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Alphabet Soup

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Justin Schorr, FF/NREMT-P, WhO.C-arES

Emergency Services seem to thrive on certificates.

I’ve got some paper on my wall, I’m very proud of it.  At times I mention it behind my name when trying to gain credibility for what I am writing, saying or presenting.  People pay more attention when they know you are trained in what you are about to tell them, right?

But looking through some old files a few days ago I came across my last college paper “Shortening the Chain of Survival” in which I studied and showed the importance of, wait for it, early ALS intervention.

What bothered me right off the bat was how hard I was trying to establish myself on the title page.  I included my rank at the time, my NR status, my MICU cert and 3 more abbreviations I had earned at school.

I sure was trying hard to prove that paper legitimate, perhaps not relying enough on the paper itself.

Wandering through some recent issues of the leading EMS magazines and articles on leading EMS websites (blogs excluded) we can see folks doing the same thing.  An article is submitted and, as if to make us believe they’re an expert right off the bat, the letters start to get added to the name. RN, NR (Which I just noticed mirror one another) MD, BSN etc etc.

As a struggling profession it is as if we are clinging to any semblance of formal education to catch up to the MD, RN, BSN, PA etc, sometimes without reading through the things we propose to let them stand on their own merits, just like that paper I found.

Talking with a father and son Firefighting family at FDIC, I saw a generational divide on the perception of the letters after the name.  The father, near retirement, wanted to hear more about the letters I had earned, while the son seemed more interested in what can be learned on the job.  Book smarts vs street smarts all over again.

There aren’t many high school kids writing policy these days, however, no matter how much it seems like it, so maybe a touch of credibility is warranted.

When we present something, an idea, a new protocol, procedure or concept, perhaps one set of letters is appropriate, but let’s call it good there, shall we?

Engine 51 taking shape

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Today was my second day helping to set up the newest Engine Company in the SFFD, Engine 51 in the Presidio. Today was day 4 of the new services provided and the contractors working at the old firehouse are flying. Last I saw the house it was still dirty and disorganized. Today the painters were touching up while the flooring folks were starting on the final rooms.
I’m collecting photos to put together in a before and after post, so keep an eye out for that.
My next scheduled day on the Engine is after we are all moved in, so that will be interesting for sure!

New paint, new flooring, clean cabinets and bed frames.

The rest is up to us.

Not “us” the SFFD, but “us” the 15 Firefighters, Paramedics and Officers staffing the Company.

This morning we heard word that some of the other firehouses around the City have pledged to donate extra pots, pans and some plates and cups to us to help get us going.

It really is like one big family out here.

And in related news, some of the firefighters previously employed by the Park Service started an abbreviated SFFD Academy this morning.

HM

UKMedic999 AIQ

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Break out your green and yellow backgrounds everyone!

“Welcome Back” doesn’t seem right since you were never really gone, just on a long job.  Now you are back home.

1917

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In 1915 the home of General John Pershing, famous for leading Montana’s Buffalo Soldiers, burned  killing 4 of his family members.

As with most fire tragedies in the early 20th century, no organized Fire Companies existed until it was too late.

Pershing’s home was withing the grounds of the Presidio (Spanish for Fort) on the North end of San Francisco.  This fort was built during the civil war and most of it still stands today.

You can read all about the history of the Presidio here.

In 1917, the Presidio built a Fire Station, which I went to today.

In 1994, when the National Park Service took over areas of the Presidio, that station became the first and only 24 hour fully staffed Fire Station in the Park Service.

It closed yesterday morning at 7:30.

For political and funding reasons I won’t pretend to understand, the Park Service chose the SFFD to staff the station.

At 8AM yesterday morning all the political leaders and managers gathered at the temporary home of the new Engine Company for photos and introductions.  At the same time, the off going firefighters were cleaning out their station, the one manned since 1917.

There was a nice addition a few years back, more on that soon.

Later in the day we had the opportunity to go by and orient ourselves with the station, the grounds, and the Presidio itself.

This is going to be a long process, we are essentially starting a Fire house from scratch.  No desks, no dishes, no supplies.  The owners of the station are cleaning, installing floors and painting and we hope to live there in the middle of the week.

I’ll do my best to keep you up to date on our efforts.

