25 September 2005

10 Things You Should Know Before Becoming an EMT

24 Sept 2005

"10 Things You Should Know Before Becoming an EMT"

Blood, guts, glory.

Some people look at the career as an EMT as that of "Wow, I could never do that." Some take the perspective that the things that we see are just too unimaginable for the human mind to comprehend.  While, yet others, think that it all for the prestige that we sometimes get.

I am going to let you in on a little secret. 

Anyone can do it.

Now, for those who are in the field, I want you to realize that I am not saying that this is a fool's job that requires almost no brain cells to do. What I am stating is merely the fact that this job, this profession, this goal is obtainable.  All you need is the drive to do it.

Below is a list I comprised as to what I think and include in my drives to be a paramedic.

For the record, this is just one person's perspective and in no way do I represent the majority voice in this field.  I just wanted to enlighten my readers as to what makes me function, and what drives me...everyday.

10. Not every call is a bad call.  You know, I blame the media for this.  It is, to my opinion, that no news is good news.  Have you ever watched the TV and the media sports how "3 people died in a firey crash on the interstate."  The focus is always on the tragedy of someone's life.  When was the last time that you heard, "Someone's grandfather was revived after suffering a heart attack."  Good news is boring to them. Good news, is bad business.

Also, you would be suprised as to what "nature" of calls that we go on. Sure, it may be a "male down" call that you get. But, when you get there, you find that he is enjoying the sunshine and had taken a nap. Sure, he may be heavily intoxicated, but it is an easy call.  So are the stubbed toes, the "sick for 10 days", the sprained ankles.   In all honesty, I would give a safe estimate of 15% of the calls that we go on have heavy merit.  However, to the one calling, it is a true emergency.  One reason I do my job.

9. Acute Code 3 fixation. Listen, for all you adrenalin junkies out there who think that driving with lights and sirens is the ultimate high in the world, well, ya all need to get a new hobby then.  Yes, I admit, that there is some fun to driving the wrong way down a one way street at 60 MPH has a slightsense of adventure to it.But, to me, this is one of the scariest parts of the job.   Okay, so you get a little more "legal" leeway as you are allowed to cross the double yellow line and all, but now your danger level increases (no, folks. Not in a good way.)  What is that white car in front going to do? Is that blue pickup going to pull over? Are they really going to try to make the light before we get up to them.

People are idiots. (No, not everyone). They have their own adgendas and you coming up behind them is only slowing them down, so why should they pull over right away.

I think I have touched enough on this topic.

8. You Can't save everyone. Fact of life. Don't burn out trying.  As a paramedic, I will do everything in my power to assess what is best for you and take the most appropriate course of action to either, alieviate your pain, prolong your life, or attempt to resuscitate you after you have failed to maintain a pulse.  But there are certain aspects that I cannot explain that are beyond my power to do so.  

As a new EMT, when the first one dies, a part of you dies with them. This will be carried on with you throughtout your career and more so, your life.  But there will be others. 

The way human emotion works is that you get sad, or angry when something doesn't go the way you plan and you try harder and harder to save taht next person, but you know what, it is not up to you.  This is the decision of the big man in the corner booth upstairs in the clouds. 

What I am saying is this.  Don't try so hard to achieve a goal that is beyond your rational capability, but rather provide a support and ease thier life to the best that you can in the little time that you have them.

7. Remember when.  Each day, more and more EMT's begin their new lives as emergency service personnel.  Each day, someone will walk into a station and be unfamiliar with the place, the people, and the settings.  Some of them are intimidated as to the job that they are about to jump into and are unsure of their abilities and most of all, thier potential.   It is commonplace to pick on the new guy and have a little fun at their expense as hazing is a way of life and a passing of acceptance in a setting that is more family like than commercial.  

Yesterday, I worked with a brand new EMT for the first time. Hewas so green that the wrapper was still on him.  He is a good kid, and he will make an awesome EMT.

But you have to give them that respect. You have to be patient with them and let them prove to you that they are worth having around.  Of course, you are going ot get those few that are cocky and arrogant, and most of all, self endugled.  These are the ones that you really need to watch out for. These are the ones that will kill somebody.

But as for the rookie,  have fun, but take him or her under your wing. Remember, you were new once too. Now they look up to you. Show them that they made the right choice.

