In big cities, and even small cities trying to be big, there are always groups that stay together. A few examples of these groups are the Latinos, Irish, Chinese, and then there are the He-She-Its. This is one of my embarrassing moments working in their world.
Working in a very violent town gives opportunity to run calls with variety. Many of these violent calls are just a means to the end (of life). People are very creative when they plan what and how they will enact their revenge. Some are barbaric, like men when they use a knife. Men when killing with a knife, in a moment of anger, they usually will strike upwards. If they are good, or lucky, men will knick a piece of intestine and then go to the thoracic cavity puncturing a lung or clipping the heart. Some are passionate, like women when they use a knife to kill. A woman in her wrath will use a knife over-head and come down multiple times. This action if in the chest could go between ribs, again puncturing a lung or clipping the heart or a major blood vessel.
Then there is the brainless use of a gun. This method is a no brainer. Point and shoot is the KISS method to gun use. That is what happened one night, but instead of death, I was the one who learned a lesson.
Dispatched to a call in some row houses, we met the police outside of a house. The area was full of by-standers and upset friends and family. The gathering of people, from infants to senior citizens, was common when there was a shooting – which this was. The police, needless to say, did not secure the area. Escorted into the basement apartment and in the back bedroom, I found a very scantily dressed female. She was speaking very course and it was difficult to understand her. She was holding her throat and complained of pain to her throat.
This was a shooting, why was this woman complaining of her throat hurting? As requested, she moved her hand away. Dead center of her neck was a puncture wound. In the pre-hospital setting, we do not classify un-natural holes. They are not stab wounds nor are they gun shot wounds they are simply puncture wounds. Doctors and the forensic specialists go to court and debate the nature or cause of said wounds. (By they way this was a gun shot wound.)
How do I know it was a gun shot wound? The woman told me. She gave a very brief account. A man took out a gun and pointed it towards her. He was only feet away when he pulled the trigger. In a single shot missed her head, which is normal around my city, and shot her once in the throat.
There was minor external bleeding but she had a large hematoma and tenderness that run down the front side of her neck. I quickly removed her upper clothing to examine the chest and listen to her lung sounds. She had wet lung sounds on the right side, which happened to be the side of the pain. During all of this, she was screaming, kind of. Many times the only way I could calm her was to say, “You need to calm down now sweet-heart.” It seemed to work well, so I stuck with it.
She was now complaining of difficulty breathing. The closest trauma center was only fifteen blocks away. We did all the treatments quickly and to the hospital we went.
To help calm her I would say “Sweet-heart” at the beginning of everything from treatments to movements to what to expect once she got to the hospital. All of the “sweet hearts” seemed to work and served the purpose well.
We arrived at the hospital about 15 minutes from patient contact, which is not a bad time for contact to ED door. I had to give the report several times: over the radio, to the nurse, to the surgeon. Each time was the same. She was shot at close range signal shot to the throat. She had difficulty breathing. She was developing a hemo/pneumo-thorax, this means she was collecting blood and air where it did not belong.
Where is the KILL twist? Here it is!
I sat in the trauma room doing paperwork answering questions as they came up. During my call-sheet writing, I heard an order for a Foley to be placed. A Foley is a simple tube placed in the urethra to drain the bladder.
For obvious reasons, there are different techniques to place a Foley for a male verses a female. A female placement usually requires the knees drawn up and out. On the other hand, the male placement is swoop and jab. Both sound like a lot of fun. NOT!
I began to notice that there were no knees in the air but there was a little swooping going on.
THAT IS RIGHT!
She was a HE!
He-She-It was going through hormone therapy, which gave her/him breasts. This was one of the transgender stages before the permanent surgery. I quickly went back through my paperwork and changed the females to males.
If you do not want any more details stop now. I know you do or you would not have read to this point.
Per the police officers on scene and the officer investigating, it is expensive to do the life changing choice s/he was about to under go, so s/he supplemented her/his income by working one NIGHT. When her /his client found out SHE was a HE. The S/HE’s client shot HER. I mean He shot HIM. More details anyone?
When males try to hide their “identity,” they tie it back and hide it from the public. Yes, that means what you think it means.
YES, I went to court for this one, not the blog article, but the shooting.
Happy dreams!