What I won’t do is take a stand on the reasons for the change, the politics involved, nor will I allow any negative comments about the circumstances.

The company there was identified as Engine 51 and our engine will keep that designation.

HM

Gearing up for Tak Response

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Over the next few weeks you’ll be hearing from me about the Tak Response Conference in San Jose coming up September 14th-16th.

Chronicles of EMS was invited to be a part of this collaborative training opportunity that will bring the best of all fields together to network and learn from each other.

This conference combines nursing, Fire, Haz-Mat, law enforcement, SWAT, EMS, public works and a number of other disciplines together, since when we all arrive on scene we have to work together.

Let’s start to train together.

Tak Response is not only a chance to learn from other disciplines where you fit in at “their” scene, but to network socially with your fellow providers before the you know what hits you know where.

Imagine a scene where the Battalion Chief, Patrol Officer and EMT all already know each other and what each agency expects from the others.  That’s a smooth running scene.

Here’s the episode of Seat at the Table where we meet the organizers of the Tak Response Conference and run the concept by paramedics, firefighters and even a cop.

He’s no Otis

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The 3 AM building alarm.  This is the Fire Service equivalent of an abdominal pain from a month ago.  Thing is, when it’s in a retirement home, all bets are off as to what might be going on.

THE EMERGENCY

Audible and visual warning devices triggered by an automatic alarm, water flow indicated.

THE ACTION

When the bells strike at work, I always get out of bed and sit on the corner and wait for 2 distinct dispatcher comments:

1. “Unit dispatch…” Which means it’s a medical job and I should continue waking up, OR

2. “Units stand by for the box…” Which means we have a report of smoke or fire in a building.

But there is a glimmer of hope when the dispatcher calls out a building alarm box because our Truck Company also covers 2 other engine areas.  Sometimes they’re the only ones going out.  Sometimes.

Tonight it’s everyone and we’re quickly on scene to a very beautiful brick 4 story type 3 we drive by all the time wondering what’s inside.

Old people.

We’re met by a security guard who of course is more interested in our supervisor’s name than telling us the situation inside.  A representative from the water department wanders over from a giant hole in the ground surrounded by water department vehicles and informs us they just turned the main back on.

As the pressure slowly built against the sprinkler valve, it likely shuddered and set off the alarm.  We relax and go in to make sure and reset the alarm.

Like in a zombie movie, we enter to see various persons in pajamas and robes wandering the halls and standing on the stairs, all staring at us as we go by.  They say nothing, only watch and slowly begin to come closer the longer we stand at the alarm panel under the grand staircase.  At some time in the past 100 years, this was one hell of a mansion, but now is populated by scores of the aged.

Which is odd, since I’ve never been on a medical run here before.

As we reset the alarm, the occupants begin to slowly shuffle away in different directions, except for one.

He corners the other firefighter and asks her if she knew they had a new elevator installed recently.

“OK, wonderful, thanks.” She says, being as polite as you can at 3:15 AM.

“No, you need a key to use it if the alarm goes off,” he informs her.

“Yes, we have that key,” she says, trying to walk away.

“No, it’s a new kind of elevator, come, I’ll show you.” and he begins to lead her down a hallway.

As much as I wanted to follow and keep her company, she went along as one might go along to look at baby pictures of your third cousin while visiting long lost family.

She eventually emerged, unharmed and still in good spirits, to inform us that it was a standard elevator.  Go figure.  It wasn’t until later I learned that the inventor of the modern elevator, Elisha Otis, died long ago.  I was half hoping that was him, remarkably old and well preserved, in a home for the very old and the very rich.

Hey Motorcop! It’s on like Donkey Kong!

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My Brother from another Mother, Motor Cop, spent another day at his “duck pond” monitoring facebook and scouring youtube for something to ridicule the FD.

He found a video you can watch at THIS LINK and proves that Fireman have all the moves down.

Don’t believe me?  Just compare that video to this one, featuring the REAL Motor Cop.


Village People – YMCA (version originale)
Uploaded by scorpiomusic. – Watch more music videos, in HD!

