Question

One memorable encounter during an emergency transport, quickly escalated into an emergency intubation inside the pediatric ICU. I arrived on the scene of an unresponsive elderly patient in a nursing facility who was experiencing respiratory distress, diaphoresis, with an oxygen saturation below 93%. My partner and I proceeded to administer 10 liters of oxygen to stabilize him. Soon after the patient was loaded onto the ambulance, the patient began to vomit. To maintain patency of his airway and prevent aspiration, it required me to perform liberal suction. Brookdale Hospital is a level 1 trauma center, and the line to be triaged at the emergency department went around the block during the height of the pandemic. The task alone of moving our patient on the stretcher and onto the line was overwhelming. I needed to remain focused on my patient who was perhaps a brother, a dad, a grandfather, and a husband to his loved ones. Suddenly we were met with a triage team which included a nurse, PA and an attending. They explained the nature of the virus, diverted certain patients in contact isolation, and how they did not have enough beds for all patients. Our patient on the stretcher was quickly assessed by the PA who seemed to take charge, and informed me the need to be intubated. This practice was outside of my training, so we had to work together, as the PA along with his supervising physician performed the procedure on our stretcher in the pediatric ICU. The adult ICU was occupied with COVID-19 patients. During the procedure, I cut the clothes from my patient as the PA stabilized the patient. He used an intraosseous drill to insert a needle and port into the hip. The physician began feeding the newly inserted line and taking blood samples as I watched and yearned help more. I was told to differentiate between blood vials needed for testing as the ED team worked together in perfect harmony focusing on my patient. It was this precise moment when I realized I wanted to learn more, and the patient-care oriented PA was the perfect profession for me.

please help paraphrase and highling PA surgery in the end

Answer 1

It was one of the experiences of the most memorable encounter during emergency transport.  When I arrived on the scene, an unresponsive elder patient was there who are experiencing respiratory distress, diaphoresis, and oxygen saturation less than 93%. My partner and I administered 10 liters of oxygen to stabilized him. Soon after that, the patient was transferred to the ambulance, she started vomiting. To prevent aspiration and patency of the airway, we had done suctioning of mouth and nose. we were headed to the Brookdale hospital which is the number 1 traumatic center. When we reached there the emergency department triaged was blocked due to high in a pandemic. So I have to take the stretcher alone for the patient to transfer to the emergency department. It was very overwhelming by seeing the line in the emergency department but I keep in mind that the person may be someone father, grandfather, a brother or a dad, a husband, so I focused on my patient to save his life. Suddenly we meet the triaged team which includes nurse, PA, attendant. They explained that due to the current pandemic they don't have enough beds for other patients because of diversion into an isolation room. Our patient was quickly assessed by the PA and informed of the need for intubation. As the adult ICU is occupied by COVID patient, the patient was transferred to the pediatric ICU, and intubation was done by the PA and his supervising staff, I also helped by cutting the clothes of the patient. The PA used an intraosseous drill to insert the needle and port into the hip. It was very interesting to watched and the PA told me to differentiate the blood sample vial needed for blood testing. It was motivated to see the teamwork of the staff working in emergency department and i want to learn more. The PA was the perfect profession according to me as he was responding to the emergency situation very well and save the life of the patient.