Strength

Strength, my friends, is finite. Yes, I suppose it is possible to rebuild strength, but that takes a village. There are no villages left, just cities where millions live cheek by jowl, never knowing their neighbors, never seeing the poor and disadvantaged. 

There are those among us who are strong, who are bastions of hope when the entire world is turning to shit. There are those we turn to for comfort, for a friendly pat on the back, for a warm hug that says “things suck right now, but they will get better.” 

We expect these men and women to be better than we are, to have the strength of Superman and the wisdom of Solomon, to overcome all the obstacles, to be immune from the things that terrify us. We expect them, often, to protect us from ourselves, and to save us when we do immensely stupid things. We ask them to put others ahead of themselves (and their families), we expect them to drop everything when they’re needed, yet we also expect them to be invisible when they’re not needed. 

But these people are not automatons, they’re not robots. They’re human, like us, but they’ve seen and heard and smelled things no normal being should ever be exposed to. They’ve seen charred lumps that used to be children, they’ve held friends screaming away the last few seconds of life as their blood drains onto the ground, they’ve heard the anguished cries of new widows and orphans. 

Yet these protectors are not allowed to show emotions. They cannot show terror or disgust, they must “be strong,” for us. They must sublimate their feelings, their very humanity, for us. They must be more than human, for us. They must be the adults, comforting us in our fears, for us. 

And when these pillars of strength have exhausted themselves, when they can no longer go on, when they cannot bear to see one more tiny corpse, we abandon them. We say, “You were strong for others, now you must be strong for yourself.” Sometimes, we are even worse: “What have you done for us today?” 

When they have reached the end of their rope, when we find them whimpering in a corner, or hanging from a beam, or with a gun clenched in a cold, stiff hand, we ask, “What happened? He was so strong!” 

It’s simple, really. We asked a human being to be more than a human being, to be an immortal, to be a god. 

They tried, you know. Lord knows, they TRIED. 

But when THEY needed help, when THEY needed strength, when THEY needed comfort…

 

… the well was dry.

Happy Thanksgiving... And Some Old Time Music...

I'm going to be hellaciously busy tomorrow, so I'm going to take this opportunity to wish everyone a happy, safe, and healthy Thanksgiving.

For the folks who are working tomorrow -- the cops, firefighters, EMS personnel, toll collectors, cab drivers, radio announcers, c-store crews, Wal Mart folks, tech support staff -- well...

THANK YOU!

And if any of my readers are Red Cross volunteers and you get called out tomorrow to help some family whose Thanksgiving was suddenly destroyed by a house fire or flood or something, a very special thank you, and a "stay safe."

See you all on Friday.

Gimme That Old Time Music

In honor of the 33rd Annual Mid Coast EMS Conference, in Rockport, Maine.

This is from the two-hour pilot. Notice the original Squad 51, and the rest of the classic vehicles. You'll also notice that Martin Milner and Kent McCord (Malloy and Reed from Adam-12) appear. Not surprising, as Emergency! was a spin-off of Adam-12, which in turn was spun off from Dragnet.

A potential spin-off from Emergency! that failed was called 905-Wild, about some LA County Animal Control officers. That one starred Mark Harmon, David Huddleston, and Gary Crosby (Bing's son).
_____________________

When Emergency! debuted in 1972, the whole field of EMS was only a couple of years old. Previously, emergency medical care -- such as it was -- was provided by attendants with roughly 40 hours of Advanced First Aid, and maybe CPR. The vehicles were usually modified station wagons, operated by the local funeral homes (putting in the crews in an interesting situation - take the person to the hospital, or perhaps pick up the funeral?), or by civic groups like the American Legion, or Lions clubs.

Cadillac was the most popular make, but there were others like Pontiac, Chevrolet, Packard, and De Soto.

