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care i had an instructor tell me not to worry about it that if i didn t go someone else would well not so much there have been times when we have had only two active emts and if we weren t home then there would not be someone else to go we are in a slightly better position now with three yes the transporting agency that takes our patients to the hospital will eventually show up but they are coming from further away on a good day when they have an available ambulance that is at their base and when the call is for an address on the near side of our town they can get to the call in about ten minutes but if they are coming from the hospital and the call is on the far side of our little town it can take them over half an hour to get there even going hot i m sure i don t need to tell you that a response time of half an hour or more is simply not acceptable in a true emergency i had to learn to deal with the fact that while i have no personal legal responsibility to stay home in case there is a call i need to consider the implications of delayed patient care if i m not able to go to a call for most calls it isn t such a big deal there s no immediate life threat and while i d still like to be there and provide superior patient care to someone in my community many of whom are people i know i can trust that they will be cared for appropriately and adequately but sometimes it does matter and it can matter a lot consider this last academic semester of the three active emts all three of us worked well outside our response area at the same time on one day a week that meant that during that time our town had no coverage from our agency and relied only on the transporting agency coming from further away there was nothing any of us could do about it and yes there were some calls during that time slot where i really wish at least one of us had been there so now here i was at a training conference being reminded that the simple fact of my being there and not here could mean that someone in my community would not have access to care in their time of need fortunately that didn t happen but a couple of months ago two of us went to a training conference together and in between we had a period of several weeks where there were only two of us available and i ran into the other one at the grocery store in the nearest real town when we suddenly realized no one was minding the hen house so to speak can an agency provide effective ems with only two responders or one much of the time do we need to stay in constant contact letting each other know every move we make so when one of is at the store or goes to a social event or visits family elsewhere the other can clear their schedule and stay in town do we need to forget about that glass of wine with dinner because then by company policy we need to stay out of service for several hours and it might leave the town without an emt the answer must be that no we cannot be expected to bear that level of responsibility and yet part of me wants to send out a mailer to the people on the far side of town making sure they understand that if they have heart problems they better get them taken care of because if they go down it s likely no one will get to them quickly enough to make any difference to suggest that older people not live alone past a certain street address to put signs along the main roadway that say caution delayed ems zone please drive carefully i don t see a solution some people say we need to change to having paid providers out here but there are significant barriers to that idea only one of them being the expense the local town board has apparently bought into some study nearby students have done that spell out the problems in ems focusing on issues that aren t really the problems we have here they want to put effort into educating the public so that they don t abuse the ems system by calling 911 for non emergent things for the most part we don t have that problem we need to educate the public to call sooner when they are in trouble call 911 before calling your son your neighbor your childhood best friend and anyone else who isn t in a position to actually help you get help rolling towards you before it s too late i think our only reasonable path has to be better recruitment and retention with perhaps some legislative action that provides some sort of incentives or benefits for volunteers we can t raise taxes enough to pay for 24 7 coverage where by far most of the time those employees would sit there doing nothing for days at a time but maybe we can find enough financial support to encourage more volunteers to share that load if we don t the simple truth is that people will die maybe even me if the other 2 emts aren t home this is not only a national problem it s very much a personal one posted by linda wyatt at 14 06 0 comments email this blogthis share to x share to facebook share to pinterest saturday june 16 2018 day two still not dead two posts in a row woo hoo i m working on the training for monday and one of the things i want to do is help people in the department who are not emts but who go to calls to support what we are doing be better able to provide that support there are a lot of parts to this one of the things i want to address has to do with being able to help family members make sense of what is going on what the ems providers both from our agency and from our automatic mutual aid transporting agency are doing to and for their loved one those of us who have been doing this for years with a variety of levels of training and opportunity get pretty accustomed to some of what happens on scene and it is easy to forget that it can be entirely unfamiliar to others case in point i found a video online of someone putting in an io a real patient it only shows their leg but it s a real person and that is pretty uncomfortable to watch more uncomfortable to watch than to do i think which is interesting but i want our people to know what to expect what it looks like what it sounds like and what it is for so they can explain in layman s terms to someone else who is more than likely completely unaware that such a thing is even possible a lot of what we do can look terrifying to someone unfamiliar with it especially when it is happening to someone in their family it would be nice to help things be a little less scary and easier to do that if we practice some actual words to say posted by linda wyatt at 12 48 0 comments email this blogthis share to x share to facebook share to pinterest friday june 15 2018 i m not dead i think i m pretty sure my gosh just when i thought i wasn t going to ever write anything here again i came home today from a training event ready to jump right back in and start posting a lot has changed in the past few years a lot hasn t for a short while we had several emts but now are back to very few at least the ones we have work well as a team which beats the heck out of always going to calls alone my life has taken some interesting twists and turns in the past few years one of which is that i m a cli now working with a local training center helping with brand spanking new emt lets it s delightful for one thing the first couple of semesters kicked my butt there s nothing like needing to teach something to get you to focus on your own skills if you want to be any good at it i mean i came home from the last few days of training with a brain full of great stuff and some ideas to go with some