May 21, 2012

Sit Wait And Talk

I have always joked that SWAT stood for “sit wait and talk”, mostly because that’s what we typically do when assigned to SWAT standbys. I have probably been assigned to more of these than I can count and have never actually had to provide any kind of medical-aid. Well, I did have a bystander walk up and request to go to the hospital for abdominal pain once, but I don’t really think that counts.

When working in busy systems, I usually see the downtime as a chance to get caught up on paperwork. Sometimes these standbys can go on for several hours, and on one occasion, it lasted my entire shift. We logged on, immediately got assigned the standby, and had to be relieved at the end of our shift. I accomplished 2 of my “EMS Bucket List” items that night, one of which should have gotten me fired.

So here’s the story:

There I was, minding my own business, logging on for the night shift. This was my first job in EMS, but I had been working at the small service just long enough to get over the nervous feeling that you have when you first start in the field, but not quite long enough to get passed the stupidity.

We were assigned a standby at a nearby “SWAT” standoff and were told that we couldn’t use any radio communication. That worked out well for us, being that we inherited the long-standing dislike for EMS dispatchers that had been handed down over several generations. We arrived at our scene and were directed towards a staging area that was supposed to be a safe distance from the “action”. Just as we put the vehicle in park, I got to thinking about how I should have brought my lunch. I figured it was no big deal as this thing would be over with in a hour or so and we could grab a bite on our way to post.

Fast forward about 4 hours and you would find us sitting in silence staring awkwardly at the fire-engine crew that parked facing us. They were doing the same. We were hesitant to go talk with them because we didn’t know this particular crew at all, plus they didn’t seem very social.

Partner: “Let’s go talk to those guys, I’m bored out of my mind”

Sean: “I don’t know, man. They are just sitting there doing nothing. They don’t look very sociable. Seems kinda weird and awkward to me.”

Partner: “We’re doing the same thing, dude.”

We finally got out and walked over to the engine. The crew hopped out and exchanged a few words with us, but not without a few awkward moments of silence. I looked around and it seemed like nobody was doing anything. I started to wonder if this thing was ever going to end.

Fast forward 2 more hours and you would find us and the fire crew laughing hysterically over some “war-stories”. You would also see us scheming up a plan to get some food. Nothing was within walking distance, so we starting calling people that we knew to see if they could make a food run for everyone. No such luck at 10:30pm. This is when I decided to check off an item on that bucket-list I mentioned earlier.

I had made it my goal that one day, I would order a pizza to the scene of a call. Don’t ask me how I came up with that goal, I just did. This was the perfect moment to execute the plan. What better scene than a SWAT standby? Unfortunately, most pizza places were closed. After about 30 minutes of calling around I finally got a hold of one that was open for another hour. Only, convincing them to deliver to the scene of the SWAT standby was going to be a bit more difficult than I had thought. Here’s what you might have heard had you been watching me order the pizza:

“Yea, I would like to order a pizza……um, well, I don’t really have an address, you see I’m working on an ambulance at a SWAT standby….no this isn’t a joke sir, we have been here for hours and we would like to order a pizza……it’s at the corner of 10th and Henderson, but I would probably come in from the east to avoid getting near the scene…..oh yeah, it’s totally safe, we are blocks away from the incident. I don’t even think bullets travel that far…..”

And it just continued on from there.

Our pizza finally did arrive, and we pulled out the gurney to setup our buffet line. We had pizzas, sodas, bread sticks, and hot wings, all lined up on the gurney. Of course, no good plan like this would be complete without my supervisor pulling up. After being at this standby for nearly 7 hours, he decided to come check on us. He walked up, looked at the gurney with all the food, looked at me, then back at the gurney, then back at me to deliver a silent stare for about a good 20 seconds. Without saying a word, he grabbed 2 pieces of pizza and a coke, got back in his vehicle, and took off without saying a word.

