RSS/XML
View Article  Gentle Mocking

Long term readers may have noticed that when I write about the London Fire Brigade I often indulge in some slight mocking. It's an attitude that is taught to you in training school and one that is continued by the 'old hands' of the service.

When you start in the ambulance service you find yourself asking why this is so, surely it can't just be because they often get to sleep all night while we get moaned at if we find ourselves blinking for longer than necessary?

After all, when dealing with an RTA, they are instrumental in turning a car into a convertible so we can safely get a patient out. Likewise, when something is on fire they are pretty good at throwing water at it.

The less charitable amongst us might also say that they are also experts at blocking off roads with a multitude of unnecessary appliances and flooding the streets with fire-fighters who then stand around and do nothing.

Maybe it follows that there is this derision because they work less than us, get paid more than us and for some reason end up on calendars and are drooled over by otherwise sensible young ladies.

So, jealousy really.

My crewmate and I were sent to a 'fire call' in a residential street - we arrived to find that the fire had already been put out, three fire trucks and about 12 fire-fighters had successfully dealt with an electrical fire that had caught a mattress alight. Our patient had been laying on the mattress at the time.

Surprisingly, for someone with very much reduced mobility, he'd managed to get himself out of the burning bed and into another room. Relatives had then called for the fire-fighters but by the time they arrived the fire had gone out itself causing minimal damage.

Our patient was more 'shook up' than seriously ill. He was a large fellow with a number of long-standing medical problems, including lung disease and the aforementioned mobility problems. As it was a foam mattress that had burned we decided to take the patient to hospital.

Meanwhile the dozen fire-fighters milled around chatting to the extended family of the patient, or stood on the pavement taking in the sun.

Then I heard the head fire-fighter (the one wearing a white helmet) suggest to the family that they could all stand for a cup of tea. As she left to start brewing he confided in me that it 'keeps them busy, and takes their mind off the fire', which is fair enough.

We soon got to carrying our large patient to the stairs where his installed stair-lift could do some of the hard work of getting him down from the upper floor of the house. It was a real struggle - the patient was large as well as heavy, and despite having leapt from his bed before he torched himself, now seemed largely unable to move.

So we puffed and we sweated and we strained - getting him downstairs and back onto our carry chair.

Then we had to move out of the way so that one of the women of the house could carry a tray full of tea out to the heroic fire-fighters that were chatting in their garden.

We left the house with every fire-fighter having their own cup of tea - can you guess what poor bastards didn't get a cup of tea? Yes, that's right, those of us actually doing some work.

Not that we would have accepted, we were looking after a patient after all, but it would have been nice to have been offered.

As I say, pure jealousy.

-----

It seems that whenever I'm not working I miss all the excitement. Actually, having been involved in a few riots in the past, I'm rather glad that I wasn't working - for one thing I don't think that my stab vest still fits me.

View Article  Who Am I?

So,

Sometimes I help with delivering babies - but I'm not a midwife.

Sometimes I deal with drunks - but I'm not a barman.

Sometimes I deal with assaults - but I'm not a policeman.

Sometimes I deal with mental health problems - but I'm not a psychiatrist.

Sometimes I deal with other people's grief - but I'm not a counsellor.

Sometimes I leave sick people at home - but I'm not a GP.

Sometimes I fix stair-lifts - but I'm not a mechanic.

Sometimes I just sit and listen to other people's problems - but I'm not an agony aunt.

Sometimes I just move a person from one place to another - but I'm not a taxi driver.

Sometimes I drive an ambulance - but I'm not an ambulance driver.

-----

It's that last one, 'ambulance driver' that I'm mostly called, that or 'Paramedic'. Yet 'ambulance driver' is the one that most annoys my boss.

"They call you an ambulance driver", he tells me, "I thought we'd moved away from that?"

He's right of course, an 'ambulance driver' seems to just drive the ambulance, or at least that's what some people think. It's something that the ambulance service has been trying to stamp out for quite some time as we obviously do much more than that, something that I like to think that I show on this blog. The thought that one of the crew does nothing but drive the vehicle while all the medical work is done by the other is wrong, yet one I'm often met with.

