Brain Bleed

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Last week at part time work we had a 20 year old student come in. He had been lifting weights and suddenly fell down and had a seizure. His friends called 911 and our local CAD (computer aided dispatch) system made it a low level call. BLS got there, saw that he was actually still pretty bad off and just came to the hospital, as calling the chase paramedic would have wasted more time than it would have been worth. I walked out to the ambulance bay to meet them when they pulled up. Opening their back doors and found the patient to be vomiting everywhere and completely flaccid on his right side. My partner of the day and I took him straight to CT to figure out what was going on with him. In the hallway we started an IV and put him on the monitor. The CT showed a huge brain bleed which caused his seizure and subsequent symptoms.
The doctor supposed that he had a weak vessel in his brain and the strain of lifting made it burst. The patient was taking this news well, and although his symptoms were bad, they were not getting worse and he was mentating perfectly. He was transferred to another facility, where they could try to fix him. I don't know what happened after that, and unfortunate reality of EMS. In my own mind he will make a full recovery. He had age and time on his side. I think in total he was at our community hospital for about 40 minutes which included waiting for the transport ambulance to get there.

I did a little googling and found that acute spontaneous subdural hematoma in young people is not completely unheard of, but probably pretty rare. What other reminder do we need to get us to live our lives to the fullest?

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