• 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • An Interview with Robert Cocks MD

    Catamaran winching operation

    Photos are the property of Robert Cocks, used with the permission of Robert Cocks

    How long have you been a doctor, and how did you get to where you are today?

    I studied at the Royal Free Hospital School of Medicine in London from 1976-1981, so I have been qualified for 31 years now! For the first 9 years I trained to be a Consultant in Accident & Emergency Medicine and I worked in this field until 2001 in the UK and later in Hong Kong. The following year I did a six-month full-time course for the Diploma in Aviation Medicine and I have worked in that specialty since then. The reason for the change was my fascination with flying, and it followed an exciting project in which we started putting A&E doctors onto the emergency helicopters in Hong Kong. I was hooked on the combination!

    What does the job mean to you?

    A&E was an exciting and fulfilling area to work in and I loved the variety and immediacy of the problems that came in through the doors every day. However, it is stressful and very much a young person’s specialty – I saw so many colleagues burn out that I thought carefully about how I could remain sharp as I got older, and I think my move to Aviation Medicine came at the right time. I now work with a fascinating group of patients – airline pilots – and they are prone to just the same diseases as earth-bound mortals. My job is to keep them flying safely.

    What kind of a community do you have at work?

    My pilots come from all over the world and I socialise with them and with colleagues from a wide range of jobs at Cathay Pacific and at the Chinese University of Hong Kong, where I was formerly Professor of A&E Medicine. Hong Kong is a very multicultural place and that is one of the best features – meeting interesting people from so many different origins.

    Do you feel that you’re always a doctor, no matter whether you’re on call?

    Unlike some doctors, I do not feel that I am defined by my job. There is a danger among professionals that they tend to put their job before their families, and although I have been forced to spend quite long periods away from my own family, they always come first. When we come across an emergency or an accident, my kids have always been the ones to tell me to go and help, so I’m not allowed to ignore the situation and walk or drive on by !

    I am not a very good patient – I tend to think that illness only happens to other people and I don’t adopt the sick role very easily, so I get accused of not following my own advice…

    Most powerful experience? I have been privileged to occasionally save a life and that is a powerful kick every time. Also, I can never forget the times I went out to help rescue people from under London Underground trains while working at the Royal Free. My powerful experiences have been overwhelmingly positive, and the tragedies I have witnessed have been easier to bear because of the wonderful camaraderie that is common among A&E staff.


    Featured Image Source: Photo is the property of Robert Cocks, used with the permission of Robert Cocks

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • This is an account of jeramedic, a young paramedic living and working in the United States. He is not a seasoned paramedic of forty years, bitter with experience about the  service, but nor is he a green recruit fresh out of training with no stories to tell. He is in a grey area in between those extremes, hardened by those experiences he has had but still proud of his profession.

    Attributed to Jeramiah Bush, used with the permission of Jeramiah Bush

    I thought I should write something that would be both personal, and general to the industry. Something that gives you, fine reader, a glimpse at what it’s like. So first off, a bit about me, and where I work. You know, just so we can get to know each other. I am a Paramedic in America, and at this moment, I am twenty six years old, and have been in EMS for six years. I work in Los Angeles, which is a very, very large and diverse place. If your only understanding of L.A is what you see in the movies, then you may think it’s just Hollywood, the beach, and gangs… Well you’re wrong. L.A county is so much more. The population is pushing 10 million. And in a area of 4,083 square miles (10,570km2) there is enough room for 8,000 foot mountains, miles of coastline, desert, a skyscraping metropolis, and people and cultures from around the world. Or yeah, and Hollywood. It is a truly unique place to live and work.

    This job is like no other. It takes a certain kind of person to willingly go through the process, and sacrifice of training, hiring, and of course actually doing the job. It is one of those things where you have to enjoy every part of it. If you enjoy it, and it suits you, then it will be the best job you will ever have, and the idea of doing anything else is just ridiculous. But if it’s not for you. It’s the worst.

    This is not a heroic job, although it may look that way. This is a privilege, this job is also about trust. Where else could one work, where a parent would give their sick or injured child to two strangers in a van? That’s trust. And it is the privilege that people give us to protect them. You see things that most will never see, or never want to see. In one shift you can deliver a baby, and then witness death. You will see the very best in human compassion and love, and the very worst of violence and evil. All in a day, and the go back to your home, as if nothing happened.

    It is the misconception of many that this job is full of pain, drama, and tragic accidents. And yes, terrible things do happen, but not every day. Most calls are minor accidents, or people feeling ill. Not every call is for a bus of children that crashes into a puppy rescue that’s on fire.

    In the U.S, EMS has an interesting history, and is thought of differently then in other parts of the world. Here, I lovingly say that we are the bastard child of healthcare, and the foster child of the fire service. We fight for identity and recognition. We are Paramedics, which means we practice Paramedicine, which is medicine. We are not ambulance drivers. Just as Police officers are not police car drivers.

