Riding in vans with paramedics, part one
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Note: All identifying details of patients and calls have been changed to ensure anonymity.
“Stay with us, Jonathon, you’re doing great,” yells Dave, loud enough to be heard over the wailing siren, but calm enough to mask Jonathon’s grim situation. Jonathon, conscious for the moment, thrashes his body around and emits a pained groan as the ambulance speeds 80 mph down Route 45 to the hospital.
“Please STOP moving your arms,” says Dave, frantically trying to put in a second IV, while Leann, his EMT partner, tries to get a blood pressure reading. A strapping young police officer holds down Jonathon’s flailing limbs, beads of sweat from his forehead dropping onto Jonathon’s leather jacket. My job is simply to hold gauze to the back of his head, grateful that the blood has stopped spurting and that he can’t hit me with anything.
“Dan, hold his forehead too,” says Dave. “Try to keep his head still, if you can. Hands on the front and back of the head. You’re doing great, just keep breathing — JONATHON SERIOUSLY DUDE YOU’VE GOT TO STOP FIGHTING US.”
Just as Dave pops in the IV, Jonathon makes a guttural sound, a frustrated growl, and manages to pry one of his hands loose. “Get off!!! Stop it! F*** you, man!” Leann jumps back, almost hitting the side of the ambulance. The officer immediately snatches Jonathon’s hand back, but not before the IV is pulled clean out, blood running down his arm, joining the slippery pool already on the floor.
I now realize that I did not properly think through my friend Dave’s offer to ride in the back of the ambulance during his shift on a weekend night on campus. I assumed it would be harmless trips to the ER, drunken students creating college memories, that kind of thing. So it’s a bit of a shock to be cradling the head of a motorcyclist, one who is crazy from fear, trauma, alcohol, and possible head injury, hurtling past Thomasboro in a bumpy ambulance, hoping he doesn’t die en route.
The paramedics continue their work. Jonathon fights, calms down, passes out, fights again. The officer continues to hold him down, blood from Jonathon’s head spattered on his uniform. I look away for a bit, pretty sure I won’t pass out, but not entirely certain.
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Let’s get a couple things straight right away. They are called Paramedics. EMTs: Emergency Medical Technicians. EMS: Emergency Medical Services. Even just Medic is fine. Technically there are three different levels of EMT — Basic, Intermediate, and Paramedic — but they all have vital roles on the ambulance and inpatient care. They are “ambulance drivers” in exactly the same way that police officers are “police car drivers.” They are “ambulance workers” like nurses and anesthesiologists and surgeons are “operating room workers.”
Of the many and varied tasks they can be called upon to perform each shift — which include making snap medical assessments, extracting useful information from terrified and sometimes crazy strangers, calming and reassuring family members, lifting bodies onto cots and cots into mobile emergency rooms, writing up paperwork, interpreting heart rhythms, administering a variety of medications, shocking malfunctioning hearts, inserting tubes through vocal cords and down windpipes, sticking needles into veins, bones, and lungs, and generally being responsible for a patient’s life from the moment they arrive on scene to the time they get to the hospital, all while in someone’s home, out in the elements, or bumping down the road — it is true that EMTs do drive an ambulance at certain points during a crisis.
It’s just that reducing their identities and profession to that of a taxi cab to the hospital by calling them “ambulance drivers” is a bit insulting. So if you want to annoy people whose job it is to keep you alive immediately after you just did the dumbest thing ever, call them ambulance drivers.
Of course, truth be told, there’s nothing they can do about it. Even if you yell and spit and curse at them, which happens far more often than one would hope, they will still do everything they can to save your life. But a little respect would be nice.
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At 7:00 p.m., I begin my evening ride-along with Professional Ambulance Service (“PRO”) in the least dramatic way possible: by signing paperwork. I promise, via my signature, to dress nicely, act sensibly, and under no circumstances, despite anything that might happen tonight, sue them.
It’s a gorgeous fall weekend evening, and there’s a festival in town. It has finally cooled off after a summer of oppressive heat. Tens of thousands of University of Illinois students are back in town and ready for a good time. Many of them are enjoying their first taste of freedom away from home, and all of them have some space before the imminent crush of homework and tests. It’s expected to be a busy night of accidents, drunkenness, and crazy.
