Aug 16, 2010
The story of a Druggie
Aug 12, 2010
The Glorious Life
My Wife and I have done alright for ourselves, both in under paid professions, we own rather than rent and are able to provide for our son. That being said, I have made changes in these economic times to be more fiscally responsible. Packing my dinner rather than buying out, drinking from the stations water cooler, and enjoying being home bodies for entertainment. Its not ideal but it makes life easier on us, and reduces our stress.
Now I'm not blogging for sympathy, or bragging rights, that's not my style. So there is comedic twist to this blog...dun, dun, dun...foreshadowing? But I digress.
I am not afraid to be, as my wife would say, cheap; though I think of it as Fiscally responsible. I go through the couch cushions at the station to find loose change in attempts to scrounge up enough to purchase the item of my desire. After a few weeks I use this said change to treat myself on day four to a soda. Which today was that day, That day where my hard earned work of flipping cushions and combating the creatures of the couch paid off. Three weeks to find enough change to buy an ice cold, thirst quenching, caffeine enthralling Mountain Dew. What a brilliant, magnificent, splendid, resplendent, splendiferous, illustrious, redoubtable day this was going to be!
Much as I enjoy cake and fried foods, I love my Dew. The day I get to purchase my Dew from the vending machine is what I can only relate to as Christmas when I was younger. I wasn't even going to wait for a while before the purchasing and inevitable consumption began. As soon as I clocked in, I headed straight for the back of the ambulance bays, my eyes locked on the light emanating through the stiff plastic logo of the soda incubator. Oh sweet luscious mana of heaven, I thought upon reaching the towering machine. I glance over my shoulders to make sure we're alone and stretch out my arms embracing it in a long, yet surprisingly satisfying hug. Getting lost in the moment I realize I have the correct amount of currency to release this locked liquid crack. Digging through my pockets, I throw unneeded items aside, gloves, spare pens, my junk drive all just to grab the loose change sitting with in its depths.
In my palm sits the key to happiness, I begin to slide my change in the slot of the machine. A quarter followed by another, followed by a few dimes. All was going great until this stationary bipolar vending machine turned on me. Clank I hear as a dime falls down the return shoot. I grab and reinsert. Clank I hear as it falls again. Temperamental piece of crap I think as I try a nickel. Clank, Clank, Clank as it spits out Sixty of the dollar ten it had already been given. The tiny LED marquee reading, Balance: 0.00, "What the hell" I exclaimed "Worthless piece of...Rotten, no good son of a....." Locked within the belly of this beast sits my hard earned, some one else's misplaced, change.
The fit of rage that ensued is not appropriate for all readers. I ended up losing to an inanimate object, out smarted at a game I obviously had no idea we were playing, by a soda machine.
Like the title implies, Ain't this The Glorious Life.
Be Safe
Ambulance Junkie
Aug 10, 2010
A Black and White or a Grey Affair??
There is no amount of training or schooling that will prepare you for the gritty realization of life on the streets. There is the obvious right thing to do and the obvious wrong thing to do, but that only covers the extreme polar ends. What do you do the rest of the time? What would you do in the moment when none of your training and none of your schooling seems applicable? The moment you enter the Grey Zone?
Your presented with a Frequent Flyer drunk, we all know the one, you pull up on scene and know his Name, DOB, SSN, Medical Hx, his wife's name, and their pet cat named Fluffy. He's a block away from his apartment, and is shit faced. He left the bar the block back and has been fighting the ever ominous force known as gravity the entire time. A good Samaritan saw him fall while driving and called 911, though never felt the need to stop and help him.
So Black and White would say a male Intoxicated fallen is a transport to the ER, right? He has consumed alcohol and thus not allowed to refuse medical aide and transport because he has a mind altering drug on board. He is adamant in not going to the ER, and it will be a struggle the entire ride in to keep him relaxed and on your stretcher.
Grey would say that he was heading home, He's a block away, and he needs to sleep this off. Yes he is drunk but if he shows no signs of trauma after a full assessment and is capable of appropriately answering person, place, time and thing than he has the right to refuse Medical aide and transport. You can't take a man against his will and you know his non driving wife is home awaiting his eventual arrival.
So what do we do? In this exact situation it comes down to your way of thinking, which I have done both:
Black&White- You get your Malnourished Morgan Freeman look alike patient and sit him on the stretcher. He banters on about being taken against his will as you put his lap and leg belts on. He emanates enough booze out of his pores for you to inhale a contact buzz. You wrestle to keep him on the stretcher and avoid his misguided attempts at a punch. You use all EMS Mind tricks to distract him and take his attention off his disgruntlement.
