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The EMS Nomad



Musings of a Paramedic in Suburban Philadelphia, Pennsylvania.



Updated: 2017-09-06T08:06:11.643-04:00

 



Grammar

2015-07-23T17:11:30.656-04:00

Those of you who know me, know that I am active on several different EMS forums, including serving as admin staff over at www.EMTLife.com and a few EMS-focused Facebook groups.

One of the things that makes me cringe on a regular basis is the grammar and spelling used by entry-level members of my profession. This has become clearer as I spend time reviewing PCR's at work and at volunteer agencies. Today, I was on a conference call for work, and an executive pointed out that word choice and PLACEMENT matter quite a bit.

For example, lets look at how one can open their narrative: 

"Arrived to find patient lying in bed w/ FD medics."
vs.
"Arrived to find patient lying in bed, with FD medics providing care."

 Which makes you sound intelligent, and which makes you laugh? Is grammar more important now?


And, now for some levity, I give you Weird Al, a guy who's built his life around playing with words:
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smaccUS - Day 0

2015-07-08T13:56:32.787-04:00


For those who read my smaccUS Day 1 blog, you know how much of an impact Dr. John Hind's lecture on a resuscitative thoracotomy had on me.

I was beyond shocked when I woke up on Saturday morning to find out (through Twitter, how else) that he had died. One of the last things I did before walking out of McCormick Place on Friday, at the end of SMACC, was to get a chance to shake Dr. Hind's hand. I actually walked partially out of the building with him, and I explained how he had changed my opinion of a local EM Physician who did the same procedure in our local ED. I can't claim to have known him well, but I do know he will be sorely missed in the FOAMed community.





Blue Lights and Volunteers

2015-05-13T08:56:49.744-04:00

Over the past few days, there's been a Change.org petition circulating to expand the privileges of volunteer firefighters and EMS personnel who use "courtesy lights". Here in PA, those lights are blue (and ONLY blue) and give you NO legal right to do anything more than an average driver.

In all my years in Fire/EMS, I've never used blue lights to respond to a call or a firehouse. Many of my volunteer originations have staffed the station in readiness for calls, and I've had no desire to spend money on lights for my car.

Anyway - the petition is here: https://www.change.org/p/pennsylvania-general-assembly-change-the-laws-regarding-volunteer-firefighters-courtesy-lights-in-pennsylvania - it calls for volunteer vehicles with "blue lights" to get the rights and privileges of emergency vehicles, and be able to use sirens/horns as warning devices too.


Want to know why the PA State Police and other agencies don't want us to have blue lights, and why we are our own worst enemy? Look at this picutre:

Yesterday, I was driving eastbound on the PA Turnpike. As I passed the Mid-County interchange (76/476) in moderate traffic, this yellow BWM zipped past me in the shoulder with a blue dash light. He then proceeded to weave in and out of the exit lane, causing at least one car to have to swerve to miss him. He then continued east on the Turnpike, again driving on the shoulder (next exit was miles away).

I don't know what the crisis was, but I can't fathom why s/he needed to drive like that, risking multiple accidents. There wasn't an accident on the Turnpike - just typical rush-hour traffic.

Anyway - to those who swear by blue lights, this is your enemy too - s/he makes everyone look bad. Further - think - will your community be safer with moreemergency vehicles driving around for the same number of calls?



2014 PA Scope of Practice Update

2014-12-06T14:32:08.460-05:00

On Saturday, 11/29/14, the Commonwealth of Pennsylvania published an update to the EMS scope of practice in the PA Bulletin (Found here). I’m no lawyer, but as the document highlights that IN and IM (Autoinjector) Narcan administration is OK immediately, I’m presuming that the entire scope of practice is effective immediately. For reference sake, (2011 here) is the prior Scope of Practice, dated 4/9/11.I've compared the old and new documents line-by-line and have the results attached as a spreadsheet Key below. Anything in RED is from the 2011 listing. Unchanged Scope is same or similar to previously standing protocol Clarification Scope is similar, but has been changed to a minor degree Variation Significant change in scope New New scope of practice either granting or restricting Removed Present in 2011, Absent in 2014 Here's ALL the changes as a Google Doc Spreadsheet - note the 4 tabs on the bottomhttps://docs.google.com/spreadsheets/d/1okvETk991oIDePwWxx4LxjJBWHgwoAd6qP6dMKjArfg/pubhtml[...]



