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Schlemiel, Schlimazel, Hasenpfeffer Incorporated!

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Heading this morning to the land of Laverne DiFazio and Shirley Feeney, to speak at the Wisconsin EMS Conference.

While I'm there, I'll be enjoying good food and beer, and trying to understand people with funny accents.

Y'all watch the place, keep the toilet lid up in case the dog gets thirsty, and make yourselves at home. There's Shiner Bock in the fridge, and plenty of Ho Ho's, potted meat and pickled quail eggs in the pantry.

I'll turn on the free ice cream machine again when I get back.

To All of You Who Offered Condolences…

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on the death of my twin sister, I thank you.

Kim was a missionary in Port Elizabeth, South Africa, living and working at an orphanage and school there. Her friends told us that she had been swimming in the ocean near her home, and got caught by currents and drowned. Paramedics on scene were unable to resuscitate her.

I've been estranged from my family for a very long time, and Kim and I hadn't been close since we were children. But in recent years, I'd started to reconnect in some small way with my siblings, and through our older sister I learned that Kim had turned her life around, and devoted her life to God and improving the lives of countless children in South Africa. She was poor, she was uninsured, and she lived in virtual poverty, but she was happy.

And it looks like, in the last few years, she had found a way to make a difference. For that, I am thankful.

After we have time to get Kim's ashes shipped home and I have time to process all this, I'll write a post about my sister. We fought like demons and were bitter enemies for years, but there were good times, too.

I'd like to share some of them with you, to honor my sister.

Until then, thanks for your prayers and good wishes. They were very welcome.

 

 

We Don’t Need Just a Victory, We Need a Friggin’ Roman Triumph!

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I'm still in first place ( I think) in the 5.11 Tactical Adventure Blog contest, but there's nothing like piling on a few points to cement a victory.

Either go to the link Winter Wings on my blog, and Tweet it, or Facebook Like or Share it, or go here to 5.11's Facebook page and like the post yourself. Mine's the first comment in the queue.

Thanks!

Kimberly Ann Grayson, October 18, 1968 – January 22, 2012

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I remember the person you were, and for that reason, we were not close. No two twins were ever less alike, or fought more.

But I will always regret never knowing the person you became. You overcame your demons and helped many others overcome their own, and I'm sure there are many children in South Africa who were richer for having known you.

Rest now, sister. You've earned it.

Olfactory Vagaries

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Regular readers of my blog and book know that my nose has been on strike ever since the Great Chicken Gut Call of 1994.

For weeks or months at a time, I have no sense of smell. My sinuses can be perfectly clear, I’ll feel perfectly fine, but if you blindfolded me and held a rancid skunk directly under my nose, the most I’d be able to manage is a vague, acrid hint of… something.

Not enough to identify as an odor, at any rate.

Invariably, my sense of smell abandons me when it might be useful, like when I’m trying to detect the odor of ketones on a diabetic’s breath, or the odor of alcohol metabolites that might tell me if my combative patient from the car accident might be drunk, or suffering from a head injury, or simply an asshole.

During such times, I have to rely on my partner’s sense of smell to detect those subtle clues.

Since it has been largely gone for almost seventeen years, I don’t much miss it any more. Not being able to smell is simply part of the landscape.

But every now and then, my schnozz decides to start working again, just to remind me of all the stuff I no longer notice.

Like necrotic decubitus ulcers.

Or body odor.

Or Toxic Sock Syndrome.

Or crack cocaine.

Or weed.

Or cigarettes.

Or urine and feces.

All of which I have smelled in various combinations in the past 48 hours, as my rebellious nose punishes me for one little insult seventeen years ago, but being hyper acute to all the stuff I don’t want to smell.

If it’s all the same to you, Mr. Olfactory Center, you can go dormant again any time now.

Overheard On The Bolance

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Overheard in a phone conversation with Matt G.

Matt G.: “… so the chick doesn’t act drunk, and I couldn’t detect any alcohol metabolytes on her breath, but she looks like she could be a medalist in the Illicit Pharmaceutical Olympics, and she’s doing the twitchy meth dance…”

Ambulance Driver: “Well, you know ingestion is sort of passé as a means of alcohol intoxication among the kids these days…”

Matt: “Oh?

AD: “Sure. There’s nebulized vodka, vodka-soaked tampons, red wine enemas…”

Matt: “I wonder what red goes best in an enema? A hearty Cabernet Sauvignon, perhaps a port?”

AD: “The sommelier offers you a packet of KY and opens the clamp on the hose for you…”

Matt: “I’d imagine the whole cork-sniffing ritual would have to be altered a bit, too.”

