Friday, August 20, 2010

Overturned Car on Old Georgetown Rd.

August 10

A morning rush hour collision on a busy section of Old Georgetown Road left a vehicle on its side with the driver trapped.

Rescue Squad 741, Medic 741D and Ambulance 726 responded to a personal injury collision at the intersection of Old Georgetown Road and Poindexter Lane, at 0825 hours on a Tuesday morning. First arriving units reported a vehicle on its side with one person trapped inside.

The squad crew used Paratech struts and wedges to stabilize the vehicle before beginning the extrication. They were then able to cut away the front windshield to gain access to the patient, who was then removed from the vehicle through the windshield.

Once extricated, the patient was quickly removed to Medic 741D. Its crew thoroughly assessed the patient and transported to Suburban Hospital with minor injuries.

Other units responding included Engine 726 from Bethesda, which provided scene safety, and Tower 723, from Rockville, which provided additional manpower. Chief 741B responded and took command, assisted by Chief 741E.

Two Killed in Old Georgetown Rd. Collision

August 7

Numerous Rescue Squad units responded to a collision early on a Saturday morning that killed the drivers of both vehicles.

At about 0845 hours, Rescue Squad 741, Medic 741, Medic 741E, Ambulance 726, Engine 720 from Bethesda, along with Battalion Chief 2 and an EMS duty officer from Montgomery County were dispatched for a vehicle collision with a report of 2 persons trapped on Old Georgetown Road just north of the Beltway. A Buick station wagon and a Toyota minivan had struck each other in an offset head-on collision, leaving both drivers pinned inside their vehicles.

Unfortunately, the collision was fatal for both drivers, so no immediate extrication was necessary. As a precaution, RS 741 used its thermal imaging camera (TIC) to check in the brush beside the road for any vehicle occupants who might have been ejected but did not find any additional patients. (Use of the TIC for this purpose is not novel.)

RS741 returned to the scene several hours later, along with Truck 706 and Engine 720, to assist the police with completing their investigation.

Ambulance Crew Saves Woman With Allergic Reaction

June 8

An ambulance crew’s quick actions saved a woman suffering from a severe reaction to medication.

Ambulance 726, a B-CC Rescue Squad ambulance stationed at Bethesda Fire Department Station 26 on Democracy Blvd., was dispatched at 1925 hours for a report of trouble breathing in a middle aged woman at her residence near Montgomery Mall. They arrived on scene to find a woman who had been to the oral surgeon earlier in the day, and appeared to be having a bad reaction to some of the medications he had given her. She was speaking in gasps and hyperventilating due to the difficulty she was having in breathing.

Prior to the arrival of an engine company with a paramedic, the crew assessed the patient’s symptoms and learned of her medical history, including the oral surgery earlier in the day. They concluded that she was suffering from a severe allergic reaction and anaphylactic shock and began to administer oxygen at 15 liters per minute through a non-rebreather mask.

Recognizing the potential allergic reaction, they also quickly administered a dose of epinephrine using an EpiPen®. This led to a textbook reaction, with bodily shaking and an increased heart rate, while apparently reducing the swelling to the respiratory system. The patient’s breathing slowed down by the time the engine company with a paramedic arrived, and she was doing significantly better by the time the medic was able to evaluate her.

With the rapid improvement in the patient’s condition, the paramedic concluded that no advanced life support intervention was needed; however, the paramedic accompanied Ambulance 726 as they transported the woman to the hospital.