EMS and Firearms - Who Will Carry?

2014-08-12T23:05:45.679-04:00

There's one category I will say should be permitted to carry firearms without much thought – that would be Tactical EMS providers, who function with a municipal or regional SWAT/ERT team. They should be trained and meet qualification standards set by the team, and be permitted to at least carry sidearms for defense of themselves and other members of the team.If it will be regular street providers, then who will they be? Will they self-select? Will the service say that only certain people should be able to carry? Will the service say that certain staff members (supervisors, for example) should carry firearms? What qualifications will be required? What laws apply? Does it change if the service is requiring providers to carry? My personal opinion would be that the providers should self-select. Carrying a firearm is a heavy responsibility, and something that one really needs to think long and hard about before they do it. Forcing someone to do it isn't really a bright idea.Many of us elect to carry firearms for self defense off-duty. Likely we would be the core individuals considering carry on duty.[...]



EMS and Firearms - What are the current laws pertaining to EMS carrying firearms?

2014-08-08T12:00:00.669-04:00

What are the current laws pertaining to EMS carrying firearms?   PA is a rather pro-gun state. Commonwealth Licenses to Carry Firearms (LCTF) are shall-issue, and inexpensively available from every county sheriff. PA is also an Constitutional Open Carry state, wherein carrying of a firearm openly visible in a holster is legal so long as you aren't in a vehicle or in the City of Philadelphia. A LCTF is required to conceal a firearm in public, or carry one openly in Philadelphia.If you are carrying a firearm as a duty of employment, then you enter into territory governed by the same laws as armed security. That requires some level of training and certification above the “average citizen” in many states.There are a few places where carry is either legally questionable or prohibited. These include primary/secondary schools, jails/courthouses/correctional facilities, and areas that are federally prohibited, like federal buildings and the secure section of airports. Additionally, many other businesses post signs that indicate they would prefer folks not bring firearms onto their premises.Additionally, in Pennsylvania, the State Department of Health currently requires that every licensed EMS agency prohibit non-LEO's from carrying firearms on their ambulances. Even outside PA, most ambulance companies prohibit firearms from their ambulances (and often buildings and premises) as a matter of “good business practice”Oh, and as always, I'm not a lawyer. This isn't legal advice, etc, etc, etc. [...]



EMS and Firearms – an Intro

2014-08-07T18:58:51.833-04:00

Over the last few years, I've been involved in multiple discussions regarding EMS providers carrying firearms in the performance of their duties. Many of my friends often assume that I'd take the pro-gun side, but my answer is far more complex.Credit to Kip Teitsort of DT4EMSIn the last week, this has risen to prominence in many EMS circles, with several good friends doing podcasts on it.For those that don't know, in addition to being a paramedic, I'm a state-licensed Agent under PA's Lethal Weapons Act 235. In short, I've got a PA Armed Security Guard certification. I've carried a firearm for employment, and had additional defensive tactics training. I occasionally work in a gun store, I often carry a concealed firearm for self-defense, I've long been involved in firearms-centric state-level political activism, and I'm a NRA-credentialed instructor and life member. In short, compared with many, I know a LOT about firearms.Since I'm so pro-gun, folks assume I'm a proponent of EMS being allowed to carry firearms. My response? Not so fast!First, let me say... I have NO reservations about on-duty commissioned Law Enforcement Officers providing EMS or working on ambulances. They complete significant defensive tactics and firearms training, and have a duty belt full of tools to de-escalate situations if needed. I've been working with folks like this all summer.Secondly – I have a moderately strong understanding of various firearms-related laws, because if I screw up, I could go to jail, and lose my rights to own guns ever again. That said, I am not a lawyer. Nothing I write should be construed as legal advice in any way/shape/form. Thirdly – I will try to be general, but some of my answers will be Pennsylvania specific, because that's the area I know best.If EMS is going to carry, there are a few questions that must be addressed, and over the next week, I will expand on these questions:What are the current laws pertaining to EMS carrying firearms?Who will carry firearms?How will they be carried?Why is EMS carrying firearms?What are the risks of EMS carrying firearms?Where can EMS carry firearms?What qualifications/training are required?Who is going to certify those qualifications are met?How will firearms carry change how EMS is perceived?Who is going to be liable for EMS providers USING firearms for self-defense?[...]



