Bitten by a rattlesnake? Get thee to an E.R., stat

From the Mercury News:

In the mid-1980s, emergency room physician Robert Norris was working at Brooke Army Medical Center in San Antonio, Texas, when a patient came in with a rattlesnake bite — and the snake. Always fascinated with snakes, Norris had an understanding commander who allowed him to keep the snake, and started a collection outside the hospital in what was known by Norris and his colleagues as “the pit.”

Although his collection of snakes has thinned down over the years, Norris’ fascination with snakes has never waned. Today Norris is an internationally recognized expert on venomous snakebites, professor of surgery and chief of the division of emergency medicine at Stanford University, and former editor in chief of the journal Wilderness & Environmental Medicine.

Management of an Extremely Premature Infant in the Out-of-Hospital Environment

From Prehospital Emergency Care:

The rate of premature infant mortality has decreased over the last several decades, with an accompanying decrease in the gestational age of premature infants who survive to hospital discharge. Emergency medical services (EMS) providers are sometimes called to provide prehospital care for infants born at the edge of viability. Such extremely premature infants (EPIs) present medical and ethical challenges. In this case report, we describe an infant born at 24 weeks into a toilet by a mother who thought she had miscarried. The EMS providers evaluated the infant as nonviable and placed him in a plastic bag for transport to a local emergency department (ED). The ED staff found the infant to have a bradycardic rhythm, initiated resuscitation, and admitted him to the neonatal intensive care unit. The infant died seven days later. We review the literature for recommendations in resuscitation of EPIs and discuss the ethics regarding their management in the prehospital setting.

Responders Rappel 30 Feet to Rescue Woman Who Fell from Cliff

From JEMS:

A 20-year-old woman fell off a cliff in the darkness in St. Paul and landed on a ledge 30 feet below, leading firefighters to rappel to rescue her.

Two firefighters who are rescue-trained paramedics rappelled down to evaluate the woman and put her in a Stokes basket, a special stretcher used in rescues, Zaccard said. The fire department set up lights and the rescue took about 45 minutes, he said. After the basket was hoisted up and paramedics treated the woman, they brought her to Regions Hospital. She had possible fractures that may be serious, Zaccard said.

Police arrest man accused of trying to ram the ambulance carrying his mother

From the Sacramento Bee:

Sacramento police arrested a man suspected of trying to ram a fire department ambulance on the highway.

Fire department personnel were called to the 300 block of Graves Avenue about 9 a.m. Sunday in the Strawberry Manor neighborhood for a woman who needed medical aid. When they arrived, the woman’s son was belligerent, according to a police department activity log.

Police responded and the fire department ambulance began transporting the mother to the hospital. Police allege that during transport, her son, Johnie Clemon, 30, tried to run into the ambulance on the highway.

Taser calms unruly man in emergency room

From the Shelbyville Times-Gazette:

A Taser was used on an intoxicated man at Heritage Medical Center’s emergency room after he became “very aggressive” toward medical personnel early Sunday, Shelbyville police said.

Four officers struggled with Jose Luis Acosta, 35, of Landers Street, who police said was “kicking his legs and swinging his arms,” before officer Jody Shelton used the Taser.

“I took the cartridge off of my Taser and drive stunned him for one five-second cycle and he immediately stopped resisting,” Shelton said in his report. “We restrained him by handcuffing both hands to the bed.”