    We are trained and educated professionals, that are expected to act in a moments notice, and in a matter of minutes, ask a few questions, and fuss about with your body, and are to know exactly what’s wrong with you, and how to fix it. And all at 4am. And you know what? I am proud to say that is exactly what we do. That is one my favourite parts of the job. Is being the first one there, and being able to really make a positive impact on someone.

    Some like the job because they feel it is a way to give back to their community. It’s now only recently that I have been interested in working in the same area I live. For years I have had about an hours drive to my station. It meant work was left at work, both mentally, and geographically. The drive into work gave me time to prepare for the shift. And equally time to reflect, and decompress on my way home. After working in the same area, for any length of time, streets and buildings can start to collect ghosts. Having that separation was one strategy to avoid bringing the ghosts back home.

    But for all it’s drama and stress. For all the sleepless nights. For all the danger, and absurdity. It is in this job that I find meaning, experience, adventure, entertainment, and family. The pay is just a bonus. Now how many careers can you say that about?

    Have you got experiences you would like to share? tweet as  @helloemergency


    Featured Image Source : Photo by Jeramiah Bush, Used with the permission of Jeramiah Bush

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • Over the last three years (from January 2008 to October 2011), there were over 5,000 injuries to London Ambulance Service workers. That’s an average of over 100 a month.

    This is all according to data released under a Freedom of Information request by Nick Stylianou.

    The largest number of reported injuries was in December 2010, with 160. The late summer months appear to have the lowest number of reported injuries, with June 2009 having only 77 incidents.

    More than 26,000 days have been taken off work due to these injuries – over 71 years’ worth of time off! On average, for every month worked over the reported period, a month and a half is taken off as a result of injury.

    A total of 503 days have been lost due to injuries involving assault on workers.  That’s over a year of time off work because of attacks to ambulance staff.  Over half of those days are categorised as ‘miscellaneous assault‘ with a third involving injuries to the arms, wrists and hands.

    General injuries while on duty are unsurprisingly dominated by back problems – most likely down to lifting heavy patients or equipment through awkwardly-sized spaces. The popular Health & Safety briefing to ‘lift with your legs’ might be to blame for the 15% of days off due to assorted leg injuries.

    To see these stats broken down by ambulance station, and to see how many ambulance workers were injured near you, click here.

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • Speaking to people who have spent years in the emergency services has made me wonder how many of them got started. Paramedics for example, how exactly does one become allowed to drive in an ambulance and how long does it take? Here is what I have found.

    First and foremost, what does a  paramedic actually do? I mean officially what is this job description? We’ve seen the movies where someone is getting paddles out or driving off in ambulance but what else does the job entail? According to the NHS paramedics are ‘senior ambulance service healthcare professionals at an accident or a medical emergency’. Ok fair enough, but what how does one become a ‘senior ambulance…professional’. The answer is… with difficulty.

    Originally, those who wanted to go into the ambulance service could work their way up through work experience and additional training eventually going from ambulance technician to paramedic. However, this route isn’t possible anymore.

    If you want to be a paramedic you now have to secure a student paramedic position with an ambulance service trust, or attend an approved full-time course in paramedic science at a university. You also need (shockingly) a valid drivers licence and to register with the Health Care Professions Council.

    The amount of things you can study as a paramedic is also huge. According to The Complete University Guide website. Studying to be a paramedic can include

    • Biosciences
    • Pharmacology
    • Psychology and Communications
    • Ethics
    • Law
    • Social Sciences
    • Health Promotion
    • Medical Design
    • Technology
    • Clinical / Professional Studies
    • Clinical Skills and Behaviours
    • Applied Anatomy
    • Applied Psychology
    • Structure and Function of Contemporary Health Services
    • Driving Emergency Service Vehicles
    • Accident and Emergency Care
    • Managing and Facilitating Appropriate Options for Patients
    • Managing trauma and Environmental Emergencies
    • Recognising and Managing Illness
    • Maternity and Paediatric Care
    • Pathophysiology
    • Practical Placements can make up up to 40% of the course

    Courses vary in length from 8 months to four years.

    There is no obvious top 5 guide to which place is the best to go to study to become a paramedic. But as far as I can see one of the most highly sought after places in St Georges University in London. This is largely due to the fact that the course works in conjunction with the London Ambulance Service (LAS) and LAS is the place to work to become a paramedic.

    For more details on how to become a paramedic look for part 2.


    Featured Image Source: http://en.wikipedia.org/wiki/File:Star_of_life2.svg, Star_of_life2.svg belongs to Verdy p, the image has been used with the permission of Verdy p through a wikimedia creative commons licence

     

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • In our Hello, History series, we turn back the clock to look at significant periods for the emergency services.

    Laura Blott is an MA student in Public History at Royal Holloway, University of London.

    She’s agreed to take us on a whistle-stop tour of The Royal London Hospital during the Second World War, detailing the impact of the Emergency Medical Service from 1939 to 1941.  Catch up on Part 1, Part 2, Part 3 and Part 4 – this is the final part!

