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WILLISTON AMBULANCE SERVICE

 

 

 

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North Dakota EMS Report 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

sci-vice Name Station Unit Name, No. Type PCR No. Date
Williston Ambulance Service 6406 /01316406 MICU 0704833 09/14/2011
County, a 21, PSAP Indd. No.
HWY 85 S. Counxy road 4, Willismn, ND 58801 Williams, Will'ston, 58801
Street Hi
or ghway Rmdvine Agency
Mercy Medical Center
 Patient Name .- . 
   Micheal c1: Gardner, Matthew 104534 a!
 .22; c2: Sem nk Garvin
 P08011703 (3 ?3631 '5
  my 8m: . yers, ea EMT-I 122167 a
 1308, ND 58852 C4: 
if}:  sex Age DOB Phone No. Primary Caregiver: Cl Driver: C2
$95.35;: Male 29Years . (701)664~8978 .  ., 
A If; Prime Physician Driver's meme 0 12-3 23 24
Response Time: 1 911: 17:38
cum: Nam ER Time: 16 Dispatdn 17:42
Treated, by EMS ALS OS Time: 24 Enroute: 17:43
Ram Mod, Transport Mode ERH Time: 9 Arrive Scene: 17:59 1?1
Lushts and SW 1?81"? and Destination Time: 33 Contact: 17:59 :3
Puma Pam Cmdmon n? Total Time: 83 Depart Scene: 18:23 
?femg Impmed Time cm or as Arrive: 18:32 \1
. owner" Available: 19:05 a
In Quarters: 19:11 
ChlefComplalm: Burns 
011mm Merle: none 3 . . 


Amr?cs (mods): none 0 


0
PM: none . .
I




a -- I  e- 00

 

 

 

Dispatched to a rig explosion South East of Williston. While enroute dispatch informed us that there
were "many" patients (unknown number). When we got closer to Indian Hill there was a pickup driving
very fast that passed us, and did not stop. When we got to the top of Indian hill we went east
approximatly 1/8 mi. before a pickup with 2 severely burned patient?s were in the back. The two patient's
were naked and looked to be close to 100% burned. Right away I informed the ambulance that was
enroute, that there was 2 critical here in a pickup. I got the backboard, c-collars and straps right way. I
placed the board on the other side of the patient. I put a C-collar on, then I log rolled the patient onto the
backboard. The patient?s was like wax, thus myself, and/or with others moving him was not

illuXX-?lmv?cl?lf 
Printed On: 09/17/2011 19:18 Provider
EMSereporange) 1993.2011, Med Media. Inc. [1111213113 Reserved. Page 

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North Dakota EMS Report
Service Nme Unit No PCR No. Date
Williston Ambulance Service 6406 /01316406 IMICU 0704333 09/14/2011
p.11.? Name on. arm 1 Social Security Number PSAP
mum mm

 

 

 

working, so patient adjusted himself on the board. Safety straps were applied before moving him to the
ambulance where I established I.V. access, and tried to get a blood pressure with the LP 12. The patient
was screaming in pain. I hung "wide". I gave the patient Morphine 4

mg while waiting for an EMT to get the rest of the equipment befOre transport. 18:11 ECG 4 lead

applied shows S-tach. applied 02 NRB mask 15 LPM. Patient complained of being cold. I applied
aluminum foil, and burn sheet over the patient's body. The started working and by then we were
ready for transport. We began transporting patient Code 3 to Mercy ER. Patient stayed talking to me
most of the way about the incident. I managed the patient's pain with with Morphine 4 mg incriments.
Trauma code with report was called in prior to arrival. When we got to Mercy ER, we were directed to
room 2. I gave report to the nurses and doctors, and helped them with patient care before returning back
to quarters. -Matt Gardner EMT-P