So, what is my job title? It's 'EMT', or 'Emergency Medical Technician', which makes me sound like I fix ambulances or mend the medical machines that go 'beep'. When I deal with the media I call myself an EMT and they ask what that means, 'Is it the same as paramedic?' they ask, to which I reply that it is - except that Paramedics have a few more drugs and sharp things that they can play with, but that we ultimately do the same job.

I'm an EMT-3, or maybe an EMT-4 (I'm not sure, the difference is negligible), but there are EMT-2 ('probationers' who can't work alone or with another EMT-2) and EMT-1 (who have a lot less training and only go to the most minor of calls - which almost never turn out to be anything serious).

Then there are ECAs - Emergency Care Assistants, that have such a poorly defined role I don't think that even they know what they are supposed to do.

My role - EMT, Emergency Medical Technician, is such a poor term I find myself having to explain it all the time. It's like calling nurses 'Pill Dispensing Technicians', the police 'Handcuffing and Paperwork Technicians' or someone who works on a film set making sure that the audio is right a 'Sound Technician'.

This is why people end up still calling me an 'Ambulance Driver', because more people have an idea what that means than EMT.

Let's face it, if this blog were described as an 'EMT blog' how many people would know how to search for it?

And this is why, when I turn up at a patient's house and the worried relatives turn around and look at me they say, "It's all right now, everything will be fine, the ambulance driver is here".

-----

For the last two days I have been avoiding blogging, email, twitter, going out, or entertaining friends; in fact anything that could even slightly be construed as 'work' (while though I enjoy all those things, it can wear you down a bit). My calendar has, for some time, had the past three days marked out as 'Get my feet back under me' because it is the first time in months I've had a few days to myself where I can get over the busiest part of my rota, conferences, PR, visiting friends and catching up on stuff like laundry and re-centre myself.

Three days where I did little other than watch TV, play 'Oblivion' (where I am now a master assassin), eat take-aways, and read a little. It's been absolutely lovely - but now it's back to work, including setting up my new project, which promises to have me even more preachy than normal. And of course, spending twelve hours at work staffing an ambulance.

(This is to say that, if I owe you an email or twitter, you'll be getting it in a day or two)

View Article  Something I'm Co-Chairing

I have the good fortune of being the co-chair of this.

They are currently looking for more good ideas to be discused on the day, so feel free to send your ideas to sirastudio.mac.com

NHS - Department of Health

Wednesday April 22, 2009

Wouldn't it be great if.... all problems had solutions?

Inline Image
  • Is there a better way to cannulate a frightened child?
  • Could defibs work better in the dark?
  • How can we improve patient handling for bariatric patients?
  • How can we improve upon needle safety in a moving vehicle?
  • How can we safely restrain violent patients?
  • Can we have an HCAI-resistant multi-feed cannula?
  • Can we have a "sobering" injection?
  • Can we improve blood testing on the move?

Do you have any ideas for technology solutions that would make your day easier?

back to top Back to top

Have your say in the NHS international seminar in London on 18 June

The NHS National Innovation Centre (N.I.C.) www.nic.nhs.uk is working with Ambulance Today magazine to find out about your day-to-day issues, and help find new technology solutions that will shape the ambulance service of the future.

The N.IC. is holding a free seminar workshop in London on 18th June as part of the NHS International Expo. If you can define challenges in ambulance patient-care that are perhaps being overlooked, then you could be part of this exciting event!

Our "Wouldn't It Be Great If...." event adopts an open floor approach. It will be attended by a selection of paramedics, clinical leaders, invited spectators, industry leaders and academics, who will be there to discuss your problems and help innovate technology solutions. There are only 80 free places available so email sirastudio@mac.com now for a chance to book your place at this world-leading event!

back to top Back to top

Act now to help the NHS help you!

We'd like to hear about any problems you may encounter in performing day-to-day ambulance service duties - whether these are related to equipment, clothing, vehicle design, patient handling, communication, drug administration or anything else.

Remember - it doesn't matter how wacky or obvious your ideas for a solution may seem. We just may be able to develop brand new technology that will improve patient care and/or make your life easier!

