The Other Side of Ems

“You would think that the life of a paramedic is exciting but if your not in the field you really have no idea. EMS is essentially many, many hours of intense boredom briefly interrupted by moments of sheer panic. There really isn’t that many exciting things that happen day to day. It all becomes pretty mundane in the long run.”

via The Other Side of Ems

The Other Side of Ems

“You would think that the life of a paramedic is exciting but if your not in the field you really have no idea. EMS is essentially many, many hours of intense boredom briefly interrupted by moments of sheer panic. There really isn’t that many exciting things that happen day to day. It all becomes pretty mundane in the long run.”

via The Other Side of Ems

I’m scared.

“I’m scared.”

We’re standing in a downpour. Rain is cascading down. Down my hair, down my face, down the back of my turnout jacket, down my hands and off the tips of my gloves. The rain is even flowing upwards, up from the puddle I am standing in and into my shoes.

The lights of the ambulance, my ambulance, are reflecting off the windshield. Off the puddles. And in my patient’s eyes.

All of New England is being slammed by a Nor’ Easter. The coast is enduring massive waves and wind. Inland we are being drenched by rain, inches falling in just a few hours. And the calls have been rolling in as fast as the the rain clouds.

“I’m scared.”

We run two ambulances like most small services. Our primary truck has been out three times today alone, and is out on a fourth call. I’m not on tonight, but as I live so close to the station, I am part of the second crew if one is needed. I’m coming off an overnight shift that was quiet, coming off a week that was quiet. The quiet before the storm, in more ways than one.

I’ve been listening to the calls increase as the rain picks up. My radio picks up a dozen local rescue stations, a few dozen fire stations. I like to listen for two reasons – so I can get a bit more comfortable with radio etiquette, and so I can find my socks if all hell breaks lose.

I’m playing on Pogo (if you join, I’m WannabeGeek there) when I hear the tones for the first call. I consider going as a third, but Hayes is cooking dinner, and the crew is gone before I can find a pair of socks. For some reason, finding socks is my Achilles Heel (pun not intended, but it works) – I must have 50 pairs, but I seem to kick them under the bed or behind the bookcase rather than in the hamper. By the time I locate a pair, the crew is en route. Although I’m already in my pjs and the truck has gone, I get dressed anyway… I just spent 6 minutes finding the socks, might as well put them on.

“I’m scared.”

The tones go off, 1055, 2 car MVA. Before the first tone is done, I’m running down the stairs, asking Hayes to MapQuest the road, looking for my shirt, my shoes. The repeat tone sounds, Hayes gives me directions. I find shoes under the tv stand. I pull my shirt on, call in “123 en route to station,” run through the rain to the car,  drive in – My first trauma! My first 1055! My first time at the helm! I hear others call in, the numbers in the driver’s range, I’m the only EMT, this is my call, all mine! Cool! And also, shit!

Down the road, around the corner, pull into the lot, truck 2 is waiting, my driver sits waiting for someone, me. I grab my coat, my keys, run again through the rain. We pull out. Introductions, radio calls, the map book, my finger on the siren button as we fly past other cars, intersections. Cursing my lack of a pen and I can’t find paper to note times. Fire is on scene. My hands are actually dry as I grab some gloves. I’m still a little scared, but the feeling of being ready is the stronger emotion.

And then we get there. And they are all looking at me.

A brief moment of panic sets in. I look over the scene, grab the jump bag, take a few deep breaths. The panic doesn’t go away as much as it is shoved aside… there is no one else there who can do this. Time to shut the hell up and just do it kiddo. My head is held high, my steps do not falter, I can even feel a touch of a smile as the Red Light Rush comes on while walking into the scene. I only pray that no one sees my knuckles are white on the bag.

“I’m scared.”

It all goes by in a blur. I’m still getting used to the speed of things, still feel like I am half a step behind even though I know what to do. Almost like my body can’t keep time with my mind. I slow my step, looking around, note the damage to the cars, the other people, the firemen and the police. They all step back as I approach, giving me access to the patient. My patient. Wow. Wow.

I take a look around in the cab, take his hand, introduce myself. Ask the questions I have to, look for the things I should, feel for anything I am not expecting. My first impression is clear; I look over my shoulder and ask for a radio, tell my driver to call for backup. Help is there, the primary crew has arrived. I realize I forgot one thing, something big. I’m not allowed to back down, not allowed to hand over control to the other EMT. He makes sure I keep my head, and I later thank him for it.

