McClain, Paramedics, Qualified Immunity, Other Thoughts

Many of you may have already read the verdicts rendered for Jeremy Cooper and Peter Cichuniec, two Aurora-area Firefighter/Paramedics who were involved in the care and transport of Elijah McClain in 2019 in Aurora, Colorado. The encounter between Mr. Mcclain, Aurora PD, and Aurora FD ultimately resulted in his untimely death. For those unfamiliar with the case, the brief summary is thus:

A suspicious person call resulted in a PD stop of Elijah, who was walking home from a convenience store with the merchandise he purchased. Several Aurora PD officers on-scene attempted to restrain Elijah, ultimately utilizing a carotid choke hold to subdue him to the ground. During this time, EMS was also summoned as he was suspected to be suffering from “excited delirium” – a diagnosis made by PD, not by EMS, as they had not yet arrived on-scene. When AFD arrived on-scene, according to body-cam footage, the FF/Medics were directed by PD to restrain Elijah with Ketamine because of his apparent excited state (it was later determined he was likely hypoxic from the carotid hold, and not because of an underlying drug- or psychosis-related delirium state) and the paramedics, without performing their own physical exam, checking any vital signs, or determining the appropriate course of action, seemed to follow directions from APD, who do not have medical control authority over AFD. The paramedics administered 500mg of Ketamine (likely an inappropriate dose and inappropriate medication to give in the first place), and then placed Elijah in a prone position on the stretcher for transport. No vital signs were assessed and he remained handcuffed and prone for enough of a period of time to cause apnea (stopped breathing) and went into respiratory arrest, ultimately going into cardiac arrest and dying while under EMS care and in APD custody.

Continue reading “McClain, Paramedics, Qualified Immunity, Other Thoughts”

A Bad Day in EMS

bad day

What does a “bad day” in EMS look like? First you have to ask if it’s a “bad day” for the EMS provider…. or for the EMS recipient. As a provider, I’ve had all kinds of days. I’ve had days where I feel appreciated by my employer, the general public, my coworkers, and my patients. I’ve also had days where I feel insignificant. In the way. Replaceable. Patients who don’t want your help, or worse, need your help and there’s nothing you can do. Family members who discover a loved one at home, deceased, having never gotten the chance to say goodbye, not even sure how long they’ve been dead. I’m a religious person, and I believe that a lot of things happen for a reason, but I also think that sometimes bad things just happen. Babies don’t die because they’re bad people or they’ve done anything wrong. Innocent drivers don’t get killed by drunk drivers because they wanted to buy groceries. In EMS, it’s our job to make scenes and create calm, direct patient care, and try to make a bad situation slightly better than how we found it. Continue reading “A Bad Day in EMS”

Code Green – Mental Health in EMS

codegreen

It’s time to call a code on our mental health.

Everyone in EMS experiences stress. Some of us work for rural, remote EMS services that make only a few runs a month. Some work for busy, urban services that make hundreds or thousands of runs a month. There are many ways in which such services differ, but no matter the size or type of service, we’ve all been stressed out by a call, by a patient, by a coworker, by home life – and at one point or another, you will have a hard time dealing with that stress. Continue reading “Code Green – Mental Health in EMS”