a.m. when we were assigned a job on East 17th Street. Martino handles the bus very well and drives cautiously, we arrive in minutes stopping in front of an “H” shaped six story apartment building, our caller lives on the top floor.
I grab my kit while Martino grabs the stair chair and we hustle to the top floor, the NYPD has yet to arrive. We both stand to one side of the door before I knock and simultaneously announce “AMBULANCE”. I hear a slight commotion on the other side of the door, I hesitate for a second then knock one more time, “AMBULANCE, DID YOU CALL?”. I can now hear a faint elderly lady, between her gasps she tells me through the door that she is having trouble breathing, I assure her, “OK, LET US IN, WE’RE HERE TO HELP YOU”. There are two deadbolt cylinder locks on her door, I can hear her as she flips one of the locks and again she tells me that she can not breath. “GET THE OTHER LOCK” I urgently plead with her. She is fiddling with the lock and attempting to open the door, but the door remains locked. “HELLO, HOW WE DOING IN THERE?” I inquire, but now there is no response, just silence. I try knocking on the door again, to no avail.
With my portable radio I request the NYPD forthwith and FDNY to respond for entry. Martino and I try to force the door, but unable to, the solid door is built like a fortress. Suddenly I hear a police radio coming up the stairs and I yell down we need a hand up here, pronto!. The two Police Officers join us and I give them the scoop quickly and advise them of the dire situation. One officer starts to mule kick the wooden apartment door open, he gains a little, and tries again, The door is not budging. I can hear fire apparatus responding as the Officer gives the door one more blast with his foot, the door flies open. Laying across the sofa near the door is a lovely elderly woman in a nightgown and slippers, her arm is stretched out towards the door on the sofa, peacefully DOA. Inches away from help.
EMS LOG: 9/26/78 MONTAUK AVENUE DIFFICULTY BREATHING:
Tonight, along with my partner MVO Hall we are the only graveyard shift bus, ‘Liberty 375’ servicing East New York, it is a clear warm September night. A little over a year ago this area suffered drastically during the black out of 1977. Burnt out shells of businesses and homes pockmark the streets and avenues. Hall was working that night and his stories are fascinating, he remembers local tow truck drivers hooking up their chains and tearing down the protective gates on storefronts while the community ransacked the business. We drove past the countless blighted spots that were looted, the violence was rampant.
Relatively new on the beat, I am still learning the ropes and street smarts of EMS. Hall and I have just treated and transported an asthma patient from Hendrix Street to Kings County Hospital. After getting the patient record signed we made ourselves available to the Brooklyn CO and immediately assigned another job. It is across town for an epileptic on Nichols Avenue in the Cypress Hills section of ENY that went unfounded. Making us available again the Brooklyn CO is not holding any calls in our area so Hall and I decide to grab a quick cup of Joe at the local greasy spoon on the corner of Liberty Avenue and Pennsylvania Avenue. EMS units are not permitted to respond out of the garage until after 3AM and must roam the neighborhood like a patrol car. But we are permitted to stand fast for a bathroom break or to grab a bite and this is our location. The spot is well lit and safe as the 7-5 cops frequent the diner, too.
At 0224 hours we received a job for difficulty breathing at 432 Montauk Avenue. We shoot from Liberty Avenue across the blocks to Montauk Avenue and within minutes Hall and I pull up to a two story semi attached home, the front door is open and we both proceed inside. Inside a young male is frantically describing the symptoms of the now unconscious victim while another is attempting to apply a strange form of cardiopulmonary resuscitation compressions on the victim. The victim is an obese older man, he is wearing a dirty sleevless tee shirt and boxer shorts, he is on his back, unshaven and missing a handful of teeth, the teeth that remain are discolored and his jaw drops into his mouth without the support of teeth. The victim and the living room reek of mold, body odor, stale beer and cigarettes, it is nauseating.
The family member on his knees attempting CPR tells me that the victim has “just keeled over”. I quickly feel for a pulse and place my stethoscope on his chest to listen for a heartbeat, nada.
I have alongside me my trusty fishing tackle box converted into a packed first aid kit with bandages and airways, also a small oxygen tank. When we graduated from the Health and Hospital Ambulance Corpsman program we were given an oxygen yoke regulator with a gauge, we did not have a demand type positive pressure regulator, only a face mask. In addition, there weren't any other oxygen tanks on the bus. I grab an airway from the top
shelf of the first aid kit, twist it one quarter turn, slip it over the tongue and twist it back one quarter turn to fit correctly without pushing the tongue backwards.