Some were barely-modified hearses:

Some very progressive services did use vans early on... here's a 1962 Chevy Corvair:

As the old wagons were being phased out, we started using vehicles like the Chevy Suburban or the International Travel-All:

 

 

As you can imagine, there wasn't a whole hell of a lot of room inside to work on patients. Not that it really mattered, since all we did at the time was advanced first aid - no IVs, usually no CPR, certainly nothing like intubation.

 

 

And what do we have these days?

 

 



Gawd, I'm starting to feel like Mustang Bobby with all the classic vehicle pix...

What the Burned Out Medic Sez...

He nailed it on the head.

In a sentence, we drop everything else to respond to other people’s requests for assistance no matter what time it is, how dangerous or safe the neighborhood is, what good or evil or crazy people with or without weapons are at the scene, how clean or disgusting the residence – on fire or not – is, what funky bodily fluids are smeared or not smeared all over someone, and we do what is necessary to get things done, regardless of how much we do or don’t want to do it.

Yup, that pretty much covers it.

Attracting, Recruiting, and Retaining Volunteers

One of the biggest problems facing volunteer organizations today is attracting and retaining qualified volunteers. Whether its a volunteer FD or EMS agency, a local Red Cross or Salvation Army chapter, food pantry, pet shelter, whatever, the ranks of volunteers are becoming alarmingly thin. With the economy the way it is these days, those fortunate enough to have jobs often have two jobs, trying to make ends meet. The spouse will often have two jobs, as well. In addition, there is that nebulous conglomeration of housecleaning, cooking, etc, not to mention a couple of things I have heard of, called "sleep" and "having a life." The result is simply insufficient time to engage in volunteer activities.

For skilled volunteer professions like firefighting or EMS, there are ever-increasing training requirements to be met.

For example, the EMT-Basic class is now somewhere around 200 hours, plus clinical rotations and state and national Registry testing. In Maine, an EMT-Basic is also required to have a minimum of 38 hours of Continuing Education, in the following areas: Preparatory, Operations; Airway, Breathing, Circulation; Assessment; Medical; Trauma; Obstetrics, Pediatrics; Psychomotor Skills; and Further Continuing Ed (essentially, electives).

Firefighters are in an even tougher situation: most departments encourage and strive for Firefighter I and II certification, but many also require Haz-Mat Operations, EMT-Basic, commercial driver licenses, or other skills. The career fire departments -- FDNY, Boston, DC, LA -- include these topics in their 3-6 month academies. The volunteers, however, do it a couple of hours a night, a couple of evenings a week... for a couple of YEARS. Yet the public expects volunteer firefighters in Pudunk, Maine, to have the same basic skillset as FDNY (and notice I said basic skill set, not the sophisticated things like high-rise firefighting, urban search and rescue, dive team, or air operations). It is an understandable expectation, even if perhaps currently unattainable.

Volunteers are expected to attend training sessions and meetings without compensation, even if they receive nominal compensation while responding to calls. Many volunteer departments charge annual dues, require members to pay for (required) training out of their own pockets, and some even require members to purchase their own firefighting gear (which runs about $2000 per person).

What's the quick-n-easy solution? There isn't one.

Some not-so-easy solutions:

• Eliminate volunteer fire departments and EMS and go to career departments. This would cost a bloody fortune, which most taxpayers would refuse to authorize. A full-time firefighter costs at least $100,000 per year, depending on base pay, benefits, etc. In rural areas, this would probably take the form of a county department, similar to the situation in Virginia and Maryland.
• Eliminate most of the training requirements for volunteers agencies. This would be unacceptable from a public safety point of view. Firefighting and EMS require highly specialized skills... after all, we are literally talking life and death here. Besides, we don't mind training, we just don't want it to take over our lives, especially if it's training in skills we are not allowed to use (foolish, yes, but it happens).
• Reevaluate training using evidence-based research, and provide government-funded stipends. There is a lot of training that continues simply because "this is the way we've always done it," regardless of the impact on patient outcome (for example, backboarding patients based solely on mechanism of injury as opposed to appropriate assessment); eliminating such outmoded protocols would allow more efficient use of training time and improve patient care. Extending existing stipends to cover training time would reimburse participants somewhat for committing their time to the community. Most stipends, by way the, are nominal at best: $15.00 per call, or $500.00 per year. Nobody will ever get rich working as a volunteer.
• Leave things the way they are. And watch the ranks of volunteers thin even more. We need sufficient staffing and resources to do our jobs properly and safely. But even more importantly, perhaps, we need time off, too, no matter how dedicated we are, time to spend with our wives (or husbands) and children, time to have a couple of beers, time to just kick back and do nothing.