6. EMT language for dummies.  The door swings both ways on this one.  The population that you service most likely has absolutely NO clue as to what you are talking about unless you space it in a manner that they CAN understand.   Do you think that an 86 year old female is going to understand when you ask her "Do you have A-Fib" or "when you broke your hip, was it laterally or medially".

Huh???

The Elderly, which is a majority of our demographics, have a hard time remembering what they take let alone why they take it.   I have seen it time and time again. A paramedic ask a patient what seems like a simple question to them, yet is a foreign language to that person.  Then the medic gets frustrated and raises their voice with a hint of anger laced in there.

When asking them something, try to make it concise, yet simple. Instead of asking them "Do you take Lasix?"  Try "I see you take a water pill".  If they can understand what you say, then they feel more comfortable with your skill, and feel confident to the fact that they called YOU to help them.

5. 100 decibles.  This just in.....

Talking louder does NOT make a person understand you any better.  

This is so relevant in the field where I work. This goes beyond the elderly and the hearing impaired.   Where I work, there are quite a few people that english is a second language to them yet, some think if they talk slower and louder, that magically, they will be able to understand as to what you are saying.

Hello?!?!? 

Use common sense here. Unless someone tells you that they are hard of hearing, don't assume that they are.  For that patient, you may make them feel belittled and they may have the assumption that you really don't care for them. This is NOT why we do what we do.

4. Listen up.   In EMS, one of the most overlooked attributes of the EMT is that of thinking outside the box.  Some rescuers get so tunnel visioned that they forget to look at the bigger picture and in most cases, overlook the cause of the problem.

We are more than bandage runners. We have achieved a greater goal as a member of society in the fact that we DO play so many different role.

Did you know that for the most part, people just want someone that will listen to them.   Patients will give you pertinent information about their illnesses without even having to ask them. Yeah, sure, they may tell you more than you want to know also, but, the communications that you provide, will be influential in their recovery.  Try it, you will see.

3. Expect the Unexpected.   Always have your game face on. This is the best advice that I can give for this line of the entry.   Going for an "Unresponsive" may be a person who took a nap on the couch and is a very heavy sleeper.  Boy, won't he be pissed when you wake him. 

A person who "fell" may have fallen. But was it the heart attack that made him fall.

In retrospect, you may never know what you are gonna get. (Sure, you can say that with your best Forrest Gump voice). So always be ready..because it could make a great journal entry,

2. Above and Beyond.  You know, there is absolutely NOTHING wrong with going the extra mile.   Finding a warm blanket for a patient even after they are in the hospital's care, making sure the house is locked for them, or even getting them a glass of water while you are in their home for them to take a pill.

It is the little things that go unsaid that make the image of the EMT stand out in someone's mind. That is what they always will remember.

1. No one wants to die alone.  You know, it doesn't matter as to what I can teach you as an instructor, a mentor, or even as a friend.  THIS has to be set as a golden rule.  Someone's last few minutes on this Earth are precious and mean so much to them, and in my mind, it is an absolute honor to watch them leave their misery.  By doing something as little as talking to them or holding their hand, it shows that you have compassion and that, by far, is the number one thing needed to succeed in this job.  For that person, knowing that someone was there to witness their beginning of a new life for them, will let them pass with dignity and respect.  And them knowing that you are there for them, will also make them feel loved.  Don't treat them as a run number, treat them as a person. They were great to somebody at one time, let them die with that memory.

Have a good weekend, all.

Rounding Third and Heading Home,

M-

 

12 September 2005

Tuning In

12 Sept 2005

"Tuning In"

Hey there all.

I know that this isn't the second part of that previous entry and, to be honest, I think it may be a bit till I get there seeing I have some great stuff to share with you.

However, I did want to mention that those of you who have visited the LifeCare site had asked some questions as to when the Live radio traffic will be up.

Wait no longer folks.

If you Click Here, you can listen to all of LifeCare's dispatch.

Now, keep in mind that most of the runs are done via computer, however, you can hear us go en route and the nature of the calls.  On more high priority calls, you will hear more traffic.

At times, it may be pretty quiet so I suggest that you just open the window and let it sit in the corner of your desktop. I guarantee that you will hear stuff.

Any other questions pertaining to the site, let me know. I will do my best to answer. If I can't, Richard (one of our dispatchers who put the site together) can answer it if I ask.

Stay safe.

