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Highway Incident Tips - Everyone Goes Home

1 month 2 weeks ago
Highway Incident Tips - Everyone Goes Home Submitted by Bill Degnan on Wed, 02/12/2020 - 11:11 TIM First Responder Training. Source:FDoT

"What is the objective of this ride-out?", the Deputy Sheriff asked me.

"At the end of the shift... you and I are going home."

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Bill Degnan

Move Over Laws Aren't Enough To Keep Responders Safe At The Roadside

1 month 3 weeks ago
Move Over Laws Aren't Enough To Keep Responders Safe At The Roadside Submitted by Bill Degnan on Fri, 02/07/2020 - 17:01

Sure, it's the law that you have to move over (and/or slow down) when emergency vehicles are stopped at the roadside. But lives are still being lost while we're trying to save others.

There ought to be a law. And there are. Plenty of them. But why is that not enough?

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Bill Degnan

Move Over Laws Aren't Enough To Keep Responders Safe At The Roadside

1 month 3 weeks ago
Move Over Laws Aren't Enough To Keep Responders Safe At The Roadside Submitted by Bill Degnan on Fri, 02/07/2020 - 16:23

Sure, it's the law that you have to move over (and/or slow down) when emergency vehicles are stopped at the roadside. But lives are still being lost while we're trying to save others.

There ought to be a law. And there are. Plenty of them. But why is that not enough?

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Bill Degnan

TV Character Suspended By Real-Life Austin-Travis County (TX) EMS Medical Director

1 month 3 weeks ago
TV Character Suspended By Real-Life Austin-Travis County (TX) EMS Medical Director Submitted by Bill Degnan on Wed, 02/05/2020 - 19:15

The sea Captain bites his tongue until it bleeds, when juniors are learning to handle the ship. And, I imagine there has been some serious commentary about fictional patient care on the TV show 9-1-1 Lone Star, over at the Office of Medical Director for Austin-Travis County EMS.

If you don't know, the Medical Director is a very important part of the delegated practice of Emergency Medicine in the field.  As in many EMS systems, providers must be familiar with and proficient with their scope of practice under clinical operating guidelines established by the OMD.

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Bill Degnan

We Have Stories, Locked Inside

2 months ago
We Have Stories, Locked Inside Submitted by Bill Degnan on Sat, 02/01/2020 - 13:12

When I arrived on scene, I helped package the last patient who would be going by ambulance. 

I would tell you the details, right now. Except that somebody's father might read them.

I talked with one such father, in particular, and it was not my place at the time, to tell him what I knew. In a mile's travel, he would know. He would probably insist that he see, as I had seen.

There was someone else on scene, who caring and competent men had determined had no need for the services of an ambulance.

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Bill Degnan

Ft. Worth FD To Teach Suicide Prevention Skills To All Members

2 months ago
Ft. Worth FD To Teach Suicide Prevention Skills To All Members Submitted by Bill Degnan on Fri, 01/31/2020 - 09:18

“We see this as an ongoing issue. It’s related to a lot of different factors – everything from the amount of runs and the types of situations that our folks encounter to fatigue and fatigue management,” Davis said. “External pressures that they have in their own lives. Folks that bring live experiences to us that might be stressful.” The issue affects all levels of firefighters from rookies to veterans. There will also be a focus on retirees and those preparing to retire – helping them plan a life away from firefighting.

 

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Bill Degnan

Ambulance Drivers and Cell Phones

2 months ago
Ambulance Drivers and Cell Phones Submitted by Jonathon Walker on Wed, 01/29/2020 - 16:19

A number of states and local jurisdictions have restricted the use of hand-held devices, while driving. And, while exceptions for operators of emergency vehicles may be incorporated, Ambulance crews are still being recruited from the human race and can still be distracted while driving.

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Jonathon Walker

OPINION: DC 9-1-1 - This ain't gonna' be your day.

2 months 1 week ago
OPINION: DC 9-1-1 - This ain't gonna' be your day. Submitted by Bill Degnan on Sat, 01/25/2020 - 06:27

DC's 9-1-1 center is part of the Office Unified Communications (OUC). But, I sit here thinking how it should be reacronymed to OUCH. Residents, visitors and people who work in our nation's Capitol call them on the worst days of their lives. 

