Tuesday, March 18, 2014

Purim

Saturday night, I broke out the kilt for the first time since September.

I went to my synagogue for Purim services. Part of the tradition is that we wear costumes. There was a wide assortment of costumes, both adults and kids. Everything from a Biker Rabbi to a Pirate, with many bibilcal figures in between.

I was Oy-Rish - to honor my shared Irish and Jewish heritage. Conveniently, it was also 2 days before St. Patricks Day, so when myself and my significant other stopped for food after services, no one batted an eye at the kilt. She's already warned me that she's got reservations about me doing KTKC this fall... so it was good that she got to see that people can ignore men in unbifurcated trousers.

Tuesday, March 11, 2014

Sirens

I finally got to watch the first two episodes of Sirens today (I’d already seen the sneak preview episode, which will air this Thursday). I like it. I think there’s perhaps a little too much focus on bathroom humor… but aside from that, it’s the most accurate a depiction of #MyEMSDay in television I've seen since Emergency!


The characters, thus far, are the clear win. They remind me of people I've worked with. The conversations with each other and practical jokes are akin to things I’ve seen or done in my years in EMS. The personal issues regarding relationships are something I’ve seen many times, and the relationship between partners seems to be accurately depicted.


The nicknames are a nice touch, and something VERY common within Emergency Services. Many newbies acquire nicknames. Sometimes you get to grow out of them, sometimes you don’t. I’ve seen several places where active members don’t know someone’s real or full name, because they only ever refer to that person by a nickname or their last name. Some of the nicknames are based on something in particular, and in other cases, they are assigned seemingly at random. “Why Pedro? Because there were already two John’s”.



I have 2 issues with the show. One is professionalism, and the other is the actual medical care.


Professionalism: Making fun of a patient’s disability - like temporary deafness, isn't funny. I think the show can have just as much fun, while ALSO highlighting the professionalism of the providers and their patient care. On the flipside, I recognize that a 20-minute show doesn't provide a lot of time to showcase both patient care AND witty dialogue, but I hope the show’s writers can find a way.


As for the actual medical treatment: It seems overly dramatic at times, and they seem to not spend so much time focusing on standard treatment. Guess what… it’s TV, not real life. Further, this isn't the first show to have that problem - ER, House, and even Scrubs often focused on “zebra” diagnoses over standard treatment. My biggest gripe is that


I also have a question - What is the level of provider? Are they EMT-Basics? Paramedics? It would be a great opportunity to highlight the different levels of training, and the fact that the more advanced prehospital providers have 1.5-2 years of schooling, if not a college degree.


Anyway - Thus far, I think Sirens has potential. If you can get past the “TV Medical” issues inherent in every show, it’s worth a watch. Further, I think the characters are solid, and there is a FUTURE in this show.

Anyway - Catch up, and watch the next episode Thursday!

Friday, March 07, 2014

Car Trouble

After my exchange with the woman in Philadelphia, my brother and I had an uneventful ride back to our hometown, and as it was approaching 10pm, but not 10 yet, we were discussing options for dinner. As we approached our exit from the highway, we noticed an older sedan stopped with no lights in the left (passing) lane. This was in a construction zone, with high Jersey barrier walls on both sides of the 2 travelling lanes, and no shoulder. The next pull-off was about 1/10 of a mile up, and was the exit we had been planning on taking.

As I came past the vehicle, I slowed down, and was trying to see if it had been involved in an collision or why it was stopped. Then I heard someone yelling “Can you help us?”. As there was no traffic behind me, I was able to stop and roll down my window, at which point the passenger said the car had died with a dead battery and they needed a jump.

I made a quick assessment and said it wasn’t safe to do that, but if they wanted, they could put the car in neutral and I’d push them off to the exit ramp, and then try to help them. They accepted, and I quickly backed up and got behind their car.

With light traffic, we were able to get the other car off the main highway, and into the shoulder and exit lane. The other car was occupied x2, both young men in their late teens to early 20’s. The driver said they had been on their way back to school, about 7 more miles along the road, when the car died. He speculated that he might be having alternator issues. My brother went back and alerted oncoming traffic of the obstruction with his flashlight, while also paying attention to what I was doing. I grabbed my extra-long jumper cables and proceeded to work with the driver of the other car to connect our batteries.

After some minor issues (the other car’s battery had side posts and minimal area to access the positive terminal), we were able to get them jumped. I told them to head up the ramp and try to make it to a parking lot, and I’d be right behind them. I threw the jumper cables back in my car and took off after them.

I caught up with them at the next traffic light, and the driver said that the car seemed to be running fine, and they were going to try to make it to school. I suggested an alternate route to avoid the rest of the construction zone, so that if the car died again, they would have safe options to pull over, and they headed in that direction, while I headed to drop my brother at his residence.

I found this event to be an interesting occurrence immediately after the brief interaction in my last blog. If you notice, I never mentioned race in either post. Interestingly, both the middle-aged woman and the 20-ish men were all black. So why did I “run” from one, and take risks to help the latter pair?