Please email sirastudio.mac.com by Tuesday 28th April with as many ideas as possible. We will then contact you within 14 days of the closing date if your suggestion has been taken through to the next stage! Please feel free to forward this email to any ambulance service colleagues who may also have a great idea!

Thank you very much for your help.

NHS N.I.C. team.

back to top Back to top

Footer
View Article  Shaved

It is traditional, when removing a beard, to take off portions at a time and admire the result. I have removed my beard.

Shaved

It is a legal requirement that during this process you need to do your best impression of Ron Mael. Sadly my bathroom now looks like I've been holding badger baiting contests in it. And can I just say that, unlike Mr Matthew 'rough and tough' Fox, no shaving or skin care products were used apart from a razor, some water and a pair of scissors.

View Article  An Example Of Social Media

Yesterday Google released it's 'Streetview' service in the UK. This allows people who use Google's mapping website to look at panoramic photographs of the areas covered.

The first place that I looked was for my house, sadly the Google camera car stopped one street away. I looked for my Mum's house, and again the photographs stopped one street away.

Then I looked for my ambulance station.

View Larger Map
All very clever, and as the streets are public, not a problem. Anyone with nefarious purposes are better served by actually visiting the place in question. For example, in these pictures of our station, you can't see the security cameras...
But then I thought about the road outside Newham hospital, had the camera car been down there?

Sure enough they had, and what was shown was a patient being unloaded from an ambulance.

Now, I'm not too sure if the road that the hospital on is public property or not, but ethically there is surely an expectation of privacy when you are on an ambulance or being wheeled into A&E? It is this expectation of privacy which is important1.
Being a bit busy I just twittered about it and thought nothing more about it.

Twitter


However it would seem that someone with a bit more energy behind their ethical standing took notice of it and reported the image to Google, and being generally good guys, they quickly removed it.
Then today I saw exactly the same picture printed in The Metro, with a screaming headline about privacy concerns. Really, if they were that concerned about privacy, they shouldn't have printed the picture along with the story...
I suspect that someone on the Metro reads my twitter feed (actually, I personally know someone who does, but they are quite smart and are unlikely to have been involved in printing the picture). But what it does show is the surprising speed of information via various 'social media' networks.
-----

For those that listen along, the next Podcast thing is up where I apologise for the delay between 'casts and read the next half an hour of my first book. You can find it here.


1Here is an excellent guide for UK Photographers and the law.
View Article  Clearing Out Some Links

Good news on the kidnapped MSF workers front - they were released on Saturday. If I didn't have things like rent and bills keeping me here I'd love to join MSF.

-----

Time until appropriation by a marketing company for a TV ad? Probably less than three months.

Thru-you.

-----

De-Baptism.

Sticking your tongue out at Pascal's Wager.

-----

While pondering 'what next' for my literary career (such as it is) Suw's thoughts on cliffhangers dropped into my RSS reader. Made me reconsider the structure of the fiction that I want to write.

-----

Dementia with Lewy bodies - tagged as 'research'.

-----

Welcome please 'A life in the day of a BASICS Doctor', they've just started blogging, but it looks like one to watch.

-----

GREG RUTTER'S DEFINITIVE LIST OF THE 99 THINGS YOU SHOULD HAVE ALREADY EXPERIENCED ON THE INTERNET UNLESS YOU'RE A LOSER OR OLD OR SOMETHING - A fairly comprehensive list of things that make up the internet's subconscious. Trust me and avoid the NSFW 'bonus' links at the bottom. Some things cannot be unseen...

-----

You are reading Freakangels, right? How about the forum where I tend to only lurk because everyone else there is smarter than me?

-----

When they start talking about the credit crunch and start throwing about those huge numbers, remember that

A million seconds is 11 days
A billion seconds is 32 years.
A trillion seconds is 32,000 years.

(From William Gibson's blog)

-----

Why, as a shift worker, I'm fcuked. It's why I get annoyed at obnoxious patients - those of us who work shifts give up our health for the ungrateful swines.

-----

The Danish government seems to be doing something helpful for it's sick shift workers, somehow I can't see the British government paying compensation to our shift-workers. They'd rather spend their money bailing out the banks. Sadly this would not be without precedence.

