Diary In 911...

911 Archives

05.09.03 Mourning A Fallen Brother.

05.02.03 Still Serving Upper Deerfield
03.16.03 New Member Of Squad 34 Upper Deerfield
02.12.03 EMT Celebration At East Side Cafe!
01.25.03 Murphy's Law  The EMS Edition
01.13.03 Officially Registered With NREMT Of America
01.01.03 Thinking Back "Did I Miss My First Calling?"
12.15.02  In The Face Of Major Disaster
12.10.02 Whoa! Was That An Ejection?
911 Entry Archive
Comments to OneGeminiBoy@hotmail.com
 
All Gave Some... Some Gave All...
 

Never Forget...

     Hello Boys and girls.  In case your wondering this segment is for my friends to catch my latest adventures in my beginnings as an EMT. You can catch updates and adventures as I grow  here traveling the path of the American emergency unsung hero...

05.09.03 Mourning A Fallen Brother.

Rest In Peace Christopher Moreno We'll All Miss You.

     It was one of the saddest days in my life yesterday as we committed the body of one of Millville Rescue Squads finest members to rest today.  Christopher Moreno was one of the finest men I ever served with. He past over the weekend due to a heart attack.  He was only 41.  He served on so many different EMS Units I couldn't really keep track of them all.

      I wouldn't even where the white shield of the EMT if it wasn't for him.  I remember it was just Saturday when I served him on the night EMS shift.  He caught me snoozing and blared over the paging system to rush to my Ambulance.  I thought I missed a call.  So I go running through the building to the ambulance.  Only no one was there and the lights were all out on the ambulance.  I look up into the dispatch window and there he was with the rest of the crew laughing at me.  He caught me snoozing and made sure I wouldn't do it again. :)

      It was because of him that I'm the EMT I am today.  I remember working on the bus with him.  Jen & I were on the shift doing Thirds trying to learn the trade.  He wouldn't let us cheat and he wouldn't let us use the automatic equipment.  I remember his words. "No you don't probee."  Then he would give me a BP cuff and ears and insist I do it the old fashion way.  " You haven't graduated to the automatic toys yet Probee."  Jen would just smile and chuckle cause she knew I wouldn't get away with it.

      I'll keep you forever with me & I vow to be as good as you were Chris.  We'll all miss you.  You were one of the best.  God Keep You Safe...   Man I'm gonna miss you.

05.02.03 Still Serving Upper Deerfield

     Well while Millville sits me on the bench of EMS I have been able to grow in the rescue department thanks to Upper Deerfield.  I have able to get some calls.  Nothing really drastic so far.  I have to admit it's a bit unnerving when you're the most qualified EMT on the rig yet you're still new.  I guess everyone has to face their fears.  I go with gods graces and I just keep remembering that I was trained for this. 

     It's a lot of pressure when you're flying down to a call.  It's a lot of pressure appearing on the front door really not knowing what you're about to face.  However it's a different feeling when it's all over and done with and you did your part along with you're crew.  It's a good piece of mind when you follow up on your patient and the family tells you everything is going to be ok.  Thank you.

     I knew there was a reason I took this job.  Maybe one day I can serve on Vineland EMS.  Now there is a goal for me to achieve.

03.16.03 New Member Of Squad 34 Upper Deerfield

     Well I was accepted to Upper Deerfield's EMS Unit this week.  It's a volunteer squad it's a shame that people really get wrecked up in that area, but it's the only real way to get some EMS experience.  I work with many of the crew already at Millville Rescue or "Squad 98".  It's a a new adventure. I've been for warned though that unfortunately they have really bad accidents up in that region.  So be careful out there & please wear your belts and drive safely. 

     I managed to get my tags for my new truck.  Maybe I'll go total whacker and get lights installed.  I look forward to working the Air show this summer.  I need to get myself back into shape for the summer season so I'm back in the gym.  We'll see how it turns out...

