
So, it has been long enough now since this call for me to talk about it a little bit. We were dispatched to a fall, which dispatch advised the fall was as high as possibly 90 ft. Of course my first thoughts were no one's going to survive that. Later they come back and said about 30 ft. Not knowing to us the person that fell was actually trespassing on mine property

We arrived on scene to find that the hiker had been able to call a neighbor, and they had driven their side by side up to the hiker. They came back down to as far as we could get our ambulance. At that point we downloaded all the equipment that we felt that we would need, loaded it on the side by side and up the mountain we go. Trust me it was not a smooth ride. When we went as far as we could go, me and my partner along with the first responder and the driver of the side-by-side grabbed all of our equipment and hiked approximately 100 yards straight up the mountain, over rocks and through trees. We found the patient lying on their back and we began assessment. There were some obvious wounds, but the most pressing one was the decreased lung sounds on the left side and the patient was struggling to breathe and was very hypotensive. In addition to other bottles we knew the patient was going in the shop and probably had a pneumothorax on that left side. I won't go into every detail, but let's just say this was what we call my first field dart. Medical terms would call this a needle decompression. To give you a picture, I basically stuck a three and a quarter inch needle in her left side in the fourth intercostal space where it penetrated the plural space, allowing the air to escape and the lung to fill with oxygen and immediately the patient was able to breathe much better. To make a long story short it took a lot of volunteers to cut trees and equipment was used to get the patient back down the mountain and to the LZ where she was flown out to a higher care hospital. This was a pretty intense call, and when it was all said and done both myself and my partner did a complete job. My partner was a basic so it would have been nice to have another paramedic there but all turned out well