tag:blogger.com,1999:blog-3681522276752048718.post277326435049216228..comments2024-03-08T05:24:28.285-05:00Comments on Nevets.QST: EMS 201 for Crime WritersC. N. Nevetshttp://www.blogger.com/profile/00375714948653196993noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-3681522276752048718.post-76693437709391125842011-01-13T18:48:32.474-05:002011-01-13T18:48:32.474-05:00@B - What usually happens is a passerby calls in a...@B - What usually happens is a passerby calls in a car accident, "and I didn't see anyone moving in there; they're probably hurt." And then the cops get there and see that there's no one moving in there because there's no one in there.<br /><br />@Jennifer - Glad you found it interesting!<br /><br />@Donna - Sounds fun!<br /><br />@Marilyn - It gets crowded here, too, because we're also pretty rural. Our police and sherrif are still usually there first, but in several parts of the county the VFD arrives and just waits for the cops. And, of course, the police aren't dispatched for every emergency either. <br /><br />We were at one scene where it was, a fire unit, two sheriff units, one police unit, and a homeland security rep. Sometimes there are even two or three ambulance units or two fire units.<br /><br />Imagine all of us in the bathroom trying to get a vacuum splint on a patient who fell. Jee whiz.C. N. Nevetshttps://www.blogger.com/profile/00375714948653196993noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-49983092212598441872011-01-13T18:43:38.952-05:002011-01-13T18:43:38.952-05:00This was great, but where we live in the sticks, t...This was great, but where we live in the sticks, the fire department always arrives first. And the fire department is made up of trained volunteers. They are paid by the hour so if you call with a medical emergency, your house may be crowded with people. In other emergencies, the sheriff department will show up first, but the fire department is always waiting nearby.Marilyn Meredith a.k.a. F. M. Meredithhttps://www.blogger.com/profile/04179984154939161530noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-63044414410520674722011-01-12T03:03:46.955-05:002011-01-12T03:03:46.955-05:00This is useful. I have a couple scenes in my nove...This is useful. I have a couple scenes in my novel that are emergency settings, and one of my MC is a paramedic.<br /><br />Thank you for this.<br /><br />...........dholedolorahhttps://www.blogger.com/profile/08715849844092553699noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-30761948620480823382011-01-12T02:48:16.733-05:002011-01-12T02:48:16.733-05:00I always learn something when I visit your blog. G...I always learn something when I visit your blog. Great info, Nevets!Jennifer Hillierhttps://www.blogger.com/profile/15783975547643539868noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-23357746078246918992011-01-11T22:26:02.538-05:002011-01-11T22:26:02.538-05:00FOUR TIMES? Sounds like beneficent aliens are busy...FOUR TIMES? Sounds like beneficent aliens are busy in your neck of the woods, snatching folks from impending doom.B. Nagelhttps://www.blogger.com/profile/07620736939701035617noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-53088083505668280192011-01-11T21:13:38.573-05:002011-01-11T21:13:38.573-05:00@G'Eagle - Always glad to help!
@B - While te...@G'Eagle - Always glad to help!<br /><br />@B - While test runs are not impossible, in most place it's really frowned on to run emergent for testing purposes. Usually those tests are dun in conjunction with real runs. But there are tests in some cases, too.<br /><br />More likely, they were getting called out and then called off.<br /><br />In our local code dictionary that's a Signal 9. And it drives a body nuts.<br /><br />Usually, the reasons for getting a Signal 9 are that you were going to be a second unit and you're no longer needed; another, closer unit hopped in and intercepted the run; the police were only calling you as a precaution and then realized they wouldn't need you; Lifeline calls 911 and lets them know it was an oops; a 911 caller calls back and says, "It's four minutes and you're not here, so I'm going to drive my bleeding, fribrilating mother to the hospital myself" -- or variations on those themes.<br /><br />It's very common, especially when you have a dispersed network of EMS responders. In fact, the first four runs I had on the ambulance were signal 9's where we were dispatched for an auto accident with possible injury, but then called off when the police got on-scene and found the vehicle was actually abandoned.C. N. Nevetshttps://www.blogger.com/profile/00375714948653196993noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-66986225698564385402011-01-11T21:05:52.076-05:002011-01-11T21:05:52.076-05:00Y'all ever do test runs? When I was working a...Y'all ever do test runs? When I was working at a grocery store that sat next to a busy street, we would see the ambulance run south, lights and sirens full-on. Then 4-5 minutes later, they'd be back by heading north. This happened once or twice a month, though it seemed more often. <br /><br />All I can figure is someone was gathering statistics for rate of response during rush hours.B. Nagelhttps://www.blogger.com/profile/07620736939701035617noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-38339870198487238512011-01-11T18:43:48.959-05:002011-01-11T18:43:48.959-05:00Thanks for the post--it's helpful to know!Thanks for the post--it's helpful to know!Golden Eaglehttps://www.blogger.com/profile/08721520451194318436noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-9558289323443948232011-01-11T17:17:26.252-05:002011-01-11T17:17:26.252-05:00@Cameron - Glad to help you get some footing. And...