Weird Al

2014-08-07T18:53:29.416-04:00

In the last few weeks, "Weird" Al Yankovic has been all over social media.

His most recent album proves that he's still relevant, and his parodies are just as appreaciated today as they have been for the last 30+ years. I think this album is his best yet.

I enjoy the "Royals" parody the most... partially because I occasionally interact with the "tin foil hat" crowd in my travels.


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Travel

2014-07-29T21:03:00.108-04:00

Well, it's been a busy few weeks out here.

I flew home last week during my 3 days off to see some folks, and pick up a shift at my one job. Why did I need to pick up a shift? Because they said if I didn't work within 90 days, I'd be off the schedule. So I'm now good to have a job to go back to when I finish my temporary government job up here.

Anyway, my encounters with the Thousands Standing Around (http://www.tsa.gov) were unremarkable. Flying out of McCarren, I was running late for a 6am flight, but thankfully there was NO line at security. I opted out of the invasive scanner, and got my free Obamacare health screening from a polite TSA worker.

My Southwest flight home was uneventful. I ended up with a middle seat in an exit row. The flight attendant was VERY clear on making sure those of us seated in that row knew what our roles were, and the flight was slightly early into BWI. As we exited the aircraft, I became aware that the woman sitting across the aisle from me was a sitting US Congresswoman. True to her party, she was sitting on the left side of the plane - but hey, she's flying Southwest, so she's at least attempting to be fiscally Conservative.

Heading back, there was quite a line at 6am at BWI, however it moved rapidly, and I got "randomly selected" for TSA Pre-Check. That was nice. Kept my shoes on, and didn't get groped by some random guy.

The flight home Friday morning was a little bumpy, but otherwise uneventful. I still haven't seen a singing or rapping Southwest flight attendant, and the flight crew going back seemed less enthusiastic than the ones I had Tuesday. We landed back in Vegas on time. I drove straight to work from the airport, and made it in plenty of time.



PS... TSA Pre-Check rant: Because I work for the FedGov, I currently hold a HSPD-12 smart card. If I were a DOD civilian, I would be automatically eligible for Pre-Check, but since I work for a different agency, I'm not. Even though I've had a background check more thorough than TSA's. Government Efficiency right there.




Wildfire

2014-07-18T10:57:00.150-04:00

The other week, I finally got the opportunity to complete my Pack Test, or “Work Capacity Test” for my current job. It’s the arduous-level wildland fire physical fitness test. You wear a vest or carry a pack weighing 45 pounds, and walk 3 miles, in under 45 minutes.

This test was the biggest thing that scared me about my new job. Somehow I missed the requirement to pass the test on the application, and I didn’t realize I’d need to complete it until I was in the process of accepting the position. Over 2 months, I was able to work up to the required time and weight, and now my biggest goal is keeping at it, so that the test doesn’t scare me in the future.

Anyway – I took the pack test on July 6th, which was a significant day in the history of wildland fire. On July 6th, 1994, 14 experienced firefighters died on Storm King Mountain in Colorado. The week before, June 30th, was the first anniversary of the deaths of 19 Granite Mountain Hotshots on the Yarnell Hill fire in Arizona. July 10th was the 13th anniversary of the Thirty Mile fire, a fire in Washington State that took the lives of 4 Forest Service firefighters.