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     I ?Pro'vider' Comment;
18:04 Immob: Spinal Immobilization; Complication: None; PL Response: Improved Gardner, Matthew -
18:04 Oxygen: NonReBreather Mask; Oximetry. 96; Liters: 15; Complication: None; Pt. Semenko, Garvin
Response: Improved
18:05 Venous Anus-Extremity, Success: 1/1; London: Antecubital-Riytt; Fluirt Gardner, Matthew
Normal Saline; Size: 16 G, Rate: Saline lock 3cc; Complication: None; PL
. . . Response: Improved
. . . . 18:08 Med: Normal Saline IV Solution; Dose: 999 Qty: 1; Route: Intravenous; Gardner, Matthew
. . . Complication: None; Pt. Response: Improved
. . 18:10 Mai. Morphine; Dose; 4 Mg, Qty: 1; Route: Intravenous; Complication: None; Pt. Gardner, Matthew
. Ruponse: Improved
. . . . 18:13 Vitals: Pulse: 129; Resp: 22; Oximerry: 96%; ER: 163/85 (Automated om); GCS: Semenko, Garvin
. . . 4/5/6; Resp. E??ort: Normal; Perfusion: Normal
. . . 18:14 Med: Morphine; Dose: 4 Mg; Qty: 1; Route: Intravenous; Complication: None; Pt. Gardner, Matthew
. . Response: Improved
18:19 Vitals: Pulse: 115; Resp: 22; Oximetry: 98%; BR: 222/ 180; GCS: 4/5/6; Resp. Gardner, Matthew
. Normal; Perfusion: Normal
. . . . 18:20 Med: Morphine; Dose: 4 Mg; Qty: 1; Route: Intravenous; Complication: None; Pt. Gardner, Matthew
. . Response: Improved
. . 3 18:24 Vitals: Pulse: 84; Resp: 20; Oximetry: 98%; 131: 142/106; ocs: 4/5/15; Resp. Gardner, Matthew
E?'ort: Normal; Perfusion: Normal
18:26 Med: Morphine; Dose: 4 Mg; Qty: 1; Rune: Intravenous; Complication: None; Pt. Gardner, Matthew
Response: Improved
Motif EMT-WC
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North Dakota EMS Report 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Name Station Unit Name, No. Type PCR No. Date
Williston Ambulance Service 6406/ 0704822 09/14/2011
Incident location County, Municipality Incident Zip PSAP Incid. No.
Mercy Medical Carter, 1301 15111 Avenue Williston, ND 58801 Williams, Williston, 58801
Health Care Facility (clinic, hosp, nursing borne) Ream" Agency
Out ofState Air Ambu1ance
Patient Name Crew 
Michael CI: Gardner, Matthew 104634 3
Street Address .
RC. Box 703 C2. Kmanna Tracy 109279 a
. C3: 
h-t City State ZIP 
Tioga ND 58852 
 Sex Age DOB Phone No. Primary Caregiver: Cl Driver: C2
Male 29 Years (701) 664-8978 
7 a. Patient Number Social RH. No. Pt. Weight - Mileage
9-1 cm On-Scene Best. In
Private Physician Driver's license 0 1 3.5 7.2
Transporting Assist Units Assist OS Times
Response Time: 42 911:
Response Outcome Nature of Incident ER Time: 2 Dispatch: 19:10
Treated, Transp. by EMS ALS OS Time: 42 Enronte: 19:52
Response Mode ?Import Mule ERH Time: 9 Anive Scene: 19:54 11?h
N0 L?Shts 0' No ugh? or Sirens Destination Time: 26 Contact: 19:54 
1 11" 121 - 
Patient Condition on Scene Patient Condition at Facility 0 a "ne' scam 2036 
Life-Threatening Improved Time Out of 89 Arrive; 20:45 
Wm?: Available: 21:11 a
In Quarters: 21:21 
Chief Complaint: Airport transfer- Bums . a a a
Current Meds: none . . .z
0 

Allergies (weds): PCN ("maybe" family states) . . .
none 5 . . 

j_  -*L;Narrative  . .   
Called to Mercy ER to transport patient to the airport where there was a ?ight crew waiting to transport
him to the bum center St. Paul (Regions). When we got to Mercy ER patient was intubated and sedated.
This 29 y/o male had been involved in an explosion injury on an oil rig site today at approximately
17:30. The whole rig apparently went up in ?ames according to patients co-workers earlier today. Pt.
had approximately 95 of his body burned. Patient had a 16 gauge I.V. in both AC with LR 1000 ML
bag on his left AC, and 500 ML bag on his right side. Before we left I got verbal orders from Dr.
Brunsman to give 8 mg of morphine at 20:45. Nursing staff gave me the Morphine carbu-ject before I
left the hospital. Patient was on a longboard with burn sheets wrapped over his body. Before moving the
MM
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North Dakota EMS Report
Service Name Unit No PCR No. Date
Williston Ambulance Service 6406 01316406 IMICU 0704822 09/14/2011
Patient Name Date I Social Security Number PSAP
Michael Twinn 

 

 

 

 

patient over to our cot our 4 lead ECG was applied and shows S-tach. The ER staff loaded the patient up
with versed and morphine prior to us leaving the ER. We moved him as a team to the cot and got him
into the ambulance while bagging him high ?ow 02) the whole time. SpoZ monitor hooked up for
the transport en route to the airport. We ran lights and sirens to the airport where we met the Lifelink Air
Ambulance. The ?ight crew came into the back of the ambulance where I gave report. At 20:45 I gave
Morphine 8 mg (as I was instructed to do). I gave the ?ight crew the M.A.R. and informed them that I
did not carry Versed and patient would need some soon. We loaded him as a team into the aircraft, and

?ight crew le? the airport en?route to the burn center. --Matt Gardner EMT-P

 

 

 

 

 

 

 

 

 

 

Time - Events Provider Comments
12036 I \litals: Pulse: 108;  98%; GCS: l/l/l (Chemically Sedated) Gardner, Matthew
20:44 Vitals: Pulse: 110; Oximetry: Ill/l (Chemically Sedated) Gardner, Matthew
2&45 Med: Morphine; Dose: 8 Mg; Qty. l; Route: Intravenous; Pt Response: Unchanged Gardner, Matthew

E- - 
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