My first off-duty incident

JJR512

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It seems like maybe calling this my first "off-duty" incident is a bit wrong, because technically, I've never been on duty...having recently completed EMT-B class, and having not yet received my certification card or anything...but anyway.

My wife and I, and one of our two kids had just parked in front of the library at a local shopping center, and I was getting my son out of the back seat. I heard a very brief tire squeal, a crash, and then a constant horn. I figured it was an accident at the nearby intersection, which I couldn't actually see from where I was due to trees and other buildings. So I ran off in that direction, saw there was a T-bone MVC in the intersection, and approached it.

Two vehicles, both small SUVs, were involved. The vertical leg of the T was occupied by a woman (mid-late 20s) with a boy about 5 or 6. The other vehical (the horizontal cross part of the T) was occupied by only one woman. Both vehicles had dual front airbags, all of them deployed.

I approached the single-occupant vehicle first, partly because it was more convenient to my approach, and partly because I could see the woman just sitting there, head slightly down, not moving. But she was conscious and alert. At this time the other woman was getting out and I saw the kid, and from a quick visual impression I could tell there was nothing seriously wrong with them.

Next I made sure someone was calling 911 (I didn't have a cell phone with me), then I made sure both ignitions were off. The sole occupant of the vehicle I approached first (the horizontal cross part of the T) couldn't get out of her vehicle at first, because the driver's side door was smashed in a bit, and the doors were locked but wouldn't unlock. The car had power locks, and the switch wasn't working, and I couldn't find a manual lock to release. I tried both sides, and reached in to the back doors, but I guess the power was out in the car, because the locks wouldn't release. But her passenger-side window was all the way down, so she climbed out of that.

I stayed there for a minute until emergency vehicles started arriving. First was the police, actually an MP from Ft. Meade, which this happened right outside (the woman I approached first was actually in uniform, and the second woman, the one with the kid, was an army wife). County cops showed up next, followed by an ambulance, then a fire engine.

The only injurries were a minor abrasion on the wrist and contusion on the left arm of the woman with the kid, I suspected these were from the airbag, which the EMT I pointed this out to also suspected. Other than that, aside from the mental dazing, there were no physical injurries.
 
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When I approached both parties initially, I had identified myself as an EMT, although I suppose, without actually having received a certification yet, I shouldn't have done that. But I was wearing a T-shirt with the official Maryland EMT-B logo on it, so I didn't think it would matter, and I knew I had passed. So, I informed the police on the scene that I identified myself as an EMT, that I didn't do anything other than form visual impressions, and that I didn't witness the incident, and asked if they needed anything further from me and they thanked me and said I could go. So I left.

Not a very exciting first off-duty incident, but since it is my first, it's special to me. :)

Looking back and analyzing what I did... I ran up to the intersection, but paused enough before entering it to make sure I wasn't going to get hit by another car. And I remembered to consider the safety of having the ignitions off. So I'm glad I considered scene safety without even really thinking about it; that means it's a natural part of what I do. I think that given this particular scenario, the only thing I could have done better was ask my wife to call 911 before I ran off. Fortunately, she thought of that herself, and with all the traffic, several others were also calling 911. But I definitely should have asked her to do that first.

Now, from what I've described, can you give me any constructive feedback or criticism? (Other than the fact that legally I was probably wrong to state that I was an EMT...I'm sure that even though I say I'm aware of that, some of you will probably want to ream that point in anyway...:).)
 
What you did probably helped those people emotionally and mentally. Whether or not you should have identified youself as an EMT, I don't know. Probably not; for example, on my campus crew we aren't allowed to touch a patient or wear a Star of Life until we are certified. But you've done all of the course work and taken the test (is that right?), so technically everything is in the mail.

I've stopped at crashes while in GA (I'm certified in CT, but live in GA during the summer) and have announced that I am an EMT even though I'm not certified here.

It's kind of a Catch 22; you are in limbo.
 
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JJR512 said:
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But I was wearing a T-shirt with the official Maryland EMT-B logo on it, so I didn't think it would matter, and I knew I had passed.

Where are you guys finding these shirts? Can't get a t-shirt around here without having to mug somebody! heh

It wasn't that big of a wreck from the way you made it sound. Probably not a whole heck of a lot else that you could have done. No equipment or anything.. that makes it hard to do much. :)
 
I probably wouldn't have had the lady climb out of her car. I would have waited until fire/ems arrived, let them know what you had, and let them make the decision on how to get her out. They might have decided the same thing, but if something was broken/chipped/whatever, she could have gone south on you real quick and you didn't have anything (equipment) with you.

