What Happens if it doesn’t work?

How come what I was trained to do, didn’t work?

I became a basic EMT in 1975. This is a story of my first loss.

When you are a young rookie, you hate to lose. Some things never change, but when you are young and inexperienced it leaves a mark.

When you first come out of EMT school, you think that you can cure most if not all of the ills of the world. Also, as gruesome as it might seem you sort of wait for something bad to happen to really test your skills. I guess it is sort of like the military that way, you don’t want to have a war, but it is nice to see all of this training in action so you know it works.

Paul & Dennis were twins. Both of them served as volunteer firefighters when they were ages 16 through 18 and had first aid training. Paul and Dennis went to school with my sister. You know, it’s sort of funny that in small villages or towns, there is always some connection to your own family or back to the department somehow. I think that is something that folks in large municipal fire departments miss, that direct connection to the community.

None of what Paul and Dennis did as volunteers, or the fact that they went to school with my sister mattered now, but those thought went through my mind somewhere while I was repeatedly counting out loud,….One, one thousand, two, one thousand, three on thousand…. Paul was 29 years old, and was lying lifeless on the floor. We found him sitting upright, with the telephone still in his hand, from his mom’s answering service business. My partner on this particular day, Dave,  lived three doors away and was a good friend of Paul’s about a couple of years younger. As I breathed into his lungs, by sealing my mouth over his, Dave continued to pump on his chest. I asked for an airway to put in, because we were getting air in, but his color was getting worse, from gray to blue from lack of oxygen. Paul’s elderly and handicapped mother was hysterical and  that made it very difficult to work on him. One one thousand, two one thousand,….breathe dammit!

Paul was a very large boy and probably weighed over 270 pounds so moving him out was a real chore. We continued CPR, we ventilated with a bag valve mask with oxygen, but his color only got worse and worse. When we arrived at the hospital, we explained all that we did, and they worked on him a little and then the doctor said to stop.

Stop! What the hell do you mean stop! he is only 29 years old! C’mon, lets keep going I said to Dave. The nurse had us stop and took us into the small side room where the EMTs made their report. Dave and I made eye contact, and we both started to become emotional.

Dave had lost a friend, I had my very first loss. I kept reviewing it all in my mind, what had I done wrong? I did exactly what I thought was right and what I had been taught. Just then the doctor came in, and spoke to us. It seems that Paul had an aortic aneurysm, a sort of a bubble on the main artery leaving his heart. This aneurysm ruptured suddenly and he never felt anything, and all we did , by doing CPR was to fill his chest cavity with blood.

How come nobody told me about that during EMT class? Sure we learned about heart attacks, and anatomy, and even about aneurysms, but I was supposed to be able to fix that, after all he was only 29.

I still have that mark, that was left on me so many years ago.

Tactical Fire problem – Office Building

This week the Tactical Fire Problem is an office building with nothing showing.

 

1.) What is your initial report?

2.) How do you deploy your manpower on the first piece of apparatus?

3.) How do you deploy the balance of manpower on the first alarm?

4.) Is everyone on your crew familiar with alarm and sprinkler systems?

5.) What type of fire or incident could you expect in a building of this type?

What Gear Are You In? P R N D L ???

I know, I know when a firefighter says what gear are you in, you are thinking Globe, Morning Pride, Janesville, FireDex or many others. What I am really talking about is what speed are you operating or functioning at?

Park

You are a member of your department that doesn’t move. You just exist. You hang back at trainings, use all of you sick time, and seem to always have trouble crossing the threshold. If you Park in the wrong place you can just be an obstruction! Members that are parked are really difficult to move, and they really don’t help any of us get to where we want to go.

Reverse

If you are in Reverse you are generally looking in your rearview mirror all the time. You don’t really care where we are going, you only care where we have been, and the good old days, and the way we used to do it. You spend a great deal of your time taking the crew further away from where the organization wants to go while they move forward.

Neutral

If you are in Neutral you are easily influenced meaning you can go either forward or reverse and you are easily moved with just a little push. This might be a big part of your organization and it is the job of the officer and the rest of the crew, to make sure that you are moved in the right direction. The problem with neutral is that while you are not hurting the mission you are probably not going forward. These folks in neutral also have to be monitored, because after some forward progress, they will easily slip if not properly chocked!

Drive

If you are in Drive you are trying to move the organization forward. You are helping others and can probably take passengers (other crew members) along with you for the ride! You are fully engaged and participate in all activities, training, house duties and you are awesome on the fireground as well. This analogy is the only time I am in favor of everyone driving, and I will even accept backseat drivers too!

LOW

If you are in Low I am Ok with that also. You might be a senior man that is cautiously moving forward but at a slower pace. You might have travelled this road before and you know it can be uncertain about the terrain. You want to move, but have good traction, good torque, and while a little slower you are almost guaranteed to finish the journey. In addition if you are careening down a hill of uncertainty at a high speed, being in Low can slow you down and make sure you descend slowly and safely. These members can be a tremendous asset to the organization and eventually they will probably pick up the pace and shift gears into Drive.

So as you read this you were probably naming the members and what gear they were in. We all have them.

If you are an officer, figure out your role, are you the navigator? Are you the mechanic? Are you the tour guide? …..Oh, and by the way what gear are you in as the officer?