ideas i have already been working on i d really like to up my game and work on some positive changes around here i think it s possible now and important always to strive to improve the service we provide i ve been creating powerpoint presentations for several years now for ems and for my real job and find that shhh don t tell i enjoy putting them together i also enjoy doing my taxes but i digress i have no interest in making them all text and just reading it out loud who enjoys that anyone ever didn t think so i m working on one over the weekend for company training monday night and if it turns out well i ll see if i can find a way to make it available if anyone is interested it will come with notes including notes i ll take on responses and contributions people make during the training because otherwise just looking at the pictures isn t going to help you very much it s based on an excellent presentation i saw a couple of weeks ago adapted to specific circumstances and concerns we ve run into with some additional thoughts and information and is about dealing with calls where the patient dies stuff people don t often talk about so i ve tried kickstarting this thing a couple of times we ll see if it sticks this time i know some of you who used to read it are still out there posted by linda wyatt at 20 28 0 comments email this blogthis share to x share to facebook share to pinterest wednesday april 8 2015 coming out remember dragnet the stories you are about to see are true the names have been changed to protect the innocent about that recently i made the decision to include my gasp real name on my blogs of which i write several on different topics i did so because on one of them it s fairly important that people know who is writing it and when someone i know recently commented on a post somewhere it became clear that she had no idea i had written it i knew it would make the change to all of the blogs associated with the same account and rather than go through contortions to move any i decided to just use my name so all two of you who read this blog and the one of you who might not have already known who i am now you know i m pretty comfortable with my decision largely because i don t post stupid stuff online that would cause me or anyone else problems but just in case it worries anyone i thought i d make a brief ha post about it hipaa yes that when i write stories for my blog or anywhere i m not about to violate anyone s privacy i wouldn t do so even if there wasn t a law prohibiting it my stories are loosely based on real stories in the same way many movies tv shows and novels are with one important difference the question here is how do i retain the heart of a story while making it absolutely unidentifiable most based on situations don t have that requirement but i do fortunately for me i learned a lot about this years ago from a friend who is a television writer she used to share with me all the revisions of a particular script so i could see all the change it went through maybe they can t get a particular actor that week so can t use that character maybe they can t get a location to match what was written so need to change it maybe they can t afford a certain special effect maybe the director or actors have ideas they want incorporated into the story and so on it was very interesting to me to see that through all the many changes for many different reasons the meaning of the story stayed the emotional content remained that is what i try to do i write stories because of how they affect me the story is about what i learned or what i felt or what i think is important rather than about the patient or their specific medical situation so i make a lot of changes i change ages change locations change seasons sometimes i change genders but not always because if i always did that would be the same as never changing i may add or take away family members i may add or take away pets i may add in specific details that weren t actually there i may even change the medical condition or the signs and symptoms sometimes almost entirely often they aren t the point at all sometimes i combine several stories into one as if they all happened to one person i never post about anything close in time to when it happened i live in a small town tiny even leaving out names and locations it would be far too easy for some of my patients to be identified so i don t write about those at all it means there are good stories i can never tell but that s the way it is it is not possible to read any of my stories and identify any specific person or situation sometimes i go back and read through earlier posts and even i can t recall what call or patient was the catalyst for the story just sayin in case anyone plans to go all hipaa on my ass or something posted by linda wyatt at 12 32 2 comments email this blogthis share to x share to facebook share to pinterest tuesday march 3 2015 snowstorm she died of a snowstorm each breath blowing drifts across the road her broken heart even slower than the ambulance could travel too late to shock her back posted by linda wyatt at 17 44 0 comments email this blogthis share to x share to facebook share to pinterest sunday march 1 2015 wishful thinking i ve learned a lot from being involved in emergency services one of the things i ve learned is that most people outside emergency services have absolutely no idea what we do how or why many of them don t want to know too scary they just want to be able to call 911 and have someone come solve their problem for them that sounds good to me or it would if it really worked that way there are two separate problems which often overlap one is a lack of understanding and one is a lack of resources when people have no understanding of their medical problems and or no understanding of what is or is not really an emergency and or no understanding of what an emt paramedic or the er can do for them it s not such a great fit in the other case even if they do understand if they can t afford medical care and or live by themselves without anyone to help them that s not such a great fit either here is my wish list 1 everyone would know enough about their own bodies how they work what can go wrong and how to deal with it that they could take care of most issues themselves and be able to evaluate when that is not the case and call for help in a timely manner 2 everyone would be able to afford medical care both routine and emergencies no one would ever delay getting help or checking up on something because of not being able to pay for it 3 there would be more options for providing care at night there would be somewhere else to go besides the er families would have access to more levels of care besides do it yourself and put them in a home i can t make these things happen i can try to have some beneficial influence where possible i teach a class i call functional first aid it provides no certification it has no set curriculum instead we look at the specific needs of the people there and help them understand those needs and learn more effective ways to manage them there may be people with chronic medical conditions there may be someone who works with a population that has a higher risk of certain kinds of illnesses or injuries i ve helped people put together a first aid kit for a month long summer fieldwork trip where they would not be within easy reach of medical care we put a priority on early recognition of true emergencies and on self reliance for as much...