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What a month it has been!

Your job, gentle reader, is to choose which one of the following calls I DID NOT get dispatched to.  Seriously.

1.  Motor vehicle versus pedestrian, driver of car in full bicycle riding regalia and parked up the block.

2.  Partial scalping.

3.  Stabbing.

4.  Building alarm set off by a BBQ 2 houses over.

5.  A fall down 2 floors of wooden stairs after an earthquake.

6.  A running toilet in a park restroom.

7. A person urinating on the sidewalk.

8.  A high speed police chase on the Golden Gate Bridge.

9.  Sprinklers spilling into the street.

10.  A child choking on a grape.

OK, have at it.  You know I left out all the boring full codes, hypoglycemics and basic MVAs just because that would be too easy.  So out of the 10 calls above, which one was I NOT dispatched to?

Click it or stay home

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We used to only die in fires.  Never thought I’d long for those days again.

WEAR YOUR GORRAM SEATBELT

If the events of this week have not inspired you to do it, then nothing will and it is too late for you.

Going to P School? We can help.

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Usually when Thaddeus Setla and I have one of our conversations, 2 things are for sure. We’re about to spend a lot of money and we’re going to change something.

One morning last week I got an email from a fellow EMSer in Texas who was wondering what he could do in the Chronicles Community to help him raise money to attend a Paramedic Program he had been accepted to.
Fresh in my mind was the outpouring of support a year ago to our friend EpiJunky, thanks to Bernice, which allowed her readers to donate money to help her attend Paramedic School. I chipped in.

Her class completed just this Monday.

So with these 2 topics fresh on our minds on our weekly conference call Ted blurts out, “What? Do you want to do a Scholarship Program or something?”

“Yup.” Was my reply.

And there was born the Chronicles of EMS Scholarship Program. From the site:

In true CoEMS fashion we wanted to bring the community together and help others who wanted to improve their career and were interested in sharing their experiences with the world.

We will be accepting applications in the form of videos where the applicant will explain not only who they are and why they want to be a Paramedic, but how they plan to implement aspects of EMS 2.0, our future vision for EMS. The winners will then chronicle their Paramedic School experience on our website as a weekly (v)blog, posting thoughts, feelings, and questions, allowing the entire EMS online community to become their tutors and mentors.

We are coming together as a community to help those in need of funding to complete their Paramedic education. Organizations interested in sponsoring all or part of a Scholarship will have a part in shaping the future of EMS nationwide, not just in their own communities.

Students interested in submitting a video application are advised to upload their video to Youtube, Vimeo, or any video sharing site and embed the video as a response to this blog.

Awards will range from $250 to $1500 depending on sponsorships and will have caveats such as:

1. The student must successfully complete the course or forfeit the award to another student

2. The student must keep the community informed as to their progress (in the form of a written blog or video blog)

3. The student must adhere to a code of ethics (Still being drafted)

The success of this program will depend upon the donations received from the members of this community. We will continue the program on a quarterly basis if we find that the donations support the Scholarship Program. 100% of the donations will be used for the program and as a member of this community we will keep you apprised of all donations coming in and the applications we receive. The winning student will be decided upon solely by the Chronicles of EMS Team so that this does not become a popularity contest, but a true recognition of the student’s desire and passion for EMS and the future of the industry!

Like the site says, this is no popularity contest.  Whether you have 10,000 twitter followers or don’t know what a twitter is, all entries will be judged on their own merits.  and since I’m one of the ones choosing the recipients, rest assured that a simple video recorded on a built in web cam will be given the same consideration as a high quality produced feature.

The Chronicles Team recognizes the power of the community, we’ve been inspired to help each other out before, here’s a chance to do it on a grander scale.

Would you like to be a part of ensuring a motivated, excited candidate has the opportunity to pay for Paramedic School?  Then donate to the program.  There are no administrative fees, no one here at CoEMS is making a profit on this and in the end it will likely cost us out of pocket, but not nearly in the amount some folks are having to dig to make their dreams of furthering their career in EMS a reality.