That’s 3 major anniversaries in wildland firefighting in 11 days. I’ve read much about all three incidents, including John Maclean’s books on the South Canyon (Storm King) Fire, and the Thirty Mile Fire. He’s a good author, and does a decent job summing up the various investigations, as well as re-interviewing involved parties and trying to put a fuller perspective on the events.

Anyway – One thing I’ve learned in my wildland training is that the 10 and 18 (Standard Firefighting Orders and Watchout Situations) have been written in blood. Yeah, I’m idealistic because I haven’t actually worked a wildfire, but I just can’t understand why the same things happen over and over again.

As the summer continues, to my friends that wear yellow nomex – as the 10 & 18 say: Fight fire aggressively, having provided for safety first.



Helicopters

2014-07-16T15:30:01.300-04:00

I've long been a believer in the Bryan Bledsoe School ofHelicopter EMS (HEMS) Usage. Essentially, they have a place in EMS, but they should be like abortion – safe, legal, and rare.Back home in Pennsylvania, I've been outspoken over the asinine use of HEMS. When you're within a mile of an open and functional trauma center, there is no good reason that you need to land a helicopter to transport your patient... yet I've seen and heard that happen.Don't get me wrong, HEMS has its place in EMS. The providers often have more advanced tools and drugs, especially for securing airways in traumatically injured patients. One of my most common places to use HEMS back home is actually at a prison that we cover. We often have some time delays in accessing, packaging, and removing the inmate to the ambulance, and the facility also has a true helipad. If I call for the helicopter when I'm in the facility, it's on the ground or landing by the time I can load the patient and move to the LZ (Landing Zone). Depending on the time of day and road conditions, my drive time from the facility to a Level II trauma center can be as little as 30 minutes, or as much as 45 minutes or more. That meets criteria, in most cases, to allow HEMS usage. And HEMS is actually faster if they are on the ground at the same time that I could start driving.Now out here, I’ve got extended drive times from much of my territory to trauma centers, and in some places, even a hospital. My two closest hospitals for much of my territory are community hospitals, one of which is technically a "critical access hospital." Additionally, when my patient is down a trail, or on a boat, I’m rarely sitting waiting for a helicopter to land to take my patient away. The crews I’ve worked with are great at minimizing scene time, and usually are in the air within 5-6 minutes of climbing into my ambulance.Now here’s the fun part. Often, when I send patients by helicopter, they go to the hospital Dr. Bryan Bledsoe works at. That’s just ironic, isn’t it?[...]



Code 4

2014-07-15T20:20:12.506-04:00

A few months ago, I blogged about “plain speak” and how terminology changes from place to place. Now that I'm working in the Western US, I've learned a NEW term for an ambulance – out here, it's called a “Rescue”. They have “Heavy Rescue” or “Technical Rescue” units – those are the “rescue” trucks I'm used to talking about.Anyway – the agency I work for still uses some 10-codes. Things like “give me a 21”, short for 10-21, meaning: call dispatch via phone. Some folks use 10-7/10-8 for out of service/in service, and there's a smattering of other ones, too. There's a new one for me, “Code 4”. It's actually the same as a 10-code I'm used to from the police back home, “10-92”. Code 4, 10-92, or even “92” mean the same thing, ostensibly, “status OK”. That said, the code means so much more than that. The use is very context-dependent. Most often, it's how I answer status checks by dispatch when my unit hasn't been on the air recently.We also use it for other things. Talking about a disabled motorist: “He's code 4, waiting for AAA.” Or, after a property damage collision, “occupants are all Code 4, just want to file a report.”An example, from an EMS perspective, is a call I had at the University EMS service, while I was a supervisory lieutenant. I was onscene for a psychiatric emergency, and the other lieutenant arrived, and asked me on our ops channel if I needed anything. My response was “Nope, we're 92 in here, just let me know when the BLS arrives.” Suddenly, by using that 10-code, he knew that a University police officer and myself weren't doing anything useful inside, and were simply waiting for the ambulance to arrive, so the person could go to the hospital for care, after their cry for help.Another great use from the EMS side is when we are requesting a LE unit to assist us for something minor – forcing access into a house, dealing with securing property, that sort of thing. Over the years, when I've request a LE unit for something minor, it's not uncommon to get more than one, because they all come, just in case I'm in trouble. It's great to know the cavalry will come when I call, but it's also a waste of resources. Being able to use a code that the dispatcher and LE know, that says “I'm OK” can help ensure that my LE friends don't get hurt racing to “assist EMS” for something dumb.“Code 4” isn't some huge secret. It's online, and can be heard on most scanner apps for western LE agencies. Its use is varied, and very flexible. It, and 10-92, the 10-code from back home, are one of the more useful LE “codes” that I've used.Jon[...]



