January 20, 2012
Category Archives: EMS
Dropping names
He sits on our stretcher inside the Medic 9 looking slightly dazed. The firefighters and police officers have retreated to their respective vehicles, their part in our little drama now complete.
As I peel back the layers of sweatshirts to check his blood pressure, he fixes me with an alcoholic gaze. His eyes struggle to focus, and I’m reminded of my trusty Nikon trying to decipher a complicated scene. In, out, in. Bzzzt. Finally the image resolves itself into something coherent.
“I know Mike Smith,” he tells me.
Good for you, sir. ”And who might he be?”
“You know, the Smiths. They own this ambulance company.”
Oh, the SMITHS. Why didn’t you say so sooner? Of course, I know the Smiths too. One of them signs my check every week. I may never be invited to their home for dinner, but I’ve met them all and had conversations with them.
I’ve never heard of one named Mike. If there is a Mike in the family tree, he must be way out among the leaves.
“So do you drink with Mike Smith often?”
“Yup, every day.”
Uh-huh. Let’s go see the nice nurses at Local Suburban Hospital, shall we? I think they know Mike Smith too.
Tightrope
Our city is one of a number of places which can lay claim to being the “Birthplace of the American Navy.” Local fishermen and sailors figured prominently in George Washington’s narrow escape from New York and in his famous crossing of the Delaware.
Tonight there are no foreign troops in our harbor, yet the marina is protected by a large wrought iron gate. If the Redcoats do come by sea, they won’t get in. A firefighter holds the gate for me as I muscle the stretcher across the brick walkway. NRP has gone ahead with the bags.
The stretcher and I rumble down the gangway. The metal grating seems ephemeral; a literal ocean of blackness yawns beneath my feet. At the bottom, the narrow wooden dock suddenly becomes a tightrope. An ocean of cold black space looms above; an ocean of reflected stars lurks below. We pick our way among the ropes and cleats, guided by tiny lights along the edges. The winter’s night air seeps under my jacket, and the thought of that frigid water creeps into my soul.
Somehow our high wire act makes it to the end without incident, where a large white blob rocks in the darkness. It’s completely shrouded in plastic and ready for the worst weather a New England port can muster. A zipper is cracked, and light and sound come from inside. I step in to find my partner, the patient, and an entire apartment’s worth of furnishings crammed into a space only slightly larger than my ambulance.
It’s light and warm in here, but I know we will have to walk the tightrope again soon.
Back to work (P366 1/1)
Light a candle
So the shortest day came
And the year died,
And everywhere down the centuries
Of the snow-white world
Came people singing, dancing,
To drive the dark away.They lighted candles in the winter trees;
They hung their homes with evergreen;
They burned beseeching fires all night long
To keep the year alive.
And when the New Year’s sunshine blazed awake
They shouted, revelling.Through all the frosty ages you can hear them
Echoing, behind us – listen!
All the long echoes sing the same delight,
This shortest day,
As promise weakens in the sleeping land;
They carol, feast, give thanks,
And dearly love their friends,
And hope for peace.–Susan Cooper
It’s been a rough year and a rough month for my little corner of the public safety world. I count 6 deaths and 3 serious injuries this month alone. Things are feeling pretty dark around here today with the news of Peabody firefighter Jim Rice killed in the line of duty.
Carpe diem. Cherish the time with your families. Say those “I love you’s” and “I’m sorry’s.” Read the NIOSH reports and learn from them. Work out, eat better, watch your partner’s back. Wear your PPE, stop at stop signs, and don’t drive like an idiot.
Light those candles, shout, sing, and live for the day.
Rest in peace Patti, Sarah, Jon, Jim, Frank, Robert, Tim, and Kristen.
And thank you, Phil, for forwarding the poem when I needed it. Serendipity. . .
Make it stop!
Sunday night we were in a Christmas mood at work. We dug the tree out of storage, hung the lights, and took a few embarrassing photos for Facebook. Then we started to notice the updates.
A Fallon ambulance was struck head-on on the other side of our metropolitan area. We followed live on FB, Twitter, and the Internet radio stream as the events unfolded. I listened as the crew was airlifted to Big City hospitals.
Overnight a NH State Trooper crashed his cruiser and was seriously injured along with his K9. I saw the crash site in my travels before I knew what happened.
Monday morning, a police sergeant in one of our cities was struck on the highway. He was seriously injured but is recovering in Big City Trauma Center.
Wednesday night, a Worcester firefighter was killed in the collapse of a burning three-decker. John Davies, a 17 year veteran, was searching for a missing civilian when he and his partner were trapped. His partner survived.
Services are next Thursday.
This evening I learned that FF Sarah Fox of Portsmouth, NH, lost her hard-fought battle with cancer this week. I’m not feeling much holiday spirit right now.
Tomorrow is a new day. . .
Sparky
“Hey guys, anything interesting?”
Ambulance 10 has arrived on scene uninvited and unexpected because they have a brand new trainee. Our chest pain patient is hypotensive, tachycardic, diaphoretic, and as pale as my uniform shirt. More help is always welcome.
We toss the trainee and his preceptor into the extrication role, and soon he is learning tricks they don’t teach in school. The stair chair isn’t glamorous, but it’s arguably our second or third most important piece of equipment.
Four of the five of us function as an automatic machine. Oxygen, IV, monitor, aspirin, 12-lead ECG all happen quickly. The trainee looks a bit lost, but he manages to keep up.
We take him with us to the hospital. A10 can catch up later. He’s here to learn, and we’re the ones with the patient right now.
I find myself wondering, was I ever that new? I suppose I must have been. I remember looking up in awe to the paramedics I worked with in my early days, and I suddenly realize that now I am one of them.
Good luck kid, you’ll do fine.
Where are the cameras?
This is hospital,
not court. Uncover your face.
No perp walk today.
Chevrons
Unlike many of my co-workers, I kind of like the new reflective Chevrons.
I like the way they make use of the company colors, but I do wish they were uniform among the trucks. Something about these two trips my OCD gene.
On an unrelated note, NRP predicts Adenosine for tomorrow’s shift. Time will tell.
Oops, gotta go
Memo to the poly-substance overdose patient:
No matter how cute you think you are, calling the female charge nurse “Sir” will not improve the quality or length of your hospital stay.
It’s also my cue to leave. Have a nice day, sir.