Rounding Third and Heading Home,

M-

06 September 2005

The Network

06 Sept 2005

"The Network"

When you call 9-1-1 for assistance, the only thing on your mind is getting the help that you need to arrive to wherever you are to help alieviate whatever crisis that may be occuring at that specific moment.

To the layperson, when someone dials for help, what seems like hours is only minutes as, in a crisis situation, time slows down.  You feel that it is an eternity till you start to hear sirens. You feel as if it (help) is never going to arrive. 

But how long does it take?  How much time actually elapses till help first arrives.

Today, I am going to break it down for you...just for you to see..what goes on behind the lines.

For the sake of this demonstration, we are going to use an automobile accident in the middle of the day as our scenario.

Click here to Begin the Journey

1500 Hours/Time elapsed 0:00:00

Accident involving 2 cars on the highway leaves one entrapped, two minor patients, and one "walking wounded."

A motorist who witnessed the accident immediately picks up a cell phone and dials 9-1-1.

1502/0:02:14 (Time, then Time elasped)

The call is routed to the nearest cell tower that is compatiable with that caller's subscriber carrier.  The tower identifies the number and shoots it up to a satelitte which pinpoints the apporximate position of that caller. Identifying the 9-1-1 encoding of the call, it decodes the call and prioritizes it in its network.

1502/0:02:18

The satellite identifies the location and shoots the message back to Earth to the closest tower.  That tower then sends the call to the closest 9-1-1 center which decodes the message and translates it into a 9-1-1 priority call.

1502/0:02:21

One of three operators at our 9-1-1 center are alerted of your call and click on their mouse to answer the call.  This is the first human contact that you have reached since the incident.

1502/0:02:24

"9-1-1. Do you need police, fire, or ambulance?"  As the operator ask this of the caller, his or her 9-1-1 screen pops up reading your information off your cell phone.  GPS coordinates have been deciphered and in a separate Windows screen, a series of boxes appear displaying the appropriate emergency services for that region.  While the operator is collecting your information, they click on another button which automatically adds police, fire, and EMS to your call.

1502/0:02:50

At this point, you are transferred to the EMS center.  "Emergency Services".  Here you give another brief description as to what is going on and where.  At Lifecare (where I work) this is taken by the call taker, a separate person who screens and receives these calls.  As they type this into the system, one of two things are concurrently happening. First, the EMS dispatcher is receiving the information as it is being processed into their computer and pick up the phone to call the specific station to notify them of an emergency run. Also, at the same time, the 9-1-1 dispatcher has already notified police of the accident. The fire department is a third party call who is listening in while you are talking to the EMS center.

1503/0:03:14

All parties are disconnected. This is broken down in 3 parts now.

First, Police.  The dispatcher tracks cars in that zone through GPS and calls out for a response to the accident based on the closeness of which cars are where?

Next, Fire. The central dispatch center activates a dedicated phone line which rings into a substation closer to the accident.  At that station, a loud bell and lights are activated notifying them of an emergency call.

Finally, EMS.  As the dispatcher also calls the station on a dedicated line, they push enter on their computer which, in turn, sends all the info of the accident to the MDT computers in the squads and activates the squad's crew by sending a page to their individual pagers.

1503/0:03:16

Calls are answered to respond to the scene of an accident.

Police have acknolwedged the call. They activate their lights and sirens and start heading to the scene of the MVA.

A firefighter at the substation has picked up the call and begins to write the information down on a notepad that is kept by each phone.  While he is doing this, the other firefighters are already heading towards their apparatus and are putting on their fire gear. The pump operator of the vehicle checks local maps to plan the fastest route to the scene.

At the EMS station, the call is answered and the crew is alerted of the call.  A few seconds later, two crews go to their squads and confirm their call with what is on their MDT computers.

1503/0:03:25

Police are half way to the call as theyreach the tail end of the back up that is caused by the accident you witnessed.

Fire begins its inital response by calling thier dispatch and letting know they're en route.

EMS click "en route" on their computers and begin to the scene pulling out and activating emergency lighting and sirens as traffic begins to pull over for the squads which are departing.  The same time that the ambulances become mobile, a call goes out to a supervisor who is simultaneously being paged to respond to the call.

The first call for help is now on the way and momentarily will be at your scene.

Total time so far: 3 Minutes, 16 seconds.