Be Careful Who You Criticize

2014-07-07T11:35:00.421-04:00

Going through Medic School, I had a classmate that sat behind me, and felt it was her business to keep reminding me that I was on my second time through. It was hurtful, but also pushed me to do better. I wanted to be one of the first from my class to actually GET the shiny Registry patch, and I was. I was second place, behind the OTHER guy who had repeated medic school that year (someone I respect, and I was honored to be in second place behind).I finished, and have worked for several years as a paramedic in the same area. I continue to encounter this person as I go through life. Oddly enough, she didn’t actually ever PASS National Registry, and has never been able to practice as a Paramedic. This year, she decided to try again. I really do wonder if there’s someone in HER class, reminding HER that she failed to complete medic school the first time. I also find it mildly disappointing that she won’t admit to her previous conduct… but hey, some people are just like that.In the end, Karma comes back to bite you in the ass. Every time. So follow the golden rule, and treat others as how you’d like to be treated, and maybe you'll have an easier time of things. If nothing else, it helps to not go through life angry at others.[...]



Fellowship

2014-07-04T13:30:00.403-04:00

I’ve had the opportunity this spring to be involved in something really cool. I’ve been involved with a new group, called the American College of Paramedics. Here’s the idea – Paramedics in the United States becoming a self-regulating body, like is seen in many Commonwealth countries.From the website:The title of “Fellow of American College of Paramedicine” represents an EMS practitioner’s commitments to clinical excellence in the prehospital environment, the promotion of evidence-based EMS practice, and development of the EMS profession into that of true allied health professionals. Candidates for FACPM will have demonstrated the following during a 5-year candidacy periodhttp://acparamedic.org/fellowship/I’m proud to say I’m part of the fellowship committee, and the Board members seem to be working diligently to make this happen. I think this is a great next step for American EMS. What do you think?Check out the website:http://acparamedic.org/And the Facebook page:https://www.facebook.com/ParamedichopeJon [...]



