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NRA Annual Meeting: Guns and Gear Wrapup

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After the NRA Annual Meeting wrapped in St. Louis last Sunday, I had another day of filming video and a day in transit getting back home, and I'm currently three days into a fun-filled seven day stretch of saving lives and stamping out disease on the ambulance, where people are calling 911 in the middle of a monsoon because they pooped themselves, or police officers would like us to pronounce a suspect whole and healthy and unimpaired from his Monadnock shampoo before spending the night in jail…

… I tell ya, this sleep deprivation thing ain't as easy as it was when I was 25, and being away from KatyBeth for 14 days straight has done nothing to improve my demeanor.

Still, while I have a rare couple of hours of breathing room, I figured I'd share with you some of the stuff that caught my interest at the NRA Annual Meeting:

The view from the room at The Millennium that Matt G. and I shared.

The people and the venue were very welcoming, and I enjoyed my week in St. Louis. I daresay I shall visit there again. The service and staff at The Millennium hotel were excellent. My only gripe is that the housing bureau NRA used to book rooms doesn't allow you to specify double or king. There is a small box where you can type in special requests, but apparently it is there only for decoration, because they assigned us a room with one king-sized bed. Still, Matt was surprisingly gentle for such a large man, and I even got to be the outside spoon on one of those nights. Other than our room having only two electrical outlets that worked, and those that did so worn out they would barely hold a plug, I have no complaints.

 

Brass Bullets

One of the first booths Matt and I encountered was the display for Cutting Edge Bullets. If you worship at the Church of the Light, Fast Bullet, then the folks at Cutting Edge preach your kind of gospel. They specialize in making lathe-turned solid copper or brass bullets from solid bar stock, milled to very exacting tolerances.

Eat hot lead brass!

Now, you might wonder, as I did, why a brass bullet over jacketed lead? A machined brass bullet will have a lighter weight than a jacketed lead bullet of identical length and shape, and comparable ballistic coefficient. That translates to a faster, flatter-shooting round that retains its velocity better at longer ranges, and environmentally friendly to boot.

Since brass bullets don't expand, Cutting Edge relies on fragmentation to produce secondary wound channels. Their hollow point of their ESP (Enhanced System Projectile) Raptor bullet is designed to fragment into six smaller fragments, creating secondary wound channels as the base of the bullet continues forward for maximum penetration.

The ESP Raptor, three bullets in one. Pictured with Talon ballistic tip inserted.

ESP Raptor hollow point with Talon tip

ESP Raptor, load it base-forward to punch very deep holes, no matter how much bone is in the way.

The ESP Raptor bullet is essentially three bullets in one. Load it into a case with hollow point out for the shrapnel effect, or insert the Talon plastic tip for hollow point bullet performance with a much higher ballistic coefficient. Load it base-first, and you have a solid, flat point brass bullet for maximum penetration.

My experience with solid brass or copper bullets is purely anecdotal, but positive. On Epic Hog Hunt 2010, Alan and TOTWTYTR were armed with AR15's, and jumped a herd of hogs on the last day. We never recovered the hog Alan shot with 55 gr FMJ lead bullets, but the one TOTWTYTR shot with my AR15 loaded with 62 gr copper Barnes TSX bullets went home in Matt G's ice chest. During skinning, the Barnes bullet shattered the near hip, transited the pelvis, broke the femur on the opposite side, and exited.

Cutting Edge advertises superlative accuracy and superior terminal performance, and their tests in ballistic gelatin looked impressive. However, the ultimate proof is when the metal meets the meat, so Matt and I will be getting a batch of these for T&E to handload and wring out at Blogorado and Epic Hog Hunt 2012.

Night Sights

Over at the Lone Wolf Distributors booth, where you can pretty much build your own Glock using zero Glock parts, we found Caleb showing off his sexy new Glock 21 slide, and giving impromptu lessons in defensive tactics (throw coffee, skedaddle). I coon-fingered their Timberwolf  Glock 17 frame. The verdict: feels nice, very much like my 1911's. 

But what I really dug was Lone Wolf's night sight display, which allowed you to try out various iterations of tritium and fiber optic sights in daylight and simulated night conditions. I've been looking for a pair of high visibility night sights for my 1911's and my Glock 17, and I think I found them:

Fiber optic sights, green rear / red front, in daylight.

Fiber optic sights, green rear / red front, at night.

In my opinion, these were the best of the bunch.

