On the heels of Wednesday’s podcast I wanted to share some more thoughts on Sirens and try to explain why I think this show is as great as I do. It is a comedy. No doubt. Its crude at times, but I like that, I am a fan of that kind of humor. The beauty of Sirens though, is it is not a comedy about working on an ambulance. Instead, it is a comedy that takes place on an ambulance. The real beauty of Sirens is in the characters. Take look around you. Look at the people you work with, and the people that you know who work int he industry. Each of us knows that person who is better at managing their work life than their personal life, whose partner seems to know their life better than they do, or someone who is obsessed with gore. Each service has that sage-like older EMT, and someone who seems to have far more knowledge in their heads than the average EMT. And final, we all know that far too eager rookie who has no idea what they are getting into. Each of those characters is represented in Sirens. They’re all there. Johnny, Hank, VooDoo, Stats, Cash, and Brian. Each of them seems to represent a certain personality that we all encounter far too often, and they each do it well. Now, although I am a big fan of the character work on this show, the EMS, while not completely accurate treatment wise, is topically accurate. They deal with those weird calls that we run into, and the MCI’s and frequent fliers. They also dive just below the surface of how we as an industry deal with those types of calls. If you want proof of that look no further than the 9th episode of the first season called There’s No I in Ice Cream. It is probably the most serious of the episodes in the first season, and because of that, it is by far my favorite. The biggest thing that I took from my time talking to Kevin Bigley and Kevin Daniels was the amount of respect both men have for our profession. This...
The Podcast
We took the week off last weeks or Labor Day and this week the podcast is back with a short interview that I did on Jamie Davis’ The Medicast where we talk about the show and what it is all about. Regular shows will be back next week! Enjoy! To download the show in MP3 format, follow this link! Otherwise check the show out below: ...
Read MoreFor Leadership
Roughly twelve years ago, AMR and AEV’s Safety Concept Vehicle made its way to Springfield for us to take a look at. It included a number of interesting features like an expanded harness setup to allow providers to move a little more freely around the box while still being anchored. There were mounting brackets for cardiac monitors, and video cameras to monitor both the rear of the truck for backing up, and the passenger side to check for traffic before opening the curbside door. The vehicle itself contained a lot of positives that have been adopted over the years. I see more cameras used in emergency vehicles and I’m a a fan of the checkered or striped patterns on the backs of trucks to make them more visible to oncoming traffic. I have also seen a few more monitor brackets. But where is everything else? When is that ambulance of the future going to get here? Year after year at conference after conference, there will undoubtedly be some ambulance parked on the exhibit hall floor touting itself as the “ambulance of...
Read MoreFor the Field
There has been a lot of buzz over the past week about California’s EMS Bill of Rights. Dave Konig has a great take on it over at The Social Medic that I encourage you to read. American Medical Response has even launched a counter campaign to it complete with the hashtag #LivesBeforeLunch. While that makes me cringe a bit, I want to touch on one line of AMR’s response to the bill that stuck with me. “As written, AB 263 is an unprecedented political power grab, and will heavily penalize private – but not public – employers of EMTs and paramedics.” When I look back at my career with AMR that spanned more than twelve years, I had a lot of ups and downs. Had busy shifts and I had slow shifts. I found myself mandated to work despite being sick, or just needing a day off. Through the highlights and the lowlights of working in a busy 9-1-1 system that amassed roughly 40,000 calls per year, the instances where my 12 hour shifts hit double digits were rare when compared...
Read MoreLessons to Learn
Any time I peruse the pages of EMS related articles I will inevitably come across some service that is trying to take over another service’s area. Diving deeper into those articles usually reveals the same usual arguments. Imagine my surprise when I clicked on an article about the East Longmeadow Fire Department’s move to take over EMS response in the town of East Longmeadow. I should first point out that what I am about to write is meant to represent my own personal views on the state of the industry. I have not inquired about anything having to do with the current staffing of ambulances and volume. What I am reflecting on is the article and just the article coupled with my years of experience in the greater Springfield area. Just to give a little bit of background here, I used to have a dog in this fight. As many of you know, I was a 12-year employee of American Medical Response, the last seven of which as a supervisor. I participated in contract bids for the town, and saw service...