Working in a very violent town gives opportunity to run calls with variety. Many of these violent calls are just a means to the end (of life). People are very creative when they plan what and how they will enact their revenge. Some are barbaric, like men when they use a knife. Men when killing with a knife, in a moment of anger, they usually will strike upwards. If they are good, or lucky, men will knick a piece of intestine and then go to the thoracic cavity puncturing a lung or clipping the heart. Some are passionate, like women when they use a knife to kill. A woman in her wrath will use a knife over-head and come down multiple times. This action if in the chest could go between ribs, again puncturing a lung or clipping the heart or a major blood vessel.
Then there is the brainless use of a gun. This method is a no brainer. Point and shoot is the KISS method to gun use. That is what happened one night, but instead of death, I was the one who learned a lesson.
Dispatched to a call in some row houses, we met the police outside of a house. The area was full of by-standers and upset friends and family. The gathering of people, from infants to senior citizens, was common when there was a shooting – which this was. The police, needless to say, did not secure the area. Escorted into the basement apartment and in the back bedroom, I found a very scantily dressed female. She was speaking very course and it was difficult to understand her. She was holding her throat and complained of pain to her throat.
This was a shooting, why was this woman complaining of her throat hurting? As requested, she moved her hand away. Dead center of her neck was a puncture wound. In the pre-hospital setting, we do not classify un-natural holes. They are not stab wounds nor are they gun shot wounds they are simply puncture wounds. Doctors and the forensic specialists go to court and debate the nature or cause of said wounds. (By they way this was a gun shot wound.)
How do I know it was a gun shot wound? The woman told me. She gave a very brief account. A man took out a gun and pointed it towards her. He was only feet away when he pulled the trigger. In a single shot missed her head, which is normal around my city, and shot her once in the throat.
There was minor external bleeding but she had a large hematoma and tenderness that run down the front side of her neck. I quickly removed her upper clothing to examine the chest and listen to her lung sounds. She had wet lung sounds on the right side, which happened to be the side of the pain. During all of this, she was screaming, kind of. Many times the only way I could calm her was to say, “You need to calm down now sweet-heart.” It seemed to work well, so I stuck with it.
She was now complaining of difficulty breathing. The closest trauma center was only fifteen blocks away. We did all the treatments quickly and to the hospital we went.
To help calm her I would say “Sweet-heart” at the beginning of everything from treatments to movements to what to expect once she got to the hospital. All of the “sweet hearts” seemed to work and served the purpose well.
We arrived at the hospital about 15 minutes from patient contact, which is not a bad time for contact to ED door. I had to give the report several times: over the radio, to the nurse, to the surgeon. Each time was the same. She was shot at close range signal shot to the throat. She had difficulty breathing. She was developing a hemo/pneumo-thorax, this means she was collecting blood and air where it did not belong.
Where is the KILL twist? Here it is!
I sat in the trauma room doing paperwork answering questions as they came up. During my call-sheet writing, I heard an order for a Foley to be placed. A Foley is a simple tube placed in the urethra to drain the bladder.
For obvious reasons, there are different techniques to place a Foley for a male verses a female. A female placement usually requires the knees drawn up and out. On the other hand, the male placement is swoop and jab. Both sound like a lot of fun. NOT!
I began to notice that there were no knees in the air but there was a little swooping going on.
THAT IS RIGHT!
She was a HE!
He-She-It was going through hormone therapy, which gave her/him breasts. This was one of the transgender stages before the permanent surgery. I quickly went back through my paperwork and changed the females to males.
If you do not want any more details stop now. I know you do or you would not have read to this point.
Per the police officers on scene and the officer investigating, it is expensive to do the life changing choice s/he was about to under go, so s/he supplemented her/his income by working one NIGHT. When her /his client found out SHE was a HE. The S/HE’s client shot HER. I mean He shot HIM. More details anyone?
When males try to hide their “identity,” they tie it back and hide it from the public. Yes, that means what you think it means.
YES, I went to court for this one, not the blog article, but the shooting.
Happy dreams!
3 comments:
That is too funny! I met way too many shims on my mission. They seemed to enjoy hitting on us! At least they had a good sense of humor!
Mom... DO NOT READ THIS!!! Gross!
YIKES!!!
You never tell us these fun stories in real life. I am glad I can read about it here. Keep the stories coming, Sweetheart. :)
Post a Comment