02.12.03 EMT Celebration At East Side Cafe!

 Hey Thanks to all of you who came to my little East Side gathering.  It was great having a couple of drinks with my guys and my crew mates.  I managed to catch some of you on Camera.  So I'll just show the shots below!  Enjoy!
Tyson, Maria, & Me! Me & My Mamita! Willie Hanging With The Crew! Denise, Mark, & I Kevin,  Me, & Matt!

01.25.03 Murphy's Law  The EMS Edition

  1. The First Law of EMS:
    All emergency calls will wait until you begin to eat, regardless of the time.
     
  2. The EMS Law of Gravity:
    Any instrument, when dropped, will always come to rest in the least accessible place possible.
  1. The EMS Law of Time and Distance:
    The distance of the call from the hospital increases as the time to shift change decreases

Corollary 1 - The shortest distance between the station and the scene is under construction.

  1. The EMS Rule of Random Simultaneity:
    Emergency calls will randomly come in all at once.
  1. The Axiom of Late-Night Runs:
    If you respond to any motor vehicle accident call after midnight and do not find a drunk on the scene, keep looking - somebody is still missing.
  1. The EMS Law of Options:
    Any patient, when given the option of either going to jail or going to the hospital by a police officer, will always be inside the ambulance before you are.
     
  2. EMS Rules of the Bathroom:
    A. If a call is received between 0500 and 0700, the location of the call will always be in the bathroom.
    B. If you have just gone to the bathroom, no call will be received.
    C. If you have not just gone to the bathroom, you will soon regret it, because the probability of receiving a run increases proportionally to the time elapsed since last going to the bathroom.
  1. The First Principle of Triage:
    In any accident, the degree of injury suffered by a patient is inversely proportional to the amount and volume of agonized screaming produced by that patient.
  1. The Gross Injury Rule:
    Any injury, the sight of which makes you sick, should immediately be covered by 4x4s and Kerlix.
  1. The EMS Law of Light:
    As the seriousness of any given injury increases, the availability of light to examine that injury decreases.
  1. The EMS Law of Space:
    The amount of space which is needed to work on a patient varies inversely with the amount of space which is available to work on that patient.
  1. The EMS Theory of Relativity:
    The number of distraught and uncooperative relatives surrounding any given patient varies exponentially with the seriousness of the patient's illness or injury.
  1. The EMS Theory of Weight:
    The weight of the patient that you are about to transport increases by the square of the sum of the number of floors which must be ascended to reach the patient plus the number of floors which must be descended while carrying the patient.
    Corollary 1 - Very heavy patients tend to gravitate toward locations which are furthest from sea level.
    Corollary 2 - If the patient is heavy, the elevator is broken, and the lights in the stairwell are out.
  1. The EMS Rules of No-Transport:
    A Life-or-Death situation will immediately be created by driving away from the home of patient whom you have just advised to go to the hospital in a private vehicle.
     
  2. The First EMS Rule of Bystanders:
    Any bystander who offers you help will give you none.
  1. The Second EMS Rule of Bystanders:
    Always assume that any Physician found at the scene of an emergency is a Gynecologist, until proven otherwise.
  1. The EMS Rule of Warning Devices:
    Any ambulance, whether it is responding to a call or traveling to a hospital, with lights and siren, will be totally ignored by all motorists, pedestrians, and dogs which may be found in or near the roads along its route.
  1. The EMS Rule of Rules:
    As soon as an EMS Rule is accepted as absolute, an exception to that Rule will immediately occur

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01.13.03 Officially Registered With NREMT Of America

     Well it's official!  As of Tuesday I'm officially an EMT B.  I guess all the sleepless nights are over finally.  I just about jumped out of my chair when I went to NREMT.org and checked my results on my written exam.  There it was "PASSED"  I can finally join the ranks of Millville Rescues finest.  Janet's been jumpin' up and down with me as I celebrate my first over come hurdle in the life of rescue.  She's been really great in supporting my studies, and my frustrations.  Thanks for standing beside me Angel heart...