I tried out sights by Trijicon, Warren Tactical, Ameriglo, Meprolight and Glock OEM night sights, but in the end, the ones that appealed most to my tired old eyes were the Truglo Fiber Optic Bright Sites. I've used Truglo archery pins and shotgun beads and been well-satisfied with them, and I can't wait to try them on my handguns. CNC-machined out of steel, featuring a combination of tritium and fiber optic construction for excellent visibility in all light conditions… yeah, I think these will do just fine.

Mossberg's Modular Shotgun

I've long held the opinion that there are only two pump shotguns ever made worth mentioning: the Winchester Model 12, and the Remington 870. If you voted for Eisenhower and miss the days when station wagons still had real wood panels, you probably dig the Model 12, but as far as I'm concerned, the Remington 870 is the best pump shotgun ever made.

Having said that, I realize there are quite a few Mossberg 500 fans out there, and their new modular design makes it even more attractive. If you can only afford one gun for wingshooting, turkey hunting, deer hunting and home defense, the Mossberg Flex System might be just for you. Buy yourself a Model 500 or 590 receiver outfitted in whatever livery you prefer, and then get yourself to accessorizing, son! It's like Barbie, for gun nuts!

Mossberg Flex 500 pieces 'n parts
 

The stock, forend and recoil pad can be removed and replaced in seconds using Mossberg's TLS™ (Toolless Locking System). It's actually a pretty nifty setup. You can convert your camo duck hunting gun to a tacticool Evil Black Shotgun in mere seconds. Here's the Mossberg rep showing you how it works:

 

 

Ruger's New Offerings

One of the big hits of the show was Ruger's new takedown 10/.22. Jay G. obviously likes it:

Yes, he looks unhinged. It's Jay G. He looks that way even in his sleep.

 

Packaged in its own Ruger backpack (Hey Ruger, how about a waterproof, floating hard case?), this rifle is everything an AR7 ought to be and usually isn't. If the takedown version retains the practical accuracy and reliability of the standard 10/.22 platform, it should be a major hit. The barrel and fore end separate from the stock and receiver by means of depressing a small latch on the bottom side of the fore end, and rotating the barrel off its mount. The pieces cam together very solidly, and it seems like a pretty sweet setup.

 

 

While we're talking about Ruger rifles, Matt G. and I got a chance to coon-finger the new Ruger American. This is not just another version of the Ruger 77. It's an entirely new rifle. Rather than use the proven Mauser-type action with twin lugs and an external extractor featured on the M77, the American features a three-lug bolt with a 70o throw. Gone also are the controlled-round feeding of the M77 and the three-position safety, in favor of a simple push-feed and the tang safety that Ruger dropped from the M77 line in 1991.

Ruger American bolt. Three locking lugs, 70o throw, internal extractor and plunger-type ejector.

The American features a free-floating barrel with the receiver bedded on steel v-blocks that are molded into the stock, and a detachable box magazine. It also sports a blade-type adjustable trigger reminiscent of the Savage AccuTrigger.

Ruger American with Ruger Marksman Adjustable trigger.

Ruger American with detachable, four-round rotary box magazine.

Ruger promises superior accuracy and reliability with the American, and at an MSRP of only $450 or so, it oughta make a dandy budget rifle. I know it looks good, but does it shoot good? Time will tell, I suppose. Who knows, maybe I can wrangle a T&E gun from Ruger to wring out at Blogorado in a few months.

Smith & Wesson M&P Shield

Everybody was gaga over the M&P Shield, and for good reason. The single-stack subcompact addition to the M&P line is aimed squarely at the Ruger LC9 / Taurus 709 / Kahr CW9 / Keltec PF9 market, and should compete admirably. The interchangeable grip panels of the M&P line were sacrificed for weight and size, I suppose, but the trigger on the M&P Shield is noticeably better than the full-sized versions of the M&P line. The pistol felt good in my hand, and I was able to wrap all my fingers around the grip of the 9mm version, even without the extended 8-round magazine. Caleb puts the M&P Shield through its paces here.

M&P Shield in .40 S&W with extended 7-round magazine.

Smith & Wesson M&P Shield 9 mm. 7+1 capacity, 19 ounces and just over an inch wide. An admirable balance between concealability and shootability..

Speaking of M&P stuff, I had a chance to try the Apex Tactical trigger kits for the Smith & Wesson M&P line, and I agree with all the other rave reviews. The weapon I tried had the duty carry kit with 5½ # trigger springs, RAM (Reset Assist Mechanism), hardened sear and striker block, and they Provide a significant improvement in an already decent trigger. Seriously, Smith & Wesson should just have their custom shop make M&P pistols with Apex Tactical triggers pre-installed. They're that good.