Since I got sidetracked and came back to this a couple of hours later (and since my train of thought left me on the platform), I'll come back to this topic, looking at each aspect of the problem, and -- maybe -- suggesting some possible solutions.

Initial Thoughts on Boston

First and foremost, prayers and best wishes for the runners, volunteers, police, fire, EMS, and other emergency personnel who responded to today's horrific events. I hope Obama sticks by his word (for once), and doesn't wimp out on prosecuting -- or killing -- whoever did this.

A few things that the investigators are almost certainly working on:

• April 15: Tax Day, hated by many far-right-wing anti-government extremists
• Patriot's Day: another potential "inspiration" if this were, in fact, a right-wing "Patriot" whackjob
• Boston: where the Tea Partiers got their inspiration, from the "patriots" who took part in the Boston Tea Party
• Massachusettes has fairly tough gun registration laws
• The race was dedicated to the victims of the Newtown shootings, which instigated nation-wide calls for effective gun control
• Massachusettes has a black governor
• The US has a black President

Am I saying that some right-wing McVeigh wannabe did this? Nope, I'm not saying anything of the sort. Just mentioning these points that may have played into some Patriot/Teabagging/Tax Protesting/anti-gummint/black-FEMA-helicopter racist gun nut small-penis-compensating loser deciding this was a way to strike a blow against the New World Order, Moozlums, and other scary people or whatever loser belief system this mutt or mutts might have.

I also noticed that during the second, prime-time special on NBC, anchor Bryan Williams said, "For all the wrong reasons, we've been fighting two wars for the past ten years," referring to the fact that many returning combat medics have seen these horrific injuries before.

My personal bet is some far-right-wing whacko like Eric Rudolph, Jared Loughner, McVeigh...  One of those losers.

I'm Not The Only One

Chris Kaiser has a guest post at Life Under The Lights.

Chance Gearhart, a paramedic in Tennessee, wraps up his article thusly:

As EMS we need to always remember that we are Patient Advocates. Our patients deserve us to always stand up for what is best for them. Apathy should never stand in the way of proper patient care. [original emphasis]

The quote below is not from the guest post, but it does an excellent job of summing up what all of us owe the public:

One of my EMS truths is that while there may be boring calls and calls that are less than exciting, there are no “routine” calls. There is no EMS patient that doesn’t deserve the absolute best that we have to give them. Every single patient we take into our care, be it a scheduled dialysis transport or a simple discharge from a hospital to a nursing home deserves to have professional, competent, and caring EMS providers taking care of them. They all deserve our best care, our best assessments, our best comfort, our best compassion, and most of all, our simple act of caring about them as a person and a patient. Never forget that, you may just save a life during one of your “routine” calls.

Go read the entire thing.

Kaiser, by the way, is one of the more influential EMS bloggers around. He, along with the other medical bloggers I've mentioned (and, I'm sure, virtually all medical bloggers) seems to be as disgusted with those few of our brethren who screw us all. Not that I'm putting myself in his class, of course, but it's nice to know we're all on the same page.