We stood around awkwardly as my partner and I didn’t quite know what to make of it. We finally came to the conclusion that he probably wouldn’t have taken any food if he planned on getting us in trouble, so we continued about our business of swapping stories and killing time.

Shortly after our supervisor’s visit, one of SWAT officers walked up. He looked big and mean enough to turn us into another topping on the pizza. Unfortunately, like previously mentioned, I had yet to graduate from the “being stupid” phase of my EMS career. My partner inquired about the incident and we were informed that a man had barricaded himself inside a travel trailer in his driveway. The officer then informed us that our pizza looked tempting.

This is where the stupid part comes in. 

I must have felt invincible after getting a pass from my supervisor, because I told the officer: “Come on, man. We took up a collection earlier, you should have pitched in. By the way, if that guy is locked inside a trailer, why not just hook it up to a truck and tow his ass to jail?” He moved in just close enough to invade my comfort zone and said: “How about this, Kid? How about I throw your dumb-ass in the trailer with him? Got any more advice for me?”

His booming voice shut us all up instantly. After a moment of awkward silence, I quietly replied: “Would you like pepperoni or combination, sir?”

He turned towards the pizza, grabbed a couple slices, smiled and walked back to the incident.

The Bucket List

The 2 items I checked off that night were ordering a pizza and going an entire shift without transporting anyone. The 2nd one was bound to happen eventually, and has happened several times since. As far as the pizza incident goes, I got lucky. It was stupid, unprofessional, and I should have been fired. That would have been a foolish way to lose my job, especially with how hard it was at the time to find ambulance services that were hiring.

The upside to the story? I got 2 items checked off my list :)


If Beavis and Butthead Were Paramedics

The recent return of – in my opinion – the greatest TV show MTV ever produced definitely calls for some celebration. And what better way to do it than to feature the dynamic duo as the latest “celebrity medic”? They have certainly had their share of adventures, have always adapted well to their surroundings and no matter what situation they find themselves in, they always remain calm and never lose their cool. These are all traits that we look for in a good paramedic. Besides, having worked their dead-end job at Burger-World for years, I’m sure they would be ready for a new line of work. So let’s celebrate their triumphant return to late-night television by asking ourselves the big question:

What kind of paramedics would Beavis and Butthead be?

Shifts

It’s pretty obvious that Beavis and Butthead don’t really commit to anything, so assigning shifts would be pointless. Instead, they would be a better fit in a volunteer / on-call scheduling environment. This way they could respond to calls when they find time between watching music videos, trying to get beer, and going on whatever random journey they can think of.

Response

A traditional radio / quick-call system would prove itself to be ineffective. The noise would probably just annoy them and would most likely lead to destruction of the alerting device with some form of heavy object. Instead, Beavis and Butthead would just do what they normally do and “stumble” into emergencies during their everyday routine.

Radio Reports

When calling in to the receiving hospital,  Beavis and Butthead wouldn’t utilize the traditional format for delivering patient information. Instead, they would key up the microphone and just ramble on random observations about their patient’s condition and appearance, similar to the way they comment on music videos.

Below is an example of a typical radio report from Beavis and Butthead:

Butthead: “Uhhhhhh, hello?”

Hospital: “Go ahead from County Hospital”

Butthead: “Uhhhh, heyyyy baby, we like have this guy who got hit by a car. He’s bleeding and stuff everywhere”

Beavis: “Hehe, yea, it’s pretty awesome”

Butthead: “Shut up dumbass, I’m giving the radio report”

Hospital: “How much blood has he lost?”

Butthead: “Uhhhhh, like, you know, almost all of it”

Beavis: “It’s not that much really”

Butthead: “Dammit Beavis, shut up! I’m trying to score with this chick on the radio.”

Protocols

Treatment in the field would depend on the person providing the care. When Butthead is attending, his care could range from actually attempting to address the patient’s complaint, to sitting there and just making derogatory comments about the patient. Beavis takes a much simpler approach to pre-hospital emergency care. He would simply provide “TP for their bungholes”.