If you can spare 3,5,20, 100 dollars to help someone out you can do so publicly or anonymously and corporate/business sponsors can choose to sponsor an award of their own and be a part of the future of EMS.

Details as they develop at Chronicles Headquarters.

Make it stop

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A Tax you SHOULD be paying

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In my service we have a tradition, an unspoken rule, that if you are working overtime, you owe a “tax.”

Since you are working the same hours, but making more than everyone else, you are expected to chip in extra towards the meals.  The amount is up to you, of course, and not everyone takes part, but most do.  I contribute the equivalent of one hour’s worth of pay and donate that to the cook prior to shopping.

Sometimes it means improving the menu a bit, other times it means a drastic discount in the price of the meal for everyone else.

I think it’s a good idea and benefit from other folks donating more than it costs me to donate when it’s my turn.

And if you’re working a Chief’s house and they’re on an overtime…surf and turf!

So if you’re on an overtime shift and working with someone who isn’t, don’t be a jerk, kick in.  It could be to the meal or if on post, maybe coffee is on you this time.

On Scene with Happy and Steph

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Welcome back to our coverage of Engine 99, I’m Happy and with me as always is Steph Frolin.  How are you Steph?

Good, Happy, good, we’re reviewing the last call by Engine 99 when challenged by a client who was threatened with arrest for theft.

That’s right Steph, and since you’re here we know there is something else to this code 3 medic request for the hurt elbow, let’s go to the play by play.

Engine 99 and Medic 88 are dispatched for the code 3 medic request by a PD unit in a swanky shop.  No details are given to the dispatchers, so the call is off their roles in mere seconds.

Our teams don’t even have a code or description?

No, that would make it too simple, but here they are, on the scene with PD waving them in.  It appears to be  quite the PD event, I count 3 cars on the scene.

This could be serious, Steph, I see them bringing in ALL their gear.

They do that on every call, Happy, never can tell what’s really happening anymore.  Remember that code 2 fall that turned out to be a breach delivery?

I do Steph, but our team is being led to the back alley of the store and their patient, who is holding his elbow.

The crew is quick to slow the ambulance to code 2, possibly saving lives and money.

Steph they appear to be assessing an elbow injury, but from what I can tell the medic is using distracting assessment techniques to yield an honest assessment.

He sure is Happy, that allows the medic to assess the injury a number of times and compare responses.

OH! That looks bad Steph, the man has winced without being touched, but makes no facial changes on assessment.

A gutsy move, but the medic appears to know exactly what happened despite the story he is being told.

The officers describe walking him forcefully, holding his arm at the elbow, walking back to the alley to discuss the finer points of his arrest.  At that point he began to cry and ask for a medic to transport him.

Happy, this happens all the time.  Folks think calling for an ambulance will get them out of jail, not realizing they will be transported, assessed at their expense, then arrested.  He’s probably thinking the PD will just let him go, but since they are the reported assailants, this is going to get sticky.

Steph, that’s amazing.  I can’t imagine people trying to scam the system that way.

Your rosy outlook amazes me sometimes, Happy, but what is this?  The crew is being told he was thrown to the ground and beaten!  This is indeed a change of events!

And the crew is adjusting nicely, performing another secondary assessment to rule out any injury from the new description of injury.

I’m surprised the officers are holding their composure so well.  One of them burst out laughing on the beating comment and has left the alley and is now back in the store.

Steph, what is going to happen now with the report of being kicked in the head with steel toed boots?

With no evidence of such an injury, even in the slightest, I would be surprised if this crack squad goes the full route of C-spine precautions.  When-

Steph! Look at this! A store employee has emerged with a laptop computer and is showing something to the rescuers and the man holding his elbow!

If we’re lucky it’s security camera footage.

It is! It is the film, clearly showing the man attempting to leave the store without paying, then store security confronting him and a beat officer walking in soon after.  They walk him back to the alley, where another camera sits, and he stands there, on his feet the whole time, until our rescuers arrive.