[This has nothing to do with this post, but I just noticed that Blogger's spell-check function -- BLOGGER's, mind you -- does not recognize the word "blogger." < sigh > ]

Losers in Lauderdale

In his series of Travis McGee thrillers, author John D MacDonald referred to Ft. Lauderdale, FL, as "Fort Lauder-damn-dale."  It appears four Ft Lauderdale firefighters have been arrested in a sordid little scam involving -- surprise! -- fraudulent recertification training records (see my previous rants here and here). These four losers decided sitting through a recertification class in Advanced Cardiovascular Life Support (I've also seen it listed as Advanced Cardiac Life Support) was less important than whatever they wanted to do instead.

And what exactly is ACLS? Here is the course content from the American Heart Association website:

• Key changes in advanced cardiovascular life support, reflecting the 2010 American  Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
• Basic life support skills, including effective chest compressions, use of a bag-mask device and use of an (AED)
• Recognition and early management of respiratory and cardiac arrest
• Recognition and early management of peri-arrest conditions such as symptomatic bradycardia
• Airway management
• Related pharmacology
• Management of acute coronary syndromes (ACS) and stroke
• Effective communication as a member and leader of a resuscitation team
• Effective Resuscitation Team Dynamics
 

This is a paramedic-level training program, what with the pharmacology aspects (there is also a scaled-down version, "ACLS for EMT Basics" that I took, which was fascinating).

As a prospective patient, I would say that this skill set would be kinda critical for, oh, I don't know, maybe, SAVING MY LIFE?

Yet these four firefighter/medics, these MORONS couldn't be bothered.

This is what I had to say two years ago:

You may wonder what the big deal is. It's this: we're talking skills and knowledge needed to save lives. We're not talking about missing the latest changes to the Tax Code, or a fast-breaking tech bulletin on Toyota's acceleration issues here. We're talking life or death. How to calculate the appropriate dosage of the appropriate medication for your infant based on size and weight, or remembering how to correctly interpret an ECG strip or perform an endotracheal intubation successfully. You know, the stuff that will keep you alive so you can walk your daughter down the aisle at her wedding and bounce your grand kids on your knee.

The thing is, I don't know if he is truly a lazy bastard, or if he got in with the wrong crowd (as our parents used to say), or what. Whatever the reason, he has made our jobs harder, by violating the trust the public had in us.

It is even more true today.

Do today's civil servants have ANY understanding of the trust placed in us? Do they not understand that we have the citizens' very lives in our hands?

I don't know if this is a carry-over from the "me generation" or what, but it seems that too many folks in emergency services are in it just for what society can do for them, and their eventual career prospects, rather than what they can do for society. (Gee, where have I heard that concept before?)

And yet, it's not just an American problem, for in Australia, we see that medics have been stealing fentanyl -- a powerful painkiller 100 times more potent than morphine -- from ambulance drug stocks... and apparently have been doing so for years.

Is this why we are losing so many of the more dedicated medics (and cops and firefighters) around the world? Are the "good guys" looking around and seeing themselves surrounded by maggots who aren't fit to shine our boots? Are they seeing these scum becoming more and more prevalent, and even advancing into command positions?

I can tell you that the decent folks in these fields are getting more and more worried about being contaminated by the arrogant putzes in the field. And yes, the lying, thieving losers are a very small minority (I hope), but they are the ones getting noticed, the ones getting the press coverage, the ones tarring us with their feces-encrusted brushes.

I'm not a paramedic, I'm an EMT-Basic (mostly because I never had the roughly $10,000 for the medic course, nor did I have the 2000 hours free time), so I cannot do all the "Johnny and Roy magic" that Justin Schorr, Kelly Grayson, Michael Morse, Mark Glencourse, Chris Kaiser or the other paramedics can do. I can "only" do BLS skills... like CPR and giving you aspirin when you're having a heart attack and stopping your bleeding, and stuff. BUT... the instructors in both my ACLS for Basics class and the "Pre-Hospital Trauma Life Support" (PHTLS) course said, "BLS skills save more lives than ALS skills."