Before things get rolling, Dave Ward shows me around PRO’s central quarters, on Neil Street in Champaign. He’s been an EMT for seven years, five at PRO, and has been a paramedic for the last two and half, after going through the year-plus medic program at Parkland. I’ve know Dave since our now-high school-aged daughters were in kindergarten. At that time, fresh out of the University of Illinois with a degree in theater and a university office job, Dave figured his life needed some more drama. On a whim he signed up as a volunteer firefighter at the Edge-Scott Fire Protection District in rural Urbana, where they trained him as an EMT-Basic. He found that he loved the rush of an emergency, be it fire or medical, but particularly enjoyed the personal interactions of medical calls, so a few years later he decided to apply at PRO and make a career out of it. And he tells such good stories that I couldn’t resist coming along when he invited me.
He gives me a tour of the dispatch room. “So, PRO covers most of the north and east parts of Champaign County, along with bits of Vermilion County to the east and Piatt County to the west.” There's a monitor on the wall that shows a digital map of the county, and he points to it as he talks. “Plus, this month, we’re covering everything east of Neil St. in Champaign-Urbana. Dispatch can see where each ambulance is on the monitor.” Sure enough, there are little ambulance icons moving around on the map.
“We have four units in service tonight. One sits in Rantoul, one in Savoy, and two here in Champaign-Urbana. Once the tones start going off and units get sent on calls, we’ll move to different spots so our coverage is spread out more evenly. We can pretty much go wherever we want as long as we’re in our dispatched areas.”
We take a few minutes in the break room before heading out. I meet Leann Kerney, EMT-Basic and Dave’s partner for the evening. Matt Gant, a paramedic and the shift lead, strolls in, and everyone catches up on what’s been happening. They exchange stories and have an easy camaraderie with each other; capable veterans who have shared trauma together.
We head to the ambulance. Supplies are checked and restocked. Instruments are gauged, logs entered, bags stowed. Dave assigns me two tasks as we step into our seats, to be done upon our arrival at every scene: 1) put on disposable surgical gloves, and 2) turn on the lights and air conditioning in the back of the ambulance, so all is ready when they wheel someone in. No problem.
And before we even leave the station, we get our first call. Perfect timing.
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Next Up: Scared Mom, Waiting, and Drunk Crazy Guy
12 comments
LH
Fabulous idea, fabulous writing, fabulous suspense.
Thank you for following along with these amazing heroes in our community. I grew up with a parent who served an emergency on-call job like these EMTs, and it was scary to see her come home with bruises, gashes, cuts—looking like she should have been the one taking the ambulance to the hospital, not staffing the thing. Try explaining to your small children that someone beat you up while you tried to save their life…
Your description of the way the general public views EMTs is spot-on. Thank you for bringing their real work to light!
PG Springer
I played poker with these guys, little knowing they had mad hero skills. Looking forward to tomorrow’s installment.
<span style=“font-family: Arial; color: #666666;”>Great writing, EMTs do deserve more respect (and more pay) for the lifesaving pre-hospital medical care they provide. I hope Jonathon’s head recovered enough to ride another day, and learned to wear a helmet. </span>
Intro reminded me of Pop. 485 by Perry.
Brilliant.
quality style and content. look forward to the rest of the series.
JG
<span style=“font-family: Arial; color: #666666;”>Driving 80 miles/hour with a patient who has a HEAD INJURY and is keeping everyone off balance who are probably unrestrained just fuels attitudes about those driving an ambulance. Not to mention there is a spectator in the back in this speeding amblulance. Maybe the term “Ambulance Driver” should be taken more seriously to provide a safe work environment. Ambulance driving may not be considered a cool skill like shocking a heart but it is the one that will also keep those who provide the care, the patient and everyone else on the streets safer. This blog clearly demonstrates “ambulance driving” at its unsafest.</span>
<span style=“font-family: Arial; color: #666666;”>You can call yourself an Ambulance Driver when you can drive like a professional and aren’t expecting applause for every little thing you do. I doubt if the OR workers, including the nurses and doctors, don’t come out and expect someone to high five them after every surgery. Also in the OR everyone looks the same and the only way to tell them apart is their position at the patient. </span>
<span style=“font-family: Arial; color: #666666;”>Take the job of being an “Ambulance Driver” seriously and don’t belittle this very important skill. </span>
JJackson
This is not a display of professional EMS and I hope the management at Pro Ambulance in Champaign sees this to take appropriate action for retraining this crew or reviewing their protocols. 80 mph in an ambulance with an EMT, Paramedic, Police Officer, patient and an observer in the back is just unsafe under any situation. I also have to ask if the Officer was still wearing his gun during this struggle in close quarters. This whole situation could have had a very bad outcome for all involved.
Doesn’t this ambulance company have alternatives routes for medication such as IN or IM to slow the patient down a little? What about the appropriate or at least creative restraints? Is a BP really necessary at that moment and would it even be accurate in a combative patient?
