Friday, June 24, 2011

The Mutual Aid Call and the Urban Midnight Refusal

Going across the City border to help our paramedic-less neighbors in the dirty little town next door.

The little town on the Cities southern border has fallen on hard times. Dwindling population, rising crime rate, disintegrating school system, corrupt, indifferent government- and an EMS system run by a family of out of touch morons who can't keep a paramedic on staff to save their lives ( literally and figuratively). So it came as no surprise when we got a call to provide some EMS mutual aid in this cesspool of the future.

Our patient was a 20 year old male who had gotten an old fashioned ass-beating from persons unknown. In a place he didn't want to name. For reasons we wouldn't understand... OK, whatever.

When we pulled up he was sitting on some steps arguing loudly with the police. I recognized the guy immediately- we had treated and transported him the year before after he had been shot in the back. The shooting had been done by three teenage gangstas on bikes. Seriously.

I asked if he had been searched. Nope- he's the victim, why search him? Hey, in the City he would have been searched and if his attitude continued, cuffed. Plus he's a known druggie who has been involved in gun violence in the past- please search him before we go any further.

The prospect of being searched got our buddy really, really worked up. He escalated his argument with the police to the point that the sergeant on scene grabbed the kid and told him to "get the hell out of here while you still can"- this message was also relayed by the other officers . So the "patient" gathered up his homie and his girlfriend and disappeared down the sidewalk into the night.

... and we put our ambulance back into service with an Urban Midnight Refusal.

Wednesday, June 22, 2011

Different Dispatches For Different Folks

In this episode we briefly explore the workings of the urban 911 center- and how information differs from call taker to police desk to EMS dispatch...

I would never have been made aware of this EMS dispatch anomaly except for the fact that my partner loves to scan every damn frequency in his radio. This particular call had my medic unit being sent to a residence along with the police- there ended up being some rather important information being omitted from the EMS dispatch.

From the police channel-
  • "(car #) and (car #) go to 123 ELM Street. Family members there say there's a 78 year old male who's ill and is refusing to get help. They're saying he's out of control and locked in his bedroom. The man has an assault rifle and a semi auto pistol with him."
Now here's the dispatch we got over the EMS channel-
  • "Medic xx, E-1, you're going to 123 ELM Street for a 78 year old male who's been weak and short of breath for several days."
Well, they just may have forgotten something no?

Wednesday, June 8, 2011

The Staff Meeting

The Staff Meeting- a brief glimpse into a real life big city EMS staff meeting- and you've got a front row seat.

We had a staff meeting at our station recently. If you're in EMS I'm sure you've sat through one of these things. Typically they go like this- "Uh, thanks guys, uh don't knock any more mirrors off the trucks, special detail, "he said, she said", don't forget to..., goodnight". That's about it right?

During this meeting we briefly discussed some disaster preparedness issues. Actually the discussion revealed our lack of preparedness and leadership.

At one point District Chief McButters was asked what sort of back-up communications plan we had in the event the UHF repeaters were knocked out. McButters said two things I found highly disturbing:
  1. " Uh, uh, uh."- allright, let's make it three things
  2. " Well, there are so many of them we should be OK"
  3. " You guys all say you're going home if something happens anyway (laughs)"
So- here's my analysis...

In regard to #1- this fat piece of shit is only worried how long he'll be off Facebook if there's a disaster. Hey- the man's got a farm to look after.

In regard to #2- what the man is saying is, there is either no plan or he doesn't know what it is. I can tell you that we have already had the EMS repeaters go down, the COMM center go down and in fact the whole 911 system go out. So if there's a plan let's hear it.

Finally, regarding #3- Sad-very, very sad. This man has generated so little respect that every Medic in the station has told him they will go home rather than have him "lead" them into harms way. What leaves me shaking my head is the fact that this lazy, inept ass thinks it's funny. It's not funny man- it is a major failure in leadership. I really can't think of anyone less suited to their role than this guy.

There you have it- my EMS staff meeting review. Will the last one out of EMS please turn off the lights and sirens.

Monday, June 6, 2011

Word





"For I know the plans that I have for you", declares the Lord, "plans to prosper you and not to harm you, plans to give you hope and a future." Jeremiah 29:11





http://www.flickr.com/photos/elyonline/


http://www.flickr.com/photos/27136260@N07/

All photos- http://creativecommons.org/licenses/by-nc-nd/2.0/
None of these nice photographers in any way endorse the goings on here.