Of course, all of this is moot if the patient cannot survive until we get there. Take a CPR/first aid class. They're available through the American Red Cross, American Heart Association, Emergency Care and Safety Institute, American Safety and Health Institute, and a host of others. If nothing else, call your local YMCA, YWCA, or fire department... they can tell you who's running courses in your area.

Eleven Simple Words

A couple of days ago, I did a post about a prostitution case going on here in Maine. A local businessman and a Zumba instructor were charged with promotion of prostitution and engaging in prostitution, respectively (along with dozens of other misdemeanor charges). Some of the alleged johns objected to having their names released to the media. My comment then was, "[...] if you don't want your name in the papers, don't break the law."

This case -- especially the refusal to release the client list -- has made this a national news story. Brian Williams spoke about it last night on the NBC Nightly News (probably the best-known prostitution case since the Secret Service yahoos down in South America).

The judge in the case originally allowed the names to be released, but no addresses, to protect the privacy of those involved (some of the charges against the alleged callgirl and... manager[?]... include invasion of privacy, for recording the encounters).

Today, the judge announced that middle initials and addresses could be released, with the concurrence of John Does 1 and 2:

Kennebunk police Lt. Anthony Bean Burpee said he had been inundated with calls from people with names similar to those on the list released Monday. Police re-released the list Tuesday morning with the addition of middle initials.

It certainly makes sense, especially since we have a lot of folks here in Maine with very similar names.

One of those names, by the way, happens to belong to a former mayor of the City of South Portland, James A. Soule, now residing in Fort Myers, FL. (The position of Mayor in South Portland is largely ceremonial). Another is Donald Hill, the now-former hockey coach at Kennebunk High School. Hill joined the coaching staff in 1993. Here in Maine, high school hockey holds the same status as high school football in Texas: it's damn near a religion.

It's a shame that so many reputations are being destroyed as a result of this case: the businessman, who was a well-respected insurance agent, the Zumba instructor, the Mayor, the coach, but they all learned one simple lesson the hard way. If you don't want to see it on the front page of the newspaper, don't do whatever you were thinking of doing.

This kinda goes back to another recent post, about public employees screwing up. Maybe I'm old-fashioned (hell, I know I am; the lovely yet talented Mrs618 tells me so often enough), but it seems to me that if you are going to be a public employee, whether fire chief, cop, medic, mayor, high school coach, whatever, you need to hold yourself to a higher standard of behavior.

Public employees should be role models. We should be the ones the youth of today aspire to be tomorrow. Face it, the heroes of our generation -- Mickey Mantle, Andy Granatelli, Scooter Rizzuto, Whitey Ford -- they're all gone, replaced by useless scum like Michael Vick and Mike Tyson, who are basically athletically-gifted thugs. But what of the other heroes of our time? When I was a kid, we all wanted to be cops or firemen. Very few aspired to be President (as Dennis Smith pointed out in Report From Engine Co. 82, being President was a birthright). None wanted to be an investment banker. Hell, that profession didn't even exist!

There are still kids today who want to be cops, or firefighters, or medics, or members of the military. These are time-honored professions, and have historically been a stepping stone for social advancement over the last couple of centuries. If we want to keep these traditions alive, we must act accordingly.

Am I saying a cop cannot accept a cup of coffee, a donut, or the ubiquitous free apple? No, I see nothing wrong with a little "thank you" to those who risk their lives for us. What I do object to, however, is the current trend of civil servants (who are neither civil nor servile) taking it upon themselves to be the arbiters of what is proper and just. And by civil servants, I mean all who (at least theoretically) serve the public, whether paid or volunteer.

Cops who view free meals at luxury restaurants as their due, firefighters who raid department treasuries, mayors who patronize prostitutes, football coaches at state universities who molest their young players... these are the people we expect our children to emulate? Good God, no.

