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Help Is on the Way: Tales of an Ambulance Driver

“You are young, eager, a rookie, and you don’t yet know that this job does not mean saving lives.”

Potential Space

My partner takes a long drag on his cigarette and scratches the back of his head. I stand with hands in pockets, my head cocked to one side. We are silent. We are staring. We face the object in front of us almost as if we are at an altar praying, so deep is our reverie.

The rig is new. New! Crisp, clean walls with our company’s logo and colors painted on both sides, bordered by gleaming chrome and perched on tires with fresh tread. No scratches, no dents, no scrapes. Shining like an egg in the sun. The sirens and brakes haven’t yet experienced Code-3 driving; the inside compartments, newly stocked, have not heard screaming, gasping, puking, crying; the gurney hasn’t yet been contaminated with Code Yellow or Code Brown; and blood has not yet dripped onto the floor.

My eyes slowly scan the rig from top to bottom, soaking in every detail. I feel, strangely, a little sick to my stomach. Is this sparkling new ambulance mocking us? I don’t want to be reminded of what our last rig went through. I don’t want to think about what this one is about to go through. I don’t want to remember the particularly bloody trauma call two months ago, and how my partner had complained for weeks because blood had seeped between the metal floor plates that lock the gurney in place. I don’t want to think of the smells I occasionally noticed in the back — old, lingering smells. We survived all that, the rig, my partner and I. We got through it together. Now, here’s this ridiculous rookie rig, all clean and eager and unaware.

The station phone rings, the loudspeaker blaring right behind us. In the old days I would have jumped, panicked, bolted for the passenger seat, grabbed the radio and my map book, stared at my pager for the address and type of call. But these are not the old days, so says the fresh ambulance in front of us. I toss the keys to my partner, who drops his cigarette, crushes it. I let out a long sigh. Then we slowly walk to the doors and get in.

First call of the day. It begins.

 

Help Is on the Way

You are young, eager, a rookie, and you don’t yet know that this job does not mean saving lives. You haven’t yet figured out that 90 percent of all 911 calls are B.S., so every time you hear dispatch say your rig number over the radio, your heart does a front flip into your mouth, all that extra weight just sitting on your parched tongue. You scramble with the Thomas Guide; you aren’t good at mapping yet, your partner may or may not hate you, and the firefighters all but roll their eyes at you as you fumble, fumble, fumble.

Your first call, the first real call, is a two-vehicle accident and an overturned truck whose wheels are still spinning as you arrive first on scene. Your partner checks the truck while you squat next to the crinkled, folded car. Your patient sits slightly dazed amid the chaotic mess. Your patient asks for water, asks if he can call his fiancée, asks if he can go home. But you don’t answer his questions or say much, because as soon as your eyes connect with his against the backdrop of What He Just Went Through.

There’s light behind him

Every bit of medical information you ever had flies out of your head. You used to know the difference between pleural effusion and pericardial tamponade, but at the moment you don’t know your own name, much less how to make an assessment. Your eyes are locked with his, he seems calmer than you feel, despite the blood on his face and arms, the pieces of glass still stuck to him.

Does he know can he feel

Your brush jacket is too big and the helmet keeps slipping down over your eyes. You feel like a little kid playing dress-up, and it doesn’t help that you could swear you see something that doesn’t make any sense.

I swear I can see I swear I can see

Already you know you are too sensitive for this job, not tough enough, too trusting. You’ve been laughed at before for dutifully taking the blood pressure of a patient obviously faking an illness. But patients appreciate that you are all sympathy and that you actually listen to what they’re saying. What you need to learn is how to focus on what needs to be done in the short time you have.

I can see does he know

And it’s frustrating because you know you have potential, you know you could be good at this job but you just can’t put the pieces together fast enough.

I can see his

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  • emdchic 10/05/2011 3:44:00 PM

    Amazing read! My husband is a paramedic and I am a 911 dispatcher. I could not stop reading. You really should consider writing a book

  • Reyes 09/08/2009 7:12:00 PM

    I loved your piece. felt as though I was there in the back of the ambulance with you. Detaching yourself emotionally from the job is very important especially when your out there in the trenches of reality.You should think about writing a book,i could have read about 20 more pages your stories were so raw and real. P.s those pies, what flavor where they?!