Grey- I've signed off my local drunk and given him a courtesy ride home. Walking him to his door and helping him to his front door where he lets himself in. Seeing his worn and weathered wife looking with shame and embarrassment of the spectacle he must have caused from with in the house. We bid our patient ado, and reassure the wife that bringing him home was no problem and it'd save them some money from the ER bill. No doubt leaving the patient to crash on his couch and sleeping off his alcoholic induced life style.
No one prepares us for the split second decisions having to be made on the streets. No one prepares you for the second guessing you'll do the moment the call is over. EMS is Black and White except for when its grey. EMS is truly a conundrum.
No matter your decision, use you clinical assessments and sound medical judgment and stick by it; but always be able to learn from your mistakes.
Be Safe
Ambulance Junkie
Aug 7, 2010
My Promise to my Son
The first time you Laughed, I was Working.
The first time you learned to sit up, I was Working.
The first time you crawled, I was Working.
Your mother will tell me of your wonderful accomplishments, I am proud!
Though I am saddened, I will never let you know.
I will never let your mother know.
This is my burden to bare, and no one else's.
Please don't think this is how your life will be.
I'll be there for you my son.
I won't miss your games, I won't miss your awards, I won't miss your growing up.
I know what that was like and I won't make the same mistake.
That is my Promise to my Son
Aug 6, 2010
Dry Chem + Ambulance Cab = A Day Off
My partner and I have the same routine once on post, the every day chatter entails in the rig over what we did this weekend. The music playing in the back ground we joke and laugh amusing our selves over various happenings at work and hear say about the unionizing neighboring department. We head inside to grab an early morning coffee and discuss whether its to early to grab a cup of Wendy's chilly or not. Exiting from the service station we tromp through the slush and gusty wind and hunker back in our warm ambulance. All the time never thinking about the mischievous happenings that are effectively occurring at that very moment.
Unknown to us the plastic seal on the fire extinguisher is to the point of total failure. It at any moment has enough disintegration through its plastic being to break apart setting in motion the days events. The continuous vibration of the old 98 Ford will ultimately bounce the broken seal tag off the extinguisher and onto the ground. The said vibrations will rattle enough to dance the pin out of the dry chem, and set up this devilish plot.
We continue to chatter to each other and a few hours have passed. The Pin now on the verge of falling out and clanking will no doubt alert us to the unsafe extinguisher standing between us. As the pin falls it lands on the only towel in a five foot radius thus not making a noise, and not warning us.
Reaching back to his bag my medic goes to grab his novel to read. the bag having shifted just enough out of reach during the mornings drive. He has to stretch and with his finger tips grabbing at his bag just out of reach. in order to get a little extra leverage my Medic has rested his opposite elbow on the handle of the extinguisher. The same said extinguisher that we unknowingly possessed with a faulty seal tag. The planets have aligned in favor of the events about to happen, and set in motion to a point of no return.
With the slightest of pressure on the handle he is able to stick his finger on the bag with the tiniest of traction, pulling towards him he shifts his weight. The transfer of weight from his reaching grasp to his steadying arm creates enough energy to drive the handle down on the extinguisher releasing dry chem agent into the air. With out missing a beat my partners shifting weight triggers him to become off balanced and falling between the seats. Kicking up the dry chem on the rigs floor. As he falls his legs stretching out shoving his boots towards any solid mass in attempts of bracing him in his new stance strikes the the GPS unit mounted on the dash dislodging it. In his follow through with his boot he strikes the speed dial of the heat vent kicking it to high. The vent intakes near the dog house floor suck the low lying dry chem in allowing it to vanish from site momentarily.
Laughing at each other we do not realize what is about to happen. The vent sounding as if its clogged draws our attention to the outlets. We stop laughing just in time for the evil twist of Karma, *PUFF* as it fills the entire cab with dry chem. My medic laying on the floor no less than two feet from me vanishes in a fine white cloud within our rig, the air becomes thick and unbearable. Coughing ensues with intermittently laughing over our situation. We stumble out of our rig coughing and dry heaving from the dust that has no doubt filled out lungs. Suppressing the cough we assure each other of our safety. Then burst out in laughter which begins the cycle of coughing once more.
We call OOS and proceed to drive back with windows open and our heads hanging out. At the station we explain to the D.O the events of the day while uncontrollably shivering and coughing. We are told to head to be medically cleared at the ER. Once doing so we return to be advised the truck will be in need of a interior servicing and vent work cleaning. With no other trucks available for use that day, we are given the rest of the day off with pay.
