Saturday, June 24, 2017


Sadly the EMT Paramedic oath I took many years ago said "I shall also share my medical knowledge with those who may benefit from what I have learned" It's missing from the new Code

Replaced with be nice on social media...



Professional status as an Emergency Medical Services (EMS) Practitioner is maintained and enriched by the willingness of the individual practitioner to accept and fulfill obligations to society, other medical professionals, and the EMS profession. As an EMS practitioner, I solemnly pledge myself to the following code of professional ethics:  
  • To conserve life, alleviate suffering, promote health, do no harm, and encourage the quality and equal availability of emergency medical care.

  • To provide services based on human need, with compassion and respect for human dignity, unrestricted by consideration of nationality, race, creed, color, or status; to not judge the merits of the patient’s request for service, nor allow the patient’s socioeconomic status to influence our demeanor or the care that we provide.

  • To not use professional knowledge and skills in any enterprise detrimental to the public well being.

  • To respect and hold in confidence all information of a confidential nature obtained in the course of professional service unless required by law to divulge such information.

  • To use social media in a responsible and professional manner that does not discredit, dishonor, or embarrass an EMS organization, co-workers, other health care practitioners, patients, individuals or the community at large.

  • To maintain professional competence, striving always for clinical excellence in the delivery of patient care.

  • To assume responsibility in upholding standards of professional practice and education.

  • To assume responsibility for individual professional actions and judgment, both in dependent and independent emergency functions, and to know and uphold the laws which affect the practice of EMS.

  • To be aware of and participate in matters of legislation and regulation affecting EMS.
  • To work cooperatively with EMS associates and other allied healthcare professionals in the best interest of our patients.

  • To refuse participation in unethical procedures, and assume the responsibility to expose incompetence or unethical conduct of others to the appropriate authority in a proper and professional manner.

Wednesday, June 21, 2017

NEED a Petition To Stop LMRFD Ambulance from Leaving the Fire District.

I don't understand how the LMRFD got stuck providing ambulance service for 2200 square miles. Dolan Springs and Meadview tax payers are supplementing the ambulance service to over 2000 square miles outside of our 144 square mile fire district.

We need to start a petition to keep LMRFD firefighters and the ambulance in the fire district except for mutual aid per mutual aid agreements.

If the people outside the LMRFD want ambulance service and fire service they need to join the fire district or start their own. 

When our only ambulance is at mile post 3 on US-93 for a dehydrated hitchhiker and your husband has a heart attack and dies a block from the fire station, don't you want to know why?

Does anyone even check on calls in Meadview? Half the town pays no fire tax, yet gets the same service. 

Either keep LMRFD resources in the LMRFD, or make the outlying areas like White Hills, Rosie's, the Chevron next to Rosie's and the first stop pay fire tax

It is not fair to have the poor community of Dolan Springs support 2200 square miles for EMS. 

No other Fire District in Arizona allows their only firefighters and ambulance to go 50 miles outside the fire district to make a couple bucks. I don't understand why the people in the LMRFD don't get it. 

Sunday, June 18, 2017

LMRFD Ambulance Crew Asks Sick Patient's If They Want Help To Their Car?

Is This A Common Practice? Has This Happened To You? If so PLEASE Tell Me...

A friend's wife called us about 5 AM one morning. Her husband was having trouble breathing most of the night and he was getting worse. When we got to their house he was sitting on the bed with his hands on his knees leaning over trying to breath. When I asked how he was doing, he answered in short choppy sentences because he was  so short of breath.

He wanted me to give him a ride to the ER in Kingman, but just walking about 10 feet to the kitchen table, he was having problems walking and became very short of breath as he reached the table and sat down.

I told him I wasn't comfortable driving him into Kingman in case he went into respiratory arrest. He said he understood because just getting hit with the cold outside air made it very hard to breath. I called 911 and a while later the LMRFD ambulance showed up.

The EMT and paramedic came in and did their assessment. Then the paramedic did something that really surprised me. He asked the patient if he wanted to help him to his car so someone could drive him into the hospital.

WHAT! Any EMT or paramedic I know would have told the patient they need to go by ambulance, and if they refused they would need to sigh a release saying they were going by private car against medical advice.or AMA.