Let’s see what happens now Happy.

I can only imagine the citizen will be embarrassed and submit to his punishment for thievery, Steph.

Sometimes I wonder if we really are the same person Happy, no way is he going to back down, he’s going all the way with this one, just watch.

Oh ye of little faith-

There it is! He just stated the video has been altered and demands transport!  Oh my!  This is as surprising as Jersey Shore being re-upped for a new season.  It shouldn’t happen, but it does.

My oh my, this does indeed seem like a waste of resources, Steph, why can’t these medics just declare this man a liar and be done with him?

They don’t have the authority to declare a person is completely without injury, even though we have visual proof that nothing indeed happened warranting a response, let alone a transport.

Amazing Steph, just amazing.

Until next time, I’m Steph Frolin and with me is the Happy Medic, and we’ll see you On Scene.

Name that Show Competition Finalists!

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The crack team at Chronicles of EMS:The Reality Series have narrowed down the field of over 500 entries to rename their landmark new show.

As you recall, yours truly and that Brit Mark Glencorse took our desire to learn from each other in person and Thaddeus Setla’s desire to film a unique Paramedic experience and created the reality EMS series.

Chronicles of EMS – Reality Series (Teaser) from Thaddeus Setla on Vimeo.

In moving the show from web based to network television, there was a need to change the title.  It turns out that “the Reality Series” isn’t very descriptive, so we turned the choice of names over to the audience.

Voting is now open, the finalists have been chosen by the producers and Chronicles Staff and the prize for the winner is amazing.

One of those five finalists will win a 3 night 4 day trip to any location we film at around the world.  AND an ipad to follow along on the trip.

Newly announced is the prize for first runner up.

The finalists are:

Chronicles of EMS: Beyond the Lights & Sirens

Chronicles of EMS: Mobile Medicine

Chronicles of EMS: Frontline Medicine

Chronicles of EMS: Medicine in the Streets

Chronicles of EMS: Real Life, Real Emergencies

Head over and see what that prize pack includes and vote for your favorite.

Can you see me now?

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Have we all gone Hi-Vis insane?

Forget about a nanny culture or statistics about it making us safer.  Last I heard it was the flashing lights that attracted sleepy and inebriated drivers so turning me and my crew into passive crappy driver attractant is not my idea of a good time.

I wear my vest most times, really I do.  Mainly on account of my uniform is all navy blue and at night I disappear.  Perhaps the slight chance I get seen at the last minute is the point, but I have a big coat with reflective that could do the same thing.

“What the heck, Hap?  What got you all fired up?”

This photo from Ray Kemp at 911Imaging.

You saw this series on the cover of JEMS magazine a little while back.  The first thing that will catch your eye is the sea of reflective vests, running about $100 a piece on the rescuers, covering the reflective on their turnouts.  The ambulance folks have them on as well, well done, folks.

But look IN THE STREET!

In the one place those vests can actually be useful and you’ll see two fellows wearing what I wear, all dark colors.

Well, I wasn’t there so I can’t blah, blah, blah.  No, I’m jumping in here and pointing out that perhaps we have our priorities a bit out of whack.  We go racing to jump on the Hi-Vis bandwagon without looking at what our people already have and using it to our advantage.  Hidden in all the stories of people getting hit and killed in the streets are the facts adding up that vests don’t stop cars, trucks and SUVs from killing you.

If you stand in the road covered in day glow paint carrying flares you will still die.  If we trained our drivers to block the road with the giant reflective rigs, perhaps the vests could go to those who have no giant truck to protect them.

Better yet, where is the increased driver’s education to stop the poor drivers from trying to kill us in the first place?  Rhetorical for sure, but I can see at least $1000 in this photo that could go a long way.

My own service is not immune to the allure of the shiny, reflective vests.  We have some that say Incident Commander, others say Triage.  Mine on the engine says SFFD in black on a field of bright yellow and silver.