*No Indians, Manly bikers, cowboys or construction workers were injured in this posting, the Soldier, I’m not so sure.

e4, e6

You Make the Call – The Bar – What Happened

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I was taken aback by this guy at the bar in a T-Shirt with a 8″ EMT on the back and giant star of life.  Add to that the stethoscope around his neck and I was just confused.

My fire and PD buddies were making jokes while I was trying to make the decision whether or not to approach him.

I could start the conversation by asking if he really was an EMT, which I’m sure he is hoping someone will ask, hence the shirt, but it was really the combination of the pants, shirt and especially stethoscope that had me thinking this person is clearly not “one of us,” US being the profession.

He managed to wander over to a table of ladies with his friend who said, “Make room for my EMT buddy,” at which point I had to cover a laugh.

No matter what I said or how I approached the situation, this was not the time or the place to address his lack of professionalism.

He was not in a uniform, but as far as the public knows, he was.  He was not doing anything “wrong,” just not the best thing at that moment.

Mark can tell you that when coming home from riding with him and purchasing an adult beverage at the store, I turned my jacket inside out.  I looked odd, but even in another country I didn’t want to let folks know about that association.

So in the end, I let it go, mainly because I am convinced he would not have understood.

My buddy then, after we left, asked why I didn’t give him a Happy Medic card, then blog about it.

Also not “wrong” but maybe not the best way to approach it.  So in the end, I only did one of the two.

If you said stay out of it, you made my call.

Chronicles Germany Style

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One of the Chronicles of EMS earliest followers Sascha Fehr, who I had the pleasure of meeting in San Francisco months ago, arranged for a Hungarian Paramedic to travel to his system in Germany.

He recently uploaded this video:


Find more videos like this on Chronicles of EMS

Tell me again how we’re not changing the world?

Beyond the Lights and Sirens

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

The new name for the reality series about EMS providers from around the world.

800 What?

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Words.  I want you to write 800 words.

In my recent travels through the dungeons here at HMHQ, many of my favorite posts average around 800-1000 words.  a fair amount to get you in, tell you a tale and let you go.

So I got to wondering if you could convince someone of something in the same amount of time.  An educational article could go on and on for pages, citing this study and that.  I’m not looking to be shown beyond a shadow of a doubt, just convince me social media is a good idea and good for our Profession.

But here’s the challenge:

Don’t use the term “Social Media.”

You can say blogs, twitter, RSS, facebook, any number of other terms, but no using the buzz words “Social Media.”

Think you’re up to the challenge?

Convince me.

email your submission to theHappyMedic@gmail.com by August 20th.

Enter as often as you like, but keep in mind if I read a second submission of yours I like better, the first one gets eliminated.  Open to everyone, not just bloggers.

Prizes to be announced shortly.

Overheard in the Firehouse

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Fireman #1 -”What kind of cookies are you making?”

Fireman #2 -”They look like married cookies to me.”

Fireman Chef -”Why do you say that?”

Fireman #3 – “Because they looked really good when you started, but now after all the heat, not so much?”

Fireman #2 – “No, because they’re all touching each other.”

Pop Quiz

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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?

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.

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…

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

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!

Auxiliary Water System

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After the earthquake in April of 1906, San Francisco suffered huge losses from that famous fire that spread quickly due to a lack of water supply.  The City fathers decided to think ahead and developed an auxiliary water system fed from 3 large tanks throughout the City.  At an incident, the different tanks can be added to the system and a large amount of high pressure water diverted to the hydrants nearby.

If the nearly 10,000,000 gallons of water run out or are not available for whatever reason, the system can be augmented by pumping  salt water into the system in one of three ways.  Either from lines fed from the fire boat, by the pump house in the basement of Headquarters or this non-descript building in my first due area.

This is pump house #2 and walking inside was like walking back in time.

Inside the house, built in the 19teens, are the large coal fired furnaces that created the steam to push the water into the hundreds of miles of large diameter hydrant pipe. Here’s a pic of me and my fireman Joe in front of one of the three 3 story tall furnaces.  They are no longer fired, diesel engines have long replaced them, but they are so large and built into the structure, removing them would be cost ineffective and likely damage the entire building.  I can only imagine what it must have been like to be in this pump house when a greater alarm fire was working and water was needed.  Coal fire smoke, heat and exhaustion must have been all in the day’s work for the men assigned here.