     I'll be working on now becoming a part of the extrication team.  I can also buy all the cool toys from Galls.com.  I have considered volunteering at Upper Deerfield Squad just so I can get  more experience with EMS.  Seems the month of January has brought out a lot of people with extreme issues.  Just this month alone we've had 2 shootings for a total of 6 gunshot victims, and one explosion that managed to make the Channel 6 news.  Seems things are going to hell in a hand basket in Millville.  It's really disturbing the more I sit and thing about it. 

     Well the EMT members of Millville's organization have embraced me as one of their own.  I just hope that their initiation isn't too brutal.  Normally new EMT's shave their head bald but I kind of have the jump on that one.  I'm really proud to be amongst them.  I guess things do change a little but I won't forget my IC Crewmen...

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01.01.03 Thinking Back "Did I Miss My First Calling?"

     You know as I sit and think of the time gone by I was telling my sweetheart Janet of a time I jumped to help someone in a wreck for the first time.  I was living on Main st. in the good old town of Millville.  I was sitting outside with my youngest son Michael.  I remember I was sitting outside when I heard tires screeching just off to my left.  I looked over and I saw a white (Taurus) running into a big Chevy truck head on right in front of my house.

     Needless to say they both collided however the truck came up on it's side and came down crashing on it's right side.  Inside I could hear screams of kids.  I remember I had jumped up and told Mikey to get inside.  I opened my gate and ran to the truck noticing smoking out of the hood.  I never stopped to notice if their was flame all I could think about was the people in the truck.  Now mind you this is before my EMT Training that states "Self preservation first".  My being so tall came into affect as I was able to vault right up onto the trucks open side and look inside.

      I saw 4 people a man pushing his young daughter up out of the window just as I was looking in.  He was a little bloody but his concern for his daughter I think made him oblivious of his injury.  I reached in and asked him to give her to me.  I took his little blonde haired angel and pulled her out of the wreck.  Over to the ground was one of my neighbors.  He was there to help and was reaching up to me for her.  His little son was next.  Again I reached in and moved him down and along.  His wife on the other hand was a little out of it in the passenger side.  At that time I looked over and saw Millville Rescue coming to the rescue with their rescue Rig and personnel.

     I remember watching the fire department extinguish the vehicle that was a flame.  I never noticed it, nor did I think that thing could have blown on me at any time. I was just trying to get the people out.  Sometimes I wonder if that was my first calling to help others.  Maybe it was the big guys ways of saying "This is your way"  It's ironic that here I am doing that very same thing.  I guess he gets you one way or another.  The man works in mysterious ways.  Doesn't he?

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12.15.02  In The Face Of Major Disaster

    Well it's only a drill however rest assured for the rest of my life I'll remember how it feels to stand if the face of disaster.  The Chapman class had executed a Mass Casualty Drill so that we can get a feel for the kind of stress we would feel during such an incident.  Before I tell you what happened.  A Mass Casualty is an accident where there is a stress on EMS Services.  It can be anywhere from 2 to however many victims involved.  Well we came into class sure enough with a heavy weight on our shoulders knowing that this event would be stressful.  However never did I imagine how Mark Chapman was going to show us this.

     I sit with my team "Squad 6"  Yours truly as Captain, Pam, Michael, and Steven.  We sit outside in the ambulance waiting to hear some kind of call come in.  Now it's stressful enough knowing that we would be called out to be tested on some type of Mass incident.  Well I hear tone over the radio over a simple "Unconscious person"  I hear one of our units roll out.  As we all look at each other over the stretcher I get this nervousness that forces me to sing. (It makes me relax)  I try to reassure my guys that we can do this.  We've been trained for this.  Try to relax.  Meanwhile in my heart I'm trembling.  Well over the radio starts a  chatter that there is more than just "One Unconscious Person" I hear a slight heat in the other squads voice as I hear request for back up.  Suddenly I hear over the radio that there is a "Industrial Accident"

     We all look at each other again over the stretcher.  "Hmm.  Ok We can do this."  The ambulance I sat in suddenly lit up as the unit next to us fired up and headed out in response.  Two units become four, four become 6.  Suddenly we are called upon.  " Squad 6 Respond to Glouster County College Room 406, 407, For an industrial accident, Police and Fire Department secure the scene is safe.  Proceed."  I hear my driver pick up the radio and key in our response.  My unit get it together as I strap my portable to my shoulder.  I place my gloves over my trembling fingers knowing that we were going into a major cluster fuck.  All of our remaining units were called into action. 