1506/0:06:00

The first police cruiser arrives on scene.  As he gets out his cruiser, he is on the radio notifying his dispatch of the situation, requesting additional help for traffic control. After relaying the information to the comm center, he begins to check on the status of the patients to see what he can do to help.

The fire department passes the last car in back up and is immediately moved to the shoulder where it continues up the ramp into the thick of traffic and onto the highway.  Back at the dispatch center for fire, the police traffic is overheard. The tones are dropped for the rescue truck to respond to the scene to assist in the incident.

EMS has turned the corner and has a visual of the back up which, in approximation, is about one mile ahead of present location.  The driver of the squad begins to scan the road ahead for openings in traffic trying to anticipate as to what motorist are going to do and where they are going to pull over at.  The attendant grabs gloves out of a box and places a pair for his partner on the light switch console.  Also, copying the radio traffic from the police, the pair begin to formulate a plan of action as to who goes where once they arrive on scene.

A Supervisor calls en route and begins his journey to the scene.

EMS dispatchers begin to receive multiple calls for the accident.  Dispatch bumps up the second truck to a "code 3" response and start to move other units around to cover the vacated area left by the two trucks that are en route to the scene.

1508/0:08:12

Police have closed the lanes that the accident are in.  Three back up units have arrived and begin to deal with traffic control, gathering your statement as to what you saw, and clear a path for the emergency vehicle.  

Fire arrives on scene. Looking at the scene from the cockpit of the pumper, they immediately call for more help.  The two firefighters in the back begin to assess basic patient care and triage who needs what.  The officer notifies dispatch as to what he has found in detail.  The pump operator begins to place road flares out to noftiy drivers as to the hazard that is approaching.

The rescue truck acknowledges the assessment and begins its final turn onto the road that leads to the highway.  An assistant chief is then dispatched to the scene to oversee fire ground operations and help coordinate efforts for rescue.

EMS begins their ascent up the on ramp squeezing by the already stopped traffic that has collected for over half a mile.  Air horns blasting and frequent changing of siren tones, the attendant makes sure portable radios work and hands one to the driver of the squad.

The supervisor is a few minutes out coming in from the opposite direction as to minimize run in with traffic.

The second squad is a quarter mile back at the end of the traffic jam.

1510/0:10:28

A road supervisor for police arrive and have instructed the on scene officers to shut the highway down.

At this point, the Highway Patrol has arrived on scene also, to help coordinate accident investigation.

The rescue truck is just behind the second squad making its way up to the scene.

The asst. Chief is now at the end of the traffic jam which is starting to switch lanes because of being re routed.

The first EMS squad has arrived on scene.  The driver of the squad is met by the officer on the fire engine. A quick report is handed off to the medic and he begins his decent for the patients.  The second medic grabs a jump kit and starts to go to the second car to triage those patients.  Taking a minute, the squad memeber converge and report as their finding.  Notifying the dispatch center as to what the incident entails, the paramedics split thier duties, each taking a firefighter and beginning patient care.

The Supervisor's sirens are heard in the distance.

The second squad arrives on scene and begins to look for a place to park.

The rescue truck is guided in by the fire officer, once staged, it begins to pull out its extrication equipment to "cut" the entrapped patient out of the car.

The asst. chief is now entering the highway.

1513/0:13:58

Police and Highway Patrol have blocked off the whole highway. The police accident investigator begins taking pictures and coning off certain area.

The Asst. Chief arrives at the same time as the EMS supervisor and meet with the senior medic and the officer of the fire company. 

Fire has already begun to extricate the patient en trapped in the vehicle. A door post is cut on the car as the patient is shielded.

The request for a helicopter has been placed by the paramedic attending to the entrapped patient.

The second squad has begun immobilizing the two minor injuries of the other vehicle with the help of one of the firefighters off the engine.

The EMS supervisor notifies scene size up and use of present resources.  He begins his decent to the entrapped patient and the paramedic attending to them,

The medic in the car with the entrapped patient, holds cervical spine control and updates the supervisor of what he has presently.

At the same time, the asst. chief has assumed fire ground command and has requested a helicopter come to scene for medical transport.

1515/0:15:37

Police have already ran the plates of the vehicle owners and begin to notify next of kin to meet their respective family members at the receiving facilities.