Here’s a picture from one of our new engines under construction (Thanks Crimson-Fire):

That is where the reflective belongs!  And while we’re at it, can we get some more warning on the sides of these giant road blocks?  How nifty if we could get an arrow stick on the sides AND the back, since if we park to block the scene the rear mounted one is hard to spot.

Some Departments deploy street signs out ahead of the scene, cones, flares, all those kinds of nifty, expensive street decorations aren’t stopping the drivers who are going to hit us anyway.

Even on a simple vehicle fire on the highway, we need to focus on parking and awareness rather than throwing money into reflective to cover up reflective just to check a box on a state form.

If you have a vest wear it, but use common sense first.  Use that giant thing that drove you there to protect the scene and stay out of traffic.  Leaving the scene unprotected and going in and out of moving cars will get you killed, no matter how much shiny suit we plaster on you.

Be safe people,

HM

PD is on scene – The Crossover

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Our old pal Motorcop approached me asking if we could jump the fence from time to time and have a chance to share with the other crowd.  So today he launches “the Crossover” a chance for him to address fire and EMS folk, while I have a chance to talk directly to his law enforcement officer types.

Kind of a digital cross training experiment where we can air our differences and issues in a friendly way.

If you have something you want the law enforcement crowd to know, send the topic to MC and see if he’ll host with you too.

Here he is, the Po-Po a Go-Go, the guy you don’t want to see in your mirror, Mr Motorcop himself!

Greetings, fellow first responders!

I’m your local law enforcer, MotorCop (MC for short), and I’m happy to have the opportunity to chat with you briefly at the world famous HMHQ.  Thanks to my good friend, Happy, for agreeing to The Crossover!  It’s our aim to commandeer one another’s site on a monthly basis.

Prior to jumping into it, let me start by saying I grew up in the Fire Service (Dad retired as a Captain), so I’ve always had a soft spot for you all.  That being said, I’ve got a bone to pick with you…

Now, I’ll be the fist to say, no one likes the images a scene like the above bring to mind.  Unless those happen to be a pair of your kicks, it’s safe to say none of us knows what happened in the above photo; however, it probably wasn’t the aftermath of a good time.

So, what is our collective function when we arrive before the crime scene tape is strewn across the area?  I think we can agree the main job is first to treat the injured and prevent further injury.  After that, our respective jobs diverge and that’s the topic I want to address to you today.

I’m not a medic.  I’m not a doc or a nurse or even a f’n podiatrist.  Consequently, I only know the basics of first aid.  Ready?  Here it is, “Fire’s one the way, pal!  Hold on!”  That statement is quickly followed by, “Who did this?  What happened?”  Of course, I’m rehashing a long standing joke about PD and our ability to render aid, but inside the joke is the key to our differences.  My job is to find the bad guy.  Yours is to save the victim.

Often, our two jobs…jobs that one would think would dovetail nicely…butt heads like two big horn sheep.  We on the blue side of things (sometimes) affectionately refer to you on the red side of things as the Evidence Eradication Team.  Y’all pull up in your pretty red engine with your shiny reflective turnouts looking cool for all the swooning women.  The problem?  You parked the aforementioned engine right over my fuckin’ evidence (be it shell casings, skid marks, etc).  You swoop in, scoop up, and bounce…usually leaving God knows what kind of medical flotsam and jetsam strewn about.

I’ve always hated it when people just bitch for bitching sake.  So, let’s talk about solutions.  Let’s start by saying there is typically a communication breakdown at the scene.  For example, a couple weeks ago, I was first on scene at a fully-involved house fire.  Within a matter of minutes, a veritable army of firefighters arrived.  Instead of me milling about and possibly getting in the way, I found the firefighter with the shiniest helmet and cleanest gear and said, “Hey, Chief, what do you need from us?”  Then, I got the hell out of the way and let you kids do your thing.

Is there any harm in either of us doing that for the other?  If it’s an obvious fire call (medical, fire, etc.) and you just need traffic control, just ask (if I haven’t already).  If it’s an obvious PD call (crime, collision, etc.), before you cruise on up and park next to the wrecked vehicle or injured party, stop and think about where you’re about to park that big ass boat you’re driving.

