B.C. paramedic has secret to showing compassion for every overdose patient

Veteran paramedicBrian Twaites has his own way of coping with the unrelenting volume of traumatic drug overdose calls in B.C.

On a recent shift, where he dealtwith a record 22 overdoses, he paused after a particularly emotional call after ayoung woman was found not breathingon the floor of a public washroom.

"I always think whoever we are dealing with was at some point a little baby that was being bounced on someone's knee," said Twaites.

Twaitesis one of 4,500 paramedics on the front lines of B.C.'s public health emergency during which a record 914 people died last year.

Twaites has no idea how many such deaths he has witnessed in his 30-year career.

"I'd hate to count that number."

He allowed a CBC News crew to follow him on a shift, oncondition the identity of his patients be protected.

911 overdose calls nearly double

B.C. paramedics responded to nearly 20,000 overdose calls in 2016, almost twice as many as in 2014.

• 2014 10,677
• 2015 12,263
• 2016 19,275

Twaites has special training in advanced life-supportand travels alone in an SUV to back up other paramedics on complex calls.

"With these particular overdoses, they aren't breathing and literally are quite close to death," said Twaites.

During a call at a downtown mall at 4:45 p.m., hecarriesa $40,000 monitor that lets him "bring the emergency room to you."

RAW VIDEO:

Paramedics work to revive a young woman who was found face down and not breathing in a public washroom in Vancouver

8 years ago

Duration 0:46

Paramedics work to revive a young woman who was found face down and not breathing in a public washroom in Vancouver

"How are we doing? Got a pulse?" heasksthe firefighters and paramedics who are already working on a young woman found face-down on the floor of a public washroom.

She has a pulse but is not breathing.

Twaites calmly draws up a shot of naloxone, also known as Narcan,and another paramedic administers it into her upper arm.

A firefighter watches while a second paramedic squeezes a bag valve mask to resuscitate her.

Twaites hooks up several leadsto monitor her heart, blood oxygen level andbloodpressure, and he can do an electrocardiogram or defibrillate if she goes into cardiac arrest.

A security guard tells him she's been down for at least 15 minutes.

It takes another five minutes before she groans back to life.

"Hi hon! It's OK. You were given Narcan, my dear . You overdosed," says a paramedic softly.

The woman, in her early 30s, breaks down sobbing.

"Some people are so shocked when they realize how close they have come,"saysTwaites, as he packs up his gear.

"Another five or 10minutes by herselfin that bathroomwithout help, the outcome would have been quite tragic."

That realization appearsto sink in, andthe woman's sobs grow louder as she's rolled on a stretcher towarda waiting ambulance.

"Please don't leave me," she screams to her friend, who earlierrealized she was taking too long in the bathroom and alerted security.

The friend says she was just trying "to kill some nerves, to kill some stress or whatever, and she went under let's hope it doesn't happen again."

He told CBC News he had overdosed that morning, but says he doesn't carry or know how to usenaloxone.

'Paramedics are awesome'

"God's got the recipe," he shrugged as he climbed into theambulance.

"Paramedics are awesome!"he shouted.

"One of the biggest things that leads to deaths is people who are fixing alone," said Twaites, frustrated that users aren't heeding the advice officials have been repeating since a public health emergency was declared last April.

Twaitesbelieves deaths spiked in November and December because cold weather forced heroin, cocaine and meth addicts indoors to places where no one could see them collapse, if they used drugs laced with fentanyl.

"That's a sad thing nobody wants to die alone," saysTwaites as he drives to another overdose call.

'Deprivation of oxygen' deadly

He says loved ones often make mistakes when trying to help.

"I've seen cases where people have gone running to get a Narcan kit instead of phoning 911, tragic outcomes, because there is a telephone in the lobby of the building, but they elected to run somewhere else to get a Narcan kit, says Twaites.

He says brain cells start to die after just a fewminutes without oxygen.

"Quite often at the seven-minute mark, their heart has slowed down to the point where it has stopped and they are in cardiac arrest."

His advice is to call 911 first, and help the patient breathe until paramedics arrives.

"Narcan is great but what they need is oxygen," he said. "The deprivation of oxygen is what is killing these people."

Don't be afraid to call 911

He also fears some users are afraid to call 911 for fear of arrest.

"We're not here to report you . Police aren'tworried about the fact that you've overdosed to get you in trouble," warns Twaites.

By the time he shows up to his next call, the patient has taken off, on a city block where anyone in a uniform is not welcome.

"We gotta go, there's stuff being thrown," he says, and we drive away.

"It's taxing, it's physically taxing," he says, but he explains thatit helps that first responders watch each other's back, like a family.

"The people we serve are family too, they look out for us too. You'd be surprised."

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