Out with the Old

I didn’t like who I had become. I knew I needed to step up my game, but had no idea how to do so. Then, a friend told me the secret.

 

“It’s not the situation, it’s the way you respond to the situation that matters. How you act is entirely up to you. You can think the world is ugly, unfair and useless, or you can think the world is beautiful, harmonious and full of opportunity. How you make your way in this existance is completely, 100% up to you, and nobody but you.”

 

wisdom

 

Responding to the hospital parking garage for a report of a 47 year old male complaining of chest pains and difficulty breathing.

The old me said to himself, “this is ridiculous, sending an ambulance to a hospital!” and put himself into a self-righteous snit.

The new me says to himself, “poor guy, tried to drive himself to the hospital and almost made it.

My old partner would have driven like an idiot because it was nearly shift change, complained all the way to the patient and treated him with barely concealed contempt upon arrival.

My new partner, the one that I replaced my old partner with is asking questions, going over chest pain protocols, watching where he is going and getting us there quickly and safely.

The old team would have arrived on scene, put the patient into the truck, skipped treatment and delivered him to the ER as is where precious time would be lost as the triage team assembled their information and the man’s heart continued to die.

The new team took one look at the guy, immediately recognized an MI, assessed vitals before getting the man on the stretcher, had an IV going two minutes after arrival on scene, aspirin and nitro on board as soon as the initial EKG was done and transmitted, delivered the patient to the ER where the cardiac team had assembled and gave our report as he was wheeled to the cath lab. Seventeen minutes from time of dispatch to treatment.

Falling into an EMS rut is easy. Missing the opportunity to be great at what you do is easy. Failing your patients is easy. Being an idiot is easy.

Changing the way you operate simply by looking at a situation differently is even easier. Every call is potentially the real deal. Every patient needs help. Every responder needs to show up with the proper mental focus on every call. I managed to dump the old me and my old partner when we became stale and had become ineffective. It wasn’t hard, I just needed to change everything about the way I had been responding. Once I did that, everything fell into place.

 

 

 

2 Comments

  • So well put, Michael. I was a volunteer EMT for 15 years with my local FD. I am also a licensed professional counselor and have worked the mental health crisis response end of an ER, and done CISM response since 1987. I love the way you have very simply contrasted the burned out response to the reframed and refreshed one. I have worked with and responded to so many emergency service workers who have shut down because of the continued exposure to critical incidents over these many years. I know many who are still out there doing a great job because they went through critical incident stress debriefings and other CISM interventions, and some who sought counseling. I wish more would do that and be able to make the turn around that you write about so beautifully here.

  • Michael Morse says:

    Thank you Judith, I wish I had figured it out sooner, but at least I figured it out. Thanks too for the good work you do.

Leave a Reply

Your email address will not be published. Required fields are marked *

background image Blogger Img

Michael Morse

JEMS Talk: Google Hangout

Recent Posts
images Taking It With You October 31, 2014
falling Night at the Movies October 30, 2014
outhouse A REAL Emergency! October 30, 2014
firefighters Fire and EMS (now and then) October 21, 2014
fire 2 Campfire Tour 2014 October 18, 2014
Comments
Thomas Baltimore Sr.
The Right to Continue to Die
thomas.baltimore@yahoo.com is my email address thank you but you need a better reason but if not BY BY thank you, Thomas J. Baltimore Sr.
2014-10-27 16:33:26
Thomas Baltimore Sr.
The Right to Continue to Die
I have put all the *** info. that is mark??????????????????????
2014-10-27 16:28:02
Thomas Baltimore Sr.
The Right to Continue to Die
THEY HAD NOT FROUND ALL THEY BROTHERS YET. They wanted to bring them home for they love ones. they want to do what their brothers would do if they had been lost. I have never lost one of my firefighters. But have been to other dept. that had. You do what ever you can to…
2014-10-27 16:25:48
Leckey Harrison
The Blog
Michael - I read your blog that ended up in UniformStories. I can relate, though to a lesser degree. I want to offer you a training (don't us firefighters love training?) that will enable you to release the stress that keeps you up at night. It will help reduce PTSD, trauma, and stress, and you…
2014-10-23 19:34:03
Andrew
Campfire Tour 2014
We've already had this discussion, but I like the Grateful Dead version of Bobby McGee better than Janis'.
2014-10-19 19:49:31

Uniform Stories

Visit Uniform Stories

Responding $3.99

wordpress visitor counter
June 2014
M T W T F S S
« May   Jul »
 1
2345678
9101112131415
16171819202122
23242526272829
30  

FireEMS Blogs eNewsletter

Sign-up to receive our free monthly eNewsletter

LATEST EMS NEWS

HOT FORUM DISCUSSIONS