The officer on the engine assist in patient care of the entrapped patient.  The pump operator grabs immobilization equipment out of the first squad and brings it down to the vehicle along with the cot.  Both post are off of  the door and the door has been popped off.

A request for another engine has been issued and a company responds from station.

Fire dispatcher has notified the trauma center as to request for their helicopter.

At this time, the trauma center types in the address of the accident with latitude and longitude coordinates. A satellite map of the area pops up on their screen showing potential hazards and possible landing sites.

While the lead dispatcher gathers the preliminary information as to the scene. A second dispatcher check present weather conditions, winds, and air traffic and sends a "STAT" page to the air crew.

The EMS supervisor request dispatch to notify the area hospitals and find out availibility as to what they can handle.

The second squad loads the first patient into the squad and secures the backboard to the bench seat. One paramedic with the squad, begins his head to toe assessment of that patient. The other medic and the firefighter assigned to him unload the cot and begin to descend to the other patient.

Total elasped time so far....

15 Minutes, 37 seconds.

And remember...this is from the time you called.

To be continued.......

Rounding Third and Heading Home,

M-

 

03 September 2005

Freakin' Idiots

03 Sept 2005

"Freakin' Idiots"

You know, in my line of work, it doesn't take very long to meet someone who makes you look like a friggin' genius.

I cannot tell you as to some of the "special" people that I meet on a daily basis and how they could make my job so much easier if they did one of three things.

1. Move. Go bother the EMS in some other zip code. Let them come to your house because you have had a headache for over a week and forgot that Excedrin will cure it in a matter of a half hour.  I mean really? Here's a dollar, go to the gas station and get a couple of Advil. I know you can't afford them after you spent all your money on that 40 ounce of Genesee and your pack of Pall Mall's.

2. That little flashy thing from the movie "Men in Black".

 Yeah...this thing.  Let me hit everyone with it and tell them that if you dial 9-1-1 for stupid things, you will turn into a chicken and a wolf will come and eat you.  Then put sounds of coyotes howling throughout the city.  I bet that 7 AM hangover you got going won't be so bad where you need to go to the hospital so you can get a slip to miss work.  That is just my opinion.

3. Ration air.  Stupid people are just taking up my oxygen. "My arm hurts when I do this."  Well....don't do that then.  Problem solved...sign here.

So, how do we categorize people who absolutely don't need the squad but call because "hey, I don't have anything better to do and, man, a free meal from the hospital would sound good right now."

Click here to find out

0815 Hours

In the world of EMS, there are very little things that we EMT's ask for.  A safe trip, a good meal, a decent amount of sleep, no pukers in the truck, and shift change to come without incident.

For the most part, you can live with most..but not all at once. If you do, there is a word for it. It is called "retirement".

Also, there is a formula in emergency services that I had not mentioned and my fellow bloggers who are in the police, fire, and EMS biz can back me on.

It goes something like this.

Based on an 8 hour sleep time, take the total number of hours that you sleep and multiply it by the total amount of runs you had done in the 16 hours leading up to it.  This will giveyou apercentage. That percentage is the odds that you will go on a call sometime in the "red zone". The red zone is defined as the final half hour before you are off the clock and get to go home.

For instance, I did 14 calls from 8:30 AM to 12:30 AM. I slept for 4 1/2 hours. This leaves me with 65%. so my odds are 65:1 that I will go on a call between now and the time that I am off.

Does this hold true, you ask?

Well, do you think I would be writing about it if it hadn't?

So, there were are. Only 300 feet to the drive of the station.  All that was standing between me and my freedom was the 20 seconds it took the light to cycle.

Twenty seconds to pass the torch to the oncoming crew.

Twenty seconds to begin the journey to my own bed, my own comfort, my own solitude.

Twenty seconds till the grime and grease can come off and the journey to a nice hot shower will await me.

It only takes twenty seconds to cycle a light.

It only takes ten seconds to tone me out.

"93, I need you to respond to a car vs. a house on Hillard Ave. Police are on scene. Patient didn't want to go and now he does. Time out 0817.

Car......

House......

Car....?

House....?

You know, it has been a long time since I had gone to a call where a colonial style house is playing near the edge of its driveway and leaps out into the middle of the road and is struck by a law-abiding citizen.  How come homes, now-a-days just can't watch where they are going?

Driving up to the north side of town, my teeth began to grind as the frustration began to set in....right about the time we drove past the station. 

Sigh.