Groups like the Minutemen and the Oath Keepers should have no place in American society, yet in some parts of the country, they are a major player -- if not the major player -- in local law enforcement and the military. Should our youth grow up to be like these cretins? Hell, no.

Do I have all the solutions? Of course not, I don't claim to. Hell, I don't know if I have any of the solutions, other than one that should be blindingly, glaringly obvious to everybody: "Do unto others as you would have them do unto you."

Eleven simple words.

A Leroy Jethro Gibbs Head Slap To My Fellow Professionals

FireGeezer has been running a series of articles on "promotional opportunities," openings in the upper ranks caused by various malefactions perpetrated by the incumbents. Usually -- but not always -- the offenses are various forms of embezzlement, theft, misappropriation, and other naughty uses of the department's resources.

As a volunteer firefighter/EMT whose department enjoys magnificent support from the taxpayers in town, I have to say something to the officers betraying the public trust:

KNOCK OFF THE FRICKIN BULL, GUYS!

With the economy the way it is these days, fire departments are favorite target for budget cutters: "they jes' sit there in th' fire house, snappin' they suspenduhs, takin' them trucks to go shoppin', an' why we need so many a them, ennyways?"

We need the public to trust us, to believe that when we ask for things, it's because we need them, not because it's cool to have these toys.

The economy is, as John McCain once said, "cratering." As a taxpayer, I want my money to be used effectively, for my benefit, and for the community's benefit, not the private benefit of some thieving officer. I want to know that my local fire department has the personnel, the training, the tools and equipment, and the ability to save MY life. I want to know the local ambulance has the fentanyl or morphine I need after a car crash, instead of finding out some junkie medic drew it out and refilled the ampule with water.

But this is reflective of an even greater problem in emergency services.

We think we're entitled to whatever we want, or want to do.

We're not.

Over the past year, there have been stories of firefighters flipping off photographers during a parade, firefighters having prostitutes in the fire station, medics stealing drugs, cops kicking handcuffed females because they felt "threatened" and a pile of other assorted crap.

WE HAVE TO SMARTEN UP.

Those of us in public service -- no, let's call it by it's correct name, CIVIL service -- have a responsibility to the public. Yeah, when I was a cop, I hated it when some citizen said "I pay your salary." Yeah, maybe the guy was an ass, but. BUT HE WAS RIGHT.

We get (hopefully) better-than-average pay, better-than-average insurance benefits (face it, how many burger flippers, investment bankers, or politicians get killed in the line of duty?), and worse-than-average working conditions, schedules, and uniforms.

In return, we owe the community that pays us. We need to do the best job we can; they deserve our best efforts. But what happens? We lie, we cheat, we steal. And then we wonder why the public doesn't love us anymore?

Back on June 13, 2011, Justin Schorr, the Happy Medic, posted a video of the funeral procession for SFFD Lt. Vincent Perez and FF/PM Anthony Valerio. In the video, a young boy, dressed in  kid's bunker gear, salutes the fallen as the trucks go by. Go. Read the post, watch the video, and come back. And don't try to tell me your eyes were dry at the end. The kid gets it. He really gets it. And not because his dad is a firefighter and his mom's a cop, he gets it because he was raised right, to respect those who sacrifice for others. (And, yeah, I was proud to see the Red Cross ERV [Emergency Response Vehicle] at 2:44).

If we want to be worthy of this child's respect, we have to EARN it. Not be being greedy, or cheap, or crooked, or slimy, but by being the best cops, firefighters, and medics we can be.

That child deserves no less, society deserves no less, and, you know what? WE deserve no less.

Something New. Well, Sorta...

I've mentioned once or twice in the past that I've been in emergency services for a number of years. When the lovely yet talented Mrs618 and I returned to Maine, I finally had a chance to get on the local VFD (most of the last thirty years, I've lived in areas with career FDs) and retake the EMT training.