    Although the Emergency Medical Service arguably aided ‘The London’ in its ability to treat the most necessary cases, there was much comment concerning the disruption it caused the medical school in particular and other departments such as dentistry, in continuing its work.  The panic and quick dispersal of staff and students did little to aid teaching comforts.

    When the ‘War Stations’ notice was sent out, many of the pre-clinical students were scattered about – some were on holiday, some at home, some in the hospital grounds. Within days they had been relocated to St Catherine’s College Cambridge which was a remarkable achievement. However, once there, “The main advantage of living in College was that one could use the common-room. When the Cambridge students came up the privilege was withdrawn. Since then we have been without a Common-room.”

    As students were separated, the quality of learning could not be guaranteed. Perhaps the only benefit to come from the reshuffle of war was that lecture demonstrations at ‘The London’ changed. Lectures now took place in the Bearsted Lecture Theatre rather than at the bedside, in place of the familiar ‘public ward rounds’. In their Editorial, Miln and Haggie commented that, “Although nobody would advocate the teaching of clinical medicine rather than by the bedside, in this special case advantage is gained by transfer.”

    It took time for the transferred departments to settle as it was not just staff who were scattered but equipment also. “All the equipment (bodies, bones, coat lockers etc.) was brought from ‘The London’ in a lorry” but with over forty hospitals to receive equipment this also presented a struggle. The nurses found this a particular task as they were responsible for getting each hospital in order and ready for contingency. They found that equipment, “was most difficult to obtain and tended to foster a ‘beg, borrow, or steal’ attitude to meet immediate necessities.”

    An example of those who found the sector hospitals of the utmost importance were those who dealt with the complicated arena of head injuries and the most complex of operations. D. W. C. Northfield noted that they needed quite surroundings and surgical supervision over a long period of time. This was something that could not be provided by, “the hospitals in the centre of London, which, it is supposed, will bear the brunt of enemy aircraft attack.”

    The impact of the Emergency Medical Service on the health services of The London Hospital was great. Without the EMS, ‘The London’ would not have been able to respond to air-raid casualties as effectively as it did.  Although ‘The London’ received fewer casualties than expected, it was still a significant number.  The bombing raids came infrequently and some for nights at a time.  So many places of significance were hit that the casualties were major and frequent. ‘The London’, because of its location, was arguably one of the most important to its country during the period 1939 to 1941.

    The London Hospital did not escape attack itself and the evacuation of as many patients as possible did the civilians a great service. It reduced the risk of many hundreds of lives being lost.  The numbers of evacuated staff and equipment was great and it was the Emergency Medical Service that allowed the administration to adjust carefully and accordingly. Without it, the hospital would have been a disorganised mess with a complete misallocation of vital resources.

    The EMS relieved a financial burden that would have hung over the hospital as it received funding from the Ministry of Health. It also created a stable plan for the introduction of the National Health Service that to this day, aims to help those most in need of medical attention with the greatest possible ease. This was very much the tradition of ‘The London’ – a voluntary institution that catered for the needs of the sickly poor. It was the staff of institutions such as ‘The London’ who were often the guardians of morale and who wore what must have been a burden as a simple duty.

    “We who are engaged in district nursing and public health service now have to undertake our greatest task. We are the army behind the fighting services. We may not be in the limelight, but we are the guardians of the morale of the civilian.”

    In effect, the Emergency Medical Service in Sectors I and II was ‘The London’ and it’s ‘sister hospitals’. The needs of the EMS were met by willing and able practitioners at ‘The London’. They were able to take on the task of planning and of implementing change effectively. The EMS challenged ‘The London’ to adapt services to meet the predicted consequences of bombing on London. ‘The London’ rose to the challenge admirably providing many pathways for a more comprehensive peacetime provision of health services nationally.

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • In the second of our  interviews with professionals from around the world, I spoke to  paramedic Jeramiah Bush, a paramedic from California about the stresses and strains of his job.

    As I switch on my computer and activate the Skype icon I have to confess I get a funny feeling in my stomach. I mean this is what I signed up to be a journalist for! Talking to people I would never normally meet. This guy comes from California, you can’t get further away and more exotic than that. Skype eventually switches on, I wait. The guy is late and I start to become a little impatient and I get more and more worried that the interview won’t happen. Eventually I hear a beep and an apologetic message from Jeramiah Bush about his teaching running late. I realise afterwards that he is teaching others how to save lives and I feel guilty for even getting annoyed. His voice and face finally appear. Jeramiah is young, younger than I expected. Tall, skinny and black hair we say hello and I look longingly at the beautiful sunshine also coming through across Skype ( it is wet and cold in England). As I moan about English weather he laughs and we begin to talk…  

    What is your most powerful positive experience of being a paramedic?

    I think my first cardiac arrest save. It was like you were dead when I got to the scene and by the time I got to the hospital you were alive again. There have been a lot since then and hopefully many more but the first one always stays with you.

    What is the most difficult thing about being a paramedic?

