TD: 36143133 From: [Hone] [32/20/13 12 ?14 Dispatch 14:43:56 Date/Time: Incident Number: F19005270 EMS Unit Call Rescue 20 Crew Member Smith,Taylor Sign: Completing this Report: Complaint Finished On: 01/30/2019 Reported 1 5:45:32 by Dispatch: Prehospital Care Report Name: Doe,Jane Age: 1Years 0.0.0.: 1/30/2019 Address: BODCENTRALAVE Gender: Female Race: White Sarasota. FL34236 Weight: 4 kg Provider Primary Impression: Cardiac Arrest Secondary NotApplicabie Impression: Date/Time of 01/30/2019 Onset: 14:41:00 Cause of Injury: Chief Complaint General/Global Chief Complaint Global/General Anatomic Location: Organ System: Barriers to Patient Not Applicable Alcohol/Drug Use No Signs or Use Reported Care: Indicators: Hos ita ctivations Des?nath? Team Pro-Arrival Alert or Activation Not when. -- 1- . . Narrative Narrative: C: R20 dispatched to 03 H: Upon arrival pt. mother found on all fours, AOX4. 6C5 15, with midwife on-scene stating full-term pregnancy with confirmed delivery. and that she has visualization of baby's foot at this time. Midwife and pt. Mother deny any other medical injuries or complaints and state no known complications. A: Upon pt. assessment midwife advises EMS that she now sees two feet and has confirmed fetal heart tones via ultrasound. Decision made to continue delivery at birthing center. Labor progresses however baby to become stuck upon delivery of head. Prolonged labor continued with multiple birthing positions attempted without success. Decision for rapid transport made at this time. En route umbilical pulses noted to be present at this time, midwive adivses she is unable to paipate baby's mouth due to positioning of baby. EMS attempts to palpate baby?s mouth and is unable to due to positioning of baby. EMS notes loss of umbilical pulses at this time. Placenta noted to be positioned near baby's head and placenta appearing to be unattached. Umbilical cord cut at this time. R: Chest compressions and in access initiated at this time. Epinephrine administered while chest compressions continued. Baby's head remains stuck in birth canal of mother and unable to dislodge. T: SMH nloltailfied via med channel C-7. Pt. care and Vitals monitored on route. Pt. care and report transferred to SMH ER Physician. R20 avai a e. Past Medical History Patient Mediating; Medication Dosage Route None Reported i atio Aller ies Medication Allergies Unable to Complete Medical History: Not Listed - Enter Below seamen-mm Time Assessment sanitary 01/30/2019 14:40:00 Detailed Findings Location Descrip tion Details Skin Color - Normal Unit Notified: 01/30/2019 Patient Name: Doe, Jane Date Printed: 02/20/2019 12:21 14:43:56 Incident F19005270 Crew Member Smith, Taylor Completing this ReportTD: 361438 Unit Noti?ed by 01/30/2019 Dispatch Date/Time: Incident Number. 14:43:56 F1 9005278 Complaint Reported by Dispaltch: From: (Hone) Patient Name: Doe, Jane EMS Unit Call Rescue 20 Sign: Normal Findings 12 Print Date: 02/20/2019 12:27 Crew Member Smith, Taylor Completing this Report: Finished On: 01l30]2019 1 $4832 Not Done 0113012019 14:53:00 Detailed Findings Location Description Details Skin color - Nonpal Normal Findings Not Done Incldent F1900527a 'As'?'eiiment summary 01/30/2019 14:58:00 Detailed Findings Location Description Details Skin Color Normal. Normal Findings I Unit Notified: 0113012019 Patient Name: Doe. Jane Date Printed: 02/20/2019 12:27 