Philly Fire at Level Zero

2014-07-03T21:26:42.878-04:00

Philadelphia Daily News has an inflammatory headline today: In case of emergency, say a prayer? Sad part - It's spot on. Getting EMS care in Philadelphia is as much luck as it is anything else. It's a finite resource that has long been neglected.  Tuesday brought seasonally expected high temperatures, and with that, predictable high EMS call volumes. That’s NOT a surprise to anyone who follows the saga of PFD*EMS. Add in a small-scale disaster, such as the food truck explosion that happened Tuesday afternoon, and the system went back to Level Zero. And was there a couple other times during the day.Level Zero is a term in the EMS industry. It means the City has ZERO available transport EMS resources – everything is committed (on calls, at hospitals, cleaning up, completing post-run paperwork, restocking, or out of service for training).Here’s the thing. Even when Philly DOES have EMS units available… they may not be in every neighborhood. On busy days, it’s routine to see ambulances leapfrog across the city, getting sent on 20 or 30 minute responses as soon as they clear a hospital. Is there really a difference if it takes 10 minutes to dispatch an ambulance that’s coming from 20 minutes away, or if an ambulance from 30 minutes away is dispatched without a delay? Other than the statement of “no medic available” on the radio? The scene gets the closest available suppression apparatus, and they wait for an ambulance.It’s common in major cities to supplement municipal EMS resources with mutual aid providers. In some towns, that consists of agreements with adjoining towns to help provide coverage for normal flows of service. In other towns, that involves a public-private partnership where ambulances that are primarily used for non-emergent transport are used to supplement the 911 system. Some areas do this more frequently than others, but it’s a common solution.Philadelphia doesn’t seem to know how to call for help. They have a procedure where quite a few agencies have radios mounted in ALS ambulances that can communicate with PFD’s dispatch so that these units can be used in a disaster. These radios are used in the annual airport drill, and regularly tested, and that’s the end of it.Philadelphia invested money in the system, and unveiled it 4years ago. Yet, to my knowledge, it has never been used for an actual event. Especially these occasional surge events that happen EVERY SINGLE SUMMER. These surges happen in extremely hot weather, and also on warm summer evenings when the city's "knife and gun club" starts up, and fills the hospital trauma bays with battered and bleeding individuals.Philly is planning to “fix” their EMS system by hiring a whole bunch of EMS-only EMT’s to ride ambulances, paired with Paramedics, allowing them to return to a all-ALS deployment with more units. That’s the stated goal, anyway. That isn’t going to happen overnight, though. The City should use the resources it has available to cover it’s requirement to provide EMS until PFD*EMS is on a better footing.[...]



Laugh of the Day: Do You Know What The Onion is? CeaseFirePA doesn't!

2014-07-03T22:39:22.821-04:00

The other day, (Monday, 6/30, 16:37 EDT)  anti-gun group CeaseFirePA posted a lovely link to their Facebook page. I'm assuming they shared it to their Twitter feed as well... however, I didn't get a screenshot of that. Oh, and in case you didn't guess - this misstep went down the memory hole and no longer exists on their Facebook page. I took this screenshot, though, so it's preserved for posterity.


I took the screenshot at about 2am PDT 7/1/14, hence the "yesterday". In it, there's a link to this Onion story from 1/11/13




Stars

2014-06-25T07:31:49.454-04:00

 Over the years, I've spent many nights sleeping outdoors, and many more nights outside with friends. One thing I've never gotten tired of is starting at a sky full of stars. Where I live, there's just a little too much light pollution to be able to look up at the sky and truly enjoy the view. Some of my favorite memories of the outdoors are of my time under the stars. Like the night, as a scout, I joined in with a dozen others and slept out on a tarp brought by a friend. Going to sleep under a blanket of stars is magical. Or the year I was Camp Health Officer - after our senior staff celebrated our final night with a BBQ and campfire, I wandered out into the deserted field in the middle of the camp and ended up laying back, contemplating the heavens.Some other great times have been with friends at caving events in West Virginia. When you're 20 miles from the nearest strip mall, the view gets so much better.Even now, in my temporary home 25 miles from the midnight sun of the Las Vegas Strip, I get to see the night sky. My little neighborhood only has moderate light pollution, so the view is pretty good. Of course, I'm living under a major approach route to McCarran International Airport, so my stargazing is punctuated by an ever-changing constellation of planes stacked up, traveling west across the lake into Vegas.Anyway... The night sky never gets old. I love the mysticism behind the constellations, and technology now makes it easier than ever to identify stars and constellations. I use Sky Guide, but there are other apps out there too.[...]



Big Change - For real this time

2014-07-03T20:50:13.241-04:00

So, it's been over a month since I posted. Sorry... I've been a little busy.

I decided to take my blog title seriously, and I accepted a seasonal position as a Paramedic for the National Park Service at Lake Mead. That means that the last week of April, I moved cross-country for the summer.

-My new ambulance. Credit to my friend Matt Goldberg for this

It's been a very interesting transition. After a month, I'm getting used to the desert. It's been very ironic that the East Coast has been hit with some very nasty rainstorms and flooding, while out here, weq've had rain sprinkles one night, and the local weather folks got all excited over a few drops of rain.

I've also had to get used to the altitude, and that's been a gradual thing as well.