Just getting clearing from a call that had pretty much took all the rest of my energy out of me, I secretly prayed for this to be something so minor that the patient will want to sign off and just go home cutting his losses for the rest of the day.  On several occassions I have come across people where their sugar had just gotten too low and they glided through the stop sign to a slow halt in someone's rose garden.  Perhaps this was one of them. Perhaps I can relax. Perhaps I should just shut up and get on with the story.

Turning the corner, I noticed the police cruiser sitting in the road way all by itself with nothing around it but the neigbors who are all coming out to get a view of what is happening in their neck of the woods.

Scanning the area for an accident, I find the officer with a lone gentleman standing right next to a garage of a home.

Now, before I get into more detail, I need to add something here. Look at the picture on the link provided for you..

See here

By the way.... this is not the actual address as to the incident but a close proximity as to where the accident happened is is solely for the purpose of  providing a visualization of what I am describing.

See the red dot? It is on Hilliard. It is the big street that runs east and west (left to right on your screen).

Now...

Notice how far the street is from the actual houses?

It is a good 75 feet.

Now, how could you hit a house from there?

Nevermind...don't answer that.

Next to the patient, was two damaged vehicles that were parked front to back in the driveway of the homeowner.

They were smashed with considerable damage to their left sides.

How did they get damaged?

The patient's vehicle? Is that your answer.

WRONG!!!

They got damaged from THEIR neighbors cars which were parked front to back in the adjacent driveway.

How did they get there?

NOW you can say the patient's car...or what is left of it.

Here is the cliff notes version of the accident.

Mr. Moron was driving west on the road when he decided he didn't have enough sleep and thought he would take a nap...while still driving. 

Then, Sgt. Snooze-a-lot went left of center...WAY left of center into the front lawn of some poor homeowner who was just trying to read the Sunday paper in peace.

Careening into the once nicely manicured lawn, our "hero" crashed into the parked vehicles of the unsuspected owner..sending those vehicles into his neighbors driveway and ruining his morning.

But wait.....

There's more.

After Evil Keneviling it into the first set of vehicles, the impact had launched one of the cars into the first residents garage.  Hey garage doors are overrated anyways.

Whew!!!!

Back to the patient.  Walking over I noticed our guest of honor standing, or at least trying to stand looking at me with that stupid, I'm stoned look.

 Just like this guy. (No, this is not him).

Here we go.

Looking at him, I knew EXACTLY as to what line I wanted to take with him as I had already made up my mind as to what the problem with this guy is.

"Hey, you alright?"

"Huh,,,,,?"

"ARE....YOU....ALL....RIGHT?"

"What do you mean?"

Apparently, my words are too long for him.

"Try to keep up here, buddy. Are you hurt?"

"Hmm...no...I don't think so?"

"What are you on?"

Long pause from him at this point,

"I am not on anything,"

"Listen, you need to tell me what you are on. I have been doing this way to long to buy the 'I just fell asleep' story that you are pawning off on the police. Now, you can either tell me what you are on now so I can treat you, or I find out when they test the blood that I am going to take."

"I don't do anything like that".

The tone in his voice was mellow and monotone giving me another sure fire clue that he was under the influence of something.

Think about it. If you go up to a person and ask them what drugs they are on after some sort of crisis or accident, those that are not taking drugs will most likely be defensive, apphrehensive, and pissed at you for even bringing it up.

This guy wasn't even registering on radar.

Walking to the truck, we attempted to help him in the squad through the rear doors...until he fell asleep climbing in. 

I don't mean, fell down and is now sleeping. I mean foot is still on the bumper while the other is down on the ground, standing up sleeping.

That's a first.

Hoisting his majesty onto the cot, I asked him again as to his drug history. Again he denied.

Again he was calm about it.

Again, he fell asleep.

Looking at Brad, my partner for the night, I decided that I would give him the Courtney Love package while treating him.

Did you know that a 16 gauge IV needle will fit in the hand?

Who would have thought???

Next was the non rebreather mask with oxygen (I am not that mean and not leaving it hooked up). But I thought that I would spice up the O's a little bit andadd someflavor to it.

Oxygen...meet Mr. Ammonia inhalant.

C'mon folks, cut me a break here. I have already asked him four times to stay awake and he can't even do that.  Hell, he didn't even know he pissed himself till I had told him.  Him grabbing his crotch and smelling it to make sure was a little more than I had bargained for...thought I would just throuw that in.