I call for this and that. I’m holding my patient’s hand the whole time. He looks me in the eye, and says “I’m scared.” His hand shakes under mine. There are tears building. I smile a little, squeeze his hand. “It’s ok to be scared, I know there’s a lot going on all at once right now. But we’re here to help, and we’ve done this before, and I’m going to hold on the whole time.” He take a breath. Tries to nod. Gets reprimanded for trying to move his neck before we can get the collar on. Offers up a small laugh, sounding more of relief than humor.

“i’m scared,” he said. And for the first time, I can’t say the same.

Sitting, waiting, wishing.

Despite my trepidation as to being left on my own, I’m finding that I’m growing restless in the downtime. I am happily employed. I am feeling far more comfortable with the equipment with each shift. I know how to do a truck check. I finally figured out how to read the O2 gauge on truck 2. I’ve found that, yes, I can drive something that big. I’m learning my way around the radio system. After a good hour of cursing, poking, prodding, swearing, name calling, and foot stomping, I managed to not only turn the vacuum on, but to also unhinge it.

But I haven’t been on an actual call in over a week.

I’ve been calling and emailing around this week, seeing if anyone else was hiring (they’re not). I’ve had my radio on all week, ready to respond from the house if a call came in (it hasn’t). I’ve brushed up and reviewed what needs to be done if X, Y, or Z happens (nope).

I’m also a little apprehensive at my lack of trauma scene time. Not that I mind blood or general chaos – I remind you that there are 4 boys in this house in various stages of puberty and on random spots in the Autism Spectrum – it’s that until I have done one, the anticipation of the event is nerve-wracking and worrisome.

For instance, I am very concerned that I will blank and forget where the trauma pads are. And the stair chairs remain a mystery when it comes portraying confidence in familiarity (and for anyone who has ever seen, used, or been in a stair chair, you know what I mean… they are not the most intuitive devices out there). We have quick clips on the backboards that I’m not certain I know how to attach, remove, or even use (our classes only had 9 foot straps, so we didn’t have a chance to practice with quick clips).

So now comes the question – Is it morbid of me to be hopeful of a call where I can practice my skills?

To the layperson, I imagine so. To those in EMS, I should hope you never lose that little rush when those tones sound that is the hallmark of a new basic.

Like a sore tooth.

There seems to be a theme developing here…

My Mom is facing the end of her marriage. Despite my personal feelings towards her husband, she loves him, and that means that I want them to work things out. Strange, how you can overcome the emotion of bitterness in order to see someone feel that their expressions of fidelity could be returned.

On another front, yet one no less painful, I seem to have lost a Fair Weather Friend. I’m not quite sure of what exactly caused this rift, but it has been 3 months since my once-upon-a-time friend has been bothered to so much as speak to me. I should be able to brush this aside, I know. But as is so often the case, the story is a bit more complicated, he has also been friends with the boys for a few years, and sees them at school. Oh, and then there is the little fact that he works at the same rescue station I do. Granted he is on a leave, but the chances of running into each other on the job are high.

I think the worst part of this is the feeling that I was good enough to be a friend when I worked at the gas station, but not when I am a fellow EMT. I studied my ass off to get here, and now that I am, I can’t get over knowing that the one person I thought I could talk to, is no longer willing to talk to me.

Random causes of rage.

As many of you know, my ex has not seen the boys for the past 2 years, ever since he decided he would rather shack up with his niece than be a dad. He told the judge off, and the orders state that all he had to do was either call me or the court to set up a visit.

For two years, there has been nothing. No cards, presents, letters, emails, or phone calls. Every holiday, every birthday, everyday has been met with nothing but silent rejection for the boys.

I’ve long since stopped feeling the pain of this. The boys have given up on him. I’ve given up on him. I couldn’t even feel much when this past spring brought news of the birth of their son.

So why does this little tidbit on, of all places, his MySpace profile sting so badly? How can it be that by simply changing the little box from “Proud Parent” to “Don’t Want Kids” can cause a greater sense of rejection than the actual act of abandonment itself?

Why you shouldn’t piss off an ED nurse.

“Sir, as a nurse, I will clean your ass, I will wipe your ass, I will even stick my fingers up your ass. I will exhaust every effort to save your ass. BUT, I will NOT go so low as to kiss your ass. And rest assuredly, if you continue to piss me off, I will not hesitate to kick your ass! Now plant your ass down or I will take your temperature with my boot!”

Fingers And Tubes In Every Orifice: Quote of the Night.