-----

Attack of the badly photoshopped mutants soon to be invading the telly.

View Article  If I Only Had A Little More Time...

I have ideas. Terrible, dark, painful ideas.

But I'm not talking about those today. Instead I'm talking about the ideas that I have about doing things with the internet. It was as I was looking at some of my hosting providers I realised that I have a terrible habit of having a good idea, registering a URL and then utterly forgetting about it and/or just not having the time to do anything with it.

Here are some of the URLs that I own and short notes on what I wanted to do with them.

-----

Ambulancenews.com
Ambulancenews.co.uk

This was going to be a site where all the ambulance news in the UK would be posted up. I realised that I wasn't a news editor very early on in my blogging 'career' and so the sites have lay fallow.

-----


blogher.org.uk

I was thinking about running a UK 'Blogher' conference - a place for women who are active in the blogging/internet world to have a bloody good chat and learn from each other. I suspect I'll never have the time, or expertise, to sort this out. So I throw it open to anyone who is interested in doing this.

-----

blogmeme.info
blogthoughts.info

Heaven only knows - I got these URLs years ago - I suspect it was going to be some sort of blog scraping site - or maybe a groupblog.

-----

blogwear.co.uk

My brilliant 'get rich quick' scheme - a 'one-stop-shop for purchasing blogger related items, if you wanted a Scaryduck t-shirt, you could come to this site and get one. I'm still trying to think about such 'accessory goods' for this site, it's a shame I don't have a logo that I can stick on mugs and then sell to my readers. Perhaps I should work on it...

-----

bluesandtwos.org

It was going to be a weekly webcomic. Unfortunately it all fell through due to lack of time. However I am working on some new scripts which may see the light of day, perhaps under this URL. Ultimately I'd need an artist. Either that or throw them up under a Creative Commons license.

-----

britishwarhammer.com

This was going to be a fan site/Podcast for the Warhammer:Age of Reckoning online game. Unfortunately Warcraft dragged me back with the Wrath of the Lich King expansion. W:AR is a bloody good game though.

-----


godsoflondon.net

Another blog - it was going to be an 'encyclopaedia' detailing the 'small gods' of London, such as the God you pray to in order to find a parking spot, or the God that you give offerings to in order to avoid the attentions of the free-paper distributor on the street corner.

-----

jobblogs.net
workblogs.net

Aggregation site for people who blogged about their jobs.

-----

healthpodcasts.org

Was going to be another aggregation site for... you guessed it, Podcasts related to health.

-----

knightsofalbion.org
londonvampire.net

realheroesunion.co.uk

Three gaming/guild forum sites - one for City of Heroes, one for a Live Action Roleplay game and one for a guild I set up in World of Warcraft. Knightsofalbion and realheroesunion may still be active...

-----

micropodcasting.org

Aggregation site of Podcasts lasting less than five minutes. Hour long podcasts are fine, but sometimes you just want something to dip into.

-----

randomreality.org

Pretty much used for hosting images and the like for this site to avoid potential bandwidth issues - when I can be bothered I'll set up a redirect to this blog.

-----

randomrealityforum.com

I was going to run a forum based off the website, something that never really happened, although there is an empty forum over here that I was going to run but then realised that there wasn't really a direction for it, so what would be the point.

-----

stimcast.com

Potential Podcast named for Stuff That Interests Me. Never even got off the ground.

-----

unvarnishedtruth.co.uk

Either a political activism blog, or a website for a Roleplaying game I was going to run. Think 'X-Files' crossed with 'Network'.

-----

urbanmagic.org

I think I was drunk at the time. Possibly related to Godsoflondon.com, only detailing the fictional miracle workers that live in cities. Think 'Neverwhere'. May have been a gaming resource. May have also been a way to link up the various 'Magikal' practitioners of London. Have a guess.

-----

90secondreview.com
92ndreview.com
ninetysecondreview.com

Not actually dead. The idea is to have a 90 second video podcast reviewing books/gadgets/technology/news as a way to present ideas in small chunks. After I stalled following a few example episodes I really should get working on it again. Especially now that I've found the power lead for my camcorder and read a book on Final Cut Express.

