Lone Star Ambulance Employee's
G. Martinez, Director and Paramedic, with 13 year’s of EMS service.
J. Lopez, Task Force Leader and EMT, with 21 year’s of EMS service.
C. Hernandez, Dispatch Supervisor, with 19 year’s of communication services.
E. Hernandez, Supervisor and Paramedic, with 10 year's of EMS service.
M. Saldana, Supervisor and Paramedic, with 7 year's of EMS service.
R. Mendoza, Supervisor and Paramedic, with 7 year's of EMS service.
C. De Leon, EMS Liaison and EMT, with 30 year's of EMS service.
C. Magallan, Dispatcher, with 2 year’s of communication services.
A. Rios, Dispatcher, with a year of communication services.
L. Gaytan, EMT, with 13 year's of EMS service
A. Cuellar, Paramedic, with 8 year's of EMS service and J. Cuellar, AEMT, with 7 year's of EMS service.
E. Hernandez, Paramedic, with 14 year's of EMS service.
S. Lopez, EMT, with 9 year's of EMS service.
D. Casarez, AEMT, with 4 year's of EMS service.
E. Salazar, AEMT, with 5 year’s of EMS service.
J. Garcia, Paramedic, with 26 year’s of EMS service.
A. Luna, Supply Officer and EMT, with 8 year's of EMS service.
E. Gutierrez, Paramedic, with 19 years of EMS service.
D. Arredondo, Paramedic, with 26 years of EMS service.
R. Garcia, EMT, with 7 years of EMS service.
A. Cantu, EMT, with 2 months of EMS service.
R. De La Garza, Paramedic, with 4 years of EMS service.
L. Guzman, EMT, with 9 years of EMS service.
B. Garza Jr, Paramedic, with 19 years of EMS service.
K. Zapata, EMT, with 9 months of EMS service.
S. Guerrero, EMT, with 6 months of EMS service.
J. Pruneda, Paramedic, with 24 years of EMS service.
J. Pena, EMT, with 3 years of EMS service.
J. Pena, Paramedic, with 8 years of EMS service.
A. Pena, EMT, with 5 years of EMS service.
K. Miller, Paramedic, with 12 years of EMS service.
Y. Lopez, EMT, with 9 years of EMS service
A. Ybarra, EMT, with 10 years of EMS service.
D. Garza, Paramedic, with 5 years of EMS service.
J. Casarez, Paramedic, with 4 years of EMS service.
Random Moments
Life Saving Moments
LSA Medic 4 w/ EMT S. Lopez-Call No. 3:
Nature of call: Shortness of breath.
Events: home nurse giving antibiotics via IV for UTI when the patient presented with low SPO2% and SOB.
Mental status: COAx4, GCS15.
Chief complaint: shortness of breath.
Signs/ Symptoms: gasping, two word sentences, pale skin.
History/ Allergies: HTN, UTI / NKDA.
Airway: patent and clear.
Breathing: present-rapid and shallow, SPO2 78% room air.
Circulation: present, skin-pale and dry.
Assessment: Lung sounds-congestion present, Vitals-BP 244/114 (MAP 157), heart rate 96 BPM, Respiratory rate-28 BPM, blood glucose 159, Temp: 97.8F, EKG-NSR, 12 lead-no stemi or st depression, Pupils- PERRL, Stroke assessment-negative.
Treatment: O2 NRB, Albuterol, Atrovent, IV access. nitro considered for BP ( labetalol is contraindicate due to beta 2 blocking properties)
Reassess: SPO2 100% w/ 15 LPM and neb treatment, BP- decreased to normal limits (hypoxia increases pulmonary artery pressures increasing BP), Mental status remain normal, Respiratory rate-20 BPM w/ good depth, full speech present, skin condition-pink and dry, SOB subsided-patient reports feeling better.
Rule out: stroke, heart failure, hypertension crisis, fever/sepsis.
En-route: Monitor and reassess mental status/ ABC’s/ vitals signs and continue to provide emotional support. Repeat until we arrive at the hospital.
At the hospital, the patient thanked Lopez and me for saving their life. LSA Medic 4: 1, Death: 0
(pictured: Lopez after the call smiling for the both of us)
LSA Medic 7 w/ EMT D. Michalk-Call No. 5:
Nature of call: Cardiac arrest
Events: patient has been sick with CHF. Nurse staff initiated CPR.