    For me its mostly a sleep thing, you work  12 hour shifts. When you’re working at the station there are beds set up so you can catch some sleep you know if the city doesn’t need you or anything but it gets difficult because you don’t live an ordinary life.

    What’s the most satisfying thing about your job?

    I think its one of the few jobs where you can feel like you have really achieved something. You actually saved someone’s life, its not just a repetitive task .

    Do you ever manage to switch off from your job?

    Initially when you’re first in training you can’t because you bury your head in your studies and that’s all you think about or you just itching for a chance use your skills. But when you’ve got a few years under your belt, you learn how to switch off.

    Having said that you do start to recognise certain medical conditions or signs of them, I’ll be walking along thinking that person looks like a diabetic or that person has good veins, they would be an easy IV.

    As he as utters  the words IV a loud set  of barks  come across the speakers and I cringe. Jeramiah apologises saying its the dogs , I smile thinking clearly these guys want to get in on the interview. After much shooing away from Jeramiah continues on 

    Have you ever had to help in a medical situation outside of work?

    Sometimes, I’ve found that I’ve stopped at road accidents sometimes not so much because I’ve wanted to help but because they were blocking the road. I’ve tended to find that I can’t actually be much help outside of work because I think ‘I haven’t got any of my equipment with me and so I can only do a really limited amount’. You also find that you get to know certain areas and you think oh its fine, Jeff is on the way and she or he will be ok.

    The dog’s evidently agreed profusely with Jeramiah at this point judging from how loudly they were barking!

    Do you have a life outside of work?

    I do actually manage to have a life outside of work but I know some of my colleagues have problems with it. It’s hard purely on a practical level because they ( other paramedics) are sometimes the ones who happen to be around or awake!

    Weirdest call?

    There was one where we called out to a young woman who was on a highway and when we pulled up to her she was dressed in her nightgown and wasn’t obviously hurt but insistently told us that she was walking to New York, not only was she walking the wrong way down the highway but looked she had some serious problems. Anyway we ended up staying with her until the police came.

    My last question is an awkward one but something I feel like I have to ask. 

    What is your worst call? 

    I remember there was a stabbing of some teenagers. What had happened was these fourteen year old boys were walking home from a baseball game I think and a random guy tries to attack one of them and another kid jumps in front of him and got killed. It sticks in my brain because they were so young, two ambulances turned up and I went with the kid who had fairly minor injuries and he kept asking me is my friend ok? Is he ok? I answered him saying he’ll be fine… but I knew that he had died and I had to keep lying to him…that sticks with me….

    There is a silence as he tells me about the teenagers. But luckily it does not last too long. Jeramiah says I hope that helps and I thank him for his time and we say goodbye. My last words to him are something along the lines of enjoy the lovely California weather and then it is over.  


    Source of Featured Image : Photo by Jeramiah Bush, , used with the permission of Jeramiah Bush

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • In our Hello, History series, we turn back the clock to look at significant periods for the emergency services.

    Laura Blott is an MA student in Public History at Royal Holloway, University of London.

    She’s agreed to take us on a whistle-stop tour of The Royal London Hospital during the Second World War, detailing the impact of the Emergency Medical Service from 1939 to 1941.  Catch up on Part 1, Part 2 and Part 3!

    The shock of the attacks in September prompted a hurried evacuation of as many patients as possible.  Attacks were not just focussed on the docks but on London itself. On the 7th of September 1940, a bomb was dropped very close to ‘The London’,

    “A bomb fell at the end gates. Away went the windows of the long facade, and the great Elliot clock face, which told the time for one-hundred-and-eighty-three years, became just a large cavity.”

    ‘The London’ had its own physical problems as well as having to deal with the large number of casualties that began to pour in. The raid continued throughout the night and luckily, although the Alexandra and Luckes nurses’ homes were hit, no-one was hurt and the fire was quickly extinguished. Clark-Kennedy recalls how, “Water had got into the gas pipes and breakfast the next morning was cooked on a battery of primus stoves.” The efforts of The London Hospital staff did not waver and the spirit displayed was invaluable to those who were injured in the attacks. ‘The London’ had played its part in the Battle of Britain which eventually repelled the Luftwaffe.

    While such raids were being carried out, it was difficult to resume the practice of evacuation under the Emergency Medical service. In a nurses review of air-raid casualties in 1941, ‘old Londoners’ were told of the interrupted routines, “We planned that the patients be brought in on the now familiar green wire stretchers, splints applied, tea and perhaps cigarettes distributed; and then outside there would be many Green Line coaches waiting to convey these very ill and badly injured patients to the sector hospitals; meanwhile, the air raid would be in progress and travelling by road most unsuitable and dangerous.”

    Longer nights and shorter days favoured the German bombers so keen to damage the East End of London. Raids continued through the winter of 1940 with many bombs falling in the Whitechapel and Aldgate areas as well as on the hospital. One bomb, “had fallen through the roof, exploded on the concrete floor of the dissecting room – even empty of dead bodies – and blown the bacteriology department to pieces.”

