May 23, 2013

If Motorcop Was A Paramedic

mcMost of the readers of this blog are probably familiar with this weeks “Celebrity Medic”. If you’re not, go check him out of Facebook and read his blog. When he isn’t busy crushing the souls of the sinners of the highway, you might be able to find him chatting it up on the Crossover Show, or bragging about making people cry on Facebook. Although being a motorcycle cop sounds pretty freaking cool, I can’t help but wonder if one day MC will hang up his helmet and boots. What if he decided to leave the Dark Side and take up a career in pre-hospital emergency medicine? That would leave us no other choice but to ask ourselves the big question of the week:

What kind of Paramedic would Motorcop be?

First and foremost, guys like MC need a saying or a slogan. “Soul Crusher” just doesn’t seem fitting for a paramedic…..”Disease Crusher” however, does. Perhaps a patch featuring a picture of him stomping out disease and punching bacteria in the face would be appropriate.

I couldn’t imagine that MC would be happy working on an ambulance as it’s too big and too slow. I could see him working in a first-responder vehicle or perhaps even one of the lucky few that get to work EMS on a motorcycle. I couldn’t see him working 24 hour shifts, instead he would probably seek the traditional law enforcement schedule of 8-10 hours.

Instead of following a set of protocols, MC would set rules or guidelines for the body systems of patients to operate under. Any deviation from the rules would result in citations or fines. He would most likely specialize in motor vehicle collisions and his trauma care would mostly consist of investigating the mechanism of injury. Patients receiving transcutaneous pacing or electrical cardioversion would not receive sedation. Instead, they would be told “If you got shocked, you deserved it”.

Transitioning from a law enforcement job to EMS would require some specialized equipment. Here is a list of essential equipment for MC’s medic bike:

  • Baton: Used a long-bone splint.
  • Bullet Proof Vest: Used as a make-shift KED.
  • Taser: Used as an Automatic External Defibrillator.
  • Breathalyzer: Modified to detect CO2 for use in confirming ET tube placement.
  • Handcuffs: Made larger for use as a tourniquet.
  • Radar Gun: Used as a portable x-ray device.
  • Gun: Still used to shoot bad guys…….

Overall, I think MC would be a perfect candidate for a job in EMS. Response times wouldn’t be an issue and scene safety would be assumed. While obtaining blood samples would require a search warrant, pt’s would otherwise not have the ability to refuse treatment. Patient rights would be replaced with Miranda Rights, and patient care reports would be replaced by citations. While the transition would be tough, I think he would fit right in with the rest of us gurney-pushers.

Have an idea for next week’s “Celebrity Medic”? Send me an e-mail at sean@medicmadness.com 

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 :)

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.

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 :)

If John Wayne was a Paramedic

If there is one thing that is certain in life, it’s that John Wayne was one rough, tough, dude that didn’t take no crap off nobody. If you are anything like me, then you have probably thoroughly enjoyed his old western flicks and war-time movies. There is no doubt that he was very successful as an actor. But what would have happened if he had chosen a different career path? Personally, I think that a career in EMS would have been right up his alley. So now we must ask ourselves the question:

What kind of paramedic would John Wayne be? 

Shifts

While Mr. Wayne would be available day and night, it wouldn’t be very wise to require his services during the night when he is sleeping. He also wouldn’t cover a specific area as he is constantly on the move during the day.

Response

John Wayne wouldn’t need to respond to calls for medical aid as disease processes know better than to mess with “The Duke”. Chances are, any patients of his would be people that he shot or beat up. This of course wouldn’t leave much for Mr. Wayne to do as most of the people that found themselves in that position would either be dead or incapacitated.

Scene Safety

The Duke laughs at the possibility of an “unsafe scene”. As a matter of fact, any person wishing to cause harm to John Wayne would have to stage and wait for clearance for their own safety.

Protocols

Being that The Duke is more “old school” his protocols would be rather simple and could be summarized into the following categories:

  • Pain Management – Consists of breaking a finger or limb to take the pain away from the original injury.

  • Trauma Care – The walking wounded would be told to “walk it off”, the severely injured would be shot.

  • Medical Emergencies – Refer back to “trauma care” and “pain management”.