I’m not asking you to compromise the care an injured party may need…but you guys get paid to work out for crying out loud, you can swing walking an extra couple hundred feet. All I ask is for a little scene integrity.  What if it were your wife, sister, mother, brother, friend that was hurt or worse?  If that person were beyond your help, you’d need us to solve the crime.  It’s hard to accomplish that with tainted and/or destroyed evidence.

All I’m looking for is a little mutual cooperation.  We’ve both got big egos and sometimes that gets in the way of seeing things a little more clearly.    We can keep up the jokes about us eating donuts (which is true…love me some donuts) and you folks getting comfy in your La-Z-Boys (also true…I’ve been in a House a time or two).  But, when it comes to the job, what say we both try to be more mindful about what the other may or may not need from us.

Thanks for your consideration.  It is well appreciated!  Drop me a line at motorcop1@gmail.com or head on over to the blog and say hello!

See you at the next crash…

Then who gets this rainbow one?

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Many moons ago an associate was part of a landmark study for a medication I guarantee is now on your rig.  You probably gave some today.

In the course of this study, Paramedic crews who encountered the specific condition that warranted the specific intervention were entered as candidates in the study with family consent.  Most times, I’ve learned, people want something new to be used if it will help.  After all, “…if it didn’t help, why would they be testing it?” I’ve heard a few times.

The way to keep it double blind was to give two doses from the same kit, only the researchers after the fact knowing which was medicine and which not.

However, to get permission to deviate from established protocols, we had to get Base Physician approval to administer the study kit.

When you called on the radio you would give the information that met criteria for the study.  If it seemed, in the MDs eyes, that your patient needed quicker interventions the study was put aside and normal actions taken.  In the kit are a number of colored packets with different concentrations, dosages, who knows, but each kit is to be chosen by a pre-determined list at the hospital.

The MD on the other end of the line will check the list and order you to give a certain colored kit to the patient, possibly based on information from the report, time of day, who knows.

Imagine this scenario:

You are dispatched to the home of an African-American family who’s mother is experiencing [Study specific medical condition].  The family is adamant that you help and you assure them everything is being done.  Your EMT is like lightening to the [BLS intervention for study specific medical condition] and you radio to Base for permission to enroll in the study.

After all the info is exchanged, the MD comes back over the radio on your lapel stating:

“Copy that Medic 99 your patient is a candidate.  Open and administer the…the…BLACK drug, copy?”

The family erupts!

“No!  Give her the white drug!  She wants the white drug!”

After an explanation of the situation and showing the multiple colored kits the family calms down and mom recovers from the [study specific medical condition].

Keep in mind that even though you think things you say or do are harmless, your patients and their families may misunderstand.  Be ready for a quick explanation.

But that led me to wonder…who gets this rainbow colored one?

You might be a fire nerd

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I’m jumping the fire/ems fence for a few days on account of I can.  You will find Happy in the FIRE column here at FireEMSblogs.com for a spell, I’ve got some fire specific things to talk about today.

If you raise the flag in the morning whistling the song from Emergency! when they raised the flag…you might be a fire nerd.

If you know the pump discharge pressures for all lines on your rig, and you’re not the driver…you might be a fire nerd.

If you can discern different companies just by their siren sounds…you might be a fire nerd.

If you have more gear you bought yourself than was issued to you…you might be a fire nerd.

If you still ride backwards, no matter what…you might be a fire nerd.

If you can recite Backdraft and Ladder 49 from memory…you might be a fire nerd.

If, right now, you know the status of at least half of your Department’s rigs (on a scene, out of service, at hospital)…you might be a fire nerd.

If you have more than 2 sweatshirts at work that are identical…you might be a fire nerd.

If you think “combination” nozzle sounds too much like “complication” nozzle…you might be a fire nerd.

If you have a sticker on your helmet other than from the factory that made it…you might be a fire nerd.