Continuing Education

Being that Beavis and Butthead are lacking in the education department, reading material would be virtually useless. Instead, visual study aids would be utilized for them to retain information that is presented. Protocol updates would be delivered in the form of music videos and lectures from attractive women who offer points towards “scoring” for passing protocol tests.

Conclusion

While Beavis and Butthead might not be the best paramedics in the world – actually they would be more like the worst – things seem to always work in their favor. They may be lazy and absent minded, but when actually put what little bit of brains they have towards accomplishing something, they typically stick with it until they get their desired results. Not much would affect them, which would be beneficial during periods of high stress. If they actually did save someones life, it would most likely be on accident. But hey, a save’s a save, right?


I Blow


My Taxes

Ever have someone tell you that their taxes pay your wages?


Last Week I Fell Down the Stairs

You know the difference between god and a paramedic? God doesn’t think he’s a paramedic.


If It Aint’ Broke

I learned that if you put a paramedic in a room with nothing but 2 bowling balls, an hour later 1 will be broken and the other missing.


If Tim Tebow Was a Paramedic

This week’s “Celebrity Medic” features an NFL star that has captured headlines, stirred up political controversy and helped send the Squealers Steelers back home to Pittsburgh last Sunday. So with all his talent, money and fame, one would imagine that he would be set in his career for a long time, right? Perhaps, but we also know that the average career of an NFL player is only a few years, so what will he do after he retires from the NFL? He could either return from retirement several times like some of his coworkers, or perhaps seek employment in another field. And what better field than emergency medicine?

So without further delay, lets ask ourselves the big question of the week:

What kind of paramedic would Tim Tebow be?

Shifts

Rather than utilize the traditional long-hour EMS shift schedule, Mr. Tebow would only be required to work 16 days out of the year. A maximum of 3 over-time shifts would also be offered to employees with exceptional performance. The shifts would only be 1 hour in duration, but being that he would only be able to clock in during calls, they would most likely drag out to be 3-4 hours long.

Response

Tim Tebow would have the option of either responding by air or by ground. However, given his record, a ground response would most likely be in the patient’s best interest as he would have a 50/50 chance of missing the landing zones on scene calls. His response area would be rather small, only consisting of a 100-yard radius.

Training

Being that Tim’s work schedule only consists of a small fraction of the days that a standard EMS schedule has, he would be required to attend training camps to refresh on his skills before returning to work. He would also be required to attend 3-4 FTO shifts prior to be released on his own to run calls.

Protocols

The protocols at Tim Tebow’s ambulance service wouldn’t be written in the standard format with sections and a table of contents. Instead, it would be in novel format separated by chapters and verses.

Treatment

Field medicine for Mr. Tebow’s service would be very similar to that of a standard EMS system with only a few differences. Instead of pre-loaded saline flushes, his service would stock 10cc syringes filled with holy water. Also, a post-termination of resuscitation protocol would be added consisting of prayer sessions and on-site memorial services.

Hand-Offs

Radio reports for Mr. Tebow’s service would be brief. These would be performed by placing the mic several feet in front of him and yelling code-words that only the hospital staff would understand. Bedside reports would be given by gathering the nurses and doctors for a “huddle” next to the patient’s bed.

Conclusion

Tim Tebow’s youth, excellent health, dedication to his work, and love of life  all make him a perfect candidate for a career in EMS.

Like this post? Greg Friese has another “Celebrity Medic” write-up featuring Tim Tebow. Be sure to stop by Everyday EMS Tips to check it out!


I’m Dying

I guess I’m not the only one that lives on hospital sandwiches…..


Last Month I Transported 72 Patients

Ever feel like you transport the same people over and over?


I Got 99 Patients

OK, so I couldn’t just sit around and read all these hilarious meme comics without getting a piece of the action. I have a bunch of these things written, and I’ll post them often. I hope you enjoy!

P.S. Captions are always welcome :)