Equipment

Trauma shears, cardiac monitors, stethoscopes and IV catheters are great for urban EMS providers, but are over-kill for The Duke’s service. He would need a rather simple and light set of tools that he could easily carry on a horse. Given the simple nature of his protocols, all he would really need is the following:

  • Whiskey – The only thing carried in his “medicine bag”. Used for infection control and to either get his patients or himself drunk.

  • Rope – Used to tie his patients behind his horse to bring into town for definitive care.

  • Gun – Utilized for putting severely ill and injured patients “out of their misery”.

Conclusion

In paramedic school we often teach the “KISS” (keep it simple, stupid) method of patient care. John Wayne would be a great example of how that can be effective. He would operate a cost-effective service as he wouldn’t need to transport very many people (see trauma and medical protocols) and he wouldn’t require first responders or law enforcement to assist him. His resourcefulness, ability to adapt, simplicity of care and ability to kick some serious ass would make him a perfect candidate for a job in EMS.

Do you have an idea for next week’s “Celebrity Medic”? Feel free to comment below or e-mail me at sean@medicmadness.com.

Yes Pain

If you have been working in EMS for longer than 2 seconds then you have probably come across this type of scenario:

(Patient involved in minor traffic accident)

Sean – I’m going to asses you for injuries, let me know if anything hurts.

Patient – Oh that hurts! (left shoulder)

Sean – OK, how about your arm?

Patient – Yes

Sean  - On a scale of 10 out of…

Patient – 10! Definitely 10!

Sean – Any pain in your chest when I palpate it?

Patient – Yes!

Sean – How about your right arm?

Patient – Yes!

Sean – Any pain in your abdomen when I push….

Patient – Oh yes, it hurts.

Sean – ……ok……how about your left foot?

Patient – Yes that hurts too.

(you can see where this is going)

Ever wonder how you document this or explain it to the nursing staff when you transfer care? I used to use phrases like “generalized body pain with no obvious deformities or signs of trauma”, now I just call it “yes pain”.

(Back at the ER)

Nurse – Whatcha got?

Sean – Patient involved in a 10mph rear-end collision, no LOC, restrained, no airbag deployment, no passenger space intrusion, self-extricated, only complaining of “yes pain”.

Nurse – ……..yes pain?

Sean – Yea, just ask the patient if it hurts.

Nurse – If what hurts?

Sean – Anything…..

Nurse – (starting to get the picture) um, sir does your left hip hurt?

Patient – Yes!

Nurse – *sigh*……point taken, ready for a signature?

I fully expect the publishers of the medical dictionaries to be contacting me anytime now.

If Weird Al Yankovic Was a Paramedic

This week’s Celebrity Medic is someone that I grew up listening to. His creative parodies bring laughter to people all over the world. From “Fat” to “Amish Paradise”, he has shown the world that there just simply isn’t a song in existence that can’t be re-written. But lately he has been relatively quiet. Some speculate that he is enjoying an early retirement, while others wonder if he might have just run out of material. Either way, now is his golden opportunity for a career change. And as you might have guessed, I think a job in pre-hospital care would be right up his alley.

So on to the question of the week: What kind of paramedic would Weird Al be?

Shifts

I would imagine that Mr. Yankovic wouldn’t be assigned to a specific area, but would travel around the country working 2-3 hours at a time.

Protocols

The protocols for Weird Al’s ambulance service wouldn’t be written in the traditional format. Instead they would be written in the form of songs like “Shock It”, “Myocardial Paradise” and “The Intubation Polka”.

Treatment

If laughter is the best medicine, then working in EMS is right up Weird Al’s alley. Rather than actually treat conditions, he would mock the disease processes and mechanisms of injury until the patient feels better.

Partner

There is only one person who could work with Weird Al, and I think we all know who it is. Cledus T Judd.

Uniform

There is no one uniform that would work for Weird Al’s service. He would have to quickly change into various costumes to match the patients condition in order to carry out his treatment plans. For example, drug overdose patients would require a costume resembling a large syringe, while victims of a vehicle collision would require a tow-truck drivers uniform.

Conclusion

While Mr. Yankovic has no formal training or background in the medical field, his ability to create laughter and his creative mind would make him a perfect fit in the pre-hospital field.

So now for your viewing pleasures, one of my favorite Weird Al videos.


Download | YouTube MP3 Converter