Mental status: COAx0, GCS3.
Chief complaint: N/A
Signs/ Symptoms: pulseless, pale, hypoxic.
Allergies/ History: NKDA/ CHF, HTN.
Airway: patent and clear
Breathing: absent.
Circulation: absent.
Assessment: Pulse check-absent, EKG-asystole, lung sounds-rales, glucose check-WNL.
Treatment: CPR, BVM, OPA, Intubation, O2, CO2 monitoring, IO access, Epi x2, Fluids-200 mls NS, Suction-bloody tinge sputum.
Reassess: EKG-PEA, Pulse-absent.
En-route: Repeat CPR, Pressure ventilation, Epi and EKG assessment until we arrive at the hospital.
At the hospital, ER staff continue CPR until the patient obtain ROSC.
LSA Medic 7: 1 Death: 0
(pictured: our unit at the hospital after transferring care)
LSA Medic 4 w/ EMT S. Lopez & Paramedic Student CJ-Call No. 2:
MOI /Nature of call: Fall.
Events: pt attempted to get in their car and fell on concrete floor.
Mental status: COAx4, GCS15.
Chief complaint: head pain and left pelvis pain.
Signs/ Symptoms: left leg- short and rotated outward, left pelvis pain, head- pain/ hematoma present.
Allergies/ History: morphine/ cardiac hx, dm2. No blood thinners.
Airway: patent and clear
Breathing: present, rate and depth-good, spo2%- wnl.
Circulation: present, weak and slow, skin condition-good, no bleeding.
Assessment: trauma assessment, TBI assessment, PMS assessment before and after moving, vitals- BP-wnl, hear rate- 40bpm, respiratory rate-wnl, spo2%- wnl, glucose-wnl, temp-97.8f, EKG-sinus brady, 12 lead- left axis deviation, right bundle branch block, no other abnormalities.
Treatment: c collar, IV access, 250 ml NS bolus, atropine 1mg IV (rate unresponsive to fluids), no pain meds due to low hear rate.
Reassess: heart rate increased to 80 w/ cardiac med, mental status- remain normal, ABC’s normal, vital signs normal. Pt reports feeling better.
En-route: reassess mental status, ABC’s and vital signs. Repeat until we arrive at the hospital.
(pictured: Lopez and Paramedic Student CJ assessing the patient)
LSA Medic 4 w/ EMT Willie-Call No. 2:
Nature of call: chest pain
Events: pt arrested and taken to jail.
Mental status: COAx4, GCS15.
Chief complaint: Non-traumatic chest pain and SOB.
Signs/ Symptoms: pain-left side, 10/10, radiating to the right side, SOB.
Allergies/ History: NKDA/ none.
Airway: patent and clear
Breathing: present, rate above normal, spo2% wnl at room air.
Circulation: present, rate- 120bpm, quality-strong. Skin condition-good.
Assessment: EKG- a flutter, 12 lead- a flutter, no stemi or st depression, Lung sounds-good. Vitals- BP-wnl, heart rate-120bpm, respiratory rate- above normal, spo2%-wnl, temp: wnl, glucose-wnl.
Treatment: IV access, 200 mls NS, call medical director for cardizem approval.
Reassess: heart rate decreased wnl w/ cardiac med, mental status- remain normal, ABC’s normal, vital signs normal. Pt reports feeling better-pain subsided.
En-route: reassess mental status, ABC’s and vital signs. Repeat until we arrive at the hospital.
(pictured: the EKG strip of the arrhythmia)
LSA Alpha 2 w/ EMT S. Lopez & Paramedic Student Marcos-Call No.3:
Nature of call: shortness of breath.
Events: Pt's symptoms developed at middle school, school nurse reports pt’s SPO2% 88 at room air. Pt has been dealing with respiratory infection.
Mental status: COAx4, GCS15.
Chief complaint: chest pain, sob, and weakness.
Signs/ Symptoms: tripod position, rapid and labored breathing.
Allergies/ History: none.
Airway: patent and clear.
Breathing: present, rapid and shallowed, SPO2 92% post inhaler.
Circulation: present, rapid and strong. Skin condition good.