We were stopping by to drop off a few fire prevention items and ended up staying for almost an hour looking around and asking the pumpman (yes, there is still a pumpman there) all about what we were seeing.

The valves and gauges are still the originals and are kept in good working order and polished clean.  After all, there is still the possibility of firing these big guys up should we ever need to.

Many of the components here were installed between 1912 and 1925 and while my East Coast readers may think this quite recent in comparison to their own services, out here on the west coast this kind of history is unheard of.  The building sure, the valves on display maybe, but a still operational unit kept in this kind of condition blew me away.

In addition to powering the water system, this building served as a large electrical generator for the nearby Army Depot.  On the other side of the room, right out of Dr Frankenstien’s laboratory is the electrical panel and breaker switches.  Around every corner was another confusing tangled maze of pipes and valves, coal doors and pressure gauges.

It made me more appreciative of where the water comes from, not unlike I felt the first time I had to repair a hot water heater and appreciated where that water came from all that much more.

This system can produce up to 300psi at 10,000 gpm and can operate for almost 2 days solid without refueling.  Which is good since each high pressure hydrant can move up to 12,000 gpm.  Of course the folks back then had to develop a way to handle such pressures, which occur naturally when opening the progressively higher altitude supply tanks.  the lower zone may rate at 60psi static, 150 with the first tank open, then 225 and 300 when the others are opened.

A special hydrant device was patented in 1926, the Gleason Valve, for this single purpose.  Made of spun brass and weighing almost 90 lbs, this special hydrant valve device attaches to the high pressure hydrants and can lead 2 3″ lines from a pressure reducing valve.  In the old days these were used as fire pumps without putting the supply through a steamer.  Nowadays we can either tie it into a pumper or use it as a stand alone supply for a master stream or to charge our above ground backup hydrant system.  You can spot the high pressure hydrants not only because they have a 10″ diameter supply, but have 3 3 1/2″ caps and a colored bonnett..  This allows the crews to see which reservoir feeds that particular hydrant.

It really is a remarkable system, even by today’s standards, and they did it all back before the horses were out of the firehouses.  Imagine engineering all this by lamp light:

More on the hydrants in another post, including the significance of our ball top hydrants.

Sunday Fun – Staying Motivated

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I found more motivational posters to share:

SFFD – The Best in the West

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I found this video on youtube posted by SFirish06.  The title had me curious and I was looking for certain footage anyway so I watched.  This is a great video compilation featuring some neat footage.

Just a couple of points of interest before I let you watch.  At 2:10 you will see my classmate and co-worker Firefighter/Paramedic Mike Estrada fall victim to thousands of pounds of wall when trapped under a collapsing facade.  He survived and is still recovering from extensive leg injuries.  When this accident happened it was a topic of great discussion online and I was forced to remain silent since I was still anonymous.  I hope to interview Firefighter Estrada this year to get his first person account of this event.  And just another quick note, that hoseline he’s holding and moving like a garden hose is a 2 1/2″.

At 3:10 is the video I was looking for initially.  This is 1133 Mission street on the morning of December 17th, 2007.  Truck 1 has yet to stick the roof so I’m not there yet, but this is the fire I got hurt at.  Remember?

Enjoy the Best in the West, the San Francisco Fire Department:

YouTube Preview Image

Black Diamond X-Boot Review

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A few weeks back I recieved a pair of structural firefighting boots from Black Diamond Boots who was a co-sponsor of the FireEMSBlogs.com meetup at FDIC in Indianapolis.  They are well know for their Boot Girls.  You can meet them and try on the boots for yourself in Baltimore July 22-24th at Firehouse EXPO.

Oh, sorry, the boots.

I’ve had a fair variety of different boots over my 16 years of pulling these things on, from basic rubber boots as an Explorer Scout, to heavy duty duty boots and all leather turnout boots.  These X-Boots look nice and have a few special features that I liked.  It also has one feature I did not like, but more on that later.

Let’s talk about the evaluation period.

I used these boots on a total of 11 shifts.

In those shifts they experienced 2 fires, dozens of medical jobs and a few MVAs.  Whenever partaking in a ladder drill, I made sure to volunteer to climb and lock in.  Whenever on a medical I carried the chair/patient and footed the gurney, used the boot to elevate the board for taping, you get the idea.  I tried to get them into every possible situation I could encounter during the trial period.