So off we go to the hospital.

The event was rather dull and Tommy Toker seems oblivious to anything going on.

Moving him into the ER, I gave him one more chance to tell me what he had taken. Still....no answer.

Stepping out a minute, for those of you who are medics or firefighters, I know you are asking yourself one of two questions.

1. What was his sugar?

Well, his sugar was 116 mg/dl. So we know it was not that.

2. Why didn't I give Narcan to him?

Here's the deal. In the event that he DID do some sort of drug (which I am almost positive he did) that would reversee his high and probably piss the hell out of him off.  I don't have security in the truck. Let the hospital deal with him.

Okay, getting ready to move him over, we unbuckled him and asked him to move to the bed. While scooting over, he fell asleep...again...with his arm in the air when it was trying to reach the rail.

Off the cot...no longer mine.

I asked the nurse to keep me informed as to what was going on with him. I had a hunch. I wanted to know if I was right.

Later today, Brad called me.

They got the tox screen back.

Hmmmm....

Positive for cocaine, barbituates, methamphedimines, and alcohol.

I guess he got combative there in the ER with them too.

Did I mention that security has tasers. (Yes, Jenn, our guys know how to shoot them at the bad guys).

Last I heard, he was in four point restraints waiting to get better....

So he can go to jail.

Thank you Napoleon for coining that simple, yet powerful phrase that will take its name in history.

"Freakin' Idiots"

Rounding Third and Heading Home,

M-

 

 

 

01 September 2005

Katrina and the Waves

01 Sept 2005

"Katrina and the Waves"

You know, it is devastating what has happened to New Orleans (pronounced as one word) in the wake of the most horrific natural disaster that has ever plauged American soil. My heart goes out to all those men, women, and children that have lost their livelihood and everything that has ever meant anything to them.

It is almost unbelieveable watching the updates on the news as a part of me thinks that this really isn't happening and that it is some sort of reality television that has gone a little too far. It is hard to imagine that something that strong can make it even to where I am.

I know that there is a purpose for everything that God does....

But please, name this purpose?

Now....this really frost my ass. (Yes, that is an actual term I use).

People looting.  Okay, I have no problem with you looking for food. I would do the same too if I was faced with the dilema.

But some of these callious, and, in my opinion, idiotic are out there looting color TV's, computers, furniture.  Hey moron...where you gonna put it?!?!  Your house is somewhere 3 counties away by now.  What are you gonna do? sell it on Ebay.  "look...New Color TV...some water damamge...no reserve..."  Apparently, the wind swept, what little brain cells they have left somewhere into Mississippi..where they are still underwater also.

Let's talk about carjacking.  The few bad eggs (I can't really swear on this blog...damn it). The Einsteins are taking cars, buses, and even ambulances.  Ambulances?  Look..if you aspire to be a paramedic, then I applaude you for that. but.....where you gonna go. I mean, all the roads are closed and it is kinda hard to hide an ambulance. "Gee Bob, is that one of those new H3's?"  "Why yes, George it is..I got it with the ambulance package on it."  "Well, that is swell. How'd ya get it?" "I just used my agent..smith and wesson."  Hope you can afford the diesel.

Finally,  shooting at a military medical helicopter with an AK-47?   This is where I say F*** it.   Mount those 40 mm guns on the side of the chopper. Someone else takes a shot at you,  light them up like times square at Christmas.  FEMA pulling out all medics out of the city due to not being able to keep them safe.  Hey, John Wayne time. Give them a gun and shoot first and ask questions later.  If I am there to help someone, why are you gonna shoot at me? Is it the color of my skin or where I live? Or maybe because I have 2 more dollars in my pocket than you may have (a rarity for me).

GET A CLUE!!!!

There are bigger things happening here other than you and me.  LOOK AROUND...your city is gone....You want to hate me, fine..do it after you get the hell out of here and somewhere safe.

I know...I am ranting and raving about this issue and took away from the purpose of the journal...but I wanted to get this off my chest before I head off to the battle grounds again.

Folks, if you can, donate something to help the ones who need it.

You can go to http://www.redcross.org to find out more info as to how you can help. No donation is too small. It is time to help those that are in our backyard, when they need thier neigbors the most.

Rounding Third and Heading Home,

M-