Wednesday, December 19, 2012

The Vending Machine



The other night, I was on with the Campus First Responder squad, and I got toned out at 3am for an “alcohol evaluation” – that’s Campus PD code for “come look at this drunk and try to talk them into going to the hospital.”

As I rub sleep out of my eyes, I go to the truck, driveacross campus, and meet up with campus PD. The call is in a vending area off ofthe lobby of a residence hall. I get a brief story from Campus PD – turns out,this guy came downstairs to the lobby, walked over to the vending area, andthen passed out. PD found him lying in a pile of quarters, out cold in front ofthe Coke machine.

So I work my way though the assessment. I ask him what hehad to drink tonight. At first, he gives me the ubiquitous answer “Two Beers”,but I press on, and ask again – “What did you have to drink?” So he starts:  “I had a Skittles. And a Reese’s, and a 3Musketeers…” I look over at the snack machine the patient is facing. Sure enough, I see he’s reading off the row of candy. Then he finishes off “… then I had a Fritos.” I look at the cop, and he looks at me. Both of us are trying to keep a straight face, and failing.

In the end, he signed a refusal (Press Hard, Making Two Copies), and I went back to bed, but not before I talked with the cop. Turnsout both of us had the same train of thought… we’d heard of a Skittles shot,and a Reese’s shot seemed logical… then we both noticed the vending machine,and realized he was demonstrating he could read candy bar names right as he gave the punch line: “…then I had a Fritos.”

And people wonder why I volunteer on the college campus.Not only is it a chance to take a break from ALS CCT and keep my BLS skills sharp, but sometimes the patients say the darndest things.


Monday, December 17, 2012

Sandy Hook - Some Links, The Victims and the Media


Over the past several days, the tragedy in Newton, CT, has been on the mind of our great nation, and the world. I was at work on Friday when it happened… A local paramedic I follow on Twitter summed up thoughts of my partner and myself Friday: “I have been on some nasty scenes @ work. I hope I never see something like this.”

Kelly Grayson has a great post up on the thoughts of all EMS and Public Safety being with not only those in the Sandy Hill School community, but in the Newtown public safety community. To the Newtown Volunteer Ambulance Corps and mutual aid EMS (including folks from my employer), Newtown and surrounding FD’s. Newtown PD, neighboring municipalities, and CT State Police, and all the federal agencies that are involved in the response to this horrific event – you are in the thoughts of every one of your public safety family. Thank you for doing what needs to be done, and remember – when the dust settles, you’re victims, too. If you need to talk, or get help – do so. There is no shame is that.

For the second link, there is an excellent blog post that I’ve read a couple of times now posted over at http://anarchistsoccermom.blogspot.com/2012/12/thinking-unthinkable.html. I strongly suggest that you read that, too. I’ve seen kids like “Michael” before. They do exist, and his is not an isolated case.

Now, to the actual events, and my take on them. When I found out about the shooting, I was at work. I turned on the news on the TV for about 15 minutes, caught the first press conference, and then just turned it off. I had no desire to watch talking heads talk about what they didn’t know and make wild guesses.

We live in a world of 24 hour news. I understand that they have a job to do – but that environment can be very toxic. I was at work as a security dispatcher on the day of the Virginia Tech shooting. CNN was on all day in our dispatch center, for a number of sound reasons. They showed the same images repeatedly for days on end as they talked about the events, the killer, and speculated about everything they DIDN’T know. I can’t really think of any benefits to that. All it does is cause stress to those watching it. On top of that, the motive behind many of the terrorists that cause such massive death is to go out in a blaze of glory. They usually leave manifestos and statements, and the media feeds into that by publishing their names and faces, as well as their life stories. They get to be household names in death, when, in life, no one knew who they were.

There was a posting floating around the internet over theweekend attributed to Morgan Freeman that called out the media on their vulture traits. Turns out, it wasn't Morgan Freeman – but that doesn't make it any less accurate. The Fourth Estate needs to do some serious soul-searching (if they know what a soul is, anymore), and really think about what their purpose is. If they want to help, they need to spend more time talking about each of the victims than the shooter – in fact, I’d argue that since the shooter did what he did to gain notoriety, that the worst punishment would be to not mention him. Don’t show his photo. Don’t print his name. Don’t talk with his relatives, and don’t speculate on his motive. In the end, he’s dead, and will answer to no earthly judge for his heinous crimes.