Stay tuned for blogroll updates and miscellaneous pics from the show…

A Helpful Hint From Your Uncle Ambulance Driver

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Protip: If you have imbibed a bit too much of the spirits, and you pass out naked in bed, whereupon you suddenly realize you are about to lose control of your bowels and bladder like a veritable Vesuvius of feces…

… then the place to run is the bathroom. The. Bathroom.

Whatever happens, do not – I beg of you, do not – run around your apartment like the flight of the shit bumblebee, and then hasten to the farthest reaches of said apartment, hastily pulling on your clothes while you are still erupting.

If you do, expect that neither will I be sympathetic to your plight, nor the slightest bit inclined to help you clean up.

Then again, perhaps I’m expecting too much of someone who thinks it’s appropriate to call 911 when they have the tequila splatters.

Feeding My Inner Approval Whore

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Got my EMS Today speaker evaluations this morning, and as always, I felt a wee bit of trepidation before opening the envelope. Fear of rejection is a powerful thing.

I need not have worried.

Overall, I averaged 4.8 out of a possible 5 points for all my sessions, and as usual, the written comments provided the most valuable feedback. Among the things I learned, and will use to tweak my presentations accordingly:

  • Less gun stuff, more trauma in my Wound Ballistics lecture. I had already added more trauma photos, but a number of participants expressed a desire for more material on treatment. So, the next time I give that one, there will be fewer slides on muzzle energy and Newtonian physics, and more stuff on patching holes.
  • More treatment discussion in the Dirty Dozen lecture, which covers the twelve most common types of chest trauma. Actually, I may just need to tweak the description of that lecture, since most of the treatment is BLS, which I thought I covered adequately. The subtitle of the lecture, however, is "Beyond the Basics of Thoracic Trauma," and while I went beyond the basics in assessment, I didn't offer them enough ALS treatment information – sometimes a hard balance to strike when you're writing for both EMT's and paramedics.
  • In my EMS Blogging 101 lecture, less technical stuff and more caveats about posting etiquette or avoiding the perils and pitfalls of social media. That was the only lecture I hadn't given before, and it showed. I've got some polishing to do on that one. I can prattle about about most things for hours, but my nervousness shows when I'm talking about myself.
  • More stuff on setting up a sepsis alert program in my Sepsis: The Silent Killer lecture. I'd do that, but I'd rather defer to the guy that was setting up an award-winning sepsis alert program before I ever conceived this lecture – T. Ryan Mayfield. He'd be a far better resource than I, and you can bet I'll be seeking his guidance when I try to get a similar program implemented by The Borg.

There are also other things I learned, or were reminded of, which I will not use to tweak my presentations:

  • Haters gonna hate, son. They're going to find fault with whatever you do. and nothing you do will ever satisfy them. Harsh criticism always hurts, but when every comment of "dry, boring'" or "this guy is an arrogant prick" is outnumbered 50:1 by "wonderful speaker, bring him back every year!" the haters are easier to ignore.
  • Not everyone gets my sense of humor. It's the nature of comedy that someone is always offended. I made sure to keep my language clean (sometimes a problem for me), and keep the twisted jokes to a minimum, but I still raised the hackles of a vocal few. They'll just have to avoid my lectures in the future, I suppose, because I'll offend 5 to entertain and educate 500 all day long, with a smile on my face and a song raunchy limerick in my heart. I am who I am. Trying to please everyone only results in me pleasing no one.
  • Apparently, using our President's middle name and referring to him as "Gun Salesman of the Year, three years running!" constitutes political proselytizing and makes my entire wound ballistics lecture a blatant shill for gun rights and the Second Amendment. I proclaimed my biases at the beginning of the lecture – "I'm an unapologetic gun nut and Second Amendment advocate" – and I also took care to keep from preaching to my audience – "What this lecture is NOT, is a treatise on gun rights" – but apparently, two people felt that anything I said that challenged their assumptions about firearms trauma was simply the rantings of a gun nut, and totally invalid. I think I'd rather listen to the dozens of other commenters that found the session educational.

If any of you attended my presentations at any conference this year, and can think of things I need to improve, or things I need to keep doing, chime in with your comments.

I'm all about self improvement here. ;)

;

EMS Quote of the Day

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From Rogue Medic, in the comments to this post:

We call them for the ridiculous calls, just as people call us because they want a free ride to the hospital for a prescription refill. 

We are the system abusers of helicopter EMS.

Word.

 

For You EMS Types…

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… there's a new column up on EMS1.com.

The Regulatory Glass Ceiling.

Enjoy.

Does Helicopter EMS Provide Any Benefit Compared to Ground?