The first woman startled me - she appeared somewhere where I hadn’t seen anyone approaching. In addition to the threat indicators that I believe I subconsciously processed, I was rattled because I had not seen her until she closed my reactionary gap, and since it was clear that my situational awareness wasn’t what it should have been, I decided that the quickest and safest option was to get away from the situation.

The second pair were in a position of danger. I’ve heard of criminals putting themselves into a position to be able to target a Good Samaritan, but they were stopped dead in the water on a major highway. Had I left them there, even for a few minutes until police or the roadside safety patrol came by, the consequences could have been deadly. I offered them an option that I felt was reasonable (since both of us were in older cars, and my front bumper is already dinged up) and got them to relative safety.

Once we stopped, it was clear that both occupants of the car were more worried about their situation than trying to attack me. I didn’t.notice any of SouthNarc’s “threat indicators” and it was clear that their car was truly disabled. I was also in a better position to control the situation, because I had determined the location our interaction would take place, and my brother was in a position where he could provide cover if needed.

Anyway - that was my Sunday night.

Thursday, March 06, 2014

Are You Scared?

As I said in my last post, I had a fun weekend in Boston, the city I was born in at the NCEMSF Conference. At the last minute, I changed my plans. Instead of driving, I took Megabus up and Bolt bus back. Both were acceptable, and the red-eye Megabus worked with my schedule. My brother gave me a ride into and home from Philly (in my car), and the travel wasn't bad.

I had an interesting exchange on Sunday night as I was getting into the driver’s seat after swapping out with my brother. A middle aged woman appeared practically out of nowhere, and had closed to within 4 feet of me at my 11-o’clock, on the driver’s side of my car (she was standing in the street) when I noticed her. It was late (9pm) and I thought I had been aware of my surroundings as I loaded my bags in the car and snapped my holster onto my belt, but this woman startled me and was far too close for my comfort.

She approached from the front of my car and asked “Can I ask you a question?” I had flashbacks to my SouthNarc class at Tactical Conference, and simply said “No”, got into my car, and took off. As I did, she asked “Are you scared”. Being a smartass, I said “no” from behind my closed door, and shifted the truck into drive as I hit the lock button. We “got off the X” without incident, and headed home. I’ll continue the “home” part tomorrow.

Anyway - Let me take a moment to address the idea of “Managing the Unknown Contact”. SouthNarc is a retired LEO who does firearms training, and as he put it in our session, there is a LOT of training about how to address a lethal threat, but very little training about how to handle an “unknown contact” in a public place. He’s got a good write-up that explains his approach: (http://homeguntraining.files.wordpress.com/2013/07/sncontacts.pdf). The bottom line is that when you’re approached by a stranger in public, you need to keep as much distance between you and them as you can, while you assess their actions... and it’s OK to be rude. Especially if they are closing your reactionary gap.

The idea is to halt their approach. If they ask permission to ask you a question, or show you something, you've given them implicit permission to close that gap. My other concern was that someone appeared “out of nowhere”, so I was clearly not as aware of my surroundings as I should have been. I didn't think there was anyone behind me, but I couldn't check because I would turn my back on the first contact.

In hindsight, as I replay the situation in my head while I write this, I can also say that the woman also engaged in both “grooming” and “target glances” - she had a headband in her hair, and she kept touching/adjusting it, and I also saw her glance to her 3-o’clock and behind her. At the time, I didn't consciously process these indicators - but I think I did subconsciously. My solution, although rude, was to continue to get into my car, and then immediately leave. It ended the contact, and removed myself from the situation. In all likelihood, she may have simply been trying to panhandle, or might have been looking for some other type of help - but I felt no need to take risks to be polite, so I left.

Wednesday, March 05, 2014

My Weekend at the NCEMSF Confrence

I had the honor to spend this last weekend in Boston, at the 21st Annual National Collegiate Emergency Medical Services Foundation Conference. NCEMSF is a great organization, and every year they host an inexpensive national conference in an East Coast city. I’ve attended the last 4, the last 3 years I’ve presented a topic. This year was the largest turnout ever, with over 1100 attendees, and 100+ presentations.

This year, I had several friends and acquaintances that were also presenting. I got to meet several people I’d only met online, as well as catch up with some old friends I only ever see at this sort of event.

My favorite presentation to see was presented by my friend, Scott Kier (@MedicSBK) of EMS In The New Decade. Link Here to his take on the conference.

I myself presented Friday Night (first session), doing a tounge-in-cheek review of recent research to a well-attended session. My session was titled: “Why’d the Medic Do That? A Paragod Explains”. The title is a bit of personal humor - those that know me, know that I’m NOT a “Paragod.” My title stems from working with partners who aren’t as up to date with the latest research, leaving me to occasionally mystify them on a call when I do something crazy, like say “the patient does not need supplemental oxygen” or “we don’t need a backboard.” Some of what I do is heresy to those who haven’t cracked a book since EMT school.

What I found amazing is that there was a full-length session dedicated to EVERY. SINGLE. POINT. I'd covered... Not to brag, but I summed up most of those sessions in about 10 minutes.

Anyway - I promised I’d post my source links for those who attended my session - Here they are. Thanks for stopping by and checking out my blog.