Keep in mind that I'm Mr. Safety guy and usually play it REALLY safe until the folks in the BRT are there to help out.
 
Chimpie said:
I probably wouldn't have had the lady climb out of her car. I would have waited until fire/ems arrived, let them know what you had, and let them make the decision on how to get her out. They might have decided the same thing, but if something was broken/chipped/whatever, she could have gone south on you real quick and you didn't have anything (equipment) with you.

Keep in mind that I'm Mr. Safety guy and usually play it REALLY safe until the folks in the BRT are there to help out.

That was my first thought too. ABC's are our main gig but we can never forget C-spine. And while her symptoms didn't call for you to get in her car and hold it, climbing out the window is probably not the best thing to do. The shock of the accident can delay some painful symptoms. Otherwise I would probably have done the same thing with the exception of my hubby would be *****ing behind me (he doesn't think I should ever stop when off duty due to safety issues, liabilites and psycho's but we've been over this a hundred times in other posts). Being that we are 911 I probably would have forgot to call right off the bat too lol. Sounds like you did a great job! Congrats on your first "call"!
 
how many scenes do we go to where someone is doing just what you were JJR512?

thing is, no toys, no babble-radio, no info/feedback, no time to get prepared

welcome to the world of good samaritians JJR512

~S~
 
I remember your storry about six months ago about how you felt unable to react when a guy went down at a concert. Quite clearly you are in a different position now. Congrats!

You should feel good for stopping and offering support. You'll hopefully have many more opportunities to introduce yourself as an EMT :)
 
Just for the record, I didn't ask the woman to climb out; she did that while I wasn't paying too much attention to her, while I was talking with the other woman and her kid. I'll never know now, but I'd like to think that if she had mentioned she was going to do that, or asked me, I would advised against it.

fm_emt: My wife bought me this t-shirt from the MIEMSS (Maryland Institute for EMS Systems) office in downtown Baltimore; MIEMSS is the state agency that oversees certification and licensure of EMTs, ambulances, etc. So it's a semi-official t-shirt, although I doubt I'd be allowed to wear it on duty with the FD, since it doesn't identify any FD. It's a plain navy-blue shirt with a little logo (see my other thread about patches) in white over the left breast. Personally, I feel there should be something on the back as well, either a larger version of the logo, centered, or "EMT" in large block letters or something.

Steve: It's interesting you mentioned what you did. This accident happened in the middle of a fairly busy intersection in the middle of the day, and I was a good 500 feet away from it. And I'm an overweight, out-of-shape guy. So I don't know exactly how long it took for me to run to it, but I'm not Superman. But still, by the time I got there, absolutely nobody else, out of the 30-40 cars sitting at all sides of the intersection, had gotten out to do anything, to check these people out. At least a few had called 911, but I guess everybody else was more worried about figuring out how to go around these people that had just blocked the intersection and slowed down their busy day.

My only other concern is what would I have done if I got there and saw major bleeding, and me with no BSI? I can't honestly say what I would have done, choices being protect myself by not trying to stop the bleeding, being resourceful enough to find something, or applying pressure with my bare hands. This is the question that makes me wonder now...what would I have done? What will I do if this situation comes up in the future? What should I do?
 
JJR512 said:
J
fm_emt: My wife bought me this t-shirt from the MIEMSS (Maryland Institute for EMS Systems) office in downtown Baltimore; MIEMSS is the state agency that oversees certification and licensure of EMTs, ambulances, etc.

Get me one! I'm upgrading all my t-shirts to size XXL. ;-)
 
I always have a pair of gloves in my pocket. Just in case!
 
fm_emt said:
Get me one! I'm upgrading all my t-shirts to size XXL. ;-)
If you really want a Maryland shirt, sure, no problem. In XXL it's $10.50. I'd also consider trading for something else...it's my understanding that there's no statewide emblem for EMS in CA, but maybe some local patch or shirt or something. Send me a PM... :)

They also have polo shirts for $22, I belive, but I forget what colors they come in. The t-shirt itself is available in the blue with white logo, as I described, or also in gray with blue logo. They also have hats, I believe they're $12. See [thread=3061]this thread[/thread] to see the three different logos available, but keep in mind that at least on the t-shirts, they're monochromatic...I forget if they're full-color or not on the polos and hats.
 
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Sounds like you did exactly what you could with what you had. Those patients needed someone to be calm and in control to get throught the first few minutes of a terrifying situation. You did that.

Good Job.
 
Great job... As Princess said... being there and just "helping" was something...
 
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