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Home My WebLink AboutOIS2020-0001 Fountain Valley Fire Dept Incident Detail-Patient Care Report_RedactedCity of Fountain Valley Fire Department: 2020-00360 Page 1 of2 • Locati on: Incident Type: 321 -EMS call, excluding vehicle accident with injury City of Fountain Valley Fire Department Station: vo1 Shifts Or Platoon: C Shift La t/Long: Zone: V3320W -V3320W Location Type: 1 -street address Map Page: 858£1 EMSID: FDID: 30025 Inciden t#: 2020-00360 Exposure ID: 45634527 Incident Date: 01/20/2020 Dispatch Run#: F200200338 Report Completed by: Hemkin , Jeremy ID: Date: 01/21/2020 Report Reviewed by: Hemkln , Jerem y ID: Date: 01/21/2020 Report Printed by: Pa rente, Juli eann ID: Date: 1/22/2020 Time: 08:45 Aid Given or Received: None I Prlmaiy action taken: 33 -Provide advanced life support (ALS) Total # of apparatus on call: 1 I Total # of personnel on call : Narrative from dispatch: 2020/01/20 23:26:49 [01/20/20 23:26:49 KOPS] District: X Report No: 00021603 2020/01/20 23:26:10 [01/20/20 23:26:10 KOPS] District~ V Report No: V20003 60 2020/01/21 00:54:33 •• • • 01/21/20 00 :54:33 M057] VE32 PAGED FOR STATUS 2020/01/21 00:14:02 [01121120 00:14:021 VA31 ua 2020/01/21 00:09:01 [01/21/20 00 :09 :01] VE32 UC! 2020/01/21 00 :02:55 [01/21/20 00:02:55 M087] VA31 UCI 2020/01/20 23:31:27 [01/20/20 23 :31:27 M057] Lo cation Updated: ) 2020/01/20 23 :29:04 [01/20/20 23 :29:04 M07 9] VB3 PAGED 2020/01/20 23:28 :09 [01/20/20 23:28:09 M043] Lo ca tion Updated : 2020/01/20 23:26:22 • [01/20/20 23:26:22 M057] Situation Updated: 921 (TRAUMA) 4 https ://secure.emergencyreporting.com/nfrrs/print.asp?eid =45 634527 &printtype=&printOp ... 1/22/2020 City of Fountain Valley Fire Department: 2020~00360 NARRATIVE (2) Narrative Title: n/a Narrative Author: Hemkin, Jeremy Narrative Date: 01/21/2020 08:03:28 Narrative Apparatus ID: VE32 Narrative: Page 2 of2 FVY-E32 responded to a medical aid with Santa Ana police department and Fountain Valley police department on scene. VE-32 made contact with Fountain Valley police officer and was escorted to the scene . VE-32 found a male lying supine on the ground with multiple gunshot wounds. The patient was treated and transported per OCEMS Guldeflnes. See ePCR for medical detalls and patient disposition. ePCR filled out and stored on the Orange County Medical Emergency Data System (OC-MEDS). Report submitted by Captain Hemkin Member Making Report (Captain Jeremy Hemkln): Incident Reviewer (Captain Jeremy Hemkln): https ://secure.emergencyreporting.com/nfirs/print.asp ?eid=4563 4527 &printtype=&printOp... 1/22/2020 Incident Number: V2000360 Patient Name: Mercado, Miguel Incident Date/Time: 01/20/2020 23:26:1 0 OCEMS Patient Care Report v6 (with Attachments) Incident Information Incident Date/Time: 01/20/2020 23:26:10 Incident#: V2000360 Incident Location: Residential: Single-family residence (SFR), Apartment, Condo, Mobile Home Incident Address: District: V3320W Base Hospital: Huntington Beach Hospital BH Contacted: 01/21/2020 23:47:09 Specialty Center Trauma Triage: Number of Patients Single at Scene: EMS Provider: Fountain Valley Fire Department, e9ca8a0f-48c4-4709-8ccb- f6142cca9ae0 Unit#: VE32/VE32 Level: ALS Type of Unit: Engine/ Truck/ Paramedic Van First EMS Unit on Yes Scene: Patient Disposition: 911 BHC -Treated and Transported ALS with Base Hospital Co n tact Transport Agency: Care Ambulance Service (1639131436) Transporting 255 Unit#: Destination: UCI Medical Center Reason: Regional Specialty Center (f rauma/Cardiac/Stroke) Patient Information Name: Mercado, Miguel Address: Age: 31 Years Gender: Male D.O.B.: 11/9/1988 Weight: 81. 