The Chair

The Chair

On Location

My first real job out of college wasn’t in medicine, or anywhere near an ambulance. It was in lighting — the kind that makes concerts glow, trade shows sparkle, and corporate galas look like the Grammys. The company was called On Location Lighting Systems, or OLLS, based out of northern Kentucky just south of Cincinnati.

That place was equal parts magic and madness. The shop always smelled like sawdust, gaff tape, and dust from road cases that had been halfway around the country. I was mostly broke — just out of school, living mostly on PB&Js, takeout food, and overtime — but for the first time, I felt like I was part of something creative. I was the shop manager, which meant I handled all the rental gear going out and coming back in, did minor repairs, kept the chaos somewhat organized, and still found myself out on shows and short tours whenever they needed an extra pair of hands.

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A Mental Health Odyssey – Still Here

A Mental Health Odyssey – Still Here

Gratitude and Light in the Dark

When I wrote A Mental Health Odyssey, I honestly didn’t know what would happen. Hitting “publish” felt a little like standing naked in the middle of traffic — raw, exposed, and bracing for impact. I wasn’t sure if anyone would read it. I wasn’t sure if anyone would care. And if they did care, I half-expected whispers, judgment, or polite distance.

What I got instead was the opposite. Messages from colleagues in EMS who admitted they’d been in the same hole. Supervisors who could have looked the other way, but didn’t. Members of Marina’s congregation who reached out with warmth I didn’t see coming. Even people I barely knew told me they saw themselves in my words. It felt like people started handing me candles in the dark, one by one, until the room didn’t look so terrifying anymore.

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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.

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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”