20s female, post seizure, she's in the alley.
OK, so about halfway down the alley.
Oh, here, she's at a coffee shop.
Kind of just slumped to the ground,
started having a grand mal seizure activity,
lasted about two minutes.
She's a little confused right now.
She was sitting up when we got here.
OK.
Said she had a history of seizures.
OK.
How are you feeling?
OK.
Do you know where you are right now?
Where you at?
What city are you in?
OK, what year is it?
You're still a little confused.
We don't want to leave you here like that, OK?
I understand you have a history of seizures?
OK.
And you know after seizures you'd
still be kind of confused, and you
possibly can have another one?
So how about we run you down to the hospital?
I understand that you don't want to,
but since you're confused on some simple questions,
we need to take you to the hospital.
I know-- it looks like you don't even feel well, either.
You can't what?
How come?
We have to take you to the hospital.
You're too confused for us to leave you here, OK?
So why don't you step up and we'll sit you
in the gurney over here, OK?
Let's go.
I'll help you.
We have to take you.
I know.
But see, you're not finishing sentences.
You're too confused for us to leave you here.
Unfortunately, we need to take you to the hospital, OK?
So let's just take it easy, OK?
Come on, we'll make it nice and easy.
Otherwise, we're just going to pick you up,
and I don't want to do that, OK?
So will you stand up and do it the easy way?
Take my hand now.
Come on, dear.
This is how we have to do it.
No choice.
We understand.
This how we have to do it, OK?
There you go.
Right now, she's in a postictal state where she might
look like she's awake, but she's not answering any questions
appropriately, she doesn't know where she's at,
she doesn't even know what the year it is or where she lives.
So she doesn't want to go to the hospital.
That's about her level of awareness right now.
So unfortunately, we have to take her.
We can't leave her here by herself.
And hopefully, her head clears and she
can handle whatever she wants to handle at the hospital.
We'll take that call at Qualen for a non-alert diabetic.
So we will go in and we will check her blood sugar,
and see what we're dealing with.
They're right behind us.
Oh, perfect.
Hi.
What's going on?
OK.
Are you able to move your dog, please?
That's his dog.
OK, do you mind grabbing the dog?
Hi, can you speak?
Can you speak?
Looks like he's got an insulin pump on.
Right.
What's it say, diabetes?
So yeah, his blood sugar reading is low,
so we're going to start an IV.
Good?
Yeah.
We're infusing a bag of dextrose and saline.
Yeah.
So it looks like he might have been
having a little hypoglycemic, or a little low blood sugar.
Finger there, please.
Hi.
How are you doing?
You had low blood sugar.
Yeah.
We're with the fire department.
We had to give you some sugar.
How are you feeling?
Good.
Good?
Yeah.
What's your name?
Richard?
Hey, Richard, have you been having episodes lately where
your sugar's going up and down?
OK.
Have you been feeling ill otherwise?
OK.
How are you feeling right now?
Do you want us to try to sit you up
or do you think you need to be seen
in the emergency department?
Two minutes?
OK, very good.
You're at-- on a green belt. Looks like maybe
you were walking your dog?
OK.
Yeah.
He's right over here with a nice gentleman that stopped.
Where's Rufus?
Rufus is over here being petted.
He's just resting in the grass.
Your neighbor was kind enough to take care of Rufus
while we took care of you.
Well, what do you think, Richard,
are you feeling any better?
Do you want to try to sit up?
OK.
What would you like to do today?
Do you want us to try to get you--
get a release so you can stay home?
And take your dog home?
All right, I'm going to call in to our doctor
and make sure it's OK with him or her that you stay home.
And in the meantime, you just relax.
OK.
So this gentleman had an episode of low blood sugar.
We started an IV.
His blood sugar has since resolved.
His vital signs are otherwise normal.
He says he does not want to be seen
in the emergency department.
Oftentimes, we want to make sure that these people have
a meal ready for them so they don't have a rebound
episode of low blood sugar.
And we like to have somebody with them if possible
so they can at least be watched for the next couple of hours.
So if this occurs again, they're not alone because.
If it happens and your alone, it can be
very-- have a very bad outcome.
Don't forget Rufus.
There's my boy.
Thank you.
Oh.
We're going on a 28-year-old male,
walked inside, and had a seizure in one
of our local restaurants.
Now out of the seizure and is awake.
Cancel our ambulance.
Thank you.
We're here for you?
Why don't we have you have a seat?
Do you have an ID on you?
A driver's license?
Do you have a wallet?
It's OK.
It's not abnormal.
I'm gonna take your blood pressure and your vital signs,
OK?
Do you have a wallet?
A wallet.
Like this.
Do you have one in your pocket?
There you go. Thank you.
Do you have a history of seizures?
What do you take for your seizures?
Do you have a cell phone, someone you can call?
Do you have your phone on you?
Do you have it on you?
Do you have a phone in your pocket?
So you're so confused that you--
simple questions.
That's your phone number?
But I'm asking, do you have a phone in your pocket?
We can't leave you here.
You could have another seizure.
We're going to have to run you over to the hospital.
You can't answer simple questions.
Yes.
Yeah. - Yes.
Do you have somebody you can call?
So is there somebody we can call to come pick you up?
Hello, my name is Angela Collins,
I'm with the Mesa Fire and Medical Department.
What matters is you trying to drive away
and getting into a car accident.
Did we get a hold of--
I left a message.
It was--
Can we call from your phone?
Maybe she'll answer coming from your phone.
Just try to call that number with your phone.
Call mom on your phone.
Can I see your phone?
So we can call from that phone.
4-8-0, I'll use your phone to call that number.
Because she won't answer our phone.
Yeah.
