[sirens]
We got a woman who fell off a roof.
I can't imagine what somebody was doing up
on the frickin' roof at night.
I think it's probably a balcony,
rooftop balcony or something.
[sirens]
- What's up, guys? - What's up, guys?
What's up?
Hey, man, how you doing?
We get there, and the building had like a three-story roof.
So on the way to the back, I'm just
thinking this girl is dead.
Is she on the other roof or is she on the ground?
She's right here on the ground.
Did she fall off the top roof or this little part?
Right here on the slant.
OK, that's a big difference.
This girl was laying flat on the ground,
still talking to us, fell about 15 feet.
She says she slid off when she was smoking cigarettes.
Well, that proved that cigarettes kill, right?
Hold on, baby.
Let us do the work, OK?
Where's the board?
Right there.
On a call like this, you know there's
going to be possibility of back and head and neck trauma.
So you have to make sure that you got the spine board,
the neck collar, and the head brace,
because you don't want to move them until you
take all those precautions. - How are you?
OK, babe.
Where are you saying ouch for?
Did she get knocked out, Teddy?
Did you get knocked out, baby?
You remember everything that happened?
OK.
All right, stretcher's right here, Ted.
The worst-case scenario in a fall like that is,
maybe if she struck her head, having a skull fracture
and a bleed in her brain--
You ready?
Let's go get in the truck.
--or probably a fractured spine or a severed
spinal cord from that distance.
Hey, doc, how have you been?
That's OK.
Can you feel me touching your toes?
You do not feel?
Do you feel him touching your toes?
It's concerning that the patient's telling us
that she can't feel her feet.
It could mean a spinal injury or some sort of paralysis.
We needed to get this patient to a facility that could
treat serious spinal injuries.
University is our trauma center in the area.
That's where she absolutely needed to go.
Oh, my god.
Ouch.
Oh, my god.
My back hurts.
Did that help any?
OK, good.
Spinal precautions are a very important
factor after some sort of blunt traumatic injury.
Anybody who takes a fall like that
and then tries to get up, most likely
would have been dealing with something a lot worse
than what was already there.
[intense music]
You know where we're going?
Eighth and seventh.
Unresponsive, fell off a ladder.
Any time they fall off a ladder, it's never good.
Uh-uh, especially off a roof.
Yeah.
Second-story fall.
Wasn't even a single story.
Ooh.
[sirens]
OK, we'll carry him out on the spine board.
It's kind of late at night to be doing that, huh?
Yeah.
3217, give us access.
Be careful.
This guy's landed on an overhang
and busted some support beams.
Getting to him is going to be really
difficult and very dangerous.
Hang on.
Hang tight, buddy.
You know your name?
You know what today is?
OK.
You know where you are?
That's OK.
You got any medical problems?
Seizures?
This guy actually may have just
had a seizure off the ladder.
The patient not being able to answer our simple questions
indicated to us that he could possibly have a concussion.
All right, my man, hang on.
Hang tight, buddy.
We secured his neck with a C-collar.
And then we had to get him on the spine board,
so we could safely get him off of the roof.
Right there?
All right.
How y'all want to do this?
You tell me.
Well, I was thinking, if we slid him sideways like this.
And we had two guys underneath.
Even just the slightest shift you could hear the metal creak.
We had to be pretty quick and methodical
about how we got this guy down.
Hang on.
Slide him to you.
One wrong move, one wrong step, we could all go down.
All right.
You ready?
All right, my man. Hang on.
Hang tight, buddy.
Watch your step, Teddy.
I don't need you coming through.
I'm trying to watch my step, believe me.
All right, let's train him down.
Look at the roof.
Be careful.
[intense music]
Wait a minute.
OK.
All right, let's train him down.
We won't know what the full extent of his injuries
are until we get him in the back of the truck.
But we do know that he's at least
falling about 10 to 15 feet, landed on his head
and is now confused.
You fell off the roof, buddy.
Are you hurting anywhere?
Got a laceration on his arm.
He's got deformity right there.
Got some bruising.
Open your mouth for me.
Messed up your teeth, bro.
You don't remember falling?
What do you remember?
You probably had a seizure off the roof.
New Orleans EMS University patient report.
I'm bringing you a 43-year-old male,
fell approximately 12 feet off of a ladder onto a sheet metal
roof, got some deformity to his right
chest, history of seizures.
Patient doesn't remember the incident.
Take a deep breath.
Deep breath.
[intense music]
Hey, just a heads up.
Just checked his lung sound.
He's slightly diminished right there
at that chest-wall abrasion.
Any time you hear diminished lung sounds
on one side or the other, you start
to take into consideration that he may have popped a lung.
Bottom of your ramp.
Room four, Teddy.
Room four?
Oh, come on, big man.
You think it's going to be busy?
Yeah.
Call comes in for a 15-year-old
male having a seizure.
Possible seizures.
Holy crap, look at the people.
What in the world?
Rescue crew on scene.
He's pretty knocked [bleep].
How old is he?
The shop owner tells me that we have a kid that was running,
slipped, fell backward, struck his head on the ground,
had seizure-like activity, shaking and thrashing about,
and has been unconscious.
I don't know if the seizure happened before he fell.
Probably after.
Seizing after the fact.
Oh, [bleep]
The biggest thing now for us to think
is, this kid has a head trauma.