If you have more than one sticker on your truck that says firefighter…you might be a fire nerd.

If you read more than 3 fire blogs a day…you might be a fire nerd.

If you made the end of this list nodding in the affirmative…you ARE a fire nerd.  Welcome to the club.

Stay safe out there,

HM

Specialty Centers Text Discussion

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Seems the neato thing to do these days is get your hospital registered some kind of specialist center.  we have STEMI Centers, Stroke Centers, Trauma Centers, Burn Centers, Pediatric Centers and so on and so on.  Well, in my system we also have a microsurgery center.

So I got a text message on July 3rd from an old intern who had an interesting question:

John- “If I get a firework injury with fingers blown off, but there is burns, do I go to burn center, microsurg or trauma?”

HM- “You decide, because each of the decision matrix end with Paramedic Judgment. If the burns are considered extensive, go to the burn center, unless there is significant trauma, otherwise go to the trauma center.  BUT, if there is tissue that could be salvaged and repaired, immediate transport to the micro surg unit is warranted.”

John- “What about a peds?”

HM- “The system will implode.”

Bernie, Erma’s Brother

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We all have those addresses that get our blood boiling.  The one you know by heart.  When the address comes over the radio we can recite the person’s name, social security number and even their first 4 medications.

For me the new address, since there are folks like this in every area, is causing me more headaches than it should.

The first time I met Bernie (Bernie is Erma Fishbiscuit’s brother. Yes, I’ve added to the Glossary of Terms! Found under the Who is HM tab) he was sitting in bed, unbathed for weeks, arguing with his home health care worker about how short of breath he was and that she can’t leave him yet.  Bernie didn’t want his daily companion to leave.

Unfortunately Bernie didn’t let the care taker do anything much for him when she is there.

He won’t let her change the bedding.

He won’t let her cook him food, he’d rather snack all day.

He won’t let her clean up the room he is in for fear she will steal something.

The poor care taker sits and watches him slowly dying simply because he won’t let her help.

So here we are on a code 3 dispatch, ambulance trailing because Bernie won’t let anyone under the rank of MD help him.  But what can we as Paramedics and EMTs do?

When Bernie and I start to have an honest discussion about quitting smoking, or at least agreeing to walk the length of the apartment to get his smokes each day, he demands transport, spinning yarns about how long they will keep him there.

We all know he’ll be home tonight, if not this afternoon, right back where he started.

The care giver knows she should be doing more, but is a frail thing and if she and Bernie got into a shoving match, we’ll be here for her instead of him.

Bernie refuses to listen to reason.

“I have asthma” he tells me.

“You smoke too much” I tell him noting the stench from the nearby overflowing ashtray sitting on the oxygen machine.

“You’re no doctor, what do you know?” I’m challenged.

“No, not a Doctor, but I don’t need to be one to see what you’re doing to yourself” he hears.

The private ambulance company is more than happy to take him in since he has private insurance and I am once again reminded why my premiums keep going up.

The health care practitioners at the scene, the ones most experienced to make a determination of most appropriate resources for this person, are powerless to effect change in this situation.

We could call his insurance company and ask them to send more people.

We could ask them to send a counselor to discuss with Bernie the importance of taking their advice.

Calling Adult Protective Services might bring a case worker out in a few weeks, but we’ll have been there dozens of times by then.

Bernie doesn’t want our help, just a ride.

On our most recent visit, I moved his pack of cigarettes to the other side of the room and reminded him of the real possibility that he will kill himself AND others while smoking on oxygen.

Then I helped him to the cot and along to the ambulance for yet another treat and release at a not so local ER.

What can we do unless the system adjusts to let us assess, refer and release Bernie?  The insurance company, fire department and ambulance company could save 10s of thousands of dollars on one person each year.  And that’s just one person.

They need savings, I can offer tons.  So long as Bernie realizes that when the Paramedic arrives without an ambulance he isn’t getting an automatic taxi ride, then listens to what we have to say and becomes an active participant in his own health we all win, especially Bernie.