The EMT was due, in large part, to Randy Cassingham, whom I've cited here a number of times, but also to a number of the medical bloggers out there, the guys (and gals) like Kelly Grayson, aka Ambulance Driver; Chris Kaiser (Life Under the Lights); Mark Glencourse (formerly of 999Medic, who has moved on to greener pastures); Justin Schorr, the Happy Medic; Hydrant Girl (all the times I've been banged up, I never had a medic as cute as she is); Epijunky at Pink, Warm, and Dry; and TS, aka the Urban Paramedic (who has also retired, and whom I have mentioned in the past).

But perhaps the blogger most responsible -- however you want to take that -- is Captain Michael Morse, of Providence Rescue 5. His blog, Rescuing Providence, reminded me that there still are good people out there, people who care, who give a damn. He also showed me that one can have bad stretches, where one doesn't seem to care... until "the one call"... the one that makes you whole again, that gives you the energy to get your ass back in the fight.

I've been reading Rescuing Providence daily for several years now, and leaving occasional comments on his posts, and the other day, he said I should have a blog, because my "heart is ... in the right place." I don't know if I would go quite that far, Cap, but I learned many years ago on the PD that the senior officer, like a wife, is always right.

Oh, and why haven't I blogrolled any of these excellent sites? Because when I first started this blog, way back in 2005(!) and later when we moved to Maine, I wanted to try to keep the two parts of my life separate, the political beliefs (which, if you've ever read me, you know tend to lean to the left) and the public service (where many of my brethren tend to lean to the right... sometimes, the very far right).

But, you know, looking back over the years, I can see where bits and pieces managed to sneak in between the diatribes and rants. I can see where the frustration has come in (especially when writing about cops), but I can also see where some little bits of hope have filtered in too.

If I post on any calls -- fire or EMS -- I will tell you a few things right now:

• ALL names, details, locations, etc, have been changed (I live in a very small community, where it would be too easy to ID a victim, and I don't want to run afoul of HIPAA); most will be based on things I dealt with years ago, in other states.
• Any police calls involving me will, by definition, have occurred prior to 1989, when I left the field.
• Most of the time, I'll be discussing other peoples' calls, or the administrative/political impact of decisions affecting the emergency services world.
• Who knows, I might even go back to some of my excruciatingly long posts on terrorism, the TSA, response, public safety, preparedness, or the legal system.

Anyway, if the new posts are popular, thank Captain Morse. If they suck, blame me.

Looking Back. Way Back. Yet Looking Ahead, Too...

I was reading the usual blogs this morning, when one brought to mind a good memory.  I'd like to share it with you.

Back in 2006, I was conducting a First Aid/CPR/AED course for my employer. The company -- amazingly -- allowed each of its almost 1000 employees to sponsor a non-employee for First Aid/CPR/AED training, at the employer's expense.

Part of my lecture was along these lines:

We do not go into emergency services because of the fantastic schedules. We know that for the first twenty years, we will miss every holiday, every birthday, every wedding anniversary, every school play, every PTA meeting. We do not go into emergency services for the fancy uniforms. The uniforms are polyester: they are hot in the summer, cold in the winter, and they always look horrible. We do not go into emergency services for the money. There is no money in emergency services: most of us are volunteers, or at best, paid-on-call.  We do not go into emergency services for fame, fortune, glory, or greed. Do you know the name of even one police officer, firefighter, or paramedic in your town? Or do you know only the Johnnie Gages and Roy DeSotos, the Barney Millers, the Tommy Gavins? We may not admit this, especially when we're sober, but we go into emergency services because we want to make a difference. We want to keep our friends and families, our neighbors, even strangers, safe and healthy. We want people to go home to their families, their spouses, their children, in the same condition as when they left in the morning. We don't want to see tears, we don't want to hear anguished crying, we don't want to tell people their loved ones are never coming home. We want people to stay alive, to go on vacation, to see their children marry, to bounce grandchildren on their knees...

