rhythm showing on the screen. It was a normal sinus rhythm, if a little slow. If Katerina was right, this guy should wake up in a few minutes and be fine.
A knock on the door sounded. "Fire department," someone called.
"Come in," West answered.
Four men in turnout gear tromped into the house. West greeted them all by name and introduced Katerina. She flashed an impatient smile and said hi. Then she asked for the gurney out of the ambulance.
One of the men went out to get it while Katerina continued to breathe for the unconscious patient on the floor.
When the firefighter returned with the gurney, Katerina instructed the firefighters to place the man on it. One of them raised an eyebrow at Katerina's brusque orders, but West just smiled and shrugged. She was all business, a natural leader, and she was concentrating on her patient. Everything else was secondary.
When the man was strapped onto the stretcher to Katerina's liking, she directed them out the door. Just before they were able to push the stretcher into the ambulance, the patient woke up. At first he was disoriented, but he quickly figured out where he was and what was going on. Anger flashed on his face. West stepped forward, between the man and Katerina, not wanting her to get hurt.
The man sputtered. "What in the hell is going on?"
"You were unconscious, your wife called 911," West told him.
The man struggled in the straps. He searched for the clasps and tried to unlock them with quick, jerky movements. "Get me off of this thing!" He shouted. "I'm fine!"
West took another step back, forcing Katerina behind him. "You are fine because we gave you Narcan. What did you overdose on?"
The rage on the man's face became so apparent that one of the firefighters stepped forward with his hands held up. "Hey, sir, calm down. No one was trying to hurt you."
The man finally managed to unstrap himself and climb off the gurney. He stalked up the walkway to his house, stopping only to yell something about calling the mayor. Then he went inside and slammed his door.
"You're welcome," one of the firefighters said, and they all laughed. West glanced at Katerina and even she was laughing.
"Thanks guys, we appreciate your help," he said, shaking all the firefighter’s hands. By the time he was done, Katerina was nowhere to be found.
He climbed into the driver seat of the ambulance and found her sitting in the passenger seat, bent over her paperwork. He picked up the radio and called central dispatch. "Central, patient was an overdose, Narcan administered, he then refused transport to the hospital. Inform Police, please."
“10-4, medic twelve.”
Chapter 11
Katerina filled out all the boxes in the patient form and then wrote a short synopsis. She closed with the sentence: T he patient climbed off the gurney and refused to sign the against medical advice form, police advised . She penned her signature and put the form in the holding area of the clipboard.
She looked at West expectantly. They were still sitting in the ambulance in front of the house. "You didn't have to wait for me, I could have written while you were driving."
He shook his head. "That's okay, we don't have anywhere to be right now. Besides, I wanted to ask you something."
Katerina swiftly ran over her actions in her mind. Had she done something wrong? No, she'd done everything by the book. Probable opiate overdose called for a swift administration of Narcan and it was the medic’s call on whether to intubate or not. She had decided not to intubate. Was West going to give her a hard time about that?
“What?” she asked him.
“How did you know he was an overdose?” Katerina recoiled. So her actions were under fire. She tried to keep defensiveness out of her voice as she answered. But she didn’t quite manage it.
“I didn’t do anything wrong,” she said.
"I know you didn't, but how did you know he was an overdose? I figured he was probably an overdose, but you’re new.
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