EMS ACLS Field Guide Helps Deliver Twins

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When I was an EMT with the North Greece Fire Department several years ago, we received a call one day for an imminent baby delivery—and that there were twins involved.

I showed up just before the first engine that was due, and proceeded to examine a patient whose water had broken. Her contractions were less then a minute apart, and she told me these would be her third and fourth babies. Soon thereafter, the ambulance arrived with its driver, an EMT, and a new medic who had come along as a trainee.

The ambulance EMT and I proceeded to deliver the first baby, and in a moment I had a male newborn in my hands. I turned to the young medic trainee and placed the baby in her arms, so I could prepare for the second delivery.

The trainee looked pretty startled and asked me what to do, and I told her I wanted an APGAR score. She stood there with a blank expression on her face until I told her that I could see that she had an EMS Field Guide sticking out of the top of her shirt pocket that she could use. She did, and completed her task while we delivered the second baby, a little girl.

EMS policy states that you need one person in the ambulance for each patient. Aside from the driver the ambulance had only carried two people, the medic and the young trainee. Because there were three patients in the back—the mother and two newborns—my presence was needed, and I had the opportunity to ride the rig to the hospital while taking care of the firstborn, the little boy. The reception at the hospital was really nice, since they don’t usually get twins delivered in the field. It made for great day. Being a firefighter/EMT for over 30 years, I’ve gone on many bad calls. It was really great to go on such a good call with such a positive (x2) outcome!

This event happened while I was an EMT a few years ago. I am now the Chief at the North Greece Fire Department, and use the Informed Fire & Rescue Field Guide. It’s a nice tool and makes good reading in down time as well as being full of extra advice that every firefighter can use.”

Stanton Mesh
Chief, North Greece Fire Department
Rochester, New York

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