Assessment: lungs sounds-wheezing present, vitals- BP wnl, hear rate 108, respiratory rate 28 bpm, SPO2 92 % room air, glucose 107, temp 98.8f, EKG-sinus tachy, 12 lead-wnl.
Treatments: O2, neb treatment, IV access.
Reassess: SPO2 100%, chest pain, sob and weakness subsided. Pt reports feeling better.
En-route: monitor and reassess mental status, ABCs, vital signs. Repeat till we arrive at the hospital.
LSA Medic 4: 1 Death: 0
(pictured: paramedic student assessing pts lungs )
Doctor Robert Alejandro Cruz, along with DHR Health Neurology Department, present LoneStar Ambulance Paramedic E. Cordova, and EMT T. Tellez, with an award for their heroic act of helping and getting a stroke patient to the hospital. The patient received treatment in the appropriate time frame to have a full recovery.
Day Dispatchers answering 911 calls, dispatching units and necessary resources such as PD,FD, etc.
Lelia Petsch, Caleb Magallan, Cynthia Hernandez (Supervisor), Angelina Rios.
Medic 8: Paramedic R. De La Rosa and Paramedic E. Hernandez checking off their unit before going into servers to save lives.
Field Supervisor and Paramedic G. Martinez training the newly promoted McAllen field supervisor's, the duties and responsibilities being on the rescue truck.
Bins hold medical items to resupply the medics on the field as needed after an emergency.
Newly promoted McAllen field supervisors. Paramedic Ramiro Mendoza, Paramedic Ernie Hernandez and Paramedic Merari Saldana.
Supply Officer and EMT Angel inside the supply room, managing and organizing necessary medical supplies for the trucks. He uses the white board to track of new ideas and all his responsibilities to make sure trucks are fully equipped.
Rescue: Supervisor and Paramedic E. Hernandez and EMT L. Gaytan responding to a call in Mcallen.
MTS responds as "mutual aid" to transport patient.
Medic 6: Paramedic A. Cuellar and Advanced EMT J. Cuellar respond with McAllen PD to an elderly man in need of medical attention for abnormal behavior.
Making contact with PD and patient.
Performing a stroke assessment.
Checking the heart monitor.
McAllen PD check on the patient.
Pleading patient to be seen at the hospital.
Simultaneously working to treat the patient.
Calling the hospital to give EMS report.
Reading patient's ECG strip.
Safely arriving at the hospital.
Medic 8: Paramedic E. Hernandez and Paramedic R. De La Garza respond to a fall of an elderly man. Upon arrival, the initial assessment reveals the patient is unable to get up. They elect to use spinal mobile restriction (SMR), using a collar, backboard, and improvised straps to lift the patient safely and prevent any further injury.
Paramedic Eric Hernandez securing and protecting the head and neck of the patient.
Paramedic Rosalva De La Garza initiating an IV in the field.
Arriving at the hospital.
Medic 6: Paramedic O. Ochoa (1st-3rd pic) with the help of his partner, EMT L. Guzman(4th pic), clean the unit before getting off shift.
Medic 1: Paramedic E. Gutierrez and EMT S. Guerrero cleaning their unit after a 24 hour shift.
Medic 4: Paramedic J. Garcia and Advanced EMT E. Salazar, arrive on the scene with McAllen FD providing first-aid to a male patient feeling sick.
Arriving on scene.
McAllen Firefighters/ EMTs assessing the patient
Off-loading the stretcher; patients are not allowed to walk for their own safety.
Firefighters standing by once patient care transferred to the higher level of care, MICU-Paramedic level.
Patient is placed inside the ambulance.
Eric prepares the equipment to start an IV.
Heart monitor; providing blood pressure, heart rate, spo2 %, respiratory rate, heart rhythm, shock and pacing therapy.
A rubber tourniquet is used to pool the blood in the vein; helps to find a suitable vein.
Alcohol pad is used to sterilize the skin before inserting the IV catheter.
Eric helping Juan with the IV lock and saline flush.
EMS report via radio.
Normal saline 0.9% given via IV.
Arriving at the hospital.
Medic 4 entering the E.R.
ALS-1: AEMT D. Casarez and EMT J. Casarez respond to a respiratory distress emergency of an elderly man.