Read MoreRecent Posts
Podcast Episode 2: Sirens on the USA Network!
May 7, 2014
While the initial plan was to post my podcasts on Mondays, this one was too good to pass up on posting a little early. In this episode, I talk with Kevin Bigley and Kevin Daniels who play Brian and Hank respectively on USA’s new comedy series Sirens. I have been a supporter of this project from the start. Personally, I think it is hilarious. If you have not watched it yet, you really need to. I had a great time talking to both Kevin Bigley and Kevin Daniels. Hopefully you enjoy listening to the podcast as much as I enjoyed recording it! To download the podcast, click this link! Otherwise, use the player...
Podcast Episode 1: Where Are We Headed?
In the first episode of my new podcast, EMS in the New Decade, we talk about the direction the show is set to take, and learn a bit more about who I am, and where I got my start. To download the podcast, click this link! Otherwise, use the player...
When Dead Is Not Dead
The news story that hit the internet last week about the woman who was “pronounced” by the paramedic who was later discovered to be alive is nothing new. We have seen this type of thing before. Chances are, if you ask me, probably just about every case of this has hit the media at some level. If you ask me though this is not an EMS problem. This is a personal problem driven by the laziness of a provider. In fact, one article mentions that this exact same medic had an issue a little over a year ago when he flew two patients that probably did not need to be flown, and should not have been flown. I vaguely remember that story. The problem with this entire situation though is that what will most likely come out of it will be some policy change either at the state level or medical director level, and some fear within the system that “this might be missed again.” This is not a systemic issue. It’s not a state issue. Its a provider issue. And more importantly, it is one that should never happen. The only thing that will prevent instances like this is a thorough assessment by a trained medical professional. Every field pronouncement protocol should contain a few core components. For example, obvious signs of death. Lividity, rigor mortis, and body temperature. Or some injury that is incompatible with life; a decapitation, or massive evisceration, cranial evacuation. These are the things that should be obvious to us when we assess a patient, and we do need to assess these patients. We need to touch them, and inspect them, and make sure that we are making the right call, even if we are on a crime scene. These things must be done. The other component that should be part of every field pronouncement protocol is the acquisition of an ECG that shows three leads of asystole for a predetermined amount of time. The best way for any paramedic to check this is not to get a “quick strip” but instead to do something like a “10-20-30” evaluation of the patient’s ECG. What I mean by a 10-20-30...
EMS in the New Decade: The Podcast!
Apr 30, 2014
Yes, you read that title right: The Podcast. The time has come for me to finally do what I have wanted to do for a couple years now. On Monday May 5, I will release the first episode of my podcast carrying the same title as this blog. This is something that I have wanted to do for a long, long time, and have been asked to do by a few people but I never really felt that I had the time. A lot of the roadblocks that I had keeping me from doing this are not there anymore, and it is time for me to take the plunge. Monday’s show will be an overview of what to expect from the episodes to come. Shows will be posted weekly on Monday mornings at 10:30am EST, and will be listed along with my other blog posts on the homepage of my blog. In addition to that, there will be a link in the menu to take you to the index of all of my podcast episodes. Also, I am currently creating an index of past episodes of other shows that I have been part of. They will be part of this menu page as well. It feels really good to be back writing at 100%. The major life change, and employer change took its toll on me for a while. It is not easy to start over in a new system with new people, new protocols, and new everything. I was ripped from my comfort zone, and it took me a while to get back close to it. I’m not there yet, and there’s challenges that I am dealing with every day, but to be back writing is an important part of that for me. It just seems like the next logical step for me is to get back into podcasting, and even more logical to finally host my own show. I really cannot tell you how excited I am about this. Thanks to the support of people like Ben Neal, RJ Stine, Random Ward, Natalie Quebodeaux, and of course Kyle David Bates, Chris Montera and Jamie Davis, I am finally going to make it...
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