    Students’ hostels were hit as were the gardens and even St Peter’s Infirmary which resulted in patients being transferred to, rather than from ‘The London’. There were several serious events during 1941 including damage to The London Chest Hospital, and Mann’s brewery but the London was always there to cater for the sick and injured. It is a miracle that ‘The London’ survived to the extent that it did considering its location. A further miracle was perhaps Hitler’s change of focus away from the destruction of London and towards the invasion of Russia in May.

    Although major challenges had been thrown at ‘The London’, it had, in fact, reigned supreme as a medical service. It had coped with being hit eight times with high explosives, two fires had been caused by incendiary bombs and still none of the staff from surgeon to ‘scrubber’ had been seriously injured. ‘The London’ had admitted one-thousand-one-hundred-and-thirty casualties and although this was a lot less than was anticipated prior to the war, it was nevertheless a grand case to deal with. The sector hospitals no doubt helped to relieve ‘The London’. Many serious casualties had been transferred for safe treatment.  The reduced number of beds meant that not only were patients in safer surroundings but that the hospital also benefitted financially as the ministry paid for all Emergency Medical Service beds used throughout the war.

    As much as ‘The London’ was being knocked down by bombs, it was still on its feet and prepared to do what was necessary to improve the health of the suffering in East London and beyond to Sectors I and II. Horace Sanders very aptly commented on the attitude of ‘The London’. He wrote, “The physical aspect of The London is changed today by war, but its spirit is unchanged. Today with most of its great staff dispersed to other hospitals and centres, together with much of its wonderful scientific equipment, the hospital, dressed in its black-out clothes, stands in readiness…to receive civilian casualties.”

    Part 5 will be published next week!

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • In our Hello, History series, we turn back the clock to look at significant periods for the emergency services.

    Laura Blott is an MA student in Public History at Royal Holloway, University of London.

    She’s agreed to take us on a whistle-stop tour of The Royal London Hospital during the Second World War, detailing the impact of the Emergency Medical Service from 1939 to 1941.  Catch up on Part 1 and Part 2!

    An observer wrote a detailed account of the evacuation for ‘The London Hospital Illustrated’ detailing the professionalism of the staff. It evidences the great effort put into planning such an operation. The evacuation began at nine o’clock on September the 1st and, “The work of evacuation was completed by five-thirty pm. There were no untoward incidents, and whether on a stretcher, or in a wheelchair…patients bore their journeys very well.” There is reason to believe that ‘The London Hospital Illustrated’ might be particularly kind about the operation, but the detail  behind it is enough to convince one that it did, in fact, go to plan unhindered. Coloured labels were attached to the diet rack above each patient’s head in order to categorise them according to evacuation. In addition, “one-hundred-and-fifty patients were taken to a railway terminus where ambulance trains awaited them. At the station, doctors, nurses and stretcher-bearers received the evacuee-patients, who were conveyed by rail to an inland town.” Not only did evacuation by rail occur all in one day, but thirty students accompanied by four doctors transported a further one hundred –and-fifty patients by motorcar while, “Under the supervision of two or three doctors a company of fifty students from the Medical School began to take stretcher cases from the wards, and then to wheel them on trolleys through the great quadrangle to the waiting bus-ambulances.” Three-hundred-and-fifty patients were dispersed in one day’s efforts which was a very commendable act performed by the staff and students to ensure that the evacuation to Sectors I and II went according to plan.

    With fewer beds but no greater ‘emergency demand’, it seemed sensible to those at ‘The London’ that they might open the out-patients department on a much larger scale. The number of beds was reduced and many dispersed to sector hospitals found that only part-time work was necessary and that they might continue their ward rounds back at ‘The London’ itself as more patients began to trickle back to Whitechapel. The emergency of war that the Emergency Medical Service had been created for was, in reality, not particularly visible until the July of 1940.

    ‘The London’ had been encouraged to expect war during 1939 and many personnel were dispersed as the sector governor and ministry deemed fit. It caused particular problems for the medical school whose students were far flung and without the necessary facilities.  It was becoming clear that the mass evacuation to cater for air-raid casualties was not immediately necessary to solve the problems at hand. The sick and poor of East London still relied greatly on the services provided at ‘The London’.

    In an interview with ‘The London Hospital Illustrated’, Sir William Goschen, Chairman of The London Hospital, understood that:

    “We were required to close the Hospital and Out-Patient Department for a time when war came, but the needs of the civilian sick were very real: and soon we were permitted to re-open. Remedial work, therefore, continues in a limited way, and I know, in the case of the very poor, it has been a God-send to them.”

    As the article continues, Sir Goschen defends ‘The London’s’ scaled back services. He prepares readers for the reality of an attack on London. He states, “Only one-third of the Hospital, under war conditions, is now available for urgent cases for which we keep open a certain number of wards.” Goschen continues to describe the current state of the Hospital, “Our once large staff now consists of only thirty doctors and about one-hundred-and-forty sisters and nurses. The rest are scattered among numerous other hospitals in two counties. Other wards are stripped, or else are in readiness, fully equipped, for civilian casualties.”

