We did a really good job, I'm not afraid to say it.
The guy was having a MI and we caught it on the ECG despite a baseline altered mental status and no clear chief complaint. We treated appropriately and gave a report on the way to the hospital that got the cath lab open and waiting for us. Door to balloon time was under 15 minutes, a lifesaving success for which my partner and I proudly accept our portion of the credit.
We followed the patient right up to the cath lab and bore witness as our inferior/lateral/posterior ST segment elevations gave way to a serious occlusion of the proximal circumflex artery. It was exactly where we thought it might be, and in the darkened surgery suite, my partner and I beamed.
We got some handshakes and genuine praise from the ED doctors. They said we did an excellent job, that they wished every call went this way, and that we should keep up the good work. It was only a few kind words but it meant the world to us.
Our supervisor was waiting for us when we returned to the ambulance. He was there when we arrived with the patient, and it seems he noticed in our haste we had forgotten to secure one of the four straps that hold our patient to the stretcher. The other three where in place, but I had removed the top strap because it was causing artifact on the twelve-lead ECG.
Pulling the yellow carbon copy from his stack of citations, he handed me my notice. "You should have put the straps back together before taking the patient out of the ambulance." A written warning. Next offense I'll get suspended.
Out of the clouds, Baby Medic. Back to reality.