     Upon arrival of the scene there were nothing but lights, sirens, and people scattering about.  The Scene of a major explosion had occurred.  People were coming out of the building with Bandages over their faces where the dark charred scar of injury showed it's ugly face.  I jumped out with my crew and we were approached by EMS Command.  " I need you guys to get to room 407, with equipment we have a count of 17 people in there with Major burns, laceration, and already we were running out of supplies!"  I saw a look in Jims face that was determination powered by fear.  I ran in with my crew of 4.  Upon getting to the room I can see that a Triage Area was already in place.  Inside were masses of injured I could see Cravats, Bandages and more stretchers and backboards that I cared to count.  I felt my heart quicken as I realized.  This explosion had more victims waiting to be helped.  I ran into room 407 as one other person ran out.  I could see he was rattled by what ever was in that room.  As I ran in to see if I could help with my crew.  I felt my determination crash head on with fear.  Inside was a total of 5 people on the floor,  Burns and blood all over their faces.  Now while this was a staging it was all done so it seemed real.  I barely recognized one of my fellow students reached up with a bloody hand and called my name "Miguel!  Help me!"  I felt myself lock for a second as I recognized Michelle.  I took a quick count of the people inside and checked them to make sure they were all breathing.  I barked for my crew when I turned around they had been snatched up by the chaos around them.  I felt a dread hit me when I saw one door that was semi closed.  I told Michelle to hang on as I checked for more people.

     I reached over my right shoulder and keyed up EMS Command and just as I was about to inform them of the 5 victims I had just found my vocal chords came short as inside one of the smaller rooms were 5 other bodies.  On the floor was one woman, a bloody mess who reached up to me with a bloody stump and cries to me.  " My arm!  Where is my Arm!" Surrounded by cries of people screaming for me to help them I felt my legs lock in fear.  I was terribly overwhelmed. I felt myself stop breathing as I took it all in.  All I could do was see the woman's amputated arm, next to her laid another man with his left leg missing.  Two other laid up against the wall with their face blackened with burns.  I had just stepped into where the blast occurred.

    Definitely overwhelmed I forced myself to breath. As I step in I could sense someone was behind me.  It was Pam.  the look in her eyes were probably the only thing that I could understand at the moment.  She asked me what we had.  A major cluster fuck is what I had in mind, however something inside of me starting barking orders, and Pam and Steven came right behind her instantly started taking over the scene.  I grabbed hold of the woman's arm and she helped me with stop and secure her bloody stump.  Behind me Steve had started on that mans leg.  I looked up and for a moment felt like a sense that I had to keep going.  I radioed EMS Command and informed them of what I found,  whilst I was informing of them more people came in and swarmed the place with bags and supplies.  I could see small groups of rescuers coming together as a teams.  Along side of me where groups and people I was not accustom to working with side by side with me working with the same fever I had.  I felt my fear subside as I worked along side of them placing our amputees on a backboard and moving them out to Triage.  I could see as we carried people out of the room mass swarms of people.  In and out, with bodies and bandages.  The walking dead were being guided out as we were rushing to move our man out. I arrived in Triage and placed my patient in priority so he may be treated by our makeshift Emergency room. 

     Back and forth I ran with strange EMS personnel carrying people and treating people in the halls as I found them.  Moving them out of harms way.  Michelle had been moved away when I returned.  The room I found was down to 4 people,  I helped secure the woman with the amputated arm, to a long board.  I took the right side position while I heard Michael say we don't have any more stretchers, Just carry her to triage!"  I took a flank and along side my newly acquired squad mates I hurried another patient to Triage.  So far I had handled 3 patients, barely.  Upon getting to triage I was asked to help getting the patients ready for transport.  I looked around the room and sure enough my worst scenario faced me.  A Child.  Now even though this was all a simulation it was plenty real enough to stress me.  I saw that kid and it shook me.  I walked over to her and I assisted in boarding her as she was complaining of neck and back pain.  I filled out her triage tag while the others secured her.  She calmed down as I kept her busy with answering questions.  Vicky was quite the trooper while we got her secure and loaded to a Millville Rescue Ambulance.  Upon loading her another came onboard as one of the living dead. (  These are people that are injured but can walk on their own to help. )  As we loaded up I did manage to wind up with Michael and Pam still with me thru the whole thing.  Somewhere along the line I lost Steve. 