The land is beautiful, even if it is in a drought.


Anyway.... Sorry for the absence. It's been a busy couple of months with getting prepared, tentatively accepting the position, buying a new car, actually getting the official job offer, then packing up and moving, and then getting settled out here. I've got some posts pending about some of my adventures on my road trip, as well as my adventures on my days off. Oh, I'll talk a bit about some of the differences in my role out here, but the usual privacy stuff applies, so I've got to be careful.



Local News - "Ambulance Driver Drove Drunk"

2014-05-01T13:02:00.298-04:00

The Philadelphia Inquirer published a story yesterday that is making the rounds on the EMS sites. The headline? "Lawsuit: Medic claims she was fired for reporting partner was drunk "

PHILADELPHIA — A paramedic has sued her former employer, who she claims canned her after she reported to city authorities that a colleague drove their ambulance while drunk.


Her supervisors eventually directed the pair to return to the office and ordered the driver to undergo a blood-alcohol test, which showed his blood alcohol level as 0.07 percent, according to the lawsuit. A driver is considered legally drunk in Pennsylvania at 0.08 percent. But Sakr contends in her lawsuit that her colleague's blood-alcohol test wasn't performed until four hours after she first alerted her bosses that he was drunk, giving him time to sober up.

The article goes on to say that the company then started harassing the "whistleblower" medic - denying vacation, changing shifts, etc.  Pretty serious accusations.

Now, for my take. First, an interest statement: I once worked for an EmStar predecessor, but haven't for over 10 years. I'm honestly somewhat surprised by these accusations. In my opinion, they aren't the BEST company in the Philadelphia private transport market - but they aren't the bottom of the barrel, either.

Second - In this case, it appears the crew was a Paramedic (the whistleblower) and an EMT - that's a standard ALS crew, especuially for transport. In that configuriation, it means the EMT's prime job is, in fact, driving. Please don't let the headline get you upset. It's technically correct.

What bothers me the most, is the comments on the article, espeically on the EMS social media pages, have more than a couple of EMS folks lining up against the medic in question. Folks are repeating the "What Happens on the Truck, Stays on the Truck." Guess what? That works for some things... An example? If my partner tells me she's pregnant - it's not my job to make a big deal about that to others, so long as she's still able to meet the required functions of the job.

This rises FAR above the level of something that should be ignored or covered up. I've seen too many drunk drivers that have either killed others or just killed themselves. PA has some very stringent rules relating to DUI and operating ambulances, as well. Long story short? Managment appears to have decided to ignore the safety of the crew, their apparatus, and the general public.

I think, based on the news story, that the medic did the best she could in that situation. It's something I hope I'll never have to deal with.





PA Capitol Second Amendment Rally

2014-05-01T04:31:48.676-04:00

Had a fun time yesterday with my friends from FOAC (http://www.foac-pac.org/) for the annual PA Gun Rights rally.

I spent the morning helping prep a couple of new team leaders for the afternoon advocacy event, so I actually missed much of the speeches - but I did get some crowd pictures. Looks like we had 500+! As I said on Twitter yesterday, we were able to get more folks to turn out to a weekday rally in PA in pouring rain than the "Demanding Mom" folks could muster in Indy (their founder's home town) last weekend, in nice weather.


Someone won a gun... A S&W Shield. Don't know who... But it wasn't me .

After the rally, we split into teams and went into the Capitol building. Every legislator's office got a visit from us - on the House side, we were talking HB 921 (get rid of PICS and just use NICS), HB 2011, a bill to help fight preemption violations, and HB 448, this term's Parking Lot bill.

On the Senate side, we were pushing for SB 448, the PICS-to-NICS bill, and SB 876, a mirror bill for preemption violations. Hopefully we'll see all 3 of these bills pass this session.


This morning, I found this laugh on the Internet, from the rally:
I don't see anything particularly disturbing. There's good muzzle and trigger-finger discipline, and it's 3 concerned gun owners carrying a stroller up the steps in the rain. That's just courtesy!