And Bernie is not one of the uneducated poor often blamed for EMS abuse, but one of the growing trouble spots in EMS.

Bernie is a baby boomer.

A Ladder Truck Crash you won’t see on Statter911!

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I stumbled across this travesty just yesterday.  It appears that the Mark Glencorse action figure has left behind his ambulance and has been riding on Tonka Ladder 36.

The fireman shown would not comment as to his injuries.

The cause of the incident is still under investigation, frumpydumples are a lead suspect.

Is the water on fire?

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Lately there is a citizen in my first alarm area who thinks calling 911 late at night is a good way to get the sprinklers turned off.

No, not fire sprinklers, park sprinklers.

A passerby has reported a large amount of water leaking from the street, possibly a broken pipe.  At least that is what our call takers typed in before hanging up, WITHOUT getting a name or call back number.  That’s another post entirely.

Last night, wandering towards the fire engine hearing us going code 3 for the water main break, I asked out loud, “Is the water on fire?  Wat do they expect us to do other than call the water department?”

On arrival we have only the over spray from a local park, a call we suddenly realize we have been on a number of times.  They run the sprinklers at night so folks can enjoy the parks during the day, but this person expects us to shut them off perhaps?

Last week we were alerted for the “large oil slick” on a major highway.  No oil, just some runoff from the median sprinklers.

But again, when in doubt, send the Fire Department.  Not because we’re trained for shutting off municipal water mains, but because we’re the only ones still on the clock.

And no, the water was not on fire.

Name That Show Competition

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The competition to rename the Chronicles of EMS reality series is coming to a close, but you still have time to enter!  No purchase is necessary, just follow THIS LINK and register to be part of the Chronicles of EMS community and choose 2 names for the show.

And incase you forgot what the show is, here is the pilot episode of the Chronicles of EMS.

Chronicles of EMS – The Reality Series (Season 1 Episode 1) from Thaddeus Setla on Vimeo.

The winner will get full airfare and accommodations on a future episode of their choosing anywhere in the world!  And get to bring along their brand new ipad AND be a part of the show.

The contest closes July 10th, Saturday, so get over to Chroniclesofems.com and enter the name you want to see on TV when we finally start to share what we do with an unknowing world.

Happy Hour on Firefighter Netcast

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Tuesday night at 6pm Pacific time I’ll be taking over the Firefighter Netcast show LIVE on blogtalk radio.  You can call in at  (347) 327-9920  and join the chat room at the link below.


Listen to internet radio with FirefighterNetCast on Blog Talk Radio

As is usual with the Happy Hour Show I’ve got a few things I want to talk about so I’m taking over.

Some topics discussed may include:

PPV fans

Crew size

Officer experience

Rural vs Urban and many many more.  But since it’s a live call in show, YOU can ask me about what you want to talk about.

See you on the radio!

Brilliant…just brilliant

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This new podcast has been mentioned all over the interwebs machine, but it just keeps getting better every week.

Confessions of an EMS Newbie

Explosives, not fireworks

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Happy 4th of July everyone, the day we set aside to celebrate declaring our independence from the British.  Although a recent poll shows 26% of those polled are unsure of even that fact, I’m sure every one of them will partake in an explosives display of one kind or another.

On the buildings that make them (they are separated for safety) are numerous warnings of the dangers of explosives.

On  the truck that delivered them is this placard:

But when unboxed and put on display they take on the exciting title of “fire work.”

If you would like to celebrate explosives, a more appropriate day is September 21, the birth date of the inventor of TNT Alfred Nobel.

Today on the 4th of July we are celebrating the signing of a document.  I believe most of those who will be setting off explosives deep into the night have no idea what that document says or that it had been voted on 2 days earlier.  Thankfully, some will know it very well.

Yes, we voted for independence on July 2nd.  The document wasn’t ready until the 4th when all copies could be signed together.  Even this date is now in dispute and many historians believe it was actually signed in early August.