6 kg United States Race: Not Recorded Complaint Cardiac arrest Dispatch Complaint: Traumatic Injury Barriers to Care: None Noted Patient Condition Type Chief {Primary) Duration 15 Minutes Provider Impression Primary Impression: Card iac Arrest (fraumatic) Narrative EMS Agency Name: Fo untain Valley Fi re Department PCR #: ca2a4d0a46f1453f81898d0d1 ccf eb65 Transporting Agency: Care Ambulance Servlce (1639131436) Printed: 01/22/2020 08:55 Page 1 of9 Incident Number. V2000360 Patient Name: Mercado, Migue l In ci dent Date/Time: 01/20/2020 23:26:10 Narrative: Pt found supine on patio at home w Santa Ana PD and FVPD present, pt has multiple gsw, pt i s initially in c/a, pt has rose after two rou nds of epi and t hen r eturns to c/a, transported als t o uci per HB Base d irection, no change e n route, care transferred to trauma team w/o incident Primary Survey Airway Breathing Circulation AVPU •------•--<S•••-••·•-.. ---••• 0 •••-• -·----~•u--•--•••--•••-•••••••• •••• •••••• •• ••• • 0 •-•---•--•--••-••--•••-•••• -• --•• -••oHH-o >o0 ••··•·• .. •·•-·-•·•·•• , .... , •• 0 OUOO 0000•••••-••• •••••• • ••• H •·••· ·•••-••--•••• • Pa t en t Apneic Absent Unre sponsive Patient Contact: 01/20/2020 23:38:09 Primary Symptom: Bleeding 11me PTA BP RR 23:45:39 0/0 0 23:54:3 7 0 /0 0 00:03:58 0/0 0 00:11:25 0/0 0 Sp02 Time Total . Eye Verbal Possible Injury: Yes Patient Vitals HR Rhythm Cardiac Rhythm EtC02 ·-------- 0 95 0 0 Glasgow Coma Scale Motor Score Qualifier Pain ----------·--·-·····--··------·---·-·--------~---···---•-·•··-·--~-·-··~ ~--~ .... 23:45:39 3 · Skin Exam Time Details 1 • No eye movement Mental Exam Details 01/20/2020 23:46:09 Loct1tlon • .~kin Shoulder Chest/Lllngs Abdomen 1-No verbal/vocal 1 -No motor response response Secondary Survey Neurological Exam Details Head Exam Details Face Exam Details --------·-·-·------- Assessment Summary Detailed Findings Description Details Cool Pale Dry Breath Sounds-Absent- Right Breath Sounds-Absent- Left Puncture/Stab Wound Neck Exam Details Legitimate values w/o interventions Chest Exam Det ails Pelvis Exam Details EMS Agency Name: Fountain Valley Fi re De partment PCR #: ca2a4d0 a46f1453f81898d0d1 ccf eb65 Transporting Agency: Care Ambu lance Service (1639131436) Printed: 01 /22/2020 08:55 Page 2 of9 Incident Number: V2000360 Patient Name: Mercado, Miguel Incident Date/rime: 01/20/2020 23:26:10 Hip Upper leg Knee Lower Leg Ankle Foot Upper Arm Elbow Forearm Wrist Hand Back/Spine Normal Findings Mental Status ; Head ; Face ; Neck ; Shoulder ( Shoulder-Left, Shoulder-Right ) ; Abdom en ( Generalized, Le ft Lower Quadran t, Left Uppe r Quadrant, Peri umbili ca l , Right Lower Quadrant, Right Upper Quadrant); Pelvis; Hip ( Hip-Left, Hip-Righ t ); Upp er Leg ( Leg -Upper-Left, Leg-Upper-Right); Knee ( Kn ee-Left, Knee-Ri ght); Lower Leg ( Leg-Lower-Left, Leg-Lower-Right ) ; Ankle ( Ankle-Left, Ankle-Right) ; Foot ( Foot-Dorsal-Left, Foot-Dorsal-Ri gh t, Foot-Plantar-Left, Foot-Plantar-Right, Toe-1st (B ig)-Left, Toe-1st (B ig)- Righ t, Toe-2nd-Left, Toe-2nd-Right, Toe -3rd-Left, Toe-3rd-Right, Toe-4th-Left, Toe-4th-Right, Toe -5 t h (Smallest)-Left, oe-Sth (Smallest)-Right) ; Upper Arm ( Arm-Upper-Le f t , Arm-Upper-Right); Elbow ( Elbow-Left, Elbow-R ight); Forearm ( Forearm-Left, Forea rm -R ight) ; Wrist ( Wrist-Left, Wrist-Right) ; Hand ( Fi nger-2n d (lndex)-Left, Finger-2 nd (lndex)-Right, Finger-3rd {Middle)-Left, Finger-3rd (Middle)-Right, Fi nger-4 th EMS Ag ency Name: Fountain Valley Fire Department PCR #: ca2a4d0a46f1453f81898d0d 1 ccf eb65 Tra nsporting Ag ency: Ca re Amb ulance Service (1639131436) Pri n ted: 01/22/2020 08:55 Page 3 of9 Incident Number: V2000360 Patient Name: M ercad o, Miguel Incident Date/Time: 01 /20/2020 23:26:10 (Ring)-Left, Finger-4th (Ring)-Right, Finger-5th (Sm allest)-Left, Finger-5th {Sma l lest)-Right, Hand-Dorsal-Left, Hand- Dorsal-Right, Ha nd-Pa l m-Left, Hand-Palm-Right, Thumb-Left, Thumb-Ri ght) ; Back/Spine ( Back-General, Cervical-Left, Cervical-Midline, Cervical-Right, Crush Injury, Lumbar-Left, Lumbar-Midline, Lumbar-Ri ght, Sacral-Left, Sacral-M idline, Sacral-Right, Thoracic-Left, Thoracic-Midline, Thoracic-Right) ; Not Done Past Medical History Medication Allergies Comments Not Recorded/ Unknown Environmental/Food Allergies Comments -··----·-·-··-----~------------····---~-----... --.-·.---·-···--·-------·--··------·-··-------··--------~----------------~~~---.. .--.... -... Medication Dose Route ----···--.. ••----------•-,o ... ,_.,_ .. ___________ ~-----····---------·------··----·---·-·•-.---•--··- None Reported/Patient Denies Meds Medical History: Not Recorded/ Unknown Onset Time: Not Recorded CPRPTA: No First Monitored Asysto!e Rhythm: CPR Not Discontinued: Applicable Cause: Firearm Injury, Assault/lnte ntional (GSW) Revised Trauma Score 0 Cardiac Arrest Cardiac Arrest: Yes, Prlor to EMS Arrival EMS CPR : Initiated Chest Compressio ns Witnessed By: Witnessed by Lay Person AEDPTA: No ROSC: Yes, Prior to Arrival at the ED Trauma MOI: Penetrati ng Triage Criteria: Blunt chest injUl)'W/ abnorma l respiration {<12 or >30) Triage Criteria : EMS Provider Judgment Assess/Treat Timeline Comments Etiology: Trauma Rhythm at Asystole Destination: Timetlne: _T_i_m~---------~---Type _____________________ .,. _______________ p~-~~~l~-------· Crew Member 01/20/2020 23:26:08 Dispat ch Notified EMS Agency Name: Fo un ta in Valley Fire Depart me n t PCR #: ca2a4d 0a46f1 453f81898d0d1ccf eb65 Transporting Agency: Ca re A mb ulance Service (1 639 131436) Printed: 01/22/2020 08:55 Pa ge 4 of 9 Incident Number: V2000360 Incident Date/Time: 01/20/2020 23:26:1 0 01/20/2020 23:26:1 0 Unit Notified by Dispatch 01/20/2020 23:28:37 Unit En Route 01/20/2020 23:32:35 Unit Arrived on Scene 01/20/2020 23:38:09 Arrived at Patient 01/20/2020 23:38:33 Cardiac-Manual CPR Patient Name: Mercado, Miguel Location: Chest Da le, Ryan {P38789} No.of Attempts: 1 Response: Unchanged Success: Yes 01/20/2020 23:40:07 Venous Access-lntraosseous Size: 15 No. of Dale, Ryan (P38789) 01/20/2020 23:40:07 Normal saline 01/20/2020 23:40:36 Airway-Bag Valve Mask Ventilation (BVM) 01/20/2020 23:43:06 Epinephrine 0.1 MG/ML (1 :10,000) 01/20/2020 23:45:39 Vitals EMS Agency Name: Fountain Valley Fire Depa rtment PCR #: ca2a4d0a46f145 3f81898d0d 1 ccf eb65 Attempts: 1 Response: Not Applicable Success: Yes Dosage : 1000 ml Dale, Ryan (P38789) (Milliliters) Route: Intravenous {JV} Response: Not Applicable Location: Dale, Ryan {P38789) Mouth No.of Attempts: 1 Response: Unchanged Dosage: 1 mg Dale, Ryan {P38789) {Milligrams) . Route: lntraosseous (IO} Response: Unchanged BP: 0/0 Pulse: 0 Dale, Ryan (P38789) Resp: 0 Effort: Apnelc GCS Eye: 1-No eye movement GCS Verbal: 1-No verbaVvoca{ response GCS Motor: 1-No motor response GCS Qualifier: Legitimate values w/o interventions GCSTotal: 3 Reperfusion Checklist: Not Recorded RTS: 0 LOC: Unresponsive Airway: Patent Transporting Agency: Ca re Ambulance SeNice (1639131436) Printed: 01/22/2020 08:55 Pag e 5 of9 Incident Number: V2000360 Incident Date/Time: 01 /20/2020 23:26:10 01/20/2020 23:46:09 Exam 01/20/2020 23:48:05 Epinephrine 0.1 MG/ML (1:10,000) 01/20/2020 23:54:37 Vitals 01/20/2020 23:55:21 Epinephrine 0.1 MG/ML {1:10,000) 01/21/2020 00:00:26 Epinephrine 0.1 MG/ML (1:10,000) 01/21/2020 00:02:02 Sodium Bicarbonate 01/21/2020 00:03:58 Vitals 01/21/2020 00:06:53 Unit Left Scene 01/21/2020 00:08:02 Epinephrine 0.1 MG/ML (1 :10,000) Patient Name: Mercado, Miguel Dale, Ryan (P38789) Dosage: 1 mg Dale, Ryan (P38789) (Milligrams) Route: lntraosseous (IO} Response: Improved BP: 0/0 Pulse: Dale, Ryan (P38789) 95 Resp: O Reperfusion Checklist: Not Recorded Dosage: 1 mg Dale, Ryan (P38789) (Milligrams) Route: lntraosseous (JO) Response: Unchanged Dosage: 1 mg Dale, Ryan (P38789) (Milligrams) Route: lntraosseous (ID) Response: Unchanged Dosage: 50 mEq Dale, Ryan W38789) (Milliequivalents) Route: lntraosseous (10) Response: Unchanged BP: 0/0 Pulse: 0 Dale, Ryan (P38789) Resp: a Reperfuslon Checklist: Not Recorded Dosage: 1 mg Dale, Ryan (P38789) (Milligrams) Route: Jntraosseous (ID} Response: Unchanged 01/21/2020 00:09:13 Venous Access-lntraosseous Size: 15 No. of Dale, Ryan (P38789) 01/21/2020 00:09:13 Normal saline EMS Agency Name: Fou ntai n Valley Fire Department PCR #: ca2a4d0a46f1453 f8 1898d0d1 ccf eb65 Attempts: 1 Response: Not Applicable Success: Yes Dosage: 200 ml Dale, Ryan (P38789) (Milliliters) Route: Intravenous (JV) Response: Not Applicable Transporting Agency: Care Ambu l ance Service (1639131436) Printed: 0 1/22/2020 08:55 Page 6 of9 Incident Number: V2000360 Incident Date/Time: 01 /20/2020 23:26:10 01/21/2020 00:09:47 Needle Thoracostomy 01/21/202000:11:25 Vitals 01/21/2020 00:14:25 Patient Arrived at Destination 01/21/2020 00:15:20 Des tination Patient Transfer of Care 01/21/2020 00:21:24 Unit Back in Service Treatment -Procedures Patient Name: Mercado, Miguel Location: Chest Dale, Ryan (P38789) size: 14 No. of Attempts: 1 Response: Unchanged Success: Yes BP: 0/0 Pulse: 0 Dale, Ryan (P38789) Resp: 0 Reperfusion Checklist: Not Recorded Compl Com Atte Succ Respo icatio ment Time PTA Crew Procedure Location Size mpts ess nse n Auth s ----------------------··-----·--·-·--------------------~--. -----------~------------------·-------·---··· .. -·- 23:38:33 Dale, Ryan Cardiac-Manual CPR 23:40:07 23:40:36 00:09:13 00:09:47 (P38789) Dale, Ryan Venous Access- (P38789) lntraosseous Dale, Ryan Alrway-Bag Valve Mask (P38789) Ventilat_lon (BVM) Dale, Ryan Venous Access- (P38789) lntr aosseous Dale, Ryan Needle Thoracostomy {P38789) Time PTA crew Medication ·---------··- 23:40:07 Dale, Normal saline Ryan (P38789 ) 23:43:06 Da le, Epinephrine 0.1 Ryan MG/ML (P38789 (1:10,000) ) Lower Extremity-Left Lower Extremity-Left 15 1 Lower Ex tremity-Right 15 Lower Extremity-Right 14 Treatment -Medications Route Dose Response --··-·--------- ln trave 1000 ml Not nous (Milliliters) Applicabl. (IV) e lntraoss 1 mg Unchange eous (Milligram d (10) s) Yes Un cha None Standing nged Order/Proto col Yes Not None Standing Applica Order/Proto ble col Uncha None Stan ding nged Order/Proto co l Yes Not None Stan ding Applica Order/Pr oto ble col Yes Uncha None Base nged Hospital Order Complication Auth comments -~----·•-.