Can we use your phone to call that number?
We need to get somebody to come pick you up from--
I just called.
She was over there on the phone.
So if you can call from your phone--
I hope this is the seizure and he
isn't like this all the time.
Can we talk to her, please?
Hi, this is Steve with the Mesa Fire Department.
It looks like your son possibly had a seizure.
He's a little bit irate because he's a little confused.
He doesn't want to go to the hospital.
We're comfortable with him going with you,
but we're not comfortable with him getting into a car.
OK.
Bye bye.
OK, your mom and dad are on their way
to give you a ride home.
I'm going to have you sit here for a second because--
All right, just make sure he doesn't leave.
OK.
Such a peach.
Everybody reacts differently coming out of a seizure.
It's called the postictal state.
Some people are quiet, some people get aggressive.
You just can't let it get under your skin.
Just have a seat. Your mom is on the way.
There's no reason to be outside in the heat.
All right, well.
You should be coming out of this postictal state
where you're not such a jerk.
There's mom.
How are you doing?
Good.
How's he doing?
He's calmed down a little bit.
We need to make a quick phone call to our doctor
and then have him sign saying he does want to go to the hospital
by ambulance, OK?
No problem.
We're getting there.
Hey, stop--
All of us are here for you.
So just take three minutes and we'll get you done.
Just stop.
We've told you six times, she's on the phone right now.
OK.
You're all done.
All right.
- Yep. - Here you go.
All right, thanks a lot, you guys.
OK.
Take care.
I don't think I've been flipped off
that much in many, many years.
Best thing for him is to go home with his parents
where they can watch him.
And if anything changes, they can always
call 9-1-1 again and have another crew deal with him
in a postictal state.
[SIREN BLARING]
So looks like right in the corner.
Hey, officers.
What's going on today?
What makes you think that you had a seizure?
OK.
Any drugs or alcohol today?
No, sir.
OK, good.
Are you hurt anywhere?
Yeah.
OK, well, it's California, so.
I smoke weed, that's it.
May I speak to your--
Yeah.
Woman here.
Hi, miss.
So, I hear your husband has seizures.
Is that true?
Yeah.
So did he have a seizure today?
Does he take medication?
How long did it last?
OK.
Sir, we have the--
Thanks, guys.
Sounds like you have a history of seizures, right?
And you typically take Haldol for those seizures,
but you haven't been taking those medications,
is that correct?
How long has it been since you've taken those medications?
So for quite some time?
Since prison riots?
When did you get out?
After 27 years?
Where were you locked up?
All right.
Well, thank you very much for getting out of there.
I hope that--
Good for you, man.
Good for you.
It's not easy to do.
So, when you were locked up, were you
having a seizure issues there?
Like when you're taking your medication
like you're supposed to, do you have issues with them?
Since they replaced your what?
I'm sorry.
Oh, is that right?
So after that-- that's from a traumatic injury?
Did you get beat up?
Car accident?
Something like that?
OK.
Got a little bit of a headache?
OK.
So we've got this going on right here.
The other side, anything?
Little scratch there too?
All right.
You've got all kinds of bad ass ink, dude.
Oh, you tattoo, as well?
Nice.
I'm an award winning artist.
Is that right?
Yeah. Man.
So where did you learn to tat?
In prison?
So you've got a year out in the street now right now?
August 19, 2017.
August 19.
Best life ever, right?
I never made it more than three months until I
met this woman that I'm with.
Oh, is that right?
She's just keeping you square?
Right on.
So we're going to go in talk to-- talk to the hospital
about what your situation is.
See if we can get you helped out,
both your seizures and the rest of your stuff as well.
You're welcome, Sean.
Right on.
[SIREN BLARING]
Did she say squad two?
Yep.
33.
When he started seizing, was it, like, full body?
OK.
Hi, sir.
Let's get you up.
All right, get your feet up under you.
Ready?
Here we go.
You all right with that?
How long have you been outside, sir?
Long time?
What's type of medical history do you have?
My seizures.
Are you taking medications for your seizures?
No.
I don't know.
All right.
Do you know what type of seizures you have?
Yeah.
What type of seizure are they?
I ain't feeling too good.
All right, my man.
Michael, I'll take your blood sugar real quick, all right?
Are you gonna put a needle in me?
One little poke, Michael.
Is there anything else hurting on you?
Which house did you say we're going to?
Barnes.
So how long you've been working here?
2 and 1/4.
2 and 1/4?
2 and 1/4.
You go by Mike or Michael?
Mike.
What kind of music do you listen to, Mike.
All kinds of music.
All kinds?
Mostly country.
Country, OK.
See my drums?
Yeah.
I can make you beat, like--
you know?
You know, just--
You rap, too?
Yup.
All right, here we go.
[BEATBOXING]
(RAPPING) My name is Mike, and I'm number one.
My reputation has just begun.
I'm making this money, and I'm making my reach.
It's very [BLEEP] and I'm making my [BLEEP]..
When I take your ass out, I'ma steal your grill,
your scrill, and your girl.
[BLEEP], that's for real.
Pop, pop, pop.
When I bust a shot, what you gonna do
beside run back to your block?
[LAUGHTER]
Scratch.
If you keep it going, we can get something.
Go ahead drop that beat.
[BEATBOXING]
Oh.
OK.
Yeah.
AC.
Kicking it into the city, that's how we do it.
Hey, ain't nothing to it, in the ambulance all night.
Don't mess up your beat up, now.
You got--
[BEATBOXING]
Scratch.
I heard you beatboxing back here.
That was all him.
Yeah?
OK.
Unh.
Hey.
Hold on.
He's trying to drop the beat.
[BEATBOXING]