14:43:56 Crew Member Smith, Taylor Completing this Report: h-g- I1 .11: To 3614380 Unit Noti?ed by 01/30/2019 Dispatch 14:43:56 Date/Time: incident Number: F19005278 Complaint Reportzd 9 Dispatch: From: (Hone) Patient Name: Doel Jane EMS Unit Call Rescue 20 Sign: 02/20/19 12:44 Print Date: 02/20/2019 12:27 Crew Member Smith. Taylor Completing this Report: Finished On: 01/30/2019 18:40:32 Not Done I 01/30/201 9 15:03:00 Detailed Findings Location ting Details skin Color *Normal Normal Findings Not Done "Assessment'Sirmrna'ry 01/30/201 9 1 5:00:00 Location Detailed Findings Description Details Skin Color - Normal Normal Findings Unit Notl?ed: 01/30/2019 14:43:56 Incident ii: F19005273 Patient Name: Doe, Jane Date Printed: 02/20/2019 12:27 Crew Member Smith, Taylor Completing this Report: a! To: 3614839 Unit Notified by 01/30/2019 Dispatch 14:43:56 Date/Time: Incident Number: F1 9005273 Complaint Report?d Dispatch: From: (Hone) Patient Name: Doe. Jane EMS Unit Call Rescue 20 sign: 32/23/19 12 ?14 Print Date: 02/20/2019 12:27 Crew Member Smith, Taylor Completing this Report: Finished On: 01/30/2019 1 8:48:32 01I3OI2019 15:11:00 Detailed Findings Locating Description Details Skin Color cyanotic Normal Findings Not Done Assessment-Slimmer? 01/30/2019 15:12:00 Loration Detailed Findings Description Details Skin Color - Normal Normal Findings Not Done Unit Noti?ed: 01/30/2019 14:43:56 lncident?: F19005278 Patient Name: Doe. Jane Date Printed: 02/20/2019 12:27 Crew Member Smith. Taylor Completing this Report: a -l'o In To: 3614388 From: (Hone) 32/33/19 12:41 Unit Notified by 01/30/2019 Patient Name: Doe, Jane Print Date: 02/20/2019 12:27 Dispatch 14:43:55 Date/Time: Incident Number: EMS Unit Call Rescue 20 Crew Member Smith. Taylor Sign: Completing this Report: Complaint Finished On: 01/30/2019 Reported 18:48:32 by Dispatch: Alcohol/Drug Use: No Signs or Use Reported Primary Cardiac arrest of newborn Disposition: AIS Treatment/Transport Call Type: Resp. Mode: Emergent (Immediate Response) Transport Mode: Emergency Urgency: Immediate Destination: Sarasota Memorial - Main Campus 1700 Tarniami Trail Sarasota, FL 34239 Response: 911 Response (Scene) Dest. Determ.: Closest Facility Location: Service areas Incident Address: 000 CENTRAL AVE Response Delay: None/No Delay Sarasota, FL 34236 Number of Patients 1 Transport Delay: None/No Delay Transported in this EMS Unit: Seco'nda'Fy Condition Cardiac Arrest: Yes, After EMS Date/Time of Cardiac Arrest: 01/30/2019 15:10:00 Arrival Cardiac Arrest Etiology: Arrest Witnessed By: Witnessed By EMS CPR Care Provided Prior to EMS Arrival: No Who Provided CPR Prior to EMS Arrival: First Responder (Fire, Law, EMS) AED Use Prior to EMS Arrival: No First Monitored Arrest of the Patient: Not Applicable Resuscitation Attempted By EMS: Initiated Chest Compressions Any Return of Spontaneous Circulation: No Cardiac on Arrival at Destination: Not Recorded End of EMS Cardiac Arrest Event: Ongoing Resuscitation in ED Patient Moved to Stretcher Ambulance: Patient?s Position in Lateral Left. Other, Supine Transport: Patient Moved From Stretcher Ambulance: Patient Condition at Unchanged Destination: Medications Medication Time Crew Medication Route Dosage Response Complication PTA 01/30/2019 Smith. Taylor IV Push 0.4 Milligrams unchanged No Unit Noti?ed: 01/30/2019 Patient Name: Doe, Jane Date Printed: 02/20/2019 12:27 14:43:56 