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A study recently published in JAMA has been making the rounds in the EMS forums and blogosphere, purporting to prove that a certain subset of trauma patients transported by helicopter has a higher survival rate than comparable patients transported by ground EMS.

First I'd like to point out that, whenever you read a study, it's also wise to consider the potential biases of the researchers. I'm not suggesting that the authors here would be so unethical as to fake their numbers to arrive at a predetermined conclusion – far from it. I do believe, however, that it is human to interpret the findings in such a way that they support what we think is right.

A Fort Detrick medic in a CCEMT-P class in Piuttsburgh told me years ago, "How do you confuse a Maryland EMT? Ask him to drive to the Trauma Center."

If you had to pick any single state that is most heavily invested in helicopter EMS, that state would be Maryland, and that is true even after reining things in a bit after the crash of Maryland State Police Trooper Two on a medevac flight in 2008.

I'll state my position here, lest someone accuse me (yet again) of having an axe to grind against helicopter EMS:

I believe helicopter EMS is useful. I believe it saves lives. I also believe that it is vastly overused, inherently dangerous, and that the overhwelming majority of the people we fly don't need a helicopter. I believe that a significant chunk of them don't even need a trauma center. And I believe that we owe it to the HEMS crewmembers who make those flights, not to endanger them needlessly by sending them out for silly shit.

I keep waiting for the study that definitively identifies the subset of trauma (or medical) patients that benefits from helicopter transport. When we have it, we can revise our transport criteria accordingly, rather than our current critera of worshipping the Cult of Mechanism.

I don't think this is that study.

Rogue Medic does a good job of fisking this study on his blog. I urge you to read both parts:

Flawed Helicopter EMS vs Ground Research, Part I

Flawed Helicopter EMS vs Ground Research, Part II

Pay particular attention to the inaccuracy and incompleteness of the National Trauma Data Bank that he highlights in Part II, and ask yourself if we should believe a helicopter EMS study that uses those numbers.

Heck, ask yourself if we should believe any study that uses those numbers.

Step One, Have Guns That Work

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Via Uncle, I find The Truth About Guns featuring an interview with new Taurus CEO Mark Kresser:

Throughout our entire organization, we are focused on continuous improvement… regardless of what process, regardless of what position or what department we have within our organization.

I'm glad to hear of Taurus' renewed commitment to customer service and quality control. And you know, the first step on that path might be making sure that your display guns at the NRA Annual Meeting, actually, you know… work.

While browsing the Taurus display at the meeting, Jay G., DaddyBear and I encountered a Taurus polymer .357 magnum revolver that absolutely would not fire single action. The gun cycled fine with a DA pull, which actually wasn't half bad, as DA triggers go – but it refused any and all efforts to cock the hammer for a single action pull. Even DaddyBear couldn't cock it, and that guy has hands that are almost as big as Matt G.'s. That hammer had to have a burr on it the size of a pine cone.

I had video of us straining mightily to cock that bobbed hammer, but unfortunately it looks like I deleted it from my iPhone.

I have two Taurus polymer semiautos – a P709 Slim and a PT140 Milennium Pro – and I like 'em both. Once you get past that weird Taurus trigger that has four furlongs of takeup before it engages the sear, they're pretty easy to shoot, too. Mine have been rock solid reliable, with multiple thousands of rounds shot out of each.

But all it takes is one bad one to dent your reputation, especially if the bad one is on display at a convention where thousands of gun nuts will be coon-fingering your defective product over the weekend.

On The Ted Nugent Controversy

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Seems Uncle Ted, in the midst of throwing a little raw meat to the masses while stumping for Romney at the NRA Annual Meeting, went a little too far with his rhetoric.

At least, in the eyes of some people.

To be honest, I didn't watch a single one of the pundits and politicians in St. Louis. Seemed a waste of time to me.

The pundits did what pundits are supposed to do – and believe me, Ted is more pundit than rocker these days – which is whip up the crowds.

And the politicians did what politicians do, which is tell us what we want to hear, not necessarily the truth. They're going to talk to us differently at the NRA Annual Meeting than they would elsewhere on the campaign trail.

Seems Ted is worried about the slim conservative majority in the Supreme Court, and what the next four years will spell if Obama gets to appoint a couple more judges to his liking.

He also opined that "the government is wiping its ass with the Constitution."

You know, it would be a lot easier to repudiate the man if he weren't right.

I am worried that we'll wind up with a liberal majority on the Supreme Court if Obama is re-elected, a majority if justices who don't believe in the immutability of the Constitution as written.

And I do agree that the government is wiping its ass with the Constitution, except that I lay the blame on both sides of the aisle. The only difference between Republican and Democrat these days is what part of that document they're wiping with.