The X-Boot is a leather/kevlar/rubber combination boot that when worn is very comfortable.  Even as a new, stiffer soled boot, it was more comfortable than I expected.  The sizing is also great, with my 11.5 feet staying in the 11.5 boot.  We all know when walking down an alley at a fireground pace a loose fitting boot is annoying and you get that clop clop feeling as the boot slightly hangs on your foot, heel loose.

The X-Boot has a 3 point heel lock feature that may lend to this problem being eliminated, but I can’t feel anything “grabbing” or “holding” my heel in when I walk.  It just feels better than other boots I have worn.

  • NFPA standards are met or exceeded by this product and they did just fine in the fire environment and were very easy to clean afterwards.
  • Locking in on both straight and extension ladders was no different.
  • Crawling and performing other fireground tasks was also very similar to other boots I have worn.

A feature I think I would like after a few years is the extra material on the top of the toe.  My current boots are torn up from crawling and footing gurneys, even this additional 1cm of rubber is huge in the long run.

Built in pull up loops replace the more common straps to pull the boots on, but I prefer the straps and have never lost one yet.  The reinforced material to accommodate the handles causes the one drawback I found with these boots.  When donning, the boots go on fast and slick.  When back in the dorms, the wide opening and reinforced profile make it difficult and time consuming to pull the pants back down around the boots.  To test this, I borrowed a larger pair of turnout pants to see if it was just my gear, but even a larger set was difficult to pull down.  When running multiple building alarm, MVA and fire calls it got frustrating, but I’m willing to put up with it for the better fitting boot.

In the end I would recommend this boot to anyone looking for a comfortable fitting turnout boot.  The list price of $249.99 is more than reasonable for this product.

If that is more than you are willing to spend, you can try a smaller version:

Firefighter monopoly

My rating for this product is 3 1/2 out of 4 helmets.

Informed Pocket Guide iphone app Review

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I was approached by Infomed to review their iphone app Emergency & Critical Care ACLS Pocket Guide Version.

It is safe to say I was skeptical about using a phone app for patient care advice, but after having a look through this thorough guide I recommend it highly.

I do not recommend using this or any other guide during actual patient care.  Using it in the back of the ambulance or on scene requires both hands and both eyes off of the patient, something I do not practice.  However, the list of medications and common poisons could help you down the proper path while others are tending to the patient.

I have had this app on my phone for a week and a half now and moved it from page 4 to page 1 during my testing for the Captain’s exam.  I used it when I had only a few minutes to review some basic protocols and it was far nicer than lugging around the large binder or even a flip guide that does not fit in my uniform pants or shorts at home.

Even a quick visit to my “office” meant a few moments to review things like Pediatric Glascow Coma scales, APGAR scores, ACLS for symptomatic bradycardia, dosages and even common poisons.

The app is well designed, in my mind, and lacks a lot of the bells and whistles I think could trap field providers into over relying on it.

For example, a really neat feature would be a digital braselow tape that brings up the color coded info for that child.  As neat as that would be, it would become a crutch and if forgotten at home, but relied upon, it could negatively impact patient care.

Three menus at the bottom offer the topic home page, a smart calculator and bookmarks you can add to or arrange.  It is a clean and easy to use design and the information is excellent to review.  Any time you pull out your phone to play a game you could be reviewing the included Spanish translations guide, complete with pronunciation key, or reviewing just what Acebutolol does.

There is one downside, the cost.  Personally I don’t like paying for apps on my phone.  But, considering the paper version of this guide is $21.95, the app is a steal at half the price.

Had I a scoring system in place it would do very well.  Perhaps I should get one.

You can find out more at Informed’s website, as well as links to other valuable guides in the EMS, nursing, fire and law enforcement arenas.

Artists donate talents for Boston Firehouse

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A Firehouse in Boston, Engine 37 and Ladder 26, has quite the unique new conversation piece.

See what happened when the members put an ad on Craigslist for a portrait of their fallen members and the artistic community came to answer the call.  The Huntington Avenue station is first due to Fenway and what they got from the local artistic community is amazing.  Watch the video, then head over and read the story HERE