Showing posts with label Other Blogs. Show all posts
Showing posts with label Other Blogs. Show all posts

Monday, March 18, 2013

The Secret List / Highway Safety

Alright... I've been away for far too long. I've got a bunch of post-conference stuff to post, as I attended the NCEMSF (National Collegiate EMS Foundation) 20th Anniversary Conference in Crystal City VA in February, then attended "Vest Fest" (Rangemaster Tactical Conference and Polite Society Match) in Memphis, and then EMS Today in Washington, DC. Oh, and I've started a new PRN job. I promise there will be AAR's for all... eventually.


Anyway... the last lecture I attented at EMS Today was on Saturday, and I heard Gordon Graham talk about non-punitive critical event reporting. He's part of the group behind FirefighterCloseCalls.com and Chief Goldfelder's "The Secret List". If you aren't already getting TSL emails, you're missing out. They are a combination of alerts of LODD's (Line of Duty Deaths), alerts and follow up of serious incidents, and some advice and remembrance of major incidents.


Just last week, Chief Goldfelder sent out an email that hits very close to home: "Lionville, GA LODD Details, "Wrong Way" Crash Lawsuit (The Secret List)"

 An excerpt:
WHAT HAPPENED IN LIONVILLE:

At approximately 1418 hours on 3/9/1998, Lionville Fire Company (Chester County, PA) and Uwchlan Ambulance were dispatched to a single vehicle automobile crash at milepost 310.9, just west of the Downingtown Interchange on the Pennsylvania Turnpike. A Heavy Rescue Truck, Engine Company, Assistant Chief and Ambulance responded. Upon arrival on the scene, the Ambulance, Rescue Truck, and Assistant Chief's vehicle parked on the shoulder of the road off the travel lanes of the highway.

At the same time, two additional crashes were reported on the Turnpike. The second accident was reported at milepost 307 westbound (west of the first incident). The Engine responding to the first accident was directed to continue past the primary scene to respond to the second crash. A third accident was reported of a vehicle overturned at milepost 314 on the eastbound side of the highway (east of the original incident). Then Lionville Fire Chief William Minahan responded to that call with mutual aid units to investigate.

At 1438 hours, as personnel were loading the accident victim into the Uwchlan Ambulance, a tractor trailer traveling westbound lost control and crashed into the Assistance Chief's vehicle, overturned, and slid into the back of the ambulance and the other responders in that area. The Assistant Chief and a Firefighter with him in his truck were trapped in the severely damaged vehicle and had to be extricated by mutual aid rescue personnel using the Jaws of Life. Firefighter Dave Good of the Lionville Fire Company was killed in the line of duty. Nine other emergency responders were injured, three seriously. The injured included Assistant Chief Steve Senn, Firefighters Chris Good, Mike Cox, Eric John, Pete Harmansky, James Rattrie, and Robert Doan, all firefighters with the Lionville Fire Company, and EMT Brent Kaplan and EMT John Wanczyk of Uwchlan Ambulance.

Firefighter David Good was 38 years old and had 5 years of service as a Firefighter with Lionville Fire Company. He was survived by his wife Maryanne and two sons, Johnathan and Jason Good. RIP.

That incident 15 years ago eventually led to the production of a video called the “10 Cones of Highway Safety” and a training program about Highway Safety both by VFIS. It also was one of two Firefighter struck-by-vehicle line of duty deaths in 1998 that led to the formation of the Emergency Responder Safety Institute (ERSI) (www.respondersafety.com ) a committee of the Cumberland Valley Volunteer Fireman’s Assoc.

Since that time ERSI personnel have worked constantly to build awareness of the dangers responders face while working at roadway incidents, to develop training aids that are available for free from the website*, and to collaborate with government and fire service officials to develop standards, regulations and guidelines to protect emergency responders at roadway incidents. ERSI personnel continue to work on more new training programs and educational material related to this subject and to pass along this information at fire service trade shows and conferences. Their motivation started with the death of FF Good-and hasn't ended....

FIRE/EMS HIGHWAY SURVIVAL TRAINING MATERIALS:

LIONVILLE FIRE CO PROGRAM: http://www.lionvillefire.org/hwy_safety/
I'm from Chester County, PA. This incident happened a year and a half before I joined the local FD's Explorer Post. Growing up in the firehouse, I had many mentors that were on that scene. It changed how we responded to highway incidents, especially the PA Turnpike. I remember stories of our Chief going toe-to-toe with State Troopers demanding that our blocking apparatus be moved from a travel lane. There were threats of arrest. Thankfully, it never came to that - but my Chief at the time made it clear that our safety was paramount, and that if we had to, we closed whatever lane(s) the IC felt was needed... up to and including the highway.



Every so often someone will comment that Uwchlan EMS doesn't have an "Ambulance 87-2"
This is why. At the time, they were station 47A... but this is the last Uwchlan ambulance to carry the "-2" number
http://www.lionvillefire.org/hwy_safety/sld013.htm
And in another sad note... now-Captain Chris Good died in the Line of Duty himself last November.


I no longer run as a firefighter in Pennsylvania. In addition to my work as a Paramedic in PA, I'm volunteering in Prince George's County, MD. Last summer, they had two incidents in less than a month where engines were struck while providing barrier protection on the Capitol Beltway (I-495). Two stories about those incidents: http://pgfdpio.blogspot.com/2012/09/beltway-near-miss-again-avoided-by.html and http://pgfdpio.blogspot.com/2012/08/barrier-protection-difference-between.html. Those incidents happened in an area of the Beltway I've responded to before.