But it seems that the part of his interview that the hand-wringers deemed most incendiary was Nugent's assertion that if Obama were re-elected, "he'd be dead or in jail within a year."

Yeah, that's a little extreme, but I am reminded of the election and re-election of George W. Bush, where many of those same hand-wringers hysterically vowed to move out of the country rather than endure four years of GWB.

None of those Hollywood types actually moved, and the media promptly forgot those vows.

Methinks they'll try to hang Ted's statements around his and Romney's neck for as long as they can, though.

And while I don't think Ted will be eating his salads from the roots up if Obama gets re-elected, nor playing Cat Scratch Fever to entertain his fellow inmates, if you had told me ten years ago that the government would so encroach on our lives that sane and reasonable people would draw lines in the sand, beyond which violent resistance would be considered…

… I'd have said that you, and those people considering such actions, were crazy.

Now I'm not so sure.

Aaannnnnd, That’s a Wrap.

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The NRA Annual Meeting ended Sunday evening, and I spent all day yesterday filming video for EMS1.com, the first of what I hope will be an entire series of skills videos reconciling NREMT exam scenarios and the skills as they're actually performed on the street.

The star of the video, unfortunately with a face made for radio.

In the course of filming, several things became obvious:

  • The soldier that came up with the term "hurry up and wait" never worked with a professional cinematographer, or he'd have thanked his lucky stars for the organization and efficiency of the military. Still, Ray Kemp has a master's eye for detail, and in the end all the painstaking preparation will pay off in a quality educational video.
  • This stuff is hard. I'm used to standing in front of large groups of people and talking, and I think I'm pretty good at being engaging and informative, but something about staring at that camera's unblinking eye renders me a stuttering, stammering, doofus. But, I eventually hit all my marks, delivered my dialogue without getting my tang toungled, and Ray still had some hair left by the time we finished. It helped to think of my multiple takes as payback for the length of time it took to set up. ;)
  • There's a lot more to shooting a video that just setting up your camera on a tripod, standing in front of it, and blathering on until you run out of stuff to say. There's lighting to contend with, properly blocking the shots, color balance, setting up A and B cameras, syncing audio between the two, setting up and positioning dollies and reflectors and myriad other doodads whose functions I barely understand. Still, we finished principal shooting in only two days, shot plenty of stuff for the B roll, and all that's left is for me to review the storyboards and dialogue for accuracy, and filming the action shots.*
  • Christian Hospital Northeast EMS has a quality operation, and Chris Cebollero and his crews deserve kudos.
     

When I get home, I'll post a wrapup and some product reviews from the NRA Annual Meeting, so y'all stay tuned…

 

 

 

 

 

 

 

*Storyboardsprincipal shootingB rollhit my marksblocking… y'all note the savvy use of industry jargon here. Before long, I'll be giving air kisses and telling folks to have their people call my people.

Thank You, Al Gore, Steve Jobs and Sergey Brin!

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Headed home from the NRA Annual Meeting in a few hours, and I stopped to fuel up the rental car before returning it.

Only to discover, much to my chagrin, that I could not figure out how to open the #%^*€!! fuel filler door, and the nice folks at Budget failed to provide me with a friggin’ owner’s manual for this crappy little crackerbox.

So, after looking like a monkey fornicating with a football for several minutes and enduring the indignant honk of one little hoochie mama who just had to fuel up at the one fuel island where I was parked, instead of a half-dozen other empty ones…

… I finally just Googled “fuel filler door release Nissan Versa” on my iPhone and found it.

I now feel marginally less incompetent than I did five minutes ago.

73,740 Rabid Gun Nuts Descend Upon St. Louis…

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… and nobody gets shot.

No fisticuffs ensue.

Nobody craps on a cop car.

Nobody gets arrested.

Nobody calls for overthrow of the government, other than at the ballot box.

There are no drunken brawls, no ambulances called, no… nothing.

Nothing, that is, except close to 74,000 men, women and children gathered to celebrate the amendment that guarantees their personal freedom.

Anti-gun groups want America to believe that women are not involved in the shooting sports in large numbers. At the America's Center, amid the horde of people winding their way through the exhibit hall, I saw enough women to populate a large shopping mall on the day after Thanksgiving.

I mean, there wasn't a direction you could look without seeing women. Young, old, single or accompanying male companions, pushing strollers – some filled with children, and many filled with gear purchases – women stylishly dressed, women frumpily dressed, women clucking in disapproval at the attire of some of the booth babes, and women dressed scantily enough they could be booth babes…

The media wants America to believe that Second Amendment advocates are a bunch of religious right wing, older white males, and many of them probably racist. And while the faces in the crowd were predominately white, there were black faces as well. I had the pleasure of having dinner a couple of times with Rick Ector, of Legally Armed in Detroit.