It seems as though Karma had its intentions all along.
Be Safe
Ambulance Junkie
Jul 30, 2010
Chuck & Ralph
We see patients from 200 yards away, arriving on scene Patient One & Two are at curb side puking their metaphorical brains out. We call out "Medic Four on scene, will advise the situation" over the radio as I step out and avoid pools of stomach content all over the side walk. The first two patients in agony but breathing we quickly survey for additional bodies. My eyes sweeping the area I catch movement inside the front door, I advance as the faint sounds in the distance of help can be heard. I bend down unsure of the nature of the environment and upon arrival to the door way I am presented with patients three, four, five, and six. They are all inside the front door in what appears to be a common living quarters. All of them also spewing out every last bit of stomach contents they had, though these chaps were all civilized and using various forms of buckets. "If your able to exit this building and come outside" I yell over the sound of the arriving cavalry. All four stand and walk towards the door. "Are there any others in the house other than the four?" I over hear my partner asking patient one and two. They point to the fenced in side yard where I now turn and head, getting to the gate I go to unlatch hearing:
Only as I return to service do I realize that This would be a humorous story realizing my Patients names were Chuck and Ralph!
Jul 27, 2010
"The Kings of EMS"
Top Ten reasons Johhny and Roy are "The Kings of EMS"
10) All of their patients lived happily ever after.
9) No One ever puked three 40's of malt liquor all over their shoes.
8) They Never went anywhere, even into the hospital, without their goofy fire helmets.
7) Only Johnny and Roy could get a call for a naked babe in the bathtub (with her toe caught in the spout) and not get aroused.
6) They always got all of their IV's on the first shot, even on a 104 year-old blue hair with no veins.
5) BICARB! BICARB! BICARB!
4) Who else could say "Hey Doc, he needs a shot" and actually get an order for 10mg of MS?
3) They survived all of Chett's fire house cooking.
2) They never had to do a fourth floor carry-down.
...and the number one reason why Johnny and Roy are "The Kings of EMS":
1) The way they could always cath the light just right and make a little rainbow when they were flushing a syringe for a medication administration.
Jul 25, 2010
The Yoda kid
This young man looking at me begins to speak "What looking at are you" "Excuse me? Whats going on today man?" I ask in wonder. "Do you understand the language of the Jedi not?" the boy asks. I turn to the officer in confusion and disbelief. "yeah I don't really have authority to transport here, so that's where you come into play" Says the officer.
Lucky me I think as my partner and I take this non violent young student on our stretcher and secured him with leg lap and chest straps. As we roll the patient out of the building I ask the typical questions like his name, if he is having any complaints, and SAMPLE history. The patient looking at me states "Yoda ki-adi-mundi, my name is. Yes, hmmm. No concern of yours, the rest is." At this point we have loaded our young Jedi Master into the rig, his sudden psychosis or his possession by a fictional character I test his devotion to this act ir the seriousness of the situation. "So you said your name is Yoda Ki-Adi-Mundi right? Like Yoda from star wars huh? than explain to me why are you taking a Jedi Master of an unknown species and combining it with a complete seperate Jedi Master?" The Patient looking at me begins to have the slight enjoyment wash off his face, "well...well....Your Mom!" the patient shouts. "So that easily you've given up your little game huh?" I ask, "I was expecting more, I mean as elaborate as your escapade was to get out of school you could at least sell it to me" "PING" my cell chirps as a text from my partner comes in. I glance quickly reading: you just Jedi Mind tricked his ass!
The rest of the trip in was rather uneventful. Taking vitals and grabbing what little history the kid felt like sharing. I understood this kids desire to get attention, his outward cry of desperation. It wasn't a long ride into the Hospital, I don't think a two hour trip would have allowed this kid to receive enough time away from his inner demons. Pulling the stretcher out of the rig with our young Padawon in tow we enter the ER. "Afternoon folks, Let me introduce to you my young patient....Yoda Kid, He's been acting out today and is in need of a Psych eval." Glancing out of the corner of my eye I wink at my young troubled person. He smiled back and continued on his way, "Yoda the great Jedi master I am." The staff none the wiser.
Be safe
Ambulance Junkie
Jul 18, 2010
The ugly truth
"She wont even fit on the elevator" my partner whispers. "Not laying down" I whisper back. "so we put her on the elevator car 1 and hit the lobby button, than jump in car 2 and race to the lobby?" my partner suggests. "are you kidding my? I'm not taking the stairs!" My partner looks at me holding back the laughter "how does you taking the stairs come into the equation?" he mutters, "I don't know, I was feeling confusion, We have a job to do" I say as I enter the room leaving my partner in utter confusion.