    The London’s’ Chairman and advocates of the Emergency Medical Service were right to have taken precautions. Although attacks were not immediate, they came in full force once the Luftwaffe began a full-frontal raid on London and its resources. By the 6th of September 1940, the Luftwaffe attacked in broad daylight with a force of two-hundred bombers. It is then that the sector hospitals served their purpose. As a consequence of the attack, casualties were admitted and, “So much water, too, had been used for putting out the fires that the hydraulic lifts went out of action and all patients were carried down to the ground floor.” ‘The London’ had to stand to attention tending to casualties and coping with the difficult circumstances that war posed. So much of the hospital’s resources were used that day in September that, “Orders were issued to the effect that, if further casualties were admitted during the night, a corresponding number of patients must be evacuated.” The Emergency Medical Service was finally to come into its own and relieve, as was to be expected, the efforts of ‘The London’ and keep its casualties safe.

    Part 4 will be published next week!

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • @Secret_Medic kicks off our debate over Channel 4’s new series, Party Paramedics:

    2011 saw a slew of stories about what we call “alternative care pathways” for those a little more inebriated than they had intended. For a while I was beginning to think the London Ambulance Service booze bus had its own media team with it at all times!

    But thankfully that is over no-….oh, not quite.

    The first episode of Channel 4’s three-part Party Paramedics series was set in Colchester – a notorious party town where a bus has been equipped to deal with the weekend casualties of the UK’s binge culture. The SOS bus parks up in the town and helps give advice, look after and sober up a few of the revellers. It is manned almost (if not totally) by volunteers.

    I should preface my comments by saying that volunteer groups such as St John’s and The Red Cross do some fantastic work. And the volunteers on this programme should be commended for going out on a Friday or Saturday night, giving up their time and helping what most people (and not just Ambulance staff) would see as money draining time wasters who have gone too far in the name of forgetting their 9-5 working week. However it appears that none of these people was a Paramedic and this is where the issues began for many people who work in the Emergency Medical Service (to use an American term).

    For those that don’t know, the title of ‘Paramedic’ is a protected one. This means that no one can legally call themselves a Paramedic without being registered as one. In the UK you must be registered with the Health Professions Council after around three years of training.

    Paramedics are able to perform procedures that previously would only have been done in hospitals and manage to perform those procedures often very effectively in a heated, uncontrolled environment. For any junior doctors struggling to put in a cannula, try putting one of your first in, in the middle of the street with a crowd of a couple of hundred watching while you, your crewmate and a responder try and revive a patient in cardiac arrest! And more often than not, it gets done and done right.

    For this reason I think it was a bad start for most of us ambulance folk to see these people working under this title and it was an ill-advised choice by Channel 4. We shall see whether they rectify this with the next two programmes.

    The first episode was a mix of the good and bad. It was lovely to see many caring, nice people looking after the drunks for no reward and I think this shone through the program. Initiatives like this are vital in the modern world, because these people would have otherwise called ambulances taking away the vital resources from someone seriously ill.

    But despite this heart-warming act of charity, I have some real concerns. Let’s assume for now that what we saw wasn’t heavily edited, as I cast my critical medical eye over these practitioners. There were two key cases where I disagreed with the course of action taken:

    The first incident was where a lad had been bitten. It looked fairly superficial, and in fairness after some cleaning there is little else that can be done with it. The patient was sent home with advice to go and see his GP the next day. This might seem like reasonable advice, but there are some issues with this.

    Given he had been drinking, will he remember the advice? And will he care enough to go? If I take a human bite to Accident & Emergency they will often – if not always – be given a tetanus shot.  This is due to the very real and dangerous risk of contracting tetanus. The advice should have been for this guy to go straight to A&E, even if they don’t take him there themselves.

    The second issue came from the unconscious “Oompa Loompa”. I would say there is a very real chance this guy was on a substance other than alcohol. If you watch it again on 4oD you can fast forward to the part when he states he is an “Oompa Loompa on [PAUSE] alcohol.” The pause in that sentence is potentially very telling.

    After the collapse, he is taken aboard the bus, but he is clearly confused. He doesn’t know where he is, doesn’t have a good grasp of simple information and in my professional opinion I don’t think this was simply drunkenness. The patient struck me to be in a similar state to what we call  “post ictal”. This is a state of confusion after having a fit or seizure and is usually temporary. It takes a varied amount of time for people to come round and regular fitters will normally recover and make their own way home.

    But he had not recovered and was being left in care of another drinker to go home with the same advice to perhaps go to his GP. This is flat-out wrong.

    It would be nice to know if they checked his observations thoroughly, as well as how much they know in terms of interpreting those observations  I will now give a quick list of possible reasons off the top of my head for why he could be like that: alcohol, drugs, seizure, diabetes (high or low blood sugar).

    I’m sure a Doctor could give you a few more and for this reason that patient should have been conveyed to A&E.

