other people's emergencies: random thoughts of an urban paramedic

For more than twenty years I've worked as a paramedic for the city of Boston, Massachusetts. The opinions expressed in this diary are mine alone, and do not represent the views of Boston EMS. Names, dates, locations, and physical characteristics have been changed to ensure patient confidentiality.

Thursday, August 30, 2007

Loss

I woke up this morning to a call from a coworker who told me about the fire in the West Roxbury section of the city. Two firefighters have died, and a dozen more have been taken to hospitals. The television stations are reporting, too, that a paramedic has been hospitalized. Initially it was described as an injury, but most of the reporters are now saying it was because of chest pain. Either way, I feel concerned. Firefighters, police officers, EMTs, and paramedics can die just as easily from a heart attack as from a bullet wound or smoke inhalation.

I did not work last evening, but hearing about this incident makes me wish that I did. That's a common response among people in emergency occupations, I suppose. One of my coworkers works as a part-time firefighter north of the city. If a fire breaks out when he's not there to respond, he gets frustrated, feeling as if he missed something exciting.

As EMTs and paramedics, we are the same way. You hear about a tragedy that occurred when you weren't around, and you wish you could have responded to it. That's why we went into this line of work, after all--to handle emergencies. And the greater the tragedy, the more you feel as if you have something to contribute.

This sets up an odd sort of paradox. None of us wants to see bad things happen to other people. None of us wants to see anyone else suffer. But when bad things do happen, we want to be there. So, in a sense, we're always waiting for the next tragedy, hoping to be around when it occurs.

I received another phone call just now, from someone who had come across a pair of Boston firefighters in a Dunkin' Donuts. She didn't know them, but she approached to express her sympathy about the deaths of their colleagues. Both men thanked her. One stood up and gave her an awkward hug. And right there on the shoulder of a stranger, he began to sob.

That's the kind of loss those guys and their families are feeling right now. It's heartbreaking, and in the coming days, it will likely get worse. There will be funerals to attend. It takes time for the sense of grief to set in.

I wish I could have been there. I wish I could have done something to help. But since I wasn't there, I can only do what so many other people are doing--hope that the families and coworkers of those firefighters find a way to cope with their loss. And that the paramedic and the injured firefighters recover.

9 Comments:

Blogger The Cole's said...

TS - I wrote to you yesterday after reading the article on Boston.com which took me to your website (re:gratitue). I am from Boston but I live in Albuquerque right now. When I heard about the fire this morning I was thinking of you and your family. My brother is a police officer and we hold our breath often when we hear these stories.

I hope you and your co-workers will be able to take a few moments to yourself over the next few days to reflect on this tragedy.

My best to you all!

5:33 PM  
Anonymous theshadowman said...

Your comment--

"None of us wants to see anyone else suffer. But when bad things do happen, we want to be there. So, in a sense, we're always waiting for the next tragedy, hoping to be around when it occurs."

--Puts into words what has escaped my tongue for many years. It is a feeling we all share, yet most do not understand. It is something I have tried to explain to those around me, including my wife, to no avail. Thank you and my sympathy goes out to those effected by the recent LODD @ BFD.

6:40 PM  
Anonymous maloof said...

An 89 year old friend is a retired firefighter from that firehouse. We were talking about the fire and the lives lost today. He told me that he wanted to condemn that building 35 years ago. He felt terrible that firefighters lost their lives and others were injured. "If only the chief back then had listened to me" he kept repeating over and over. I felt so bad for the poor guy.

9:16 PM  
Blogger TS said...

Thank you, both, for taking the time to write.

I can't tell from your comments whether either or both of you realize this, but Boston is unlike many cities in that it has never merged its EMS and fire departments. Many of our EMTs and paramedics have moved to the fire department over the years, and simply by working alongside the fire department each night, many of us have developed close friendships with BFD personnel. Also, many of our people have relatives who are firefighters.

Still, the fact remains that this is primarily a fire department tragedy, not an EMS one. I point this out not to distance us, but because I do not want to be construed as adopting their tragedy as my own. I feel terribly sorry about their loss, but I cannot pretend to be feeling the same kind of loss that they feel right now. Just wanted to make this clear.

If, in expressing your condolences, you were speaking with respect to the paramedic who was removed from the scene, or about the fact that we have ties to the fire department family, then I will say simply, "Thank you."

Shadowman, thank you for your kind comment about that post. I was actually quite nervous when I pressed the "post" button, because it's easy to misconstrue someone else's writing, and since the death of a close friend is a delicate subject, this was the one post I did not want anyone to misunderstand. I'm glad to know that you knew what I was talking about. Thank you, again, to both of you.

9:20 PM  
Blogger TS said...

Maloof:

That is both interesting and terribly, terribly sad.

Thank you for sharing.

9:22 PM  
Anonymous theshadowman said...

What I find so interesting is that while I don't work in the city (in suburban EMS only) I can relate to everything you write about. I know the meaning behind the things you write and I know that a lot of people won't. While I can't physically relate with some of the sociologically/geographically specific calls you face (where heroin overdoses / GSW's are commonplace) I feel as though I can relate 100% emotionally. I have felt what you felt and thought what you've thought in similarly stressful situations (based on your blog descriptions of course). Maybe my similar "supermarket diabetic" call was actually a state hospital patient complaining of chest pain (or just one of many Section 12's) but I can completely relate to your experience.

10:07 PM  
Blogger TS said...

I'm not surprised, really. The geography changes from one EMS system to the next, and so do the types of calls, but human nature remains pretty much constant wherever you go, and that's the common denominator.

11:15 PM  
Anonymous MichiganEMT said...

The same could be said for those whom we cannot save. I've been in EMS for a long time and I still feel like a failure when I lose a patient. We are trained to save lives. I understand that some things are out of our control and that people are going to die not matter what we do, but it is still difficult to take. Maybe I wear my heart on my sleeve, but I think this makes me a more effective EMT.

5:05 AM  
Anonymous MichiganEMT said...

The same could be said for those whom we cannot save. I've been in EMS for a long time and I still feel like a failure when I lose a patient. We are trained to save lives. I understand that some things are out of our control and that people are going to die no matter what we do, but it is still difficult to take. Maybe I wear my heart on my sleeve, but I think this makes me a more effective EMT.

5:06 AM  

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