A Cardiac Event (Rough draft for now)

Not sure why but over the last couple weeks whatever call I start with is the call I receive all day! Last week it was assault day......nothing to great happened all the same old bs. Today however happened to be Chest pain day. Every patient today had chest pain. 8 of our 10 calls were the same old drama. I am in pain it hurts so bad i rate it a 10....but than I am going to talk on my cell phone the whole way to the ER. So sick of that crap. If you are that sick or in that much pain that you need to take an ambulance get off the freaking phone!!!!!! Our first call that is actually worth writing about was a good one! We were called for a 65 year old male with a c/c of nausea. When we arrived 13 minutes later-because we were given the wrong address a man was sitting on the couch. He appeared calm and simply states I do not want to go. From the history i learned he has a hx of atrial fib. The man was adamant about not going-he had had nausea for 2 days and some of the bystaders ie:his friends had called us. The fireman doing the assessment explained to him it is okay if he does not wat to go but that he would need to sign a form releasing us of liability and if he died (which he would have) we are not held liable. He then proceeded to stand the man up to take another blood pressure. Upon standing the man still c/o nausea ad even joked around with one of the friends. His then said he felt really bad and if we wanted him to go he would go. We laid him down on the gurney placed the 12 lead patches on and bam. He went into a rhythm called Torsades de pointe-rare i should say-then into v-fib and then he was unresponsive. I immediately began CPR. I hate being the one to start cpr by the way----I really don't like hearing the initial rib crack. I deal with it though and move on. I switched places with another medic and was preparing to intubate. The patient to me seemed like he wanted to breat on his own and i could tell he had a gag reflex so i bagged him and waited on the tube. He was than defibrillated at 200 joules. Te fire medic wanted to cardiovert but he was in v-fib and since there were no p waves our brand new life pack 15's would not let him. So he defibrillated at 200 and that was that. The man immediately stopped breathing and that lasted about 2 minutes...the longest 2 minutes i might add. He then began to breath on his own. He opened his eyes and looked at me. I asked him how he was doing-but the answer was obvious. He spoke to me every few minutes or should i say i spoke to him. We brought him back and i was glad. We also obtained the 12-lead and he was having a stemi. We activated the stemi center and brought him in. Once in he was taken to the cath lab where he had a 90% block and coded 3 more times. All in all the guy made it and I am glad! So many times we have these patients and see them talking and we form a sort of bond with them and watchig them die sucks. Its different then having one that was not breathing when we arrive. I guess it is because we personalize it. Tommorow I am going to go see him. I hope he makes it over night!