Child seizure calls are generally nothing that gets paramedics terribly excited. Usually the child either has a history of seizures or is having them because of a high fever. Seizures are not usually life threatening.However, when I walked into the house that day with my partner and the crew from a Spokane Fire Department engine company, I took one look at the kid in question and knew I was dealing with something more than a seizure call. The kid, who looked to be about ten years old, was lying on the carpet near the sofa. His skin was blue, as blue as a police uniform, and he was not breathing. His eyes were vacant, staring into space, bugging out. He was lying still.There was a brief second of pause while we all clicked into this-is-really-an-emergency mode. And then every eye in the room turned to me-the paramedic, the person in charge of this mess-waiting for me to tell them what to do."Start bagging him," I barked to one of the firefighters and she rushed into action, opening. Confined was the right word.One of the guards used two metal keys and an electronic key card to unlockthe heavy door at the end of the corridor. It opened to anotherhallway. The building seemed to be some kind of abandoned officebuilding. At both ends of the hallway Tom could see the openings tostaircases and windows that were so stained that they barely let throughany light at all.Tom was taken only a couple of doors down the hall and forced into a narrowroom. Inside were just a bucket and a water hose."Use the toilet," the tallest of the guards shouted.A rope with a rubber hook at the end was hanging from the ceiling. One ofthe guards slid Tom's wrist restraint in the hook and it made sure Tomdidn't fall down while he was squatting above the bucket.The three men stayed right at Tom's side. He was really going to have to dothis. He didn't know if and when he would get a next chance. He let it allgo. Tom was now squatting above the bucket, with his hands suspended on ahook above him.
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