-... None Standi ng Order/ Proto col No ne Standi ng Order/ Proto col EMS Agency Name: Fountain Valley Fire Departm ent PCR #: ca2a4d0a46f 1453f81898d0d 1 ccf eb65 Tran sporting Agency : care Ambulance service (1639 131436) Printed: 01/22/2020 08:55 Pa ge 7 of9 Incident Number: V2000360 Patient Name: Mercado, Miguel Incident Date/Time: 01/20/2020 23:26:10 23:48:05 Dale,-Epinephrine 0.1 lntraoss 1 mg Improved None Sta ndi Ryan MG/ML eous (MilUgram ng (P38789 (1:10,000) (10) s) Order/ ) Proto col 23:55:21 Dale, Epinephrine 0.1 lntraoss 1 mg Unchange None Base Ryan MG/ML eous (Millig ram d Hospit (P38789 (1:10,000) (10) s) al ) Order 00:00:26 Dale, Epinephrine 0.1 lntraoss 1 mg Unchange None Base Ryan MG/ML eous (Milligram d Ho spit (P38789 (1:10,000) (10) s) al ) Order 00:02:02 Dale, Sodium lntraoss 50 mEq Unchange None Base Ryan Bicarbonate eous (Miltiequiv d H ospit (P38789 (10) alents) al ) Order 00:08:02 Dale, Epinephrine 0.1 lntraoss 1 mg Unchange None Base Ryan MG/ML eous (Milligram d Hospit (P38789 (1 :10,000) (10) s) al ) Order 00:09:13 Dale, Normal saline lntrave 200ml Not None Standi Ryan nous (Milliliters) Applicabl ng (P38 789 (IV) e Order/ ) Proto col Airway Confirmation and Details For EtCO2 assessments see Patient Vitals and Waveform Graphics where available. Call Disposition Type of Service: 911 Response (Scene) Response Mode: Code 3 Response Delay: Location Type: Residential: Single-family residen ce {SFR), Apartment, Condo, Mobile Home Incident Address: Scene GPS Location: Patient Disposition: 911 BHC-Treated and Tra nsported ALS With Base Hospital Con ta ct Transport Mode: Ground-Ambulance/Code 3 • Transport Delay: Destination Type: Hospital-Emergency Department Destination: UCI Medical Center 101 The City Drive S Orange, CA 92868 Dest. Determ.: Regional Specialty Center (Trauma/Cardiac/Stroke) Outcomes Final Patient Severe Acuity: Response Times and Mileage . EMS Agency Name: Fountain Valley Fire Department PCR #: ca2a4d0a46f1453f81898d0d 1 ccf eb65 Transporting Agency: Ca r e Ambulance Service (1639131436) Printed: 0 1/22/2020 08:55 Page 8 of 9 Incident Number: V2000360 Patient Name: Mercado, Miguel Incident Date/Time: 01/20/2020 23:26:10 Disp. Notified: 01/20/2020 23:26:08 Unit Disp.: 01/20/2020 Unit#: VE32/VE32 Beginning O 23:26:10 Enroute: 01/20/2020 23:28:37 On Scene: 01/20/2020 23:32:35 Patient Contact: 01/20/2020 23:38:09 Depart Scene: 01/21/2020 Base Hospital 01/21/2020 00:06:53 Contact: 23:47:09 At Destination: 01/21/2020 00:14:25 TransferofCare 01/21/2020 at Destination: 00:15:20 In Service: 01/21/2020 00:21:24 Turn-Around Delay: Odom: Ending Odom: O Unit Personnel Crew Member Level of Certification .,..,,,.., ...... ___________ ~---------------------------·-·· Gilbert, Tylor (P32750) Paramedic Dale, Ryan (P38789) Paramedic Crew Member Gilbert, Tylor (P32750) Completing this Report: Rad io Medic Primary Patient Caregiver Billing Information EMS Agency Name: Fountain Valley Fire Department PCR #: ca2a4d0a46f1453f81898d0d 1 ccf eb65 EMS Subscription Membership#: Work Related?: No Transporting Agency: Care :Ambulance service (1639131436) Printed: 01/22/2020 08:55 Page 9 of9