The text attributed to Freeman said something else that really illustrates this point. Let’s talk about “Active Shooter” events of the last few years: How many victims of these events can you name? How many if you discount Congresswoman Giffords? Can you name the date of many of these tragic events? For many of the events, the ONLY thing we remember are the locations, and the names of the terrorists. Let’s honor the victims, and not the event itself.

From WBZ News from Boston, the victims:
Charlotte Bacon, 6
Daniel Barden, 7
Rachel D’Avino, 29
Olivia Engel, 6
Josephine Gay, 7
Ana M. Marquez-Greene, 6
Dylan Hockley, 6
Dawn Hocksprung, 47
Madeline F. Hsu, 6
Catherine V Hubbard, 6
Chase Kowalski, 7
Nancy Lanza, 52
Jesse Lewis, 6
James Mattioli, 6
Grace McDonnell, 7
Anne Marie Murphy, 52
Emile Parker, 6
Jack Pinto, 6
Noah Pozner, 6
Caroline Previdi, 6
Jessica Rekos, 6
Avielle Richman, 6
Lauren Rousseau, 30
Mary Sherlach, 56
Victoria Soto, 27
Benjamin Wheeler, 6
Allison N. Wyatt, 6

Monday, August 13, 2012

One of our own needs our help

Anyone ever been to [url]http://www.defrance.org/?[/url] "The EMS House of DeFrance"??? Well, the site admin there, Valerie DeFrance, needs our help.

A little online EMS history for you. Valerie DeFrance has been maintaining an EMS presence online for decades. From Ambulance Driver (Kelly Grayson):
Before there was a JEMS Online or an EMS1 or an EMT City or EMT Life, there was the EMS House of DeFrance, one of the most comprehensive EMS resources on the web. And the person who ran it, my friend Valerie DeFrance, did it for years via a 56k modem from Hope, AK.

I don't believe I've ever met Valerie in person, but I can attest to her impact on our community. She was a driving force behind the ill-fated Prehospital Perspective magazine... an EMS publication BY EMS providers, FOR EMS providers, prior to the blossoming of the Blogosphere. She was a poster on the Yahoo EMT group (where I met some of you before I found this site), and many items posted here as news articles have been found through her site.


Here's the info on what's going on, and what you can do to help, from Of Mule Dung and Ash:
Let's give Valerie a hand
If you don't know Valerie DeFrance you're missing an important piece of EMS history. Valerie was an Internet pioneer, building and hosting dozens of EMS educational websites over the years and she still maintains the EMS news and education site, the EMS House of DeFrance. Valerie is one of our most important EMS dinosaurs. Over the years she has offered her expertise and knowledge to anyone needing a hand, and doing so more often than not without charge. Valerie has always been a giver... never a taker.
...
Valerie lives 75 miles from the oncology clinic where she goes for her treatments. The ongoing treatments have left her unable to work and therefore without income. Just the simple act of buying gas for these trips back and forth has become problematic and is an immediate need. In the long run there will be those substantial medical bills to pay, but right now we just need to get her to the clinic and back. We need to kick in and help her get past this hurdle.


The goal right now is $10,000. As of this post, it's over $1800 collected. There is a widget below you can click on:


I've also started a thread on this over at EMTLife.com, if anyone wants to join in.


Oh, and if you remember Prehospital Perspective, check out [URL="http://bluetoad.com/publication/?i=102496&pre=1"]Interventions, a similar concept being published by some friends of mine.[/URL]

Tuesday, August 07, 2012

Life


I always want to blog, but when I sit down in front of the computer, I manage to do everything BUT write the posts that are circulating in my head. I think many of us have these problems.

I find myself stuck in a rut right now. I’m honestly not sure where I want to go in life right now, so I’m comfortable maintaining my current existence. I’m looking at starting graduate school in the fall (MPH), because I don’t have a compelling reason to NOT do so. I question if I could truly be happy working in a cubical, writing health policy. On the flip side, If I do run that option out, then there’s the potential to actually make REAL change happen for EMS on a larger-scale level than I could ever hope to enact as a street paramedic – so maybe it wouldn’t be so bad.

