24 May 2008

Rambling thoughts of Firefighters/Paramedics

Many people have made comments over the years about how they could never do the jobs we do at the Fire Station. We've even been told we are a "crazy breed" of people. I suppose this is true. You HAVE to be nuts sometimes to run into a burning building that is filled with such thick black smoke that you can't see but you have to check for possible victims, and all the while you must keep your wits about you so you'll remember how to get back out safely. Many times it is like looking for a needle in a haystack but in this case you have fire nipping at your butt while you're trying to do so. Yep. I can honestly say we probably ARE that "crazy breed" of people. Still, there isn't a single one of us who would ever trade our jobs for anything else. This is our life. And these are reflections from the past years. These aren't just MY thoughts but rather thoughts and emotions from all of us.

I fight fires, I climb ladders, I have rappelled down the side of a building, I have fallen through the roof of a building. I have ignored direct orders to attack a fire in a certain part of a house when my intuitions got the best of me and I have pulled my men out just before the roof collapsed.

I have been stuck with needles and been made to wait anxiously for the HIV test to come back. I have thanked God the tests all came back negative.

I have been bitten by a dog trying to protect his owner when we were treating a patient diagnosed with a heart attack.

I have spent Christmas and most every major holiday at the Firehouse. I have gone without meals many times because we were called out of the Station. There are just as many times I never got to finish a meal for the same reasons.

I have played jokes on my fellow Firefighters and Paramedics and have been the victim of their pranks. We are still trying to outdo each other even after all these years.

I have held a small child, a burn victim, in my arms and had her skin stick to my shirt when I went to lay her down to treat her burns. I have seen a child burned twice within 3 years and watched the Father be arrested for attempted murder (he got away with it the first time for unknown reasons).

I have pretty much driven on the sidewalks in San Francisco when cars refused to pull over for us even with lights and sirens on. The men in the Firehouse swear they will sue me for hip dysplasia one day since they always think I am going to hit a car or pedestrian so they lean to the side with their right leg crossed over the other one "just in case" I do.

I have had women honk their horns at us trying to show off. They would speed up and drive along side of us only to see a female Firefighter behind the wheel. Then they would act all upset. One day I will make a sign to hold up that reads, "Disappointed?"

I have performed CPR, I have intubated people, I have stabilized compound fractures. I have delivered babies of women who did not want to go to the hospital because they couldn't afford the costs. I have seen the tragic outcomes of women who had no prenatal care for the same reasons of no money.

I have had a fellow Firefighter crack under pressure after a few years and when he was admitted for psychiatric evaluation, he was found dead. He had hung himself.

I have listened to the cries and screams of young children as they watch their parents being loaded into ambulances. I have held their hands, tried to comfort them.

I have treated the homeless and poor in San Francisco. I know many of them by name. I know which streets they tend to hang around on. We often do "checks" on them when we haven't seen them for awhile.

I have found myself in a fit of giggles (for many VALID reasons, at least in my own opinion) while trying to treat a patient who was a known hypochondriac and I couldn't believe the new "problem" she had this time. As much as I tried, I could not control myself. It has something to do with peeing in her bed and being naked and saying she couldn't complete her tax returns. Possibly if she got DRESSED and didn't pee in bed she could????

We have been caught in the cross-fire while treating a gang member for a stabbing and the rival gang decided they didn't want the boy live, let alone be treated for his wounds.

I have climbed up an aerial ladder and half way up lost my footing, only to fall to the ground after taking
down the two others who were on the ladder just below me. I have cursed as to why I ended up at the bottom of the pile with the other two on top of me when I was at the TOP to begin with.

I have had to lift a 450 pound man into an ambulance. I have been punched and/or kicked by patients who were whacked out on Crystal Meth. I have done CPR and had patients vomit while breathing into their mouths. Thank god for one-way valve resuscitation masks!

I put out house fires, car fires, trash fires. I rescue people from burning houses and buildings. I rescue people in the ocean, in swimming pools and over the embankments of freeways.

I risk my life for the drunk drivers who drive over the cliff on a dark road. I have seen what damage they have done to property and human life in their inebriated state. I have wrestled with the emotions of why they should be treated for their injuries when the victims of their drinking and driving are dead on the side of the road.

I have saved patients and lost patients. I have been chewed out by doctors in the ER who thought I took too long to get a critically injured patient to the hospital. They had no idea the patient had to be extricated from underneath a tanker truck and the patient was confined to the space of a sardine can!

I care about my patients. I listen to them. I talk to them. I do all I can for them. When I have terminally ill patients who have their DNR (Do Not Resuscitate) orders in place and they tell me they want to die, I have to grant their wishes despite the fact I want to help them stay alive. I can only calm them and hold their hand. I cannot do anything else.

I take blood pressures, I read EKG's, I stop profuse bleeding, I administer life-saving drugs. I splint and patch and bandage what I need to to get our patients to the hospital.

I laugh with the men in the Station over funny things that have happened on one of our calls out. I cry when the emotions of losing a patient become too much. I pray a lot. My heart skips a beat when I call the ER to see if the critically injured patient we brought in earlier is still alive.

We wear 60+ pounds of bunker gear and equipment when we go to a fire. We work in the intense heat. We also work in the cold. We get calls in the middle of the night. We don't have the option to push the snooze button when the alarm goes off in the Firehouse. We have to be ready at all times.

I teach Paramedic and Firefighting classes. I train constantly. I am required to take classes to keep myself up-to-date in the Medical and Fire industries. I strive to do my best at all times.

I panic when I can't get through an intersection because cars either can't hear or see the sirens and lights or because they just don't know what to do. I know I have to get somewhere and somewhere fast. I sometimes get angry at these people. When I finally blow the horn to get their attention to move out of the way, they usually move. And I am
constantly amazed at the ones who have the nerve to flip us off for disturbing them!

Often at the end of a difficult shift, when I finally get to go home, all I want is a hug from family or friends. I don't want to recount my shift to them. I just want a comforting hug. And when I am home, I feel guilty for not being at the Firehouse.... to watch over the other Firefighters and Paramedics when they are working. All I can do is say a prayer to keep them safe.

Like I have said before, we wouldn't give up our jobs for anything in the world. It's in our blood. It runs through our heart and soul. It truly IS the toughest job we could ever love.




4 comments:

Anonymous said...

Very good. The only comment is maybe explain why the HIV test was needed?? This was a very revealing blog, showing us some of the details of the job in an effective style.

Sheena, Fire-Paramedic said...

Thank you so much for your concern. HIV tests are done each and every time we are stuck with needles (not to mention Hepatitis and a couple other tests) since these are highly contagious diseases that we could contract from a single needle prick. We have a high population here in san Francisco of gay people. We just need to take precautions.

Anonymous said...

All of us Firefighters and Paramedics across the country have been in those situations ourselves and have experienced what you all have had. But we could have never put it in such powerful words like your Firehouse has! Keep safe! And keep writing. You give us all the courage and hope to carry on in this field of work! We love you all!

Anonymous said...

God Bless You All for your dedication, your convictions and your love for humanity. You all have proven yourselves to God over and over again! We thank you so much to have you in our community and our city of San Francisco. We can't survive without you. Our best to you always!