We approach, placing the monitor on the floor, and begin our assessment. A truly mute thing at this point. Neither of us are truly thinking this is a viable option for resuscitation, but relying on training we proceed with the steps to confirm. I chirp out a quick radio transmission of an additional truck and the police to the scene. My partner places the four lead on and glances at the monitor, while I throw a set of defibrillator pads on our patient. The Monitor reads Asystole yet her body is still slightly room temperature. We debate our options in the room more for show. We point out the lavidity in the legs and arms setting in, the staff unable to understand the words coming out of our mouths. We pack up and await for the police officer to take over the scene. The instant sign of relief washes across my partners face.
We as EMS providers are imagined as super humans. We arrive on scene and are expected to save a life. We are supposed to operate with no emotion but show compassion. We are supposed to be confident in our ability to over come the largest of obstacles, some times though our human nature and concerns get in the way. We are only human after all, we have our own ways to cope with the dismal and dark side of the world. We often dont deal with people when they are having a good day. EMS typically wont be called until a persons day turns to crap, and we must remain light hearted in order to continue in this job.
Jul 13, 2010
Stop and Listen
Swoosh swoosh of my hand wiping down my stretcher, I listen as a doctors introduction gets drowned out as a passer by talking on her cell with an angelic southern draw "Hello, I'm Doctor..." "Ya, so I ain't to shur but I reckon he'll be admitted" Trailing off as she walks down the hall. "This is the stethoscope and it goes here on your chest to listen to your lungs" the doctor tells his young patient. Click Clack, Click Clack, Click Clack, As Miss registration walks down the hall giving me a sweet hello smile. Beeeep, Beeeep, Beeeep, Beeeep of a patients monitor alarm telling the staff of problematic vital signs. Squeak-squeak-Squeeeak, swoosh woosh woosh woosh woosh the trailing off of the passing environmental services cart wheeling by and the sound of sticking shoes from the cleaner walking behind.
"Hey Boy" says one of my favorite nurses, "How are you stranger" "Hey girl, I'm good, what are you doing on still?" I ask "I'm here till 1900" She says in passing. Click-Clack Click-Clack, as Miss Registration passes by while returning to her station. Ping as my phone receives a text, "Hi, I'm from radiology. I'll be taking you for an X-ray" Says a tech "Excuse me, Nurse" a patient yells out, "OK, so the CT scan came back negative..." states doctor to a nurse. "Room 12 Fire" says a Nurse to the Fire Ambulance Medics.
The singularity of the voices begin to muffle together and build on top of each other. One drowning out the next, becoming an indistinguishable chatter perpetually becoming louder and louder. Then a sudden silence as I slip into my thoughts and think of the perfect blog post for the day. Realizing the the irony of this moment I smirk and just like that the silence is broken. Ring Ring Ring of the nurses station phone, "Med control from Medic 13" the radio chirps "Doctor Strong to Level two North, Doctor strong to Level two north" the over head speaker alerts. The hustle returns to life in the E.R. and I go about dressing my stretcher having enjoyed my little moment of observation.
Jul 10, 2010
Jersey'd
"I'm just saying that if zombies did attack, a bag full of guns is far much better at defending your self" Fly Boy would say. "are you kidding me! Reloading would leave you vulnerable and open for an attack" I would counter
While amidst a heated debate we fell into a stalemate neither of us budging. Both of us refusing to back down from this particular debate we had to change means of persuasion, and that would result in the most dangerous move ever to occur in a moving vehicle.
I started with my typical means of threatening to kick Fly Boy out of the rig on the highway countered with Fly Boy grabbing the steering wheel and telling me he would put us in the median unless I agreed. Well what better to counter his attack then unbuckle his seat belt and state "you feeling lucky with taking it into the median being unbuckled?" Then with out warning Fly Boy reached over and grabbed my hooded sweatshirt pulling it over my head. As if in the NHL, Fly Boy Jersey'd me in the middle of the highway with no hesitation.
"WTF is this!?!? Are you retarded?" I yell out. "I didn't feel I had much of an option" Fly Boy replies. In order to counter his alpha male attempts of convincing I yell "This is the way its going to be?" and slam on the Gas pedal. "Oh My God" Fly boy screams laughingly. Being surrounded by darkness and speeding away I begin to laugh pulling the hood off my eyes. "Is this what you'd do if Zombies attacked?" I say as we pull off the exit. "Why did you accelerate? we could have crashed?" Fly Boy yells, I turn my head and smile replying "But we didn't, did we?" "ok, ok, Your crazy enough that if Zombies attack I'd be in your fox hole guns or no guns" Fly Boy states while trying to calm his shaking nerves. I smirked knowing I won this argument.