Rick is as passionate a Second Amendment advocate as you'll find, and he lives in one of the most violent cities in America. He makes his living by teaching people to be responsible for their own personal safety. He empowers women by giving them the tools and training to face a male attacker on more equal terms. He organizes open carry rallies. He walks the walk.

He also happens to be black., and this white, southern redneck got along with him just fine.

Among the white faces at the hotel bar, there were black faces, wearing ball caps proudly proclaiming their status as veterans – Special Forces, this ship or that battalion – all warmly sharing fellowship with their white counterparts.

Funny, they didn't look ostracized to me. They looked like… us.

There were children galore, most of them accompanying their parents, yet plenty of the older ones roaming the exhibit hall on their own, politely examining the wares of the various vendors. There were cute little girls in Glock caps, clutching their autographed poster of Tori Nonaka every bit as proudly as if it were signed by Hannah Montana or the professional athlete of their choice, and come to think of it, it was. Tori is an elite athlete at the tender age of fifteen.

There was Leadchucker's kid, grinning from ear to ear, holding a Thompson submachine gun. Those of you who fear and do not understand guns may shudder in revulsion, but I see a boy holding a tool, and obviously taught to do so safely.

There was Danno's son, of Sandcastle Scrolls, proudly showing off the challenge coin he got from R. Lee Ermey. He was covering the event as media, even though he's still in junior high school.

I spoke to St. Louis police officers, medics at the hospital where I was filming video yesterday, pub managers, security guards at the America's Center, street vendors and janitors, and the words they used to describe the convention crowd were politepleasantgood tipperseasygoingwell-behaved, and well… boring.

And boring, I think, is the highest compliment we can be paid. I'm not sure you realize just how unusual that is. I've done some large event medicine here and there, and to gather so large a group of people in one location is a massive undertaking. Something always happens, even at EMS conventions 1/10 the size of this one.

Yet, at the 2012 NRA Annual Meeting, nothing did.

I think that speaks well of us.

Overheard in St. Louis

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Pub Manager: “i’ve worked convention crowds in this town for ten years now, and I gotta say, you NRA people are the nicest, most pleasant bunch I’ve ever dealt with.”

Ambulance Driver: “Careful now, that doesn’t fit the media perception. We’re supposed to be racist, ignorant rednecks bitterly clinging to guns and religion.”

Pub Manager: “Since when does the media get anything right?”

I’m Ready For My Closeup, Mr. DeMille

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Before I made my plans to attend the NRA Annual Meeting here in St. Louis, I had been engaged in some discussions with EMS1.com about shooting some video content for the website for several months. Originally, the plan was to fly the videographer into Houston for the shoot, but the more we talked, the more we realized that the volume of footage we'd be shooting necessitated us doing the primary shooting nearer the videographer's base of operations, and then flying me for a few days to film my scenes.

And as it happens, the videographer lives here in St. Louis, and has a working relationship with Christian Hospital Northeast EMS, so we'd have access to myriad shooting locations, props, ambulances, extras, etc. So all that was left was to figure out when to fly me up for my moment under the hot lights and unblinking stare of the camera.

Enter, the germ of an idea.

"Say," I ventured, "why don't I just block a couple of days before and after the NRA meeting for shooting, and we could do it then?"

Imagine my surprise when they agreed to it, which means that I'll get my airfare and at least some of my lodging and car rental paid for. Schweet!

So, I spent the morning with Ray Kemp of Triple Zilch Productions and the medics at Christian Hospital Northeast, trying to look like I knew what I was doing in front of a camera. A few observations from this morning's shoot:

  • There are a lot of technical aspects to this whole movie magic stuff that are totally over my head.
  • The camera really does add ten pounds… but when you're right at 300 already, who's gonna notice?
  • I have a face made for radio.
  • The gag reel is gonna be hilarious, even if my outtakes should come with a PG13 rating.

And now, I'm off to the Millenium Hotel for tonight's meet and greet with a bunch of bloggers you might know.

I'm looking forward to it.

 

 

Overheard in an Airport Boarding Area

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Alternate title, "What Sort of Heater Should I Get For the Little Woman?"

Sitting in Houston yesterday, waiting for my flight to St. Louis, and reading the latest issue of Guns & Ammo, I get this:

Random Passenger: "Excuse me Sir, do you know a lot about guns?"