If an EMT or paramedic allow a patient with a serious medical problem like respiratory distress to refuse to be transported after they have assessed the patient and are aware of the condition. If they don't have the patient sign an AMA release and the patient dies, they can be held libel.

I'm afraid this may be a common problem here in the LMRFD. As I was telling another person that the EMT's wanted to load this guy in a car and have someone drive him to the ER, they said that's what they did to my mom.

This time to LMRFD ambulance crew offered to load a frail elderly lady with a broken hip into her car. REALLY....

In my opinion the EMS personal could he held libel in both cases. All I can say is unprofessional.

Thursday, May 11, 2017

Subscription Service and a new Community Paramedicine - Treat & Refer EMS Program in Arizona

I think many people especially the elderly on a fixed income and those without health insurance are hesitant to call the LMRFD ambulance because they're afraid they will receive a bill.

The LMRFD web page under medical says this in big blue letters


Actually there are ways for the LMRFD to provide better care for our citizens, while still getting paid for their services, just not $1797.48 for showing up.

One way is a subscription service like the Golder Ranch Fire District has implemented an EMS Membership Program that has been approved by the Arizona Department of Health Services, that offers you protection from those fees. It will cover you and any other household members for ambulance transportation to the hospital for just $87.69 per household per year.

his means that Golder Ranch EMS Membership could more than pay for itself in one trip alone. The plan is available to all residents of Golder Ranch Fire District and the family members who live in the resident’s household. Golden Ranch Fire District

Also the Arizona Emergency Medical Services & Trauma System has a new Community Paramedicine - Treat & Refer EMS Program where EMS can respond treat the patient and not transport, they still get paid.

Saturday, April 8, 2017

EMS LMRFD Volunteers Wildland Fires and WHY?

Rural fire district volunteers provide a high degree savings for fire suppression and emergency services.

Many rural fire districts field a significant volunteer force, which yields a high degree of cost effectiveness for fire suppression and emergency services. They fill a need that otherwise cannot be provided because of budget constraints or long response times.

It's obvious to everyone but the LMRFD board that Dolan Springs and Meadview need volunteers for EMS calls and to support firefighters on calls.

Arizona law allows fire districts to train volunteers to the level the fire district and the volunteer are comfortable with. Why force someone who would be great at driving a fire truck and providing a tanker truck in less than an hour at fires, or driving the ambulance to take wildland firefighter training? We have basically grass fires in our area, not forest fires. 

The Prescott Fire Department's Wildland Division that lost the 19 brave wildland firefighters no longer exists as of November 2014. So why does the LMRFD require wildland fire training? 

Currently in a heart attack LMRFD EMT's can't care for the patient if CPR is required. It takes one person to do CPR and you can only do CPR for 15 minutes or so before becoming exhausted. It takes one person to watch the heart monitor and vital signs to give various medications, and of course it takes one person to drive the ambulance.

Three people can run a heart attack call, but four people are better as you have someone to relive the person doing CPR. We have some local people who weight 350 to 400 pounds. If they have a heart attack it's likely they will die where they fall because again, on some medical calls two EMT's simply can to what's needed to be done.

We need volunteers but to keep volunteers invested, you need to use them. We need a local CERT team with people trained to handle traffic, assist firefighters on fires, drive the ambulance and fire trucks when needed.

Someone needs to support the firefighters on any working fire. When it's 105 degrees, you can't work long in bunkers. We need CERT to do things like setup a cooling station, make sure they have cold water, and don't go down from heat stroke. Currently if both firefighters went down from heat stroke, who would call for help, and who would they call?

The LMRFD needs to allow people to volunteer as an Ambulance Attendant, they don't need to be an EMT or paramedic, just take an emergency vehicle operations course to be able to drive the ambulance so EMT's can treat a heart attack and at least give the patient a chance.

ARS 36-2201 #6 (b) An emergency medical responder who is employed by an ambulance service operating under section 36-2202 and whose primary responsibility is the driving of an ambulance.

The LMRFD needs to teach an EMT course. If I remember right our new fire chief is an EMT instructor so cost shouldn't be a problem. 
This would give us more than the two fire fighters in case of a major disaster. 