Be Safe
Ambulance Junkie
Jul 7, 2010
His plan
Be Safe
Ambulance Junkie
Jul 6, 2010
Wielding a knife and wearing an Eye patch
"Hello"
"...WHAT!"
"Was it the cat?"
"ok so does it have a tail?"
"well whats a small tail?"
"...OK....OK...Hunny...Hunny....OK...You have to...You have to relax...Hunny"
*hangs Cell up*
Fly Boy looks at me in wonder, "So, That the Wife?"
I glance at him out of the corner of my eye. I pick up the Mic and request personal detail to my residence, Dispatch hearing my tone grants the request and asks for a 10-21. I call in and advise of a possible animal in the wall of my basement. "No, the wife was freaking out!" I state "it'll be real quick I'm sure its probably just a mouse." We head towards my house not knowing what would be in store for us. Fly Boy riding shot gun and Mini Medic in the back we head to south mountain.
We get on scene and enter the residence, the caller standing on the stairs peering around the corner. "Hey doll" I utter kissing my wife on the cheek "whats going on" "SHHHHhhhh...look it's right there" she says timidly as though not trying to startle a predatory creature on the verge of attacking her. As I glance past her shoulder I see my newly hung dry wall laid to waste by claw and tooth marks, with a rotund grey mass sticking out of the wall from a hole. Ever so slowly I proceed forward, step by step, my eye never moving from this unknown creature.
"Stop" Fly Boy whispers halting me in my tracks and sending goose bumps through my body. "Don't you think we need weapons to protect our selves" He mutters to me. "Yeah, tools" I say, grabbing the first thing in arms reach; the Pick Axe, Fly Boy grabbing the shovel, and Mini Medic grabbing a plank of wood no larger then his four foot five stature.
"What is that Mini" Fly Boy chuckles
"What!?!?!?!?!?, its the only thing left" Mini says sarcastically.
Moving forward towards this unknown creature we make a strategic plan of attack. Not knowing what the bundle of drywall destroying fur even is, we plan a quick and precise shot in the dark, a strike of the pick-ax to end the creatures life. Hesitantly I prepare for this task, tapping the blade end on the wall as though I were a skilled demolition expert. I pull back the tool over my shoulder and with a sudden thrust forward, through the wall, where we presumed the creature to be, the blade crashes. Sitting in wait for a shriek or cry, we hear nothing, I pull the pick-ax from the wall expecting a stream of blood to flow through the hole. Now noticing neither the dying cries or blood one can only suspect one thing; a perfect shot. Leaning in for a closer inspection I see no dead animal.
Without warning, a groundhog the size of a Life Pak 12 leaps from within the depths of the newly made hole. As if in the Matrix I lean back dodging his advance at me. Striking the ground the Groundhog heads towards Fly Boy who stabs blindly with the shovel while lifting one leg as if to help his thrust's. Weaving through every attempt the groundhog sets his eyes on Mini Medic, charging full speed he darts through Mini's legs and into the pile of stored Christmas decorations. Mini lets out a yelp and throws his plank across the room.
"What was that Mini?" I ask
"I panicked" replies Mini Medic
By this time My wife has already contacted Dispatch in hopes of getting an expert to the scene before her house falls down in shambles. To our surprise County was contacted who then sent a Deputy from down town who is not exactly what you would call well versed in nature. The Deputy, never have seeing a groundhog before, readies his side arm much like he'd do for an assailant wielding a knife and an eye patch. Luckily the level headed, and much more experienced Sergeant shows up to check on in his young Deputy after the request to "dispatch" the creature within a residence was relayed over the air.
The sergeant devises a plan of trapping the animal in a spare garbage can which is executed with out a hitch. Releasing the creature across the road into the woods we decide its best we return to service and use our powers to Save Lives. For obviously Animal capture is out of our league.
As Always, Be Safe
Ambulance Junkie
He got me good!
The note read
Medic Two Six
Service at Thirty Three Thousand One Hundred Eighty Four.
Current Mileage: Thirty three thousand eight hundred eighty five.
Now it may not seem as comical now but the fact he spent so much time writing out every number is truly priceless.
Be Safe
Ambulance Junkie
Jul 5, 2010
Fourth of July
Be Safe
Ambulance Junkie