     He turned up later on.  However it was during the trip to the hospital that I started to calm down a bit.  Our wounded person lightened up and the simulation was almost over.  One thing to keep in mind that our patients were previous EMT Students.  So they were watching to see how we performed.  Of course they being experienced they could really play the part good.  Upon getting to the hospital the staff arrived right behind our rig and took information down about our little Victoria.  Finally she had enough and I was given the green light to let the little  9 year old loose.  She breathed a sigh of relief as I removed her collar.  It was over. 

     All together we had a total of 32 patients from an industrial explosion.  2 Dead.  I personally remember tagging the head. ( I didn't know what else to do with it.)  All together it was a very humbling experience to stand in the face of certain disaster.  While I type this I can only remember my fear and determination through this whole ordeal.  I see the events in New York in a whole new light.  What I went through was nothing to what they went through.  My respect, will forever lie with my crewmates and all those who answer the call off  "911 What is your emergency?"

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12.10.02 Whoa! Was That An Ejection?

      Well the one thing that is exciting about my career is the unpredictability of the job.  I was traveling back from BDU (Bridgeton Dialysis Unit) with one of my usual patients.  We where just chit chatting about the joys of surfing when suddenly the call to duty came in.  Just in front of me laid a wreckage over to my right ahead of my lane.  A bystander ran in front of my vehicle as I was bringing it to a stop, and I hit my lights.  "There's a guy here man!  I think he's dying man! C'mon!"  

     Now the hardest part of this job is trying to remain calm in a time of chaos and panic.  I took another breath and I got on the radio calling in my unit number and the request for back up.  As I looked across my dash I could see the vehicle was over on it's side and had rolled by the  damage I saw.  The guy was screaming at my side telling me the guy was ejected from the vehicle.  I received a confirmation that backup was on the way.  Dispatch was requesting a total count of patients.  I had them stand by as I ran out and checked the wreckage.  I asked my patient to remain calm and I parked my unit off to the side. 

      I ran up to the scene and found a man looked like in his mid 40's.  The was balled up when I arrived and the vehicles windshield was bowed out as if he struck the shield and was thrown out.  I looked about as I approached him and found that one of the vehicles had struck two poles one of them was completely severed and the lines were just hanging above us.  The other pole didn't have to much till it gave away too.  Now this changed everything.  I got back on the radio and informed dispatch that I had only found one patient on the scene.  I found no one else as all the bystanders claimed they were all ok and that there was no one else.  As I looked over one of Millville's Extrication team arrived in minutes.  I was really shocked to see him there so fast.  Come to find out later he lived up the block so it was great to have help almost instantly.

     He advised me to back away from the scene because of the power line threat.  I was not equipped to work in a wreckage.  I had no turn out gear.  In minutes the place was swarming with other rescuers.  Pete and Dawn were on duty that day and instantly got to work on securing the mans C-Spine.  I ran with Dawn and got a backboard and blocks as Pete managed to get the guy conscious.  He was  bloody mess.  His mouth was bloody I noticed he was protecting his abdomen and his knees were bent.  He defiantly must have internal injuries.  I helped them place him in the rig, and looked over to see my guy just standing next to my unit smoking a cigarette.  Chief was on the scene and I asked for permission to carry on my transport.  There were so many supervisors and ALS (Advanced Life Support)  Was on the scene I was still the squad rookie.  He cleared me and sent me off with a " Good Job Miguel " and off I went to get my guy home.

     It's never really a dull day on the job and you never really know when the call will come to you...  I love my job...

     You'll be glad to know that the gentlemen survived the crash and is doing well...

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