Perhaps we should be celebrating when King George III received the news we declared independence?

What about September 3rd, the anniversary of the signing of the Treaty of Paris, which ended the Revolutionary War, or at least led to the two sides exchanging the final documents a year later??

But I like the 4th, it’s kind of in the middle of everything that seemed to be happening back then, but I am against setting off explosives to celebrate it.  That’s just me.  If explosions are more your style, please enjoy them safely and don’t let children partake in the activity.

Deja vu? Vuja de?

How many of those 26% believe this is what it looked like I wonder?

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Yellow Tape

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Davig Konig got me fired up.  Thank you, Sir.

Once a week a person is shot, stabbed, raped, dumped and discarded.  This is the basis behind the #1 show on television, CSI.

In the first 45 minutes of the hit series LOST, over 10 people are sucked out of an airplane traveling at 30,000 feet.  Dozens more plummeted to the ocean where they likely died horrible deaths, if they were still conscious.

Every few weeks folks gather around the TV to watch two men beat each other as hard as they can until one is knocked out or gives up.

So why is this compilation of realistic deaths and injuries, some of them real, such a “shocker” or “Warning! Not Safe for Work?”

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I have concluded it is because the yellow tape is missing.

When we settle down on the couch for another hour of solving crimes and beating other people, we expect it.  We set time aside.  If, on the off chance, we catch a story on the news, the camera crew has arrived, the scene has been sterilized (sheet over the body, cameras moved back) and the yellow tape is up.

That yellow tape seems to be the “be warned” “not safe for work” disclaimer, since so few people get to see what happens before the tape goes up.

As someone who specializes in crisis management prior to the magic tape’s arrival, watching videos of persons getting into the situations that require my attention still gives me the shivers.  And I know what to expect.

But this series of images should shock us no more than the folks raped and murdered every night on TV should.  The clips should not ruin our day or make us cry any more than the folks sucked out of the airplane on LOST, beaten in a ring or dramatized in some other fashion.

No, I think the reason these images bother so many people is because Hollywood has gone out of their way to make death, murder, rape and a host of other horrible things romantic and exciting.

This clip reel shows death is cold, hard and sudden.  It isn’t always dramatic, or fantastic, but sometimes just happens when you least expect it.

“It’ll never happen to me,” some will say and I’ll believe you, until you’re in my ambulance, or worse, I have to write your chart waiting for the medical examiner.  So many people are used as examples of “I shouldn’t be alive” or “I was one of the lucky ones” which only reinforces the belief in others that they can be the lucky ones too.

These clips should be shown on national television during the shows that show worse things.  In between murders on Law and Order, perhaps a message about the real dangers of not being buckled in.  Those crash test dummies we had a few years back didn’t do a thing as far as I can tell.

Perhaps we need our day “ruined” by images like this from time to time and maybe we’ll start to wear our seat belts, slow down and learn to take precautions to be safe.

Or it will backfire and people will become desensitized to collisions the same way they have to shootings, rape and assault.

I think it’s a chance that needs to be taken.

And don’t try to blame a political philosophy for being too “touchy feely” or PC, like I said, these images are all over TV as it is, have been for decades, I just want some real public service announcements.  Less about staying in school and more about staying in your seat belt could go a long way.

You Make the Call – Sideways

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I recently had a straight forward job that got curiouser and curiouser.

Stop me if you’ve heard this one before: Fall from standing, laceration over the brow, decent mechanism with every indication for C-spine precautions given age and circumstances.

Everything is going fine until we get ready to load and he begins to vomit.

Quick thinking prevents him choking and the board is at an angle.  As we begin to do the standard tucking of blankets beneath the side of the board he begins to vomit again.  The angle of the board is not enough given our situation and the decision is made to elevate it more.  We’re comfortable with the positioning only when the board is laying almost on it’s end.  We have the head supported in line, legs as well, but keeping the board upright on it’s side was a challenge.

Using what you have in your rig, how would you secure the board to the cot?

You make the call.