Well, the wife of one of our staff members was in that class, and she listened to what I said. No, she more than listened, she heard, she understood, for the following year when it was time to recertify her CPR, she told me she was back in school, going for a paramedic certificate to pay her way through nursing school... to become a trauma nurse and eventually, a flight crew member of the local air ambulance.

What brought that memory to mind?

This:




Via Mustang Bobby

Yeah, I guess I made a difference, too.

Glass Houses Department

A while back, I mentioned that one of the medical bloggers I read got caught up in the Massachussetts EMS scandal, where more than 200 EMS personnel got caught falsifying recertification training records. This guy now has a post up criticizing private-sector EMS providers, and says he's embarrassed when the best excuse he can make for them is lack of training.

This coming from someone who fraudulently submitted records claiming he had attended mandated in-service training.

To use his own phrase, "Sorry, guy, I am not impressed."

If you want to bitch about someone else's training, maybe you should have made sure your own was in order.

Oh, yeah, that's right, you were too busy skipping training but claiming the credit anyway.


And he no longer allowing commenting on his blog.  Maybe he got tired of being called a hypocrite.

Elsewhere in (Medical) Blogtopia*

Two disheartening things from the world of EMS blogging... first, Mark Glencourse, a British paramedic and a leader of the EMS 2.0 movement, announced that he was closing his blog, 999Medic.com. Mark took this action in response to the usual political BS that sometimes arises with blogging about the emergency services community (which is why I don't do it). Mark and San Francisco Firefighter/Paramedic Justin Schorr (who blogs at HappyMedic.com) are also the driving force behind an upcoming reality show, The Chronicles of EMS. He will be sorely missed.

On a less pleasant note, one of the medical bloggers I read on a regular basis, who lives in Massachusetts, admitted today that he was one of 207 MA EMTs who falsified re-certification training records.

Thanks, dude.

Glencourse, Schorr, and countless others are trying to make EMS a profession, not a trade. They're trying to re-educate the public, and convince the masses that EMS personnel are entitled to the respect that 2000+ hours of advanced trauma and medical training should bring.

These guys are trying to make the job better, get us some respect, maybe even livable wages. But you and your lazy-ass buddies down there had to screw around cause you didn't want to sit through continuing education classes.

Now the public looks at all EMS personnel and wonders, "Did he really do his continuing education? Or is he lying, like those Massachusetts losers? Is he gonna save my life or will his rusty skills and outdated knowledge KILL me?"

You may wonder what the big deal is. It's this: we're talking skills and knowledge needed to save lives. We're not talking about missing the latest changes to the Tax Code, or a fast-breaking tech bulletin on Toyota's acceleration issues here. We're talking life or death. How to calculate the appropriate dosage of the appropriate medication for your infant based on size and weight, or remembering how to correctly interpret an ECG strip or perform an endotracheal intubation successfully. You know, the stuff that will keep you alive so you can walk your daughter down the aisle at her wedding and bounce your grand kids on your knee.

The thing is, I don't know if he is truly a lazy bastard, or if he got in with the wrong crowd (as our parents used to say), or what. Whatever the reason, he has made our jobs harder, by violating the trust the public had in us.

What IS it with folks in emergency services these days?!? Have we all lost our friggin' self-respect, our professionalism, our very minds? We have Oath-Keeper cops claiming the right to kill you for disagreeing with them, we have medics lying about training. We have firefighters confessing to arson.

WTF, people?

If we want to be respected, if we want to inspire today's kids to become tomorrow's protectors, hell, if we want a decent paycheck, ...

WE HAVE TO EARN IT.

And we don't earn it by putting on the funky clothes. We earn it by being the very best cop/firefighter/medic we can be, by delivering the level of service and knowledge and skills we would demand for our spouses or our children.

People in my generation went into emergency services inspired -- in part -- by shows like Emergency or Adam-12. What inspired the current crop, The Simpsons? Beavis and Butthead?

* y!sctp (Yes, Skippy coined the phrase).