I begin compressions and direct Hall to fetch me the ambu-bag from the back of the bus in one of the overhead compartments
I keep my compressions steady and strong, rocking back and forth on my hips delivering deep compressions on his bare chest squeezing the heart against his spine. The old timer has drool coming from his mouth and remains unresponsive lying supine on this filthy tacky carpet. “Where is Hall with the Ambu bag?”. At this point I have done more than thirty compressions.
Back in 1978 EMS did away with the precordial thump, and single CPR ratio to rescue breathing was thirty compressions to two breaths. However, I am thinking twice before I put a lip lock on this guy, my mind is racing with all types of viruses and contagion possibilities I can be infected with.
Continuing with the procedure, I am still waiting for Hall to get his ass back here to the living room with the device but he is still fiddling in the back of the bus. Another relative in the room says he needs “mouth to mouth”, I engage him to help but he backs off waving his arms with objection. Hall is still not back and I have no choice.
I wipe the slobber from the old timer's mouth, tilt his head back and place my mouth over his while pinching his nostrils when he belches a repulsive emission into my mouth. Rancid beer, rank cigarettes and whatever he ate now penetrate my sinuses en masse. I’m doing everything in my power to not gag, but I blew two good rescue breaths into his lungs.
Finally, Hall appears with the ambu-bag, this glorious ambu-bag!. Continuing with the procedure with the aid of the ambu-bag Hall goes back to the bus to retrieve the stretcher. I performed CPR almost to exhaustion while transporting the victim to Brookdale Hospital.
Unfortunately the old timer died at Brookdale Hospital. But his belch was alive and well inside my sinus cavity, I was trying with all my might to keep my stomach contents down. After leaving Brookdale Hospital we traveled up Rockaway Parkway towards Kings Highway headed back to ENY, we were out of service by my command. Up ahead was an open bodega on the corner and I had Hall pull over to the curb.
Inside I looked for mouthwash but the store did not have any. IThe shelves were kind of bare bones, so I purchased a large bottle of orange juice, brought it back to the bus and gargled it in an attempt to replace the foul aftertaste residing inside my nostrils and mouth. I needed something harsh, I gargled once, twice and spit the fluid out by the curb. I took a few gulps
of the juice but the acid from the juice made my stomach worse making me dry heave a few times, still I hung in there, although a little queasy. For the remainder of the tour, the old timer’s belch stayed with me, I could not clear his rancid residue from my senses.
Street wise lesson learned; I made a promise to myself, never again would I leave the bus without the ambu-bag for any difficulty breathing or cardiac assignments again. Beginning of each tour I would find the ambu-bag from the back of the bus, place a clean facemask on it and hook the facemask into my side pocket like a new appendage.
EMS LOG: 1/8/79, 0623 hrs. NEW JERSEY AVENUE; UNCONSCIOUS BABY
“Liberty 375 respond for an unconscious baby, New Jersey Avenue”. These assignments were always tough, and the results were usually not pleasant. Tonight I am working with MVO Hall and we respond from the Outpost to New Jersey Avenue, the location is not too far away from our Outpost and within minutes we are at the scene.
The front door is open and I hustle into the apartment. The first thing I notice is a young couple crying and hugging each other, I assume they must be the mom and dad. Between sobs the woman states the baby has just stopped breathing just a few minutes ago. I feel the baby, she is warm and wrapped in a pink blanket, but not breathing and turning blue. I do not hear a heartbeat. I immediately grabbed her from the little crib to make sure she was not choking. I cradled her attempting to create an airway while dashing to the back of the bus in the process of performing CPR and rescue breathing. I tell Hall to head to Kings County Hospital Pediatrics Emergency Room. Hall takes control of the bus and wields the bus to the hospital emergency room masterfully and smoothly as I continue life saving efforts in the back of the bus with the baby in my arms. In a few minutes, we arrive at the Hospital to an awaiting group of doctors and nurses standing by. Sadly, the baby did not survive.
Thanks for reading, hope you enjoyed! KMG-365
My "Best Friend"...don't leave home without it...the Ambu bag!