So you want to be an EMT?

So you want a career in EMS? Both of the rural stations where I work have been hiring. You’ll be called for an interview a week or two after you turn in an app, and then set down in our meeting room amidst four very serious faces and asked a host of enlightening questions. Something like this:

Why do you want to do this job?

Tell us about a moment where your training failed you

Do you consider yourself to have good leadership skills?

Etc etc etc.

Good grief, I say to the hubby (also the fire chief) can you not ask a single question that matters?
Such as . . .

1.) Well, can you lift? And I don’t mean a little. The cot alone weighs a hundred and twenty pounds and the majority of your patients will be something more than petite. They’ll be upstairs, all of them.  Or at least those who aren’t in the basement, under the front deck, on the roof, down a well. What they will never be is standing in the front yard waiting for you.

2.) How do you respond to vomit? Projectile. Large quantities. In your hair, on your shoes, down your shirtfront. You’re no help to anyone if the patient causes you to be the second patient.

3.) Can you back up? I know that sounds simple and I’m sure you’ve backed out of your driveway  a gazillion times. But here – can you back an ambulance? Down a narrow twisty farm lane in a blizzard? Up a hill, down a tow path and – most important of all – into the bay at your station?

The chief cries real tears if you ding the rig.

4.) You’re not afraid to go back to school, are you? A lot of us go for the paramedic, but even those of us who don’t are training on a very consistent basis. So – meetings, meetings, meetings. Classrooms, skills tests, recertifications. Even when you’re beat, even when you’re just off shift or it’s supposed to be your free weekend (ha). Even when, God help us, there is no coffee to be had at the station.

5.) Which brings us to – are you a coffee drinker? Please just nod yes. Dunkins, Starbucks, Peets, plain old Folgers. It is the all-important elixir of life. You must brew a pot immediately upon reaching the station and then you must keep it going all day and most of the night. If, Heaven forbid, you should break the pot, you’ll need to get somebody to cover your shift while you run to Walmart. Pick up some Dunkins on the way home so we don’t have to wait for the next pot to brew.

6.) Oddly enough – but you’ll get used to this, trust me – the next question has to do with sleep. Can you sleep any time of the day or night? More or less at the drop of a hat? Oh, and can you rebound from said sleep and be at the rig in seconds flat?

Lift, wipe up the vomit, back the rig, go to meetings, coffee-coffee-coffee, sleep-sleep-sleep. That’s about it! If you’re still with us, welcome aboard.

*Art by MauserGirl

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Nicola Writes: "Dark Anniversaries"

Most EMS personnel have been on that call. The call that becomes, over time, a sort of dark anniversary, a still moment in time when we are forced to acknowledge the certain inevitability of death and our own inability to stave it off. My main character, Nicola Thomas, stepped forward this week to blog about one such call. I almost put the kibosh to it, given that it is pretty . . . well, dark. But then she pulled off a beautiful save in the last couple of paragraphs and I decided that maybe the viewpoint of one who had stood so close to death might actually be valuable as far as helping the rest of us to better live. Let me know what you think. I can always fire her.

The last curve ­­­on Kittideere Road is a broad hook, shaded by the arthritic arms of oaks and elms and scented, in the summertime, with the heady stink of joe pye weed. By July, the undergrowth at the roadside will be impassable, tangled with morning glory and maypop, and latticing over the little white cross - finally covering it in vines and blossoms and making it far more palatable.

Are roadside memorials unnerving only to EMS and fire personnel, or do they inspire a universal sort of flinching?

The Kittideere cross commemorates a truck vs tree, victim twenty years old and breathing his last on my nephew’s birthday. I arrived on the scene with the dazzle of three candles still in my eyes and had to blink against the white-hot glare of August sun before pushing my sunglasses into place.  Our patient was part way down a ravine, still in his truck and wearing a tree – the branches encroaching through the shattered windshield to pin him hopelessly, resolutely, against the seat, the cab squashed and flattened all around him.

He was alive, but he had plenty of fluid in his airway, and the irregular gurgling sounds were harsh against an innocuous backdrop of honey bee drone and bird chatter. Cantwell had already wormed his way into the cab and the final remnants of the birthday song faded from my mind as he began suction and Burwell started the Jaws.

Cutters and Spreaders and Rams – huge hydraulic tools that tear through metal like a toddler’s finger trenching frosting. Almost too heavy for me, but the adrenaline rush is an incredible thing - roars through the brain, steadies the hands – and we went to work.

Our patient’s legs were hopeless – splintered bone showing through torn jeans, blood already pouring from beneath the door and pooling on my boot. The dash was hard against his chest.
“Hurry as you can.” Cantwell’s voice was deceptively calm, encouraging in the way of a man pitching a ball to a child, and I was aware again, for only the fleetest of seconds, of the glorious summer all around us. The simple beauty of emerald leaves against boundless sky.

Then someone said “We’re losing him,” and we abandoned caution, finally snapping the door hinge and ripping our patient free from the glut and snarl of metal and elm tree.
He fell gracelessly to the woodland carpet – ugly tangle of gristle, tissue and bone – and we flopped him on a backboard and ran with him.

Of course he died. He had brown skin and a sunburst tattoo on his biceps. A picture of a little girl in his wallet.

And so, it seems to me that memorials can be a messy proposition, little white crosses maybe representing hopelessness and defeat, blood and loss.

Maybe not.