AD: “Should the wine breathe for a few minutes before you stick the nozzle in your ass?”

Matt:“I wonder how one goes about tasting the vintage and signaling approval to the sommelier?”

AD: “I don’t know, but that’s about as far as I’m willing to take this mental exercise.”

I Made The Finals!

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Okay folks, you did your part to make Winter Wings one of the finalists in the 5.11 Tactical Outdoor Adventure Contest.

Now I need you to put me over the top to win the whole thing. Daddy needs a new pair of 5.11 tactical trainers!

Just click on the link to the post, and hit the Facebook SHARE button at the top of the post, or the TWEET THIS button at the bottom of the post.

Or hey, both would be nice too. If you have Google +, pimp it there, too.

You get me a few hundred Facebook shares in the next couple of days, and I'll have some more tasty, tasy free ice cream soon.

I promise!

If Tim Tebow Was a Paramedic

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Those of you who read Sean Eddy at Medic Madness are probably familiar with his Celebrity Medic series, in which he imagines what a celebrity or fictional character would be like as a paramedic. So, given the dramatic win last weekend and the upcoming divisional playoff game against the Patriots, Sean and Greg Friese have challenged us to imagine what it would be like if Broncos quarterback Tim Tebow were a paramedic. If you’d like to play along, consider this a meme. Drop us a link to your blog post in the comments.

Hey, Tim? Nice veins.

If Tim Tebow Was A Paramedic:

He’d have more code saves than any other medic in your system.

Of course, his detractors would point out that the reason is that Tim Tebow has more people die in his rig than any other medic in the system, because Tim Tebow struggles reading 12-lead EKG’s  and recognizing subtle patient presentations…

… but his fans would  counter with the fact that, once the patient is dead, Tim Tebow always seems to convert the patient to a perfusing rhythm on the first shock.

“Yeah, but that doesn’t happen until they’re dead!” his critics would retort.

“What does it matter as long as they go home neurologically intact?” his fans would crow. “A save is a save, baby!”

“Dude, the guy‘s a weak medic,” would come the counter argument. “He can’t read EKG’s, struggles with drug dosages, can’t remember the landmarks to do a needle decompression, breaks half a dozen teeth when he tries to intubate someone – “

“ –but gets the tube in when it really counts!” his fans would proclaim. “That’s what’s important, right?”

Puhleeze. The guy has killed more people than smallpox.”

“He’s saved more people than Billy Graham!”

“Grim Reaper!”

“Johnny Gage and Roy DeSoto!”

“Dude, you’re talking about the guy like he’s an elite medic. Elite medics know cardiology like Tom Bouthillet. Elite medics manage an airway like Ambulance Driver. Elite medics are cool under pressure like TOTWTYTR. Tebow couldn’t stand on a stepladder and kiss those guys’ asses.”

“Oh, yeah? Well, how many code saves did those guys have this month? None, baby! Woo hoo!”

“That’s because those guys don’t let their patients code. They manage the call, so they don’t have to do any heroics at the end!”

“ Tim Tebow rules!”

“Tim Tebow drools.”

“You just hate him because he’s guided by the hand o’ Gawd!”

“I hate him because he gets the credit for every save, when it wouldn’t have been possible without the uninterrupted chest compressions done by his partner, or the prompt call to 911 by the patient’s family, or for the contributions of half a dozen other people. Nobody gets a save all by themselves. Resuscitation is a team sport.”

“TIM TEBOW WAS THE BEST EMT-B THAT EVER LIVED!”

“Yeah, but now he’s a medic. Everybody in this system was an awesome EMT-B, or they wouldn’t even be here. This is the pros, baby, and your boy’s game doesn’t work here.”

“YOU TAKE THAT BACK!”

“Not gonna happen. Maybe your boy might make a decent – I mean just decent – medic with a lot of practice and a few years. But he ain’t there now, and he doesn’t even deserve to be mentioned in the same breath as Rogue Medic, or AD, or TOTWTYR, or Happy Medic. “

“HERETIC! GOD SEES YOU, UNBELIEVER!”

“Blow me.”

[fisticuffs ensue]

And while the argument raged around him, Tim Tebow would keep on running calls and doing his best for his patients, because he’s Tim Tebow, and he’s a good kid. He’d recognize that he’s got a gift for the heroic save, but he’d also be honest and admit that he’s still nowhere near the medic he should be.

And nobody would outwork him in getting there.

He’d be humble and self-effacing to his fans, always deflecting praise to his teammates (and God), and he’d be gracious to his critics. And he’d make some serious gaffes, but he’d keep on racking up saves.

And after each one, he’d Tebow.

Naturally.

