We were called to go priority to a nursing home that is fairly far away. It took us more than 30 minutes of emergency driving to get there. The call was for a patient who was vomiting blood and had high blood pressure. So we arrived finally and found our patient sleeping quietly. The nurse said that he had an episode of vomiting coffee ground substance about 45 min ago. No other issues at the time. We got him into the ambo and checked him out. Everything looked to be in order, he was answering us, albeit shortly, and his vitals were pretty good. When he nearly punched me as I put a nasal cannula on him, I checked out his paperwork. Oh, dementia and Alzheimer’s, that would explain it. That would also explain why he called us GD SOBs as well. He basically wouldn’t let us do anything without a fight, except put him on the monitor, so we decided to head to the hospital. About half way there, he all of a sudden started vomiting coffee ground blood all over. I was like, ahhh! I ...