Don’t think all of EMS is like this. Some of us strive to make it home after each shift. We work hard to be a safe “ambulance driver” and take that with pride without getting hung up on names which EMS has too many to remember for even those in it. If the public sees us racing at 80 mph down the highway and riding our patients like cowboys just like the movies than we deserve whatever image given to us. It may not look exciting to have enough guidelines/protocols in place to properly sedate and secure a patient before and during transport for a calm ride but it is safer.
Please be safe out there. Speeding at 80 mph in an ambulance does not save lives.
Just to clarify, in this particular instance it was a police officer driving the ambulance. The two EMTs were very busy in the back with the patient.
aw
JG and JJackson I feel that you’re both a little bit off base with your comments.
First of all, it’s not unreasonable to operate an emergency vehicle with lights and sirens activated at 80MPH on a flat, straight, relatively deserted stretch of 4 lane divided highway or interstate. Route 45 between Thomasboro and Urbana, in the wee hours of the morning as described in this article is just that. They weren’t screaming down Cunningham or Universty Avenues at 80MPH.
The police officer driving, as well as anybody who works in any branch of public safety in our area is required to be specially trained to operate emergency vehicles at high speeds as well as during emergency maneuvers. You will not likely see an ambulance operating in excess of 80 though for safety purposes.
EMTs and Paramedics, as well as the officers and firefighters who help them are all aware that there is an inherent risk in being in the back of an ambulance tending to the sick or injured. That is a risk they’re willing to take to help their fellow man. That risk exists at 55MPH just as much as it does at 80.
I am sure that the vehicle was operated with “due regard for the safety of others” as the law clearly states in relation to emergency vehicles.
As for your comment on the officer and his weapon JJackson, of course he was. The weapon remained in his duty holster, surely with all of the specialty retention mechanisms in place. Officers are trained often in close quarters combat and weapon retention. Otherwise police wouldn’t ever get within talking distance of anyone ever. The story mentions that the patient was immobilized on a backboard. This means his trunk was secured to the board with at least three points of restraint, likely more. In addition, the board and patient are then secured to the cot with a 5-point safety restraint system. While his arms remained free, and since he was actively resisting he had some opportunity to flail his head, it would not have been possible for him to get up and square off with anybody.
I personally know Dave, LeAnn and Tommy. I know that the three of them are all fantastic people who care deeply for those they come into contact with on a daily basis and would never allow them to be placed in the way of undue harm. They do a tremendous job, as do the rest of the EMTs and Paramedics in this county and we’re lucky to have them around!
Just remember when you’re passing all of this judgement and negativity which is unfortunately all too common in this community anymore that it’s a long fall from the judgement tree. I sure hope you don’t need the paramedics when you land!
Dan, this was a fantastic series of articles. You’ve got quite a way with the written word. Well done!
JJackson
AW, I take it you are speaking on behalf of Pro Ambulance and its employees in Champaign.
I can only go by what was written in this series.
A quote by you:
” I sure hope you don’t need the paramedics when you land!”
Please refrain from threats such as this. Some in EMS use comments like this to intimindate others in the general public. It is not professional especially if you are in management at this ambulance service.
There is no negativity on my behalf. I am just questioning the need for speed in this situation with so many in the back. It is hard to believe Illinois has an unlimited speed limit for ambulances. With this many people in the back trying to work on a combative patient, at some point commonsense must prevail. This is regardless of your company policy. Just because you can drive as fast as you want, that does not always mean you should. The 2 minutes you save probably will not make a difference arriving at the hospital. “Due regard” will be very difficult to explain at 80 mph in a court room.
Any rookie Police Officer should know the danger this situation presents in the back of an ambulance.
Thank you Mr. Schreiber for writing this series. It is indeed enlightening and will make great material to present when educating new EMTs and Paramedics on mistakes that can turn very bad very quickly.
We value our employees and try to provide the education, skills and tools or medications for safe transport to where they do not have to rely on diesel nor do we want to rely just on luck for their safety.
I will say it again. Be Safe.
aw
I apologize that you’ve interpreted my sarcasm as a threat, as it was not the intention. Alas, that is the problem with Internet communication. I also assure you I’m not in EMS management nor do I work for Pro ambulance. I was just asserting my opinion that practitioners are capable of safely operating a vehicle at 80mph. Safety is important, hence the career field beingtitled “public safety.”
not aw
AW doesn’t work for Pro Ambulance, but he does work for Arrow Ambulance. He probably aspires to EMS management but has a fair amount of growing up to do before anything like that happens.
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