You're going to put a collar on him?
He's good.
Strap his arms in.
- Load him up. - What's up, brother?
- Is he awake now? - He's opened his eyes.
That's what we want.
Open your eyes.
Calm down.
Relax.
Relax, Jeremy.
As we get him in the back of the truck,
the patient becomes highly combative, typical of someone
with a good amount of head trauma.
He's having a moment.
[bleep] strong like us.
He is strong.
Listen, Jeremy.
Listen, I'm Lieutenant Mavor with Tampa Fire, OK?
You fell and knocked yourself out, brother.
Just relax.
We've got you strapped down because we
want to make sure you don't have any kind of injuries.
I'm just going to clean your yes real quick.
Give him the-- [overlapping speech]
One of his pupils is bigger than the other.
Usually signifies there's a great possibility
for a brain bleed.
It's imperative this kid get to CAT scan as soon as possible.
This is Tampa Fire Rescue 4.
I got a 15-year-old male, slip-and-fall head injury,
possible seizure activity.
The next 48 hours for this patient
are going to be very crucial.
His set of vitals right now, he's been
fighting this the whole time.
If the patient has a brain bleed,
he's going to be watched over and over
every hour for the next 48 hours to make sure it's
not getting any worse. - There you go, buddy.
Just relax.
There you go.
It takes four milligrams to knock him off.
Hey, listen, don't be scared, OK?
We're going to get you checked out, all right?
[intense music]
Kid fell, slipped in a puddle, fell back, hit his head.
That was a good call, though.
For a ground-level fall that was about as extensive as it gets.
Combative.
Yeah, when he woke up, and he was combative, I was like,
he's got to have something going on there.
He was out.
That kid was out.
I haven't seen anybody knocked out like that since Tyson.
Rescue 11 responding.
Are you wearing your seat belt?
- Yes, sir. - All right.
All the time.
We're going to a 50-ish-year-old male who fell and hit his head.
And he has a head injury.
He had a couple of drinking drinks.
So he's altered.
At 1.6 miles, you're going to make a left on Elbow.
It's Elbow?
- Elbow, baby. - With an E?
Elbow?
Elbow like elbow.
Elbow, OK.
All right.
Elbow macaroni.
Oh, those are good, man.
We made macaroni from scratch the other day at the house,
baking it, Velveeta and then shredded cheese on the top.
You can't use Velveeta, man.
Listen, that's what the recipe called for, brother.
We threw jalapenos in some of it.
That's not real mac and cheese, man.
We have to invite you over.
It tasted like real macaroni and cheese.
You got to use real cheese.
There was some real cheese on top of it.
No, inside.
What you got, cap?
Oh, he got a good little gash here.
Cracked his coconut, his head, open on the curb.
And it was a good lac on the back of his head.
Nobody was with him?
The blood is coming out like an afternoon
thunderstorm in Tampa.
Sir, we're going to put a collar around your neck, OK?
The collar will help your spine.
We don't know if you've injured it, OK?
We need to get you over to the hospital.
Listen, we're going to get you to the hospital.
You got a big, old cut on your head, OK?
Watch it, dog.
Straighten your legs out for us.
Our main concern is to get IVs,
so we can dump some more fluid into him for all the blood
that he's losing.
Listen, you took a really good fall.
Just try to relax.
We need to get you over to the hospital.
You need to get looked at.
Trust us, OK?
My name's Tony.
Tell me what year is it?
Yeah.
Who is the president?
No doubt, he had to have a concussion.
A big, old pinch on his arm, OK?
One, two, and three.
Relax.
The other worry is with the force that he hit his head,
does he have any bleeding in the brain?
I want to put some pressure on it, though.
I'm going to try to wrap this again, OK?
There's bandages that they've wrapped is full of blood.
Just have someone to hold pressure,
hopefully keep him from bleeding out.
[intense music]
- Good job, brother. - Thanks, brother.
- Give me some. - Oh, yeah.
Definitely, brother.
[sirens]
Hello.
Hold on a minute, babe.
So this is broken.
No, I'm telling you it is.
There's no other way to get her out of this little space,
other than to physically pick her up, straighten
her legs out, move her.
I'm going to do an IV on you, OK?
Because when we go to move you, it's probably
going to be pretty painful.
Do you know what happened?
Did somebody push you down or hurt you?
OK.
That's fine.
That's all I need you to do, to just be honest.
That's it.
All right.
This is very difficult getting her out of that little space
and also trying to prevent further injury.
One, two, three.
Just don't move.
I need you to relax.
You relax.
The biggest concern with a hip fracture
is going to be internal bleeding and neurological deficits.
The nerves have been cut off or compressed in some type of way.
Listen, we're going to roll you this way, OK?
She wasn't in a life-threatening
situation at that moment, but it could progress to that.
That leg straight. You're doing fine.
- Ouch. - I know.
I know.
Keep your arms right there for me, just like that, baby.
You ready?
One, two, three.
You're making no scene.
No, you're not.
That's it.
Well, your hip's broken.
I could feel it.
6249.
I got a unit that's coming in with a 60-year-old female.
She's got a right-hip fracture to medial rotation
and shortening.
Her vital signs are within normal limits.
And they are going to be there to you
in about 5 or 10 minutes.
[music playing]