@Cameron - Glad to help you get some footing. And local research is always important if accuracy is something you want in your writing. No blog, book, or documentary that is broad and general can ever account for all the whacky local variations you can run into.<br /><br />Incidentally, this may be something you already know, but one of the biggest areas of variation is in the relationship between the police and the forensic investigators and labs. That's something that is very much state- and locality-specific.<br /><br />As an example, the lab I worked in doing forensic anthropology was part of a graduate school. We had to follow chain of custody rules and file legal reports, but we ourselves were an entirely civilian organization. In many jurisdictions, that would never happen. In ours, we were pretty much it for skeletal analysis.C. N. Nevetshttps://www.blogger.com/profile/00375714948653196993noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-51739286689968367052011-01-11T17:06:07.666-05:002011-01-11T17:06:07.666-05:00Thanks :) I am doing some local research as well,...Thanks :) I am doing some local research as well, but this is an excellent starting point.Cameronhttps://www.blogger.com/profile/00178591911846098491noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-26320212691624104992011-01-11T13:56:09.910-05:002011-01-11T13:56:09.910-05:00@Carolyn - haha Yeah, most likely there's som...@Carolyn - haha Yeah, most likely there's someone there who frequently either hits Lifeline or 911 complaining of chest pains or possible heart attack, and the fire are dispatched to begin CPR / defib, if necessary.C. N. Nevetshttps://www.blogger.com/profile/00375714948653196993noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-79026499963139291592011-01-11T13:55:15.070-05:002011-01-11T13:55:15.070-05:00@Cameron - There is a lot of variation at murder s...@Cameron - There is a lot of variation at murder scenes based on jurisdiction. One common scenario in the US is like this:<br /><br />1) Reports of gunfire to 911.<br />2) Police dispatched.<br />3) Police call for EMS.<br />4) EMS determine that the patient has no vital signs and is beyond resuscitation.<br />5) EMS contact medical authority, family doctor, or coroner for pronouncement of death.<br />6) Doctor pronounces death. <br />7) EMS hands over the patient to the police department or the coroner and depart the scene.<br />8) Police secure the scene.<br />9) Preliminary forensic investigators may arrive on the scene, sometimes including a representative of the medical examiner's office.<br />10) Detectives arrive and may supervise and/or participate in the collection of evidence and of testimony from witnesses and the citizenry.C. N. Nevetshttps://www.blogger.com/profile/00375714948653196993noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-53311212038085871762011-01-11T12:39:24.659-05:002011-01-11T12:39:24.659-05:00Great info! The fire truck is constantly going int...Great info! The fire truck is constantly going into the neighborhood across from me and I wondered about that. I'm guessing it's actually a medical response to someone with a chronic illness and ruling out the theory of a very bad cook. :)Carolyn Abiadhttps://www.blogger.com/profile/10567399129586443513noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-35753942369862513482011-01-11T12:37:48.469-05:002011-01-11T12:37:48.469-05:00I think it would be interesting to outline also if...I think it would be interesting to outline also if it is a murder scene, what's the procession? Police, ME, detectives, fire, EMTs (though not needed), which?<br /><br />This is great though.Cameronhttps://www.blogger.com/profile/00178591911846098491noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-85053455996743626182011-01-11T11:57:12.143-05:002011-01-11T11:57:12.143-05:00@Clarissa - Yeah, one my my good friends in the la...@Clarissa - Yeah, one my my good friends in the lab was from Ontario, and had gotten her previous training in Canada. In our experience it seemed that most of the specific details were the same, but that the big-picture operations and protocols could be very different at times.C. N. Nevetshttps://www.blogger.com/profile/00375714948653196993noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-79663795443907423972011-01-11T11:54:42.703-05:002011-01-11T11:54:42.703-05:00This is very helpful. Thank you. I don't read ...This is very helpful. Thank you. I don't read many sites about police or forensic procedures in the USA because my mysteries are based either in Britain and Canada and they do things differently there but I love learning new things.<br />CDAnonymoushttps://www.blogger.com/profile/12160669603997465454noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-91458815927633405332011-01-11T09:10:38.834-05:002011-01-11T09:10:38.834-05:00@Anthony - Fortunately, a writer isn't always ...@Anthony - Fortunately, a writer isn't always bound to play the odds. If you get in a situation where there is a local volunteer ambulance, they might be dispatched to a scene like that without the fire being called, even in such a small town. So you might be okay. There is variation among providers in how many patients a helicopter can transport. Many only take one patient, but there are units that can take two. Typically it's preferred that you only take one, even if you have the space, because that way the medical crew aboard don't have to split their attention.