Saturday, February 27, 2010

Firelady: Hey man, when's your birthday?

Co-worker: In a couple months, why?

Firelady: I just needed to know so I could go to the bowling alley and stock up on some polish for ya.

**5 second delay**

Co-worker: Oh damn.






Yeah, I'm still around. I just haven't had anything overly interesting that I felt like sharing lately. Hopefully things will pick up soon.

Wednesday, February 10, 2010

I learned just how heavy these suits are today, and how to extricate the tech from his suit. Wow. What an awesome experience.

Tuesday, February 9, 2010

Sorry for the lack of posts folks. There just hasn't been anything interesting enough to post here lately. Plenty is going on in my life, but I'm afraid that I'd come closer to giving myself away if I wrote about things.

I will say that I had fun driving the engine last shift. There weren't any great calls, but we were hot on the heels on another engine company while heading to a fire call. The caller advised flames seen from the street, so everyone was moving on out. Turned out to be someone burning wood. Oh well.

Thursday, February 4, 2010

car fires and cardiac issues

The lack of posts lately actually has a pretty good excuse this time, other than me being lazy. A car wreck I was involved in back in 2008 has been haunting me. The past week or so has been beyond stressful and I've had to get myself an attorney. The other driver was at fault, and her insurance company has not paid my medical bills as promised. It's just a huge headache and I'm tired of catching that insurance rep. in lie after lie.


In other news, work has been nothing short of interesting lately.

I got to fight a car fire that fought back almost as hard. We arrived onscene and it was fully involved, save for part of the engine compartment. The fuel line had ruptured, so burning gasoline was under the car and kept rolling down the hill towards a storm drain.

While I was getting off the engine, masking up the rest of the way, and waiting on water, 2 tires blew. I had a fun time trying to overcome the gasoline's affinity for burning. Every time I would just about have the passenger compartment nearly out, the gas would light it all off again. I'm not quite sure what the captain was doing, but he was just standing around behind me, not helping hump hose or anything, just standing there. After scrambling to knock down the flames as the gasoline got within 3 feet of the sewer access, I asked him to grab the dry chemical extinguisher. He returned with it and it helped some, but the car wasn't going out without a fight.

As I worked my way around to the passenger's side, I was standing at the front door, putting water into the car, when the rear tire blew on that side. I won't say I was expecting it, but I'm proud to say it didn't startle me much or scare me at all. My brain finally recognized the difference between a tire and a gunshot.

Once the car was pretty much out, the driver brought me the K12 so we could open the hood. The cable had already burnt out under the dash, and the car's design prevented us from accessing it near the latch. I made the cuts and only had to go back for a small, 3" section of the frame below the skin that I somehow missed. I'll get it all the first try next time though. At least I kept the saw moving enough to not let the blade bind this time (I've had trouble with that in the past).

Once the fire was out and the car had been soaked down a few more times for good measure, we refilled the tank on the engine, put fresh bottles into our SCBAs, and returned to service.

Earlier that day, we ran a gas odor call. A rear window had been broken and more than likely, copper lines were cut and stolen from inside. I cut the gas off at the meter and the captain had dispatch notify the gas company.

The neighbor that called us was afraid the house was going to explode. I'm not a hazmat tech, but I'm pretty sure the house had too much gas inside to allow an explosion. The smell of the mercaptan could knock you down.


Back at my home station a different shift, I don't think I've laughed that hard in a while. I needed that, more than the guys knew, or than I'd let them in on. When someone would fart, SCBA masks with our hoods would go on, just for laughs. When he's not doing paperwork, the captain joins in on the joking around sometimes. One person might get ragged for cooking, but another will get it for snoring, while another gets it about their moustache, and somebody else might catch a joke for something else. There's no telling what silly thing someone will blurt out next some days. I don't want it any other way.

There's no doubt the captain is the boss, nor is there that the senior guys are senior guys, and etc. It's just nice to be in a place where we don't have to be 100% serious all the time, even when at the station and out of the public's view/earshot.


As for medical calls, we transported a 5 year old in bigeminy/trigeminy. Yes, I wrote 5, and no, it's not a typo. The little guy was brave during the IV stick, and since the hospital didn't give orders for lidocane or anything else, the IV, oxygen, and diesel drip were all we could do.

It was definitely freaky and a bit scary to see such a young person having this heart condition. I've only seen it in the elderly, or in those with known heart conditions.

Another medical call had us transporting an elderly lady after a dizziness and weakness spell. On the way to the hospital, I could hear my partner talking to her as he put the defibrillation pads on her and was explaining what would happen by pacing her. He set the monitor to pace and had a good capture at 40miliamps. Her heart was beating too slow (in the 40's) and it needed to be sped up a bit.

As we were nearing the hospital, her respirations slowed and became agonal. I opened the rear doors to find my partner bagging her. I knew she was still kicking because she would move her feet occasionally (no pun intended).

The ER staff did a great job having enough hands ready to handle her in case she crashed, respiratory was even ready for her. When we left the hospital, she was still alive and being paced. My only complaint about that call is that the ER's monitor wasn't compatible with our pads. This was the first time I'd ever seen the style connector they used. Nothing we have will fit it, and the nurse had trouble figuring out how to disconnect it to check if ours would fit. It makes me think it must be new to them as well.

Tuesday, January 26, 2010

Answers to keyword searches

I'm in a writing mood tonight. Since I don't seem to get much email, but plenty of google hits are returning my blog, I'm thinking about occasionally pulling interesting search criteria and answering those to the best of my ability.

Here goes.

"How do they do CPR in an ambulance?"

The smart-aleck in me wants to answer with just "very carefully", but I'll try to elaborate. The biggest help we can have while doing CPR is having a driver that is actually mindful that while they need to get to the ER fast, they have to slow down to an extent. The folks in the back are standing, and won't appreciate any sudden turns or braking. Every ambulance I've seen or worked in, has a metal bar mounted to the ceiling. Common slang for it is the O.S. Bar (use your colorful imagination).

My experience with adult CPR has been standing with legs spread wide for better balance, one hand firmly gripping the OS bar, the other on the patient's chest for compressions. Sometimes, I've been known to slide open the nearest cabinet door and grab the sill instead for better balance.

For a pediatric patient, I'll sit on the stretcher with the baby.

Some ambulances have what we call center-mount stretchers, meaning it's not against a wall, and has a CPR seat. I've yet to try using a CPR seat, but I'm just not quite sure how to wrap my brain around effective compressions when I'm sitting down and having to reach over to the patient.

What's fun (to me at least), is being the one to "surf the stretcher" at the ER. Basically, you stand on the lower part of the stretcher's frame and do compressions while you and the patient are wheeled into the ER. Lowering the stretcher from it's highest level (which they all seem to be at by default when unloading), will help considerably in making compressions easier.
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"Comparisons of private cars to ER and ambulances to ER"

Let me preface this by saying that I do not have exact figures, nor do I advocate taking off in your own car instead of calling 911 for that heart attack, or using 911 to "be seen faster" for your stumped toe.

I'm going to address this one by taking what seems to me as the most unbiased opinion I can give. Keep in mind though, this is MY opinion. If you've been here a while, you've surely noticed I'm biased, opinionated, and I give my version of what happened. The following has plenty of truth to it, but is NOT to be taken as the be-all, end-all answer.

Every single person that walks, hops, limps, crawls, or is rolled into a hospital is triaged. That means the sickest person gets seen first. Period.

The nurses don't care if you've been there 3 hours or 3 days, the acute MI (heart attack) will be seen long before the sprained ankle.

I've had plenty of people that wanted to be transported by emergency ambulance so they would be seen quicker. Imagine their disappointment when we rolled them past the ER and out to triage, lowered the stretcher, and helped them sign in for their 5 day-old, non-medicated headache.



911, is supposed to be for emergencies. If you have an emergency, I'll be more than happy to do everything I can to help you and get you to an ER. However, I am not a taxi service, that's why we have a public transportation system. You can pay them less than $2, or pay me over $500 and possibly cost someone having a real emergency their life.

Saturday, January 23, 2010

One day a firefighter and a cop die saving a life. They both went to heaven and at the gates they are told that they each get a pair of wings, but if they have one dirty thought then they lose their wings.

Everything was going along wonderfully until about 3 weeks later. One day, a really good looking angel walks by and the firefighter turns his head and grins. Of course, all of a sudden, his wings fall off. Well, when he bent over to pick them up, the cops wings fell off.

Friday, January 22, 2010

Pet peeves

People that don't do their job.

People that don't stand up to supervisors when given orders that directly contradict doing the right thing. Especially if doing the right thing would only take 5 more minutes (and you're already out of service anyways).