    My feelings on this kind of service are mixed. It is a marvellous service if done right. But I would have it run by a health care professional at all times, because although 999,999 out of a million times there will have been no issues, that one time they get it wrong (and I mean really wrong) it will jeopardise services like this across the country.

    The media’s love of the booze bus could quickly turn to a hate for untrained staff treating people that need serious medical help.  Channel 4’s programme highlights how easily an innocent documentary can turn against an otherwise good idea.

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • In our Hello, History series, we turn back the clock to look at significant periods for the emergency services.

    Laura Blott is an MA student in Public History at Royal Holloway, University of London.

    She’s agreed to take us on a whistle-stop tour of The Royal London Hospital during the Second World War, detailing the impact of the Emergency Medical Service from 1939 to 1941.  Catch up on Part 1!

    The government, and it’s associated ministries at the time, had failed to consider what might be done about the provision of coordinated emergency services to cope with air-raid casualties until late-1938.

    In response, ‘The London’ formed a committee chaired by senior surgeon Russell Howard to undertake localised emergency planning. ‘The London’ was exceptionally close to the industrial East End docks, which meant that it would be under significant threat from the Blitzkrieg.  Fire-fighting squads were organised by this committee, using the medical students and porters.

    London was to be divided into ten administrative sectors, radiating from the centre of London, which was estimated to be Charing Cross.  Senior consultants were appointed as group officers who could advise the ministry on the synchronization of all the voluntary and municipal hospitals in their sector.

    These consultants were also responsible for the deployment of the staff, from the voluntary hospitals within the sector, into a salaried Emergency Medical Service. The appointment of these group officers meant that, although they had no executive power, panicked minds of London civilians concerned by air-raid casualties were put to rest.

    Sir Ralph Wedgwood (chairman of the Formation Committee of the League) in particular called for the speeding-up of air-raid provision measures. In 1939 he suggested in ‘Nursing Illustrated’ that, “Saint Thomas’ and Westminster are close to Battersea Power Station, which will be a target. Others are fatally close to the Thames. It would be much more sensible to establish a ring of casualty stations on the outskirts of London, to which the injured could be quickly transported.”

    Administrative Sectors

     

    ‘The London’ was entrusted with sectors I and II, which encompassed East London, Essex, along with parts of Middlesex and Hertfordshire. Russell Howard was appointed group officer and, together with the help of A. E. Clark-Kennedy, embarked on the great task of researching the grand list of hospitals presented to them for the area.

    These hospitals would provide for air-raid victims and evacuees whilst also being the new workplace of the voluntary staff evacuated from ‘The London’. This was by no means a quick or easy task.  Sectors I and II were the largest sectors and were expected to be covered by one hospital – ‘The London’.

    The Emergency Medical Service (EMS) had a dramatic effect on ‘The London’ Hospital.  A. E. Clark-Kennedy spent much of his time vetting the different hospitals in sectors I and II. As a consequence of the introduction of the EMS, ‘The London’ was required to expand into the sector hospitals.

    These hospitals were not ready for war and many had previously provided basic local services, or services for the chronically ill. Although many of the voluntary hospitals in the area would continue their work with little alteration, ‘The London’ was presented with the sensitive task of taking over the one time poor-law infirmaries, which included two large fever hospitals that would provide a large reserve of beds for casualties. There were also general and county mental hospitals in Essex and Hertfordshire that were expanded and this new responsibility fell entirely to staff at ‘The London’.

    The Ministry provided the funding for EMS beds and other necessary services as well as doctors salaries but ‘Londoners’ themselves carried out the practical planning. These preparations were all made in the early months of 1939. By July 1939, it was documented in the magazine ‘Nursing Illustrated’ that, “with regard to the transport of personnel and equipment, arrangements were being made with the London Passenger Transport Board for the provision of sufficient ‘Green Line’ coaches to convey nurses and other personnel who had to be transferred from central London”.

    It was also arranged that each sector would have six five-ton lorries at their disposal throughout the emergency. The EMS would be a necessity to the survival of the medical services throughout the War.

    Although war had not struck yet, some began to realise that changes at ‘The London’ made a significant impact on – as Clark-Kennedy said in his prize-giving speech at the college in June 1939 – “the permanent structure of the country, and…in making preparations for war, we are laying the foundation of a more efficient system in place.”

    This was something that ‘The London’ proved as the end of the Second World War gave birth to a new Emergency Medical Services system and the establishment of what would be known as the National Health Service.  Perhaps the greatest impact of the EMS on The London Hospital would be in developing a blueprint for health service provision on a national scale.

    As soon as a declaration of war seemed imminent, the implementation of the EMS and major evacuation process was underway. Buses and trains were converted into ambulances and there was a real sense of teamwork and professionalism as the dispersal of at least 350 patients a day began at ‘The London’ on 1st September 1939.

    Part 3 will be published next week!

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • In researching the front-line lifesavers for this site, I came across this Guardian article about Health & Safety regulations for emergency services.