Ambulance Driver: "Ummmm, well that depends. For your average airport boarding lounge, I suppose I do. For where I'm going, probably not so much."

RP: "I'm thinking of getting my wife a pistol. What kind do you suggest?"

AD: "I dunno. Depends on the person."

RP: "I've had a lot of people tell me to get her a snub-nosed revolver, because automatics jam a lot"

AD: "Snub-nosed revolvers are very reliable, but can be very hard to shoot accurately. And the modern semi-automatics are every bit as reliable as a revolver. My advice would be to ignore any person who recommends one specific type of gun for a person they've never met before."

RP: "So you wouldn't recommend a snub-nosed revolver?"

AD: "I'm not saying that, I'm – well, have you ever shot a snub-nosed revolver?"

RP: "No. I've got a Glock 9mm."

AD: "A compact Glockl would be a nice choice. Or heck, your Glock. Look, the lighter and more concealable a gun is, the more difficult it can be to shoot accurately, and often the recoil can be unpleasant. You want to get her a gun that she enjoys shooting, so that she develops some proficiency with it and is more likely to carry it."

RP (looking at me like I just grew a second head): "A gun that she enjoys shooting?"

AD: "Yes. Shooting can be very fun, and it's the perfect stress relief. It's also a great way for couples to spend time together. My advice would be, take your wife on a date to the gun range. Rent as many pistols as you can, and lay down the coin for whichever one she likes best, and shoots accurately. And if there are instructors available, sign up for lessons together."

RP: "They do that? Rent pistols?"

Another Random Passenger (extending a business card): "Yes, they do. As a matter of fact, I own a pistol range, and we've got plenty of pistols available for rent. Bring your wife on down, and you can both try out a few. I can provide some basic instruction for you both, and if you like, later we can sign you up for our concealed handgun course."

RP: "Hey, that's great! Thanks!"

A few minutes later, as we watched him board his flight, Another Random Passenger casually said to me, "Nicely handled. Going to the NRA Annual Meeting?"

"Yep," I answered. "Filming some instructional video for an EMS website while I'm up there, too."

"Cool. I guess I'll see you at the convention, brother."

"See you there."

That’s So Crazy, It Just Might Work!

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Colorado Fire Department to test smaller vehicles for medical calls.

By Erica Meltzer
The Daily Camera

BOULDER, Colo. — Medical calls, not fires, account for more than half of all calls to which Boulder Fire-Rescue crews respond, and the number of medical calls increased 17 percent from 2006 to 2011.

Boulder's fire department is looking at adding smaller vehicles for paramedics to respond to many of those calls without sending a fire engine or — when engines aren't available — a ladder truck.

Boy, if only they made a vehicle smaller and far less expensive to buy, fuel and maintain than a ladder truck, that could be staffed with a crew of two, that still had enough room for lifesaving gear and a patient!

Why, I bet you could even use it to – *GASP!* – take patients to the hospital. I bet there might even be a way to get paid for doing that!

</sarcasm>

Here's a novel idea: Let fire handle fire calls, and let EMS do EMS calls. And if the current ambulance provider can't or won't field enough ambulances to meet response time standards without distracting the FD from their core mission, then maybe Boulder could replace them with another company that will.

Wouldn't that be even less expensive than this "solution?"

Update: Looks like I'm not the only one who thinks that way.

Pearls Before Swine

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As I mentioned earlier, the very first EMS call Black Cloud and I ran together was a cardiac arrest.

Even worse, it was early enough in the shift that I hadn't even had time to orient her on the layout of the ALS bag, teach her the necessary ALS-assist skills, nor even deliver my standard, "You Are a Thinking EMT and Not a Pack Mule and I Expect Your To Use Your Head and Exercise Some Initiative," talk that I give to all my new partners.

So it was to be expected, I suppose, that the call wouldn't run smoothly.

Except that it did run smoothly, not that anyone noticed.

Did she appreciate the fact that, in the 24+ minutes the pads were attached to the patient, compressions were only interrupted for a grand total of 30 seconds, and never less than 6 seconds at a time, including the intubation and defibrillation?

Did she notice my skill and panache at wielding a laryngoscope as I flawlessly performed a skyhook intubation, done without interrupting chest compressions, no less?

Was she grateful that I queued up "Stayin' Alive" on repeat on my iPhone to help her keep rhythm? (Yes, I really did, and no, the family wasn't offended.)

Noooooooooo, of course not.

All she noticed was how hot it was in the room, and how difficult it was to perform chest compressions on a Real Live Patient.

*sigh*

Philistines…
 

HIPAA Joke of the Day

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From Matt G.'s comment thread:

"Knock knock."