Both of these happened in the late night / early morning hours of a weekend. The incident involving Greenbelt's (35's) engine actually involved 2 separate collisions... one into the engine, and one into the striking vehicle some time later.

The September incident
http://pgfdpio.blogspot.com/2012/09/beltway-near-miss-again-avoided-by.html

The August incident
http://pgfdpio.blogspot.com/2012/08/barrier-protection-difference-between.html


Where am I going with this rather long blog? Well, we need to learn from incidents that have killed or seriously injured *us" in the past. We also need to study and learn from near-miss incidents that COULD have killed us... but didn't. Often, luck plays as much a role as anything in the difference between a near-miss and a LODD. FirefighterCloseCalls.com is a good source for that information.

Lastly - be careful in traffic. Treat every driver as if they are blind, intoxicated, and texting. Use blocking apparatus whenever possible.

Friday, March 02, 2012

EMS Today 2012 - Part 2

Yesterday was the first full day of EMS Today. My day started at 0830 for Kelly Grayson (@AmboDriver / http://ambulancedriverfiles.com/). His presentation was "EMS Blogging and Social Media: How To Do It and Keep Your Job."

Kelly's presentation was good. It wasn't anything too eye-opening, but he made a link I hadn't thought of before, and pointed out that foursquare and geotagging makes obscuring patient info much more difficult.

Next up was "Report from the Eagles" - not the football team... This is the major metropolitan medical directly group - a bunch of real winners. Topics were many, including that atropine appears to do no good in cardiac arrests, and it actually does harm in asystolic arrests. Also discussed: drug shortages and pushing drugs past the expiry dates.

Presentations from their 2012 meeting (last week) are here: http://gatheringofeagles.us/2012/2012Presentations.htm

Then it was a very interesting afternoon session put on by Doug Wolfberg and Steve Wirth of the PW&W EMS law firm (http://www.pwwemslaw.com/). They discussed the good, bad, and ugly of testifying in court and being cross examined. The class ended with an actual cross examination roleplay. They always told me there are 2 types of EMT's - those that have been to court, and those that will go to court. So while I hope I never have to - its only a matter of time, most likely. Steve and Doug are great speakers, and they lecture at a variety of local an national events. Much of their staff maintains EMS certs, and understands our field. If I ever have to go to court? I sure hope they are my lawyers.

The sessions ended with a keynote by Randolph Mantooth. Lots of "who's he" and "what did he do"?

Randolph Mantooth (Wikipedia) played Johnny Gage on Emergency! (Wikipedia). If you've never seen it, it's on Netflix. Go watch a few episodes. Emergency! did great things in advancing out profession, and the late Jim Page (the P in the PW&W law firm above) was a technical advisor to the program. Yes, it's dated, but it's a great EMS history lesson. If your service hasn't changed much since 1974, perhaps it's time to try to change things!

Actually - one more thing. Before Randy Mantooth spoke, AJ Heightman of JEMS spoke and urged everyone to support the PSOB update bills - its great to see a national publisher getting behind something so great for EMS (I'll post more about the PSOB bill once I'm home next week).

Then we hit the exhibit hall. Got to see the World Premiere of Code STEMI (http://codestemi.tv/). It's a Setla film production, and a great collaboration between PhysioControl (http://www.physio-control.com), Tom Bouthillet and the EMS 12-Lead group (http://ems12lead.com/), Ted Setla (http://setlafilms.com/), and the First Responders Network (http://firstrespondersnetwork.com/codestemi/).

It's a good start. It'll be nice to see the story continue to be told. STEMI's are something we, in EMS, can make a big difference in.

Then it was dinner and bed early - I was tired. I'm bummed I missed the MeetUp/TweetUp over at Uno's, but I needed sleep... Friday will be a long day, I'm sure

Thursday, March 01, 2012

EMS Today 2012 - Part 1

I came into Baltimore Wednesday night in time for the EMS 10 awards. It was great to see Tom Bouthillet get an EMS 10 award for the EMS 12-Lead blog (http://ems12lead.com). Oh and let's not forget about the rest of his team - David Baumrind and Christopher Watford.

Congrats to Tom and the rest of the award winners, and a HUGE thank to to PhysioControl for putting on the event and inviting me.


Then it was off to Pratt Street Ale House for the EMS 2.0 reunion. Gotto see Random Ward (haven't seen him for all of 3 days), MedicSBK, Ted Setla, Chris Montera, and the rest of the gang. Also got to meet a fellow Ham Radio geek that I've known online for a few years... Good actually meeting you, James!

Looking forward my first sessions on Thursday.

Thursday, January 26, 2012

Trying to Get a Leg Up

 While I’ve met a LOT of cool Fire and EMS bloggers (and know quite a few LEO and Firearms bloggers), I’ve got a new favorite blog. Sorry, it’s not my buddy Chris at LUTL (my old favorite)… It is a new addition to the blogosphere: Joe Riffe over at Prosthetic Medic (http://prostheticmedic.blogspot.com/).

Joe’s got a pretty heartbreaking story… He’s a paramedic with Louisville Metro EMS. He was hiking one day, slipped and fell into a waterfall, and has made the tough decision to have his lower left leg amputated. His hope is that as he heals, he’ll have more function with a prosthetic lower leg than he can hope to have with his current foot. His very real dream, is to become a Prosthetic Medic, and return to full duty. He’s been posting a LOT, and I’m looking forward to following his recovery.

I’ve been following his posts for about 2 weeks, and today, he’s been admitted to the hospital to have his amputation. Joe, I’ve never met you, but you’re a member of the great brotherhood of Paramedics, so I hope you are able to achieve your goal, and I hope your operation goes smoothly.