Without volunteers people will die, it's that simple. Why the LMRFD is so opposed to volunteers I don't understand.

EMS Fire Service and NO Volunteers

I don't understand why people in the LMRFD don't get upset when the firefighters their tax money pays to protect us go 50 miles away in the ambulance to make a few extra dollars.

What would people in Kingman say if their whole fire department headed to BHC leaving Kingman without fire or EMS protection. What are you going to say when our firefighters are in Kingman and your home burns down? Who is going to be responsible for the damage and deaths?

The LMRFD doesn't want volunteers.... I spent 3 days filling out the volunteer application and copied all my EMS and law enforcement certificates.. That was months ago and nobody ever contacted me to say hi, by, or thank you, not a word.... Anyone should be able to volunteer, it's our fire district.

People will die without volunteers, people have died without volunteers. Keep watching here for information on an upcoming news report on the fatal accident December 22nd on US 93.

Tuesday, March 7, 2017

$170,000 for a New Ambulance 2008 FORD F350 AMBULANCE TYPE I, 4X4, DIESEL 6.4L, LED LIGHTS, BLS STOCKED, ONLY 22K MILES,

Does the LMRFD have a 4X4 Ambulance?




.  4X4
.   ABS
.   KED


Monday, March 6, 2017

DEA responds after patients denied prescription pain meds

Has your pain management physician told you DEA has required he lower the dose of your pain medication? If so, your physician is lying to you!

If you lie to your physician they drop you as a patient, but what to do when your physician lies. Does the physician know the facts, or are they making things up? If your pain management physician is telling you DEA had mandated a dose reduction, it's not true.

These are links to what DEA is really saying. If your pain management physician lies to you use the articles below to call bullshit. Call the DEA Tactical Diversion Unit in your area and ask a diversion agent for the truth so you can tell your pain management physician. While your at it, give the agent your pain management physician's name.

DEA: Doctors and Pharmacies Responsible for Pain Med Denials

Saturday, February 11, 2017

Buying a New Ambulance or Used Ambulance

I see the LMRFD is looking at spending $140,000 to $170,000 of our tax dollars for a new ambulance. Add a stretcher supplies and a heart monitor and your close to $200,000 of our tax money.

Here's a used four wheel drive ambulance with 41000 miles, just broke in for a diesel. It's stocked and ready to go with stretcher  Basic Life Support ambulance for $21,900

Another ambulance with only 41,000 miles $21,900 BLS Stocked with stretcher

Here's a 2008 Ford Super Duty F-350 DRW for $19,700 BLS Stocked with stretcher 

Remember a new stretcher alone can cost $5,000 to $27,000 No ambulance included!!!!!
This one is used for $10,000 

Thursday, January 19, 2017

Two Rollovers on US93 One Fatal One Not

December 22nd was a cold day with fog and rain in the Dolan Springs area. As usual I was listening to scanner traffic on DPS, MCSO and fire dispatch channels.
A little after 9:00AM DPS put out two rollover accidents about four miles apart on Highway 93 North of Rosie’s.

Several DPS units a Mohave County sheriff’s deputy and the Lake Mohave Ranchos ambulance were dispatched to the first accident, an SUV at mile post 22. DPS dispatch advised responding units that the driver at mile post 22 was hanging out the window of an SUV.

The MCSO deputy was the closest unit and was first on scene at both accidents. The deputy checked the second accident first as it was closest to Dolan Springs at mile post 24. Checking for injuries the deputy advised dispatch that the driver had self extricated and was walking around the vehicle.

The deputy then proceeded to the first accident at mile post 22 about four miles away. Upon arriving at the accident, he advised dispatch that the driver was pinned in the vehicle in critical condition and he needed EMS.

It was a foggy day and they had a hard time finding a medical helicopter willing to fly. When the helicopter did arrive they couldn’t land. Law enforcement at mile post 22 kept saying the driver was pinned in the vehicle and in critical condition and kept asking for EMS.

At some point the LMRFD chief asked the ambulance to call him by cell phone. What he didn’t want to say over the radio, we’ll never know.