To understand the story, you have to read Dave Statter's article (linked below) and watch the videos that are referenced there. He's been doing the heavy lifting on this story for some time now. And, he proposes a comprehensive external audit to help find the way forward.

 

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Bill Degnan

Whatever you are doing today is a better day than this day. But goodness can be found.

2 months 1 week ago
Whatever you are doing today is a better day than this day. But goodness can be found.

Each victim is assessed, triaged -- categorized. Who is beyond help? Who needs immediate Care? Who can wait? Who just needs a ride? Finding body after body after body.

Bill Degnan Wed, 01/22/2020 - 11:49 Tags
Bill Degnan

What Can EMS Learn From The Aviation Community - Expectation Bias

2 months 2 weeks ago
What Can EMS Learn From The Aviation Community - Expectation Bias

Here's a story where AIr Traffic Control (ATC) cleared a pilot to a safe altitude. The pilot read back an incorrect (potentially unsafe) altitude --  and, ATC failed to notice. It turned out ok.

What can EMS learn?

https://www.boldmethod.com/learn-to-fly/safety/atc-misses-incorrect-pilot-readback-ifr-jet-in-mountains/ ↗️

You can readily see some parallels. Multitasking, high stress, life and death, vital communications...

Bill Degnan Sun, 01/19/2020 - 13:04 Tags
Bill Degnan

When Words Fail - (EMS) Family Violence in the Rig

2 months 2 weeks ago
When Words Fail - (EMS) Family Violence in the Rig

You may have seen recent news regarding an altercation involving two FDNY paramedics ↗️while on duty. 

The Inside EMS Podcast with Chris Cebollro and Kelly Grayson explores root issues behind altercations such as this.

Grayson cites a failure of leadership and unnecessary organizational pressures.

Bill Degnan Sat, 01/18/2020 - 09:57 Tags
Bill Degnan

Monitoring and Hydration in Firefighter Rehab

2 months 2 weeks ago
Monitoring and Hydration in Firefighter Rehab Submitted by Bill Degnan on Wed, 01/15/2020 - 22:22

A one hour on-demand video with Mike McEvoy, PhD, NRP, RN, CCRN, EMS Coordinator Saratoga County, New York & Executive Editor, JEMS

The content is sponsored by  iSimulate.

https://www.jems.com/webcasts/monitoring-and-hydration-in-firefighter-rehab/↗️(Link opens a new tab)

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Bill Degnan

Think Outside The Box For Responder Wellness

2 months 2 weeks ago
Think Outside The Box For Responder Wellness

My first reaction was, "We have a box???" But, the article explores things that individuals or agencies can use to improve the well being of first responders. There's a reason it was probably the subject of the first chapter in your EMS textbook.

The writer, a patrol officer with Taunton (Mass.) PD, should get credit for having figured us out. You know we're all broken toys.   So, take some moments for yourself and let the healing begin.

Bill Degnan Wed, 01/15/2020 - 11:08 Tags
Bill Degnan

Delta Flight Dumps Fuel Over LA - With Consequences

2 months 2 weeks ago
Delta Flight Dumps Fuel Over LA - With Consequences

[Edited, 16Jan20, to clarify communications from the aircrew and for the addition of link(s) to a pilot's-perspective analysis of the incident. Also, 17Jan20 to add link to Part Two of Juan Brown's video. --ed]

Bill Degnan Wed, 01/15/2020 - 04:29 Tags
Bill Degnan

If EMS Was In The Construction Industry

2 months 3 weeks ago
If EMS Was In The Construction Industry

An advantage to having come to EMS from a Construction background is that one can view safety from a different perspective. In EMS, the paperwork is after action. In Construction, it is said that when the weight of the paperwork exceeds that of the project, the construction phase may begin. No less true for construction safety. Before a task can begin, a Job Hazard Analysis must be produced and approved and it is briefed with the workers before any new phase of work. Over the years, some of us assembled our own version of "The JHA From Hell".

Bill Degnan Tue, 01/07/2020 - 20:13 Tags
Bill Degnan
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