Because if simple thoughts are prayers – and I believe they sometimes are – then I pray for him each time I see the little cross set catawampus against the roots of the broken elm. This soul - the soul of a man I never knew in life - whispers to me whenever I traverse that familiar road; and it no longer seems like bad thing, this holding hands with that other world. Maybe my prayers for him are answered with his prayers for me, and so it goes, life and death and afterlife all in a continuous whirl. All of us related, all of us hoping and praying for each other, sending encouragement, hope and love across the virtual miles.

That would be a good thing, wouldn’t it? That would make it all worthwhile.   

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Top Ten Silliest Calls for Help

“Fire station,” my partner answers the phone while I groan in my sleep. “No ma’am, we don’t do that. No, the chief’s not here. I’ll pass that on, sorry.”

“Who?” I manage. 

“Lady on the East end. We didn’t pick up her garbage this morning. It’s garbage day and she wants to know why we skipped her.”

“But we don’t . . .oh hell, never mind.” 

Who calls a fire station and why? 

The answer might surprise you, and, to that end – with the help of my wonderful coworkers – I have compiled a Top Ten list of Silliest Calls for Help:

1) Garbage Collecting. It’s not in our scope of practice; it’s odd to us that so many residents believe it to be. In fact, we ourselves often forget to put our own garbage out, and have been known to come flying out the door with a Hefty bag while the truck meanders on past.

2) Pool Maintenance. We can’t fill your new pool with water from our tanker. That water is reserved for fires, and besides it came from the canal and, trust me, you would never, ever want to swim in it. No, we don’t know how to make it clean.

3) If you are the Captain and you want to offer us a cruise . . . We do want to go, we do! But no matter how long we “hold” you never come back.

4) Utilities. Beyond our control! And if you’re ComCast, we can’t add the fancy movie channels. Some of those might be inappropriate anyway. Our trustees are religious and they pay the bills.

5) We’re not always sure what time the post office is closed for lunch.

6) Or what the supper special at the local tavern is.

7) Or why there’s no school today.

8) We’ll be glad to set up the meeting room for the Cub Scouts, but we can’t help you with how many snacks you’ll need to bring.

9) The Chief will get mad at us if we let your children and Dalmatian puppy pose on the truck for a family portrait. You call him.

10) We would love to come and kill the bat fluttering around your kitchen but you’re not even in our district and if somebody here has a heart attack while we’re out there swinging a tennis racket . . . well, that could get ugly.

Which of course brings us to all the millions of good, good reasons to call us! Don’t wait if you have pain or sickness or fire! If your carbon monoxide detector goes off, your life alert beeps or your car door slams on your fingers! We’ve come for dogs in the canal and even cats in trees. We love you! We just can’t do anything about the garbage pick-up.

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Keeping Pieces (Short Story)

HIPPA demands that we don’t talk about our calls, except in a very generalized fashion, and I adhere to this rule strongly enough to have tweaked the call that this story is based upon very nearly into the arena of unreality. So, here’s what is real and true – the spirit of the child, the sorrow and shock, and finally, the redemption.

For me, this is a springtime story, and no matter how many springs go by, my mind still worries the memory; and I still see this boy when the air begins to gentle into long warm days. Every EMT carries a few pieces around with them – these are mine.

 

Keeping Pieces

I took a boy on the ambulance once, and he left a piece of himself there with me. I’ve been carrying it around ever since, and sometimes in the black early morning when I am on my way to work, he morphs out of that piece and sits beside me whole. On those days, the scent of spring in the air is only a trick of the mind, lilacs and pussy willows as far away as tomorrow.
            He shimmers in death, fresh from another world that my soul knew in infancy. A place that the cold and practical adult, the professional, has forgotten, and wants no part of now.
            But anyway.
 When I knew him, he was just one of us; on the last day that I saw him, the blood seeping through his wrist bandages was tangible and real - the only color in an otherwise gray day.  I knew him, I guess, in the way that most adults know their children’s friends. He was a familiar face, a bright redhead in my yard on beautiful blue football mornings, an easy grin and a maturity that set him a little apart from the other boys.
The kid on my cot that day bore no relation whatsoever to that other bright child. My boys – the boys who decorated my furniture with their lanky forms, ate my food, made me laugh - were at that age where they were as immortal as Huckleberry Finn, and they hadn’t cried in years. If the Jabberwocky lived under their beds, he did so unacknowledged.
            But I can tell you now that two weeks later, the monsters won, and this boy was dead. His mother found him curled in the tub like half formed reality, bled out, already gone.  And in my profession, helplessness is something that seeps beneath your skin; it lays there like lividity, a large black bruise that won’t go away. And so. The pieces.
            You carry them around with you, and you work at them a little, rubbing them the way that a worried thumb will smooth a lucky stone. Sometimes you take them out and look at them, turn them in your palm, and they still look the same. Your failure mocks you.
 I should have been able to save that one.

                                                                  * * *

            Spring.
If not this spring, then the next.
It will come when you are able to let it, and everything will smell so sweet that you have to stop crying. You can’t throw those pieces away, but they seem to weigh less now. Go outside, and look at the branches of the trees against a smooth dove colored sky. Take your little girl on a bike ride, and watch the magical play of sunlight in her hair. Listen and remember. Where you came from, to whom you belong.
            Understand that it’s all right to carry those pieces around; you couldn’t get rid of them now if you tried. They soaked into your skin and they course through your veins, and they live. In you.

            We carry each other until we get to the other side.