When the LMRFD ambulance arrived at the accident at mile post 24, the one where the driver was walking around, fire dispatch said no, and wanted them to respond to the other accident.
The ambulance R415 said this “negative alarm Per-chief 401 we were advised to stop at the accident at mp24 we’ll be out investigating”.  Basically telling dispatch no, and hanging up on them. Law enforcement continued to ask for EMS that never arrived.

We literally listened to patient at mile post 22 die over the radio as reports from law enforcement got worse and worse until around 10:00AM DPS advised troopers it was now a fatality accident.
Nobody Nobody has the right to triage a patient from 40 miles away and decide who lives and who dies. EMS should always use first hand reports from those on the scene and respond to most critical patient first, especially when it’s known that the other patient is walking around.

We all know about the Golden Hour and in this case it was wasted on a stable patient rather than the critical patient who needed paramedics.

To me the fact that the driver was breathing on his own and lived for almost an hour tells me he didn’t have a spinal injury that caused paralysis and would cause his breathing to stop. The fact that he lived for around an hour laying on the cold wet ground, tells me internal bleeding wasn’t bad enough to cause him to bleed out rapidly.

None of this information can tell us if the driver would have survived the accident. What it does tell us is that LMRFD paramedics should have responded to the most critical patient and done everything possible to give him a chance to survive.


Thursday, January 12, 2017

Home Lost to Fire in Dolan Springs

Diana and her children lost their home in Dolan Springs


This is a must read  Kingman Miner Article on Home Fire Another reason we need to open the fire district to allow more volunteers.

Tuesday, January 3, 2017

Dolan Springs Trailer Fire 01-02-2017

There was a trailer fire on Cotton Rd and 7th last night. The LMRFD was on scene quickly but like most trailer fires it was fully involved when they arrived. They knocked the fire down pretty fast and there were no injuries.

Monday, December 19, 2016

The American Red Cross is Helping Solve America's Biggest Disaster Threat, Home Fires

Please Help Solve America's Biggest Disaster Threat Home Fires

  • On average
    die every day from a home fire.
  • On average
    suffer injuries as a result of home fires every day.
  • Over
    $7 billion
    in property damage
    occurs every year.

We installed 10 Red Cross smoke alarms and conducted education on fire safety in Dolan Springs last Saturday. We already have sixteen more smoke alarms to install in Meadview and White Hills.

We'll be making appointments with those who already contacted the Red Cross, and be doing the installations and fire safety education in Meadview and White Hills right after Christmas.

The Red Cross smoke alarms have a guaranteed 10 year battery, so there's no need to change batteries every year, 

WARNING If your smoke alarm is 10 years old, the battery may test fine, but the sensor may have failed and may not work when needed. Replace smoke alarms at least every 10 years. 

If your smoke alarms are over 10 years old or if you have no smoke alarms in your home, please call the Red Cross office in Kingman at (928) 753-1402.


Install and maintain Fire extinguishers on every level of the home and in the kitchen, basement and garage. Know how to use a fire extinguisher prior to an emergency. 

Make a floor plan indicating all doors and windows and at least two (2) escape routes from each room. Second story windows may need a rope or chain ladder.

Have a family meeting and discuss your escape plan, showing everyone what to do in case of fire.

Determine a place outside your home where you all can meet if a fire occurs.

 Familiarize everyone with the sound of the smoke alarm and train them to leave your home when they hear it. DO NOT GO BACK INTO THE HOME

Practice a fire drill at least every six months, including fire drills at night. Ensure that small children hear the alarm and wake when it sounds. They must wake up in order to execute the escape plan. Practice allows all occupants to test your plan before an emergency. You may not be able to reach your children. It is important they know what to do.

 Alert small children in the home. • Leave immediately by your escape plan. Every second counts, so don’t waste time getting dressed or picking up valuables.

In leaving, don’t open any inside door without first feeling its surface. If hot, or if you see smoke seeping through cracks, don’t open that door! Instead, use your alternate exit. If the inside of the door is cool, place your shoulder against it, open it slightly and be ready to slam it shut if heat and smoke rush in.

Stay close to the floor if the air is smoky. Breathe shallowly through a cloth, wet if possible.
Once outside, go to your selected meeting place and make sure everyone is there.

Call the fire department from your neighbor’s home - not from yours!
Don’t return to your home until the fire officials say that it is all right to do so

  • .