At the same time, I’m also looking for full-time employment, and I’m open to relocating (probably staying in the mid-Atlantic area to be close to family/friends, though).

I’m also sitting on a couple of things I need to do in the next week, the biggest being that I need to complete my protocol review for my Maryland Paramedic certification.

So... that's where I am this week.

Wednesday, July 25, 2012

Burn (The Movie) - A Review


Last night, I went to go see the movie Burn (BURN: One Year On The Front Lines Of The Battle To Save Detroit). The filmmakers are actually hosting 4 fund-raising screenings in Philadelphia (Last night and tonight) at the Prince Music Theater – Tickets and info here. Having seen the various trailers and sneak peeks (here, here, and here) for Burn, I was really looking forward to the film

The audience was probably 85-90% male, and many had fire service t-shirts on. First, I was trying to figure out why the theater was full of folks with IAFF and FD shirts from all over the USA. Then I remembered that the IAFF is holding their convention in Philly right now, so it made a little more sense.

The film covers, at least peripherally, the “big things” that have been going on in Detroit for the last few years. From Charlie LeDuff's investigative reporting (DaveStatter tells of LeDuff's antics reporting here), Detroit's “browning out” of companies, the death of Ivory Ivey in 2011, and serious firefighter injuries and deaths, including an 8/13/10 (Friday13th) building collapse with serious FF injuries, and the 11/15/2008 LODD of Senior Firefighter Walter Harris in a roof collapse.

As the film opens, we are introduced to the crew of Engine 50, one of Detroit's busiest fire companies, on the war-zone East Side of the city, and we follow them through a year of fighting fires and personal battles. A big point is the equipment issues faced by Detroit's firefighters, such as apparatus that is out-of-service, or run down to the point of falling apart. One scene shows a firefighter with duck tape on his turnout boots, because the rubber toe cap was falling off. Another shows the (current, for now) Fire Commissioner touring the apparatus shops, showing the truck that was hit by a train, an engine that was driven under a bridge, and other battle scars on apparatus.

Part of the story is shown through the eyes of FEO (Engineer) Dave Parnell a 30-odd-year veteran of DFD. He's presented as the senior man in the firehouse, and he's also a resident of the East Side. Parnell is presented alongside arson investigation staff and serves as a “tour guide” of the burned out hulks and vacant lots that cover the city. Detroit has 80,000 or so of those abandoned structures., lots of which are boarded up after fires or vandalism that has already weakened them. Those structures are time bombs for the Fire Department – only a matter of time until someone lights them off again, and in their already weakened state, they are practically death-traps for the firefighters. Many of the firefighters in the film punctuate the discussion of these risks with stories of their own injuries.

Speaking of injuries, the filmmakers spend a lot of time covering Firefighter Brendan Milewski, and his recovery after being paralyzed in the 8/13/10 building collapse. That, coupled with the other injuries that are covered really seemed to hit home with a lot of the crowd, and the potential for death and serious injury was discussed at some length in the Q&A session. During that Q&A, Brendan even mentioned that volunteers take the same risks, and EVERYONE needs to understand the potential for a life-altering injury or death.

In the end, the film does a fantastic job of covering the PEOPLE that are fighting to save Detroit, one fire call at a time. It's like a cinematic Report From Engine Company 82 – except with fewer resources and quite probably more fire. In the Q&A, the firefighters said that after the most recent cutbacks, Detroit is only running 40-50 companies a day, instead of the almost 70 that are on the books as in service. they are leaving the firehouse every evening and running non-stop until almost 5am – every shift. The movie does as good a job of capturing the intensity of their job, and the drama of their lives as well. As honest, and therefore bad, as it presents the City of Detroit, it really honors the firefighters.

So – Keep an eye on Burn's websiteFacebook, and Twitter. Go to a fund-raising screening, if you can. If not, keep your eyes open. They say they are hoping to release the film this fall – but the filmmakers need to raise HUNDREDS of THOUSANDS of dollars to cover costs before the film can be released. They have funded almost the entire movie like this (there's a big list of donors in the credits). So if you really want to see this film released – consider donating a few bucks to make it happen. This is a story that needs to be told.


Other background on the film: