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“In Their Eyes” – From Guest Author – Randy Lovelace EMT-B

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Ladies and Gentlemen, Boys and Girls, EMS people and Firefighters,

I bumped this post up, because Randy’s such a darn good guy.

This post is placed with the permission of the author, Randy Lovelace EMT-B. He’s a friend of mine and a firefighter/EMT-B at a department where I work. He wrote this article after a training that our department completed and it was just published in our department’s monthly newsletter. I believe that the post needs more exposure, because it is just great. It exemplifies the camaraderie and community spirit that is embodied in our small-town department (that runs about 3k calls a year). We’re an anomaly, our small-but-proud department. We’ve got a fanatically devoted, passionate group of highly trained volunteer firefighters and EMTs that provide the best possible service to our citizens.

I’ve taken out the references to our department because I try to maintain my anonymity to provide another level of protection of patient confidentiality. It doesn’t detract from the piece.

Thanks Randy, great article.

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In Their Eyes

Last Saturday, May 30th, the Mid-Size Midwestern Fire Department held training for all members at the Greenlee Farm site. Everyone that came was kept busy with all the work of training evolutions, scenario management, fire control, safety, and finally, the actual burning of the house on the property.

Throughout the morning, people started coming out to the site to see what was going on and find out why there was so much activity. Many of those people, however, were family members of the firefighters. There were wives, children and significant others all interested in seeing what we do and how we do it.

For the firefighters, the activities were fairly fast-paced. Most of the training was geared towards fire suppression, which required teams to advance hose lines into the burning structure, identify the source of the fire and its fuel, and correlate the conditions inside with a method of fire attack that would result in the maximum possibility of success while subjecting the firefighters to minimum risk. Some new operators were manning the pump controls on the engines, others were shuttling water from the nearest water source to our site, and dumping it into porta-tanks for use by the firefighting teams.

Instructors, safety personnel, training officers and operations officers all worked throughout the morning, checking everything, verifying that all risks had been mitigated as much as possible, and that all planned training was taking place on time to previously determined standards.
For many of the firefighters running evolutions against the scenarios, this was their first time in a burning structure beyond our training tower. This was their first time fighting fire in scenarios where the fire could get away from them, and their first time in conditions where the heat was a physical entity – attacking you as soon as you entered the house.

Our probies proved that morning that they knew how to properly check their nozzle and hose line before entering a structure. They remembered that you turn the nozzle head to the right (for a stream pattern) to fight the fire, and verify you have water, not air, coming out that hose. They didn’t know that our primary interior training officer was intentionally setting the nozzle for a fog pattern every time a previous team got done, just to test what they did remember. Even our newest firefighters remembered that you position yourself outside the hose line as it turns around a corner, and they all got to experience what it truly meant to back up the nozzle man – that they were his eyes, his guardian angel. They learned how much they could ease the work of aiming the nozzle for the nozzle man, or make it extremely difficult to even hit the fire if they positioned themselves improperly. They demonstrated that although the fire was exciting, it was a known force, and they were to look for the unknown dangers lurking in this burning environment in order to protect themselves and their partner.

Our new firefighters all came to understand the reason for properly wearing all their gear even outside the burning building. They got to feel the immense heat of the fire from 10 yards away, and they felt how much their gear does shield their skin from that heat. They learned that a fog spray from a nozzle can create a magic barrier, insulating them from the heat and allowing them to complete tasks near the fire.

At the end of the day, we had probies and rookies saying they’d never been this hot, they didn’t remember a time when they were this tired. Firefighters of all levels of experience were drenched in sweat, looking for any place at all to sit down, rest and cool off. This day, everyone worked their tails off, everyone was tired, and most had aches of one sort or another.
It’s days like this when we could have been mowing our lawns or napping in a hammock that each of us asks, “Why do I do this? Why do I give up my free time to train so hard?”
The answer to those questions could go in many directions. We could say there’s nothing better to do, it’s for the adrenaline rush, it’s for the camaraderie, it’s to get far away from the Wife’s Honey-Do list. But, reflecting honestly, I think we work and train like this for a different reason. I believe a small piece of each of us wants to be a hero. I’m not talking about saving the world all by ourselves, and I’m not talking about the rush to disaster when all others rush the other direction. I’m simply talking about doing something that needs to be done, when it needs to be done, and doing it well enough that we end up making things better, not worse, for all involved parties. I’m talking about doing the right thing, serving our community doing things that others will not or cannot do.

The belief I’ve just stated, however, was modified on Sunday, the day after our training burn and all that hard work. I got a phone call from my daughter, relating something that happened between my son-in-law (a firefighter) and his son, Austin.

Austin was at the fire on Saturday, and he watched everything he could. His eyes were flashing in every direction, seeing what was going on, where the fire was, what the firefighters did to contain it, watching pump operators, watching hose line tasks, listening to the commander give instructions over the radio. He looked for his father, wanting to see what Dad was doing. When his father sat down, Austin joined him, assuming the same posture. And Austin had the biggest smile I’ve ever seen on a child’s face during that entire time.

When he got home, Austin wrote his father a letter, and drew a picture for him. The letter, transcribed exactly, read:

To Daddy,

Dear daddy I loved waching the fire. It was one of the most coolest things I ever sean. I sean a fan fall that was fun. When I get older I hope I am going to be a firefiter. Just like you.

From Austin

(transcribed with permission from Austin and his Dad)

After my son-in-law read this letter, he was quoted as saying “Aw Buddy, that’s great. Thank you. I love you, too!”

When this story was related to me, tears began to form in my eyes, and I started to understand that I just might be wrong about this entire process. These people I trained with on Saturday, they’re not probies and rookies and veterans and officers, these people are family. I don’t train with them, and go to calls with them. I work with them. I work to protect them. I work to accomplish things together that we could never finish alone. And they all do the very same for me. We nurture each other, we care for each other, we make each other better people that any of us thought we could be.

This firefighting family isn’t a replacement for my own kin. But they’re a perfect model of our families at home. We do the same things at the department as we do at home. We protect and nur
ture, we prepare, we train, we work at home just as we do with the fire department.
I realized that we say we have many reasons for being volunteer firefighters, but in the end, we do it for our families. We do this because we have a need to teach our own how important it is to do good things. We teach them that rewards aren’t always monetary, quite often, they’re heartfelt. We teach them that hard work can be its own reward. In this process, we get benefits as well. We raise children that aspire to be like us, children that are excited for what we do, even when they see how hard we work and sweat to accomplish our tasks. We’re teaching future members of society to love the work we love, and we are preparing them to replace us when we’re too old to continue the exhausting pace that firefighting demands. We’re teaching our children that success exacts a toll – exhaustion, aches, sweat, time. Success demands that we first be ready for a challenge before we can tackle that challenge. And we teach them the sweet taste of victory when we’ve done all that work. We provide them with functional families, homes with love and caring, places to be safe from the rest of the world.

As you prepare for Father’s Day on the 21st, take time to reflect on what you’ve just read, as well as the following concepts. Please note, the phrase “father figure” implies gender, but there’s no gender requirement to be a father figure.

1. If you mentor, you’re a father figure to the one benefiting from your tutelage.
2. If you lead, you’re a father figure to those you command.
3. If you’re the Fire Chief, you’re a father figure to the entire department.
4. If you have children, you’ve already met at least 2 of the previous tests.

For each of us, there’s one more benefit. Austin said it in his letter and all of our children have said the same at one time or another. We’ve already done what we’re still hoping to accomplish. In their eyes, we’re already heroes.

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Comments on this post will be read by the author. He deserves kudos.

I Love Cracked.com – A bit of Tattoo humor

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This site is a tad, um, “peppery” but I feel comfortble reading it at work as long as nobody’s looking and I’m at the firehouse. Some of the language gets a bit rough, but everything is decidedly “PG”, other than some of the topics.

Here are Three articles on tatoos that I thought were awesome:

Tattoo locations and their meanings

If Tattoos Actually Told the Truth

I love this site. I go there almost every day. You’ll probably get hooked too, but please come back and read my blog.

Oh no you didn’t…

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Really? Did you just?? Oh come on now… you don’t really think??

Seriously…

Did you really just call me an “Ambulance Driver”?

An Ambulance Driver? Oh come on… Four years of college level classes, hundreds upon hundreds of hours of continuing educations, a veritable alphabet soup of certification acronyms behind my name, and this nifty Star of Life disco ball patch on my arm and you STILL just called me an Ambulance Driver? Really? Oh come now, do you know that calling me an ambulance driver is like calling a High School Teacher a “Nanny”, or calling a Police Officer a “Police Car Driver” or calling a Nurse a “Bedpan Jockey”, or calling a Firefighter a “Fire Truck Driver”, or calling a scientist a “Microscope Looker-Inner” or calling a Congressman a “Pork spewing bloviator” (I could go on, but I won’t… although that last one might be right)

EMS is an acronym for “Emergency Medical Services”. EMT stands for “Emergency Medical Technician”. Nationally, there are three levels of EMS professionals. Each level signifies to the public that the person holding the Title and the requisite license or certification has met stringent educational and training standards that allow them to take care of people. These levels are EMT-Basic, EMT-Intermediate, and EMT-Paramedic. Some of the states have expanded on this by offering additional levels of certifications between the levels, such as the EMT-IV Tech in Wisconsin (an EMT-Basic that can start IVs and give some limited IV meds), or the EMT-Paramedic Specialist in Iowa that is above the NREMT-P a bit but still below their Critical Care paramedic.

A paramedic these days has a college level education, takes over 1000 hours of didactic (classroom) time and can spend anywhere from 6 months to a year in clinical rotations. We can poke, prod, cut, inject, bandage, stabilize, evacuate, and care for you sixteen ways from Sunday. In my ambulance I carry 48 different emergency medications that I have to know how to use REALLY well or I can kill you. (I do know how to use them really well, trust me, so do my peers). I can intubate your trachea so you can breathe, reinflate your collapsed lung with a needle, surgically open your airway if I need to in order to save your life, and do a whole host of other things that you wish that you never ever need. My ambulance is a critical care unit on wheels that can be at your curbside in under 8minutes flat twenty four hours a day seven days a week. Today’s ambulances bring the emergency room right to you and begin advanced medical care right away. This care saves lives and improves your medical outcome greatly for a whole host of medical complaints.

And you, Joe public, still call me an “Ambulance Driver”. Which, if you hadn’t noticed, somehow irks me a bit.

Unfortunately for me, and for the members of my profession, it’s not your fault that you call me that, dear Joe Public. It’s my fault. It’s the fault of each and every EMS professional out there that you know so little about our profession and our industry that you resort to calling us that detestable term. It is our responsibility to get the word out. It is our responsibility to educate you about our life saving services, and our responsibility to let you know just how and when to use us properly. If we don’t do it, and therefore let the responsibility fall to others, we EMS people aren’t going to be happy with the job they do. We’re not going to be happy with the popular representations of paramedics in the popular media. We’re not going to be happy with the results of our public health education campaigns.

The American Heart Association has recently released a campaign entitled “Mission: Lifeline”. It’s a marketing campaign aimed at increasing public awareness of heart attack symptoms so that Joe Public calls us first when they start having the big one. If you’ve been reading this, you know that my all time biggest pet-peeve is when the people having conditions where they need us and need us now but aren’t dramatic like a car accident or cardiac arrest don’t call us. I can’t make a direct quote, but I read a study once where like 60% of people call a friend or family member first when they think they’re having symptoms of a heart attack. Calling EMS for these 60% or so of potential patients whose lives may very well depend on the early interventions we can provide them seems to be an afterthought. I can’t tell you how many people I’ve transported from small hospitals to big hospitals that were having the big one and DROVE THEMSELVES INTO THE ER without calling us.

Please, Joe Public, know that the VERY FIRST CALL you should make when you have pains in your chest is 911. Do NOT hesitate. Do NOT worry about the cost. JUST CALL US!! Do you know that approximately 1% of cardiac muscle tissue DIES AND CANNOT BE SAVED per MINUTE in a bad heart attack (myocardial infarction)? The difference is simple. You call 911 and usually (depending on where you are located) an ambulance arrives within 10minutes and starts lifesaving interventions and gives you medications to help slow or stop the damage in progress and salvage heart tissue that is being damaged. Please remember that “Time is Muscle” and that the extra expense of an ambulance is more than covered by the quality of life that we’re keeping for you. Really. Please call. Don’t wait. You can call your family AFTER you call 911. Please, I’m begging.

I’m also telling you EMS people out there to get the word out. Go market yourselves! If you want people to know what we do, it is YOUR PERSONAL RESPONSIBILITY to tell them. Go, do it now. If you want my help to write something, e-mail me and I’ll help. For free even. It’s that important.

Ambulance driver….. Seriously.


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