Saturday, December 17, 2016

Past the 10,000 View Mark

My little EMS blog past the 10,000 view mark today. I'm surprised by how many people have an interest in our little community....

Thursday, December 15, 2016

The Cost to Patients in EMS Response Time

Today we have miracle drugs and surgeries that can make the difference between going home, going to a nursing home or death, if the patient gets there in a timely manner. Most EMS systems have an average response time of 8 minutes on 90% of calls. In our area it's very important to recognize the symptoms of a stroke. 

In a stroke each minute cost the patient 2,000,000 brain cells. If you think you’re having a stroke, please call EMS. Every minute that passes can make the difference in how well your  brain, arms, legs, speech or thinking ability will recover.

These time frames are very important; please learn them, and the symptoms of a stroke.

4.5 hours  – the maximum number of hours that can pass between the start of stroke symptoms and the start of clot-dissolving treatment (called tPA).  Many patients delay seeking care, losing precious minutes.
2 million  – The approximate number of brain cells (neurons) lost for each minute delay in restoring blood flow after a stroke. Earlier treatment is better.

60 – the number of minutes between the moment a typical stroke victim reaches a hospital, and the moment they get treatment to break up a blood clot in their brain. This “door to needle time” includes the time it takes to use brain scanners to tell whether a clot or bleeding is causing the stroke.
Learn this acronym, FAST

Face drooping: Does one side of the face droop or is it numb?

Arm weakness: Is one arm weak or numb?

Speech difficulty: Is speech slurred, are you unable to speak, or are you hard to understand?

Time to call 9-1-1: If you have any of these symptoms, even if the symptoms go away, call 9-1-1 and get to the hospital immediately.

Monday, November 21, 2016

Who's Going to Pay for Out of District Fire Call like This One?

Many of the parcels in the Meadview area pay no tax to the LMRFD, yet receive the same response and protection as those of us who pay hundreds of dollars a year. We were told it costs $1500 to respond to a call.

Who pays when the LMRFD responds to parcels who pay no tax? I asked for a list of fire responses some time back to check on this problem, but I was told they would need to print a years worth of calls and it would take a lot of time.....

Today at about 5 AM the area was hit by a short but heavy rain storm with lightning and flash flood warnings from the weather service. The LMRFD received a call that a power pole was on fire at 3054 W Hiller Dr in Meadview. The parcel is out Greg's Hide Out road about 15 miles from the Meadview fire station.

Someone needs to go back over past fire calls to see how many parcels that are outside the fire district were provided service and paid nothing. Just 10 out of district fire calls a year would cost tax payers $15,000. I don't know about you, but that's a lot of money to me.....

How many out of district fire responses were done over the past couple years, and how many actually paid the LMRFD for the service?

Tuesday, November 8, 2016

Medical Alert for Your Cell Phone $15

Many older people live alone today. Companies advertise medical alert systems that only work at home within range of the base receiver or WiFi signal.

There's an alternative that works anywhere your cell phone works, rather than only around the house. It's called Zomm, it's called a wireless leash for your phone. It lets you know when you are out of range of your phone, you can answer calls too.

The good part is it can be worn around your neck or in your pocket and allows one button 911 calls. So rather than paying hundred of dollars and $30 a month for a medical alert system, when you can buy a Zomm for around $15 on eBay and it works anywhere your cell phone works.

I would be happy to help anyone setup their Zomm for 911 calls if they need help.

Monday, October 31, 2016

It's Our Money......

I see the LMRFD just spent $10,000 to see if they could get a loan for a new ambulance if needed.

This article below says on average a new diesel-powered ambulance costs $230,000.

This is a used fully stocked BLS Basic Life Support Ambulance just add an EMT... Cost is only $14,000 It comes with oxygen tanks, KED sled, back board, miscellaneous medical equipment and an AED.

That's a savings of $216,000.00

Tuesday, October 11, 2016

LMRFD Support Hero's Page Fatal Fire

I'm tired of being accused of providing false information by the LMRFD Support page. I see Ellen said on her Setting It Straight page about the fatal Mikonis fire that I said "Ingeborg Mikonis would later die from burns she suffered". 