-----

cctvsafari.com

A site that would have encouraged people to document where CCTV cameras were placed. I still have the first post sitting in a folder on my computer somewhere along with the pictures of the 40 CCTV cameras I passed on the way to my local newsagent.

-----

endoftheworld.com

I was drunk at the time. I think I was watching 'I Am Legend'. Dunno. I'm so good at this internet stuff that I can arrange Domains after two bottles of wine. Just don't ask me why I arranged them.

-----

mentalkipple.com

Supposedly a blog of all the non-ambulance things that I fancy writing about. It would be updated more if I had a shade more free time. I think I may turn it into a pure short fiction site. Get me into practice for the potential 'Book Three'.

-----

theshadowring.com

Another World of Warcraft gaming Guild site. But no-one joined so has sat there gathering dust. Nobody loves me. *Sob*.

-----

tomreynolds.net

The complete collection of all my writings, including Twitter updates. Mainly put in place for those who use RSS feeders that can't read the RSS feed on this site.

-----

txfromfuture.com

I may still get around to doing this - essentially it was going to be the homepage of the Twitter feed of transmissions sent supposedly from the future. Part apocalyptic, part war-story and part Utopian hope. All in under 140 characters at a time.

-----

humansforskynet.com

This site I really want to do. A cynical/ironic 'mock news' approach to encroaching technology. 'Campaigning' for universal databases and bar code tattoos in order to 'fight crime and terrorism' - in reality to allow the highly advanced AI computer system of the future to enslave mankind. The NHS database is a fine target for this. I'd love to still do this (in part because I think it's important), but... I think I need partners for this one.

-----

As you can tell, I have the ideas but seldom follow up on them, partly because of a lack of time and partly because it's awful tricky doing these sorts of thins on your own. So, lets open this out for people - if there is anything you would like to give me a hand with, anything that you would like to take on yourself or anything that you think shouldn't be allowed to languish in the back of my mind while I grind reputation in world of Warcraft, please let me know. I'd especially like to take humansforskynet.com into an actual physical form, perhaps as a group-blog.

Of course, the big idea that I had that I know I haven't the technical skills to handle would be the Amazon-like site that lets you collate and download any e-book from the number of publishers that create such things. There are e-books out there that people can't find because they are on the individual publishers website or because the Waterstones e-book search is so awful it makes my eyes bleed.

But it's hard to do any of this when large chunks of my time at home away from work are devoted to recovering from the previous twelve hour shift. My sex drive sadly died last year for much the same reason, but I need to fight having my brain just turn to mush and drip out my ears.

Don't I?

Welcome to Random Acts Of Reality, a Blog based in London, England, written by an E.M.T working for the London Ambulance Service. Also, number one search result for "Womble porn". All names have be changed to protect the guilty. This Blog was previously known as "Why I Hate Humanity" but the antipsychotic medication seems to have kicked in.

All opinions on this website are mine alone, and may not reflect those of the L.A.S or other ambulance crews

Find out more about me here.

Login
User name:
Password:
Remember me 
Search
Please put this address on your Spam Mailing List

random.reality@gmail.com

MSN at the same address.

Male/31-35. Lives in United Kingdom/London, speaks English. Eye color is brown. I am also cynical. My interests are Ambulance.
This is my blogchalk:
United Kingdom, London, English, Male, 31-35, Ambulance.

The Story So Far.
Webrings

« # Blogging Brits ? »

« ? EmergiBlogs # »

«xBlogxPhilesx»

Amazon Wish List

This Month
August 2009
Sun Mon Tue Wed Thu Fri Sat
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 31
Recent Visitors
TchmilFan - Sat 07 Nov 2009 09:41 AM GMT 
mc1rvariant - Sat 07 Nov 2009 09:34 AM GMT 
Reynolds - Sat 07 Nov 2009 09:26 AM GMT 
diamond geezer - Sat 07 Nov 2009 09:23 AM GMT 
StoryGuy - Sat 07 Nov 2009 09:20 AM GMT 
Year Archive

Creative Commons Licence
This work is licensed under a Creative Commons License.