  • AMRSB 05/20/2009 10:54:00 AM

    I was an EMT for 5 years in LA & South Central. I couldn't get past the first 2 pages on line. Too many memories good and bad. Maybe I'll be able to finish it some other day.

  • moot 05/06/2009 12:08:00 AM

    8 FUCKING PAGES? ARE YOU FUCKING KIDDING ME?!? JESUS FUCK, DUDE.

  • MQ 04/28/2009 3:44:00 PM

    Finally, someone writes this stuff. Thank you for doing it.

  • Ann 04/26/2009 8:20:00 PM

    You are an amazing writer! I hope you pursue that whatever else you do. I could not stop reading! My partner is a ff/pm and its hard to really picture and imagine all that she experiences in her work. Thank you for making that very real. When she comes home with those bags on her shoulders-I'm always glad to see them fall to the floor. And in regards to burn out- my personal opinion is that is a sign that you are very human and very awake. Perhaps this is a job on your journey to your passion, but your humanity is a gift, not a burden.

  • Holly 04/09/2009 12:04:00 AM

    I am sitting in my cubicle with my jaw on the floor, lunch uneaten, absolutely mesmerized by this story. What fantastic writing. I felt as if I were seeing each piece as it unfolded before me. Before reading this, I couldn't imagine doing this myself. I am too soft and not fast enough. I always had a huge respect for those with seemingly limitless reserves (and nerves!) for rescue work but I got chills at the end when I read about the emotional drain of treating those who don't really need it. This also makes me want to continue taking care of myself: no smoking and lotsa exercise. Wow. All I can say is wow. Thank you. I hope to see more from this author. I hope she is compiling a book.

  • chris 04/06/2009 3:46:00 AM

    wow, this is a great article...this keep my eyes glued to the la weekly like i don't know what. i hope to hear more from this author...man, i would love to shot a short about this story

  • Naomi 04/05/2009 6:09:00 PM

    Wow. From the opposite side of the country, and I can completely relate. You do sound totally wiped, though. You can't pour into others when you've got nothing in your tank. Hope you get some quality sleep and normal life time! I know it's hard to come by, but it does exist...

  • Tommy 04/05/2009 5:34:00 PM

    You have the worlds worst EMS disease going on. I agree with Tommy, you have huge burnout. Thats okay though we all get it, over and over. I hope writing the article helped some and I pray you got are getting some help from your system. God bless, good luck and keep on going. You have too

  • David Johnson 04/05/2009 5:52:00 AM

    Brother, it sounds like you are dealing with a serious case of burn out. I would take some time off and contemplate where you would like to see yourself in 5 years. Running calls takes its toll but the last thing you want is to be burnt out and not there for someone when they need it most. Our job is not to judge those who we are dispatched to. Our job is to serve those in need regardless of our personal feelings or opinions. Leave the extended diagnosis to the Doctors and Psychologists. Please friend, please take some time off and get yourself together, is EMS where you want to be? The pay is low the stress is high. Do you want to be here?

  • Pat 04/05/2009 2:51:00 AM

    What a fascinating article! It's like seeing it through the author's eyes. I suspected that EMTs went through a lot, but I've never seen it described in such vivid detail. I'm really intrigued about one thing, though: the author talks about, the "smoke" or "light" he sees coming out of the dying gang member's mouth. Does he mean to say that he actually saw the gangbanger's life-force leaving his body? Wow, I wonder how many other EMTs have had this experience?

  • MDMD 04/04/2009 6:09:00 AM

    I have been an emergency physician for 8 years, and prior to that was a NYC-EMS Paramedic for 4 years. This article is soooo right on spot. Well done.

  • Vic 04/04/2009 5:18:00 AM

    It's nice to know others feel the same after midnight. And abdominal pain?!?!?!?!?! You hit it in the spot, especially at 3 a.m. and when you ask how long they've had this pain and they reply with "4 days"!!!!! It's infuriating!!!!

  • jim 04/04/2009 2:15:00 AM

    28 years ago I was an EMT, good to see things have not changed. Are there still Gomers? Great writing

  • RLT 04/04/2009 2:14:00 AM

    This was an awesome article and I love your style. Hope you have more up here in the future.

  • Joe 04/03/2009 12:14:00 AM

    Amazing. You have it down to a T. Your writing is seriously what goes through my head as I run calls night after night.

 

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