Ellen's Setting It Straight page said "Ingeborg Mikonis would later die from burns she sufferedFALSE!  She died from wrong medication administered at the hospital that conflicted with other medication she was taking that hospital personnel were not aware of".

I try and provide references to what I post, as I did in this case. Yes Ingeborg Mikonis had health problems, BUT the Nevada Death Certificate says the intimidate cause of death was "Thermal Burns due to or as of Vehicle Fire" and lists other significant conditions as "cardio vascular disease". A copy of the death certificate is below.

This was a fatal fire with an gas explosion and no one investigated the fire, or even listed it as a fatal fire even though the death certificate says the cause of death was burns.

Look at the death certificate, you decide what doctors say she died from, not what Ellen says she died from.

Link to original post

Tuesday, September 13, 2016

Family and Friends or Neighbor to Neighbor Help App

There's a new app that let's you alert family, friends, or a group of trusted people if you're in an emergency situation and need help. It tells the person asking for help how far away you are, and an ETA to your location. It can also show live video so people responding can see whats going on.

It's a great app for anyone who want's to organize independently in order to manage and respond to local emergencies when professionals may not be available. .

The app Cell 411 allows users to issue emergency alerts to family, friends and neighbors, 

Sunday, August 28, 2016

Chloride CRT Team Installs Smoke Detectors

Chloride CRT Citizen Response Team
On Saturday August 27th the Chloride CRT Team installed smoke detectors around town. Three teams installed 38 smoke detectors in homes around Chloride making these homes safer. Most residents were elderly and their smoke detectors were outdated and may not have worked when needed.

One resident who was 90 years old was happy to receive her new smoke detectors. Her old smoke detector was installed in 1998, and her fire extinguisher was 27 years old. Needless to say, neither would have worked if needed.

Residents received smoke detectors as well as fire prevention and escape plan education. Most had no escape plan, or location to meet other family members if a fire should happen.

Thanks to all the CRT members who helped with the installation of these life saving alarms.

Jay Fleming

Friday, August 26, 2016

Need Standard Background Checks

Many agencies that use both volunteers and professionals to accomplish their mission require background checks. Each background check cost someone money along the way, either the person applying, or the agency. We need a standard background check that's valid for a certain amount of time.

I just went through a background check so I can deploy nationwide for the Red Cross Disaster Action Team. My wife just went though background checks for both the Red Cross and the Foster Care Review Board. How many background checks do they need to do?

We need a standard background check that's valid for one year. I understand there are different levels of background checks, so they could have one for volunteers and a higher level for someone who has access to sensitive information.

People should be given a card saying they passed a background check of a specific level that's valid for one year. This would save the agencies who require background checks money, and get volunteers and new employees on the job sooner.

Monday, August 8, 2016

FREE 10 Year Smoke Detector Installed FREE

The Chloride CERT Team in conjunction with the American Red Cross is offering to install up to 6 smoke detectors FREE. These smoke detectors have a 10 year life, so no changing batteries every 6 months.

The smoke detector is free, the installation is free, and fire safety education is free....

If you are interested contact me at to setup an appointment to have your free smoke detectors installed..


Sunday, August 7, 2016

A Reasonable Alcohol Policy from Chandler Fire Department

A drug free work place is one thing, but including a substance like alcohol is going too far. I found only a few fire departments with an alcohol policy as strict as the LMRFD. I found that the Chandler Fire Department has a reasonable alcohol policy that protect the public, yet allows a a firefighter to have a beer at a family picnic, or off-duty with a fellow firefighter after a tough day.

Asking a volunteer to not use a lawful substance is wrong. What's next, no large soda drinks or fatty food at the fire station? That might be a better policy than no alcohol. You see half the firefighters who die each year, die from heart attacks, not fighting a fire.

It's funny you can't use alcohol if employed by the LMRFD, but you can use tobacco, a substance that kills 400,000 people a year? Go figure.....

Sunday, July 31, 2016

Alcohol in the Fire House Not A Good Idea Today

Alcohol in volunteer fire departments was a tradition where I worked in Washington, Idaho, and Montana in the 80's. After a fire the firefighters would go back to the station, have a beer and clean the trucks. Not the best idea in case of another fire...

