In: Biology
One memorable encounter I had was during an emergency transport, that quickly escalated into an emergency intubation at the Brookdale hospital. I arrived at the scene of an unresponsive elderly patient in a nursing facility who was experiencing respiratory distress, diaphoresis, an oxygen saturation below 93%. My partner and I administered 10 liters of oxygen to stabilize him. Soon after the patient was loaded onto the ambulance, the patient began to vomit. I had to perform liberal suction in order to maintain patency of his airway and to prevent aspiration. 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 of moving our patient on the stretcher and onto the line was overwhelming. I remained focused on my patient; I saw him as someone who had loved ones waiting for him. The triage team arrived, with a nurse, PA and an attending. The PA quickly assessed our patient, and informed me that he needs intubation. This practice was outside of my training, so I watched the PA perform the procedure along with his supervising physician. I cut the clothes off my patient as the PA stabilized him. He used an intraosseous drill to insert a needle and port into the hip. The physician began feeding the newly inserted line and started taking blood samples and told me to differentiate between blood vials needed for testing. It was quite a moment as I watched the ED team work in perfect harmony focusing on my patient. It was this precise moment that made me realize that the patient-care oriented PA was the perfect profession for me.