    It’s not something one thinks of straight away, is it? In practice it makes total sense: a dangerous job needs a set of rules to keep staff safe. But has it gone too far?  Policemen prevented from jumping in rivers to save drowning members of the public – what kind of emergency lifesaving is that?

    But are these rules really necessary for people to stay out of harm’s way? Can emergency services personnel be relied on to make an independent judgement call when the stakes are so high? Or is that simply what they’re trained to do?

    I think that Barbara Ellen is right – an emergency services hotline is not a bad idea. Huge burdens are placed on emergency service workers, lives literally depend on them, – the staff may need the advice of someone detached from the situation once they get to the scene. Obviously a change in policy cannot completely wipe out human error but it is possible to make sure that fewer people die in agony because of red tape.  What do you think?


    Featured Image Source : http://commons.wikimedia.org/wiki/File:Paramedic.jpg, the image belongs to Ypy31 Used with permission of Ypy31 (Own work ) [Public domain], via Wikimedia Commons

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • In our Hello, History series, we turn back the clock to look at significant periods for the emergency services.

    Laura Blott is an MA student in Public History at Royal Holloway, University of London.

    She’s agreed to take us on a whistle-stop tour of The Royal London Hospital during the Second World War, detailing the impact of the Emergency Medical Service from 1939 to 1941.

    The Royal London Hospital was founded in 1740 by a group of philanthropists led by a 22 year old surgeon, John Harrison. It was once Britain’s largest general hospital and has been located on its present site at Whitechapel Road, since 1757. The hospital has been a teaching hospital since 1785 and was granted a Royal title by Her Majesty the Queen in 1990 on the hospital’s two-hundred-and-fiftieth anniversary.

    ‘The London’ proved its professionalism during the Second World War.  Its staff successfully helped to organise the implementation of the Emergency Medical Service to the north and east of London. The London Hospital saw the mass evacuation of its patients and staff to sector hospitals outside of the city and into less targeted areas.

    Throughout the period, however, the essential departments such as midwifery, accident and emergency as well as outpatients remained open at ‘The London’. Although the hospital suffered damage at the hands of the Luftwaffe during The Blitz, ‘The London’ still continued to its very best to provide excellent services for those in need. This was by no means an easy task.

    Although the Emergency Medical Service had been established, it was difficult to know just how relieved the hospital would be and what challenges the Second World War would hurl at ‘The London’ and its staff.

    Part 2 will be published next week!

  • 24hrs in A and E Episode 1
  • A homelessness emergency
  • Ambulance Injuries: mapped!
  • Ambulance staff: 100 injuries a month!
  • Cutbacks to the Police – Front line officers face the axe
  • Exercise Forward Defensive: Audio Slideshow
  • Flying To The Rescue
  • Hello Guides : How To Be a Firefighter Part 2
  • Hello, Emergency Services…
  • Hello, Guides: How to be a Firefighter Part 1
  • Hello, Guides: How to be a Paramedic (Part 1)
  • Hello, Guides: How to be a Paramedic (Part 2)
  • Hello, History: The London (Part 1)
  • Hello, History: The London (Part 2)
  • Hello, History: The London (Part 3)
  • Hello, History: The London (Part 4)
  • Hello, History: The London (Part 5)
  • Heroes and Heroines
  • It’s mostly a sleep thing
  • Keeping Tabs On The Men
  • Met Commissioner at City: Live-Blog!
  • One Born Every Minute
  • Only 4%
  • Over 300 volunteers
  • Recruitment and Saving the Clipper
  • So you want to be Sarah Lund…well you can’t!
  • So you want to be Sarah Lund?
  • The Birthday of 999
  • The Cost of Safety
  • The Emergency Services and Comedy
  • The Emergency Services Christmas Prayer
  • The Hillsborough Disaster
  • The Hillsborough Report
  • The London Safety Plan
  • The pay is just a bonus
  • The Privatisation of the Police Force?
  • The Stories of Working Firefighters
  • Volunteer Fire-Fighters
  • Who you calling a Paramedic?
  • Women In The Force?… What A Notion!
  • …which service do you require?

    Are you a member of the Police, the Fire & Rescue or the Ambulance services?

    Or perhaps you’re one of the rarer breeds – bomb disposal expert?

    If you’re not a member, you might not know that there are a lot of roles that make up the front-line emergency services we know and love.  Ever heard of a BASICS doctor or know what they do?

    Here’s where you find out.

    We want to be an interactive community, so please feel free to send us audio, video, photographs and your guest posts. Even if it’s a thought or suggestion, we’d love to hear from you.

    Here are three central themes to begin with to give you an idea:

    • What the job means to you… (stresses, strain, satisfaction!)
    • What kind of a community you have within your working life… (do you socialise with them outside of hours/are you close?)
    • What the role means to you & the future… (do you always feel ‘on duty’ when you’re walking down the street? Have you been on the receiving end of your own service?)

    Email either Nick or Elie direct, or fill out our lovely contact form.  And don’t forget to keep commenting!

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