"Who's there?"

"HIPAA."

"HIPAA who?"

"Sorry, I can't tell you that."

I don't care who ya are, that's funny right there…

 

An Inauspicious Beginning

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Since Betty Rubble was dismissed, I've had yet another succession of temporary partners, either swing shift EMT's or full-timers picking up a little OT, but the lack of consistency has been a little wearing. But hey, I'm about as close to bomb-proof as a medic gets, which I suspect is why management gives me the newbies and the newly minted paramedics.

Actually, I did have a permanent partner for a brief while, but she didn't last long enough for me to address any of her deficiencies or even to give her a nickname.

So last week, I got a new permanent partner. The ink is still glossy on her EMT-B card, and she has this annoying habit of calling me, "Sir."

Wednesday saw us running our very first call together, which for her was her very first call as a full-fledged EMT, period.

It was a cardiac arrest.

So naturally, unless things change in the next couple of weeks, her new nickname is going to be Black Cloud. Or perhaps, I'll get her one of these patches from Mil Spec Monkey:

Thus far, it fits.

Hey, 5.11 Tactical?

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Nice April Fool's joke.

Of course, I wonder if you realize just how many of these babies you could sell if you actually did plan on making them.

There's an untapped market niche there, guys.

I'd get on it.

Edited to add: My sources tell me that the 5.11 Tactical Duty Kilt is the real deal. Pre-order yours now, and while you’re at it, tell ‘em we’d like them in flat dark earth, olive drab, black and navy, too!

Dear Malingerer Girl,

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You are not injured, and no amount of piteous screaming, moaning, sobbing and wild gesticulations you engage in, even delivered at ear-splitting volume, is going to convince anyone.

In fact, the evident ease at which you moved your injured shoulder during your performance, will be thoroughly documented by me in dry, objective clinical prose, in addition to the total absence of any objective signs of injury.

You were struck by a soggy clump of acoustical ceiling tile that fell from perhaps five feet over your head. You are not permanently disabled, nor are you “fidna git paid,” as you so loudly proclaimed to me, the business manager, and everyone else in earshot.

You have, if you’ll forgive the use of complicated medical terminology, a “boo boo.”

Your boo boo, at most, entitles you to an apology from the manager, and a coupon for a free footlong sub of your choice.

If you doubt that, just wait until whatever vulture personal injury attorney you retain reads my medical report.

Love and kisses,
The Paramedic Whose Time You Wasted

Leavin’ On a Jet Plane…

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… for a speaking gig at the South Carolina EMS Symposium.

Watch the place while I'm gone, and if you're in the neighborhood of Myrtle Beach or attending the symposium, hit me up. I'll be in town tomorrow and Saturday nights.

Here’s To The Winners

1 comment

Fire Critic announces the winners of the 2012 Fire & EMS Blogs of the Year contest.

 


STATter 911: Reader's Choice 2012 Fire Blog of the Year

Backstep Firefighter: Judge's Choice 2012 Fire Blog of the Year

Insomniac Medic: Reader's Choice 2012 EMS Blog of the Year

EMS 12 Lead: Judges Choice 2012 EMS Blog of the Year

 

As the 2011 EMS Blog of the Year, I was privileged to be a judge in this year's contest, and I was proud to see the EKG Yoda, Tom Bouthillet, and his two padawans, David Baumrind and Christopher Watford, take home the Judge's Choice honors. It's an accolade well-deserved.

Fire Critic has a list of the nominees, finalists and eventual winners. Congratulations to all the winners!

If you haven't read them, you should.
 

HIPAA Hysteria

4 comments

Rest and Relaxation

9 comments

Headed to the Central Oklahoma Gunblogger Schutenfest for a weekend of barbecue, bullshitting and bullets.

Beer’s in the fridge, and try not to let the dog drink out of the toilet while I’m gone.

Pics and AAR to follow…

Hopefully, The Third Time Is The Charm

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I've just gotten the news that I've been nominated for a Maggie Award for the second straight year by the Western Publishing Association, in the category of "Best Regularly Featured Web or Digital Edition Column/Trade" for The Ambulance Driver's Perspective.

All told, Praetorian Group racked up eight nominations.

This is the third time I've been a finalist for the Maggies, which I'm told are the Emmy Awards of the online publishing world. It's an honor just to be a finalist, but honestly I'm starting to feel a bit like Susan Lucci. I wanna win that sucker.

Now all I must do is find out who the judges are, and start baking them cookies…


Vote for me! Click Here

Polarized sunglasses, Flashlights, and Hiking boots.