Incident F19005278 Crew Member Smith, Taylor Completing this Report: n? a - .5-- 36148813 From: (None) 12:44 Unit Notified by 01/30/2019 Patient Name: Doe,Jane Print Date: 02/20/2019 12:27 Dispatch 14:43:56 Date/Time: Incident Number: P19005279 EMS Unit Call Rescue 20 Crew Member Smith, Taylor Sign: Completing this Report: Complaint Finished On: 01/30/2019 Reported 18:48:32 by Dispatch: Procedures Size of Time Crew Name Location Equipment Attempts Response Success 01/30/2019 Smith, Taylor IO Cannulation '1 Unchanged Yes 15:11:00 01/30/2019 Smith. Taylor CPR, Manual 1 Improved Yes 15:11:00 gitals Stroke Pt. Time BP Limb Pulse asp Effort 5002 Qual C02 06 Paln Scale PTA FITS Posltin 01/30/2019] 140 . 01/30/2019] 160 14:53:00 01/30/2019; 166 14:50:00 01/30/2019] 14:: 15.203190 01/30/2019] 0 15:13:00 01/30/2019/ 144 15:11:00 PSAP: 01/30/2019 Incident Number: F19005270 14:42:44 Disp. Noti?ed: 01/30/2019 Call Sign: Rescue 20 14:43:48 Unit Disp: 01/30/2019 Veh. R20 14:43:56 Enroute: 01/30/2019 14:45:08 At Scene: 01/30/2019 14:46:51 At Fatienl: 01/30/2019 14:47:00 Depart: 01/30/2019 Ending Odom: 1.9 1 5:13:50 Arrive Dest.: 01/30/2019 1 5:19:30 In Service: 01/30/2019 1 6:56:46 Crew Member Level of Certi?cation Role Smith. Taylor Paramedic In Charge Primary Patient Caregiver McCue, Robert EMT-Basic Secondary Patient Caregiver . .. . . Sighatur? Type of Person Signing: Transfer of CarelNurse.Flight Crew.Physician) Signature Reason: Transfer of Patient Care Patient Belongings Receipt Paragraph Text: I acknowledge that the above patient was transferred to my care. Status: Signed Unit Noti?ed: 01/30/2019 Patient Name: Doe, Jane Date Printed: 02/20/2019 12:27 14:43:56 Incident F19005278 Crew Member Smith. Taylor Completing this Report: at . -- IWAIKW- - .e usuax-W Tu: 35141333 From: [Hone] 12:14 Unit Notified by 01/30/2019 Patient Name: Doe,Jane Print Date: 02/20/2019 12:27 Dispatch 14:43:56 Date/Time: Incident Number: F19005273 EMS Unit Call Rescue 20 Crew Member Smith.Taylur Sign: Completing this Report: Complaint Finished On: 01/30/2019 Reported 18:40:32 by Dispatch: Printed Name: Signature Date: Type of Person Signing: EMS Crew Member [Secondary/rhird/Fl'o) Signature Reason: Crewmember Signature Paragraph Text: Status: Printed Name: Signature Date: Type of Person Signing: EMS Crew Member (Secondary?hird/Fro) Signature Reason: Crewmember Signature Paragraph Tent: Status: Printed Name: Signature Date: Type of Person Signing: Primary Crew Member (Report Writer) Signature Reason: Crewmernber Signature Paragraph Text: Sta tus: Unit Noti?ed: 01/30/2019 Patient Name: Doe, Jane Date Printed: 02/20/2019 12:27 14:43:56 incident F19005270 Crew Member SmithI Taylor Completing this Report: do Ta: Unit Noti?ed by 01/30/2019 Dispatch 14:43:56 Date/Time: Incident Number: F1900527a Complaint Reported by Dispatth: From: [Hone] Patient Name: Doe. Jane EMS Unit Call Resoue 20 Sign: 32/20/19 12:14 Print Date: 02/20/2019 12:27 Crew Member Smith, Taylor Completing this Report: Finished On: 01/30/201 9 1 8:48:32 Printed Name: Signature Date: Unit Noti?ed: 01/30/2019 14:43:55 Incident #2 F19005278 ammo-1f? Patient Name: Doe, Jane Date Printed: 02/20/2019 12:27 Crew Member Smith. Taylor Completing this Report: m-mw 44 32/23/19 12 (None) From 3614838 In . r. - - wm ulur-F-uiv mm-r-I If u- 5mm onwmucsusac 35.55BTAR Opln?k?l?pl??ggzi - g?Qll?lim Eb ?m Manda A .1.- .- ?Oa 1 . 1 ma..