<br /><br />@Frances - An EMT is an emergency medical technician. Roughly, a paramedic who cannot start IV's, administer most medications, or perform an EKG.<br /><br />@Bride - At least, in the US, that's the order they arrive in, and I think most writers do usually think the ambulance will get there first.<br /><br />@JB - Glad it's helpful! Details can make a huge difference! I do believe that writers have the ability to err in favor of literary or dramatic purpose, but it makes a difference when you know that's what you're doing instead of just stumbling around.C. N. Nevetshttps://www.blogger.com/profile/00375714948653196993noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-28891651087654801582011-01-11T08:38:29.225-05:002011-01-11T08:38:29.225-05:00Great post! Very helpful. Sometime it's thos...Great post! Very helpful. Sometime it's those sort of details that can trip writers up.JB Lynnhttp://killerchicks.orgnoreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-30717673286668608242011-01-11T06:51:55.305-05:002011-01-11T06:51:55.305-05:00Thats news to me. The order of police, then fire, ...Thats news to me. The order of police, then fire, then ambulance and if needed helicopter. I had always believed the ambulance to be reaching first.runawaybridehttps://www.blogger.com/profile/13594219417694974120noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-20742025869660349872011-01-11T04:49:41.448-05:002011-01-11T04:49:41.448-05:00Interesting post. One little question, Nevets. Wha...Interesting post. One little question, Nevets. What does EMT stand for? (And no. I'm not mocking either.)Frances Garroodhttps://www.blogger.com/profile/10614916006798375706noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-80144143850310745792011-01-11T02:43:50.053-05:002011-01-11T02:43:50.053-05:00Yes, all of that made sense.
In a novel I wrote I...Yes, all of that made sense.<br /><br />In a novel I wrote I have an intense chapter (my beta readers favorite, even though it was grim as hell) dealing with a sheriff FTO and her rookie. I had a seasoned police officer review the police procedures, but he missed the Fire/EMT response mistakes I made based on your post.<br /><br />I did get the air ambulance being asked for by the senior EMT who responded correct, though. :-)<br /><br />Which leads me to this question: can a medical helicopter take more than one patient to the same Trauma Center? If there are two serious victims, would they simply dispatch two?<br /><br />Thanks! This was very helpful.Lucas Darrhttps://www.blogger.com/profile/01405530729663443670noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-77351318672048756872011-01-10T22:27:38.275-05:002011-01-10T22:27:38.275-05:00@Anthony - Glad it helped! Let me take your quest...@Anthony - Glad it helped! Let me take your questions in order:<br /><br />1) Most towns that size will have a volunteer fire department and it will often be closer than the nearest ambulance unit, even if (as in our county) there are local volunteer ambulances, too. More fire than ambulance. So in a lot of situations like that, fire would very likely be dispatched for, "ambulance assist." They will get on scene first and act as first responders, providing some basic emergency management.<br /><br />2) A dispatcher would not be likely to make the call to alert other services, but the police might ask for emergency services to be put on "stand by." Depending on the circumstances, that may meant the dispatcher holds onto it but started figuring out which units to tone out. It could also mean that the dispatcher sends out a radio communication along the lines of, "Jefferson County Medic 2, stand by for tones." And sometimes it can mean that the emergency units are dispatched but asked to approach without lights and sirens and to stop a few blocks away and away a signal to proceed or return to station.<br /><br />3) Most of the time if there are reports of shots the police will be dispatched without other emergency services going onto stand-by. Typically, the police will make that call when they arrive on-scene and find a victim. However, if there have been reports or prior calls for domestic abuse or something like that, the police may request EMS support as soon as they get the call to go to that address for shots fired.<br /><br />Those answers make sense?C. N. Nevetshttps://www.blogger.com/profile/00375714948653196993noreply@blogger.comtag:blogger.com,1999:blog-3681522276752048718.post-40634288911641994382011-01-10T22:18:25.072-05:002011-01-10T22:18:25.072-05:00Awesome. This post was very helpful!
Here is a sc...Awesome. This post was very helpful!<br /><br />Here is a scenario question for you: Police is at the scene and finds victims with injuries. They ask for EMTs to be rolled out immediately, both for the two felons they kicked the crap out of, and the two victims.<br /><br />Does the dispatcher still dispatch Fire? This is a small town small enough to be served by the Sheriff department and not their own police force.<br /><br />Also, let's say that the dispatcher doesn't have any knowledge of, but does suspect, that there would be injured victims. Does she "prep" the various EMT/Fire units for when the scene is secure, she can roll them out ASAP?<br /><br />And how about if there are reports of shots fired while the police are at the scene, but not from the police themselves. Let's say several people call 911 about the shots but don't see anything. Obviously the police dispatcher is going to do something, but would the Fire/EMTs get ready to roll?Lucas Darrhttps://www.blogger.com/profile/01405530729663443670noreply@blogger.com