 

 

For You EMS Types…

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… there's a pretty good discussion on spinal motion restriction with me, Kyle David Bates, Rogue Medic and Dr. Laurie Romig on the First Few Moments podcast.

 

Go check it out!

What Gun For a Girl, and the Combat Mindset

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It's a question debated ad nauseum on the gun blogs and shooter forums, and the answers are as varied as the individuals asking the question.

I recently had opportunity to answer the question myself, when an ex-girlfriend emailed me, asking for advice on purchasing a handgun. Seems she had acquired an unwelcome suitor -not quite the creepy stalker type, but ardent enough that his attentions became unwelcome, and started her thinking about self-defense.

"I wanna buy a gun," she told me. "Which one should I get?"

She might as well have asked me, "Do you still beat your wife?" or "Have you ever been caught masturbating in the closet?"

There's no right way to answer those questions.

I gave her the advice I give to most new shooters -male or female – with that question: Shoot a bunch of different pistols, and choose whichever one you like and shoot best, with the following three caveats:

  • 1. Snubnosed revolvers are for experienced shooters, not beginners.
  • 2. If anyone tries to steer you toward a specific type of gun to the exclusion of all others, ignore that person's advice and get away from the supposed "expert" as quickly as possible..
  • 3. Don't get anything less than a .380.

Turns out a co-worker had already taken her shooting, and she came away with a couple of impressions: she didn't like the .45 at all, and she much preferred the .22 she shot. After a little more talking, I learned that instruction by her coworker had been pretty much nonexistent; he had pretty much given her a polymer-framed .45, pointed her downrange, and told her to squeeze off a few rounds – one handed, no less. Unsurprisingly, she found the .45 very heavy to hold, and the recoil unpleasant.

Obviously, more shooting was needed, and instruction from someone other than her coworker. So, we made plans to take her to the range this weekend, after which we'd go to the gun show and let her pick out a gun. I'd bring up all my handguns, maybe rent a couple more, and we'd let her try everything from a .22 LR single action revolver to my 1911 in .45 ACP.

"Do you have something that has a hole in the muzzle that looks like a .45, but kicks like a .22?" she asked, jokingly. "I want the scariest gun possible."

To which I replied, of course, "You don't pull a gun to scare someone. You pull a gun to shoot someone. If you're not willing to pull the trigger, you might as well just give the mugger your gun and save him the trouble of taking it from you."

"Oh, I'm not going to shoot anybody. I don't think I could kill a person."

Whoa. Full stop.

If you haven't already done that mental self-assessment and unequivocally answered the question about where your particular line is drawn, under what circumstances you'd take a life, the answer to the question, "What gun should I buy?" can only be, "No gun at all."

"What if someone took your purse at knifepoint?" I asked her.

"I don't carry much in my purse anyway. He could have it."

"So you'd let him have your purse, with your driver's license, credit cards, house keys, everything?"

"Sure, all of that can be replaced. Lives can't."

"So it wouldn't bother you at all that someone who'd take your property by threat of violence, now knows your address and has access to your home? Not to mention everything he needs to steal your identity?"

"Uuuhhh…"

"What if he's pissed that your purse only has eight bucks in it, and forces you to drive him to the ATM for more? What then?"

"Yeah, but how likely is – "

"We're talking about a guy who has demonstrated that he is willing to kill you to get what he wants. What makes you so sure he wouldn't?"

"Okay, so I'd probably drive him to the ATM."

"And if he decided that he'd like to have your car, too? And that it'd be a lot less risky if he didn't leave any witnesses? Would you be willing to kill him then?"

"Wow, you really want to shoot someone, don't you?"

"I don't want to shoot anyone, but I'm willing to if necessary."

So you'd kill someone over your wallet? Over a few hundred bucks?"

"If I had to."

"I can't believe you'd shoot someone over a wallet."

"With a smile on my face and a song in my heart."

"I'm just not sure I could kill someone."

"Then rape is okay, as long as you can trust the guy not to kill you afterwards?"

"Now wait a minute, I didn't say that."

"Yes, you did. You're telling me that the threat of violence is acceptable to you, as long as overt violence is avoided. The problem is, you're not making that decision where the line is drawn. Your attacker is."

"I'd never really thought of it that way."

"Until you have, you don't need to carry a gun."

**********

In the end, we decided not to go to the range or the gun show. She's going to buy a Ruger .22/45 for plinking and target practice, and I'll take a day off in the near future and give her some instruction in gun safety and basic marksmanship. She'll keep the gun at home, and in the meantime she'll take a CHL course, and hold off buying a defensive firearm until she has decided for herself just where her line is drawn.


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