I was working for the sheriff's office back them, and got stuck dispatching once in a while. I was covering a dispatch shift at the Lincoln County Sheriff's Office on Christmas one year, The fire department was having it's yearly Christmas party.

It was a small county not much going on , and I was board. So I decided to wish the firefighters a Merry Christmas. I punched up fire frequency on my console and hit the fire tones, after a pause I said Merry Christmas from the Lincoln County Sheriff's Office.

The phone range about a minute later, when they were done saying not nice words, they told me when all 40 pagers went off, their hearts all skipped a beat. They knew at that point nobody could drive a fire truck.

Another time I dispatched the fire department to a barn fire about 5 miles north of town. We could see the smoke from the sheriff's office and as soon as the fire rig turned north they advised dispatch to start tankers.

As soon as the first rig turned in the driveway, they advised dispatch to cancel the tankers and bring beer. The barn was a total loss and they let it burn. In big cities like Spokane nothing like that went on at fire stations, but they were a paid full time fire department. Drinking was for off duty.

The reason these volunteer fire departments did one hell of a job for over 100 years, was they weren't just fire fighters, they were the community. They trained together, they fought fires and they risk their lives so many times together, and not for one dime in pay.

Times have changed and drinking in the fire house is no longer done, one main reason was somebody had to drive those fire trucks from the barn fire back to the station.

But preventing volunteers in any position especially hard to come by EMS and firefighter personal from using a lawful product on their off duty time, is going to far. Having a drug free workplace is one thing, but telling volunteers they can't have a beer at a family picnic isn't American, and I can think of nothing more American than a volunteer firefighter.

I don't agree with reno's policy, but with a breathalyzer less than $50 on eBay, there's no reason for any volunteer to respond with anything over zero for blood alcohol. A beer or two Friday night shouldn't keep a volunteer with a zero blood alcohol on Saturday afternoon from responding to save your life. There are times as a police officer or firefighter when you just need to let off some steam from what you saw that shift.

 Lost Tradition
We've lost a lot of traditions like the pole firefighters would slid down from the sleeping area to the fire trucks. I got to slide down one of the poles at Station One in Spokane. We figured out sleepy firefighters shouldn't slide down brass poles from the second story in the middle of the night, some weren't awake.

Lost Tradition
I see no firefighters ride the tail board of the fire truck any longer. That was fun, the truck would stop at the  fire hydrant and a firefighter would grab two 2 1/2" hoses and wrap them around the hydrant, then signal the fire truck to take off laying hose as it went.

The firefighter at the hydrant would hook up the hoses and standby for the signal to turn on the hydrant when the engineer had them hooked to the pump.

The volunteer fire department was the community in many small towns, but we've made it so difficult for someone to volunteer, they say why.

Reno policy allows up to .08 BAC for firefighters

Friday, July 29, 2016

Why No Volunteers? LMRFD Prohibits the Use of Alcohol by Volunteers & Employees

I see now why the LMRFD lost so many volunteers when they started "drug testing" some time ago. In my opinion they ask a little too much from those they ask to volunteer and take hours of training on their own time.

It seems like prohibiting the use of alcohol while off-duty by volunteers and employees would reduce dramatically the number of people who would apply or volunteer in small areas like Dolan Springs.

Many people like a cold beer on a hot summer day, and there's nothing wrong with that. You shouldn't drink and drive, or show up at work drunk or hung over, but other that that there's nothing wrong with a cold beer once in a while.

In the LMRFD employment and volunteer application in the Statement of Understanding and Agreement's Drug and Alcohol Testing section volunteers and employees would not be allowed to have a beer at a family barbeque without being fired.

To prohibit volunteers from engaging in lawful conduct while off-duty in my opinion is asking too much from people willing to GIVE their time to the community.

Drug and Alcohol Testing: In order to assure a drug-free work environment, the District prohibits the use, sale, transfer, being under the influence and/or reporting to work after using or ingesting illicit drugs in accordance with department policies. Under District policy, alcohol is included within the meaning and prohibition of drugs. Successful passage of drug testing will be condition for employment and continued employment. 

Entire volunteer fire department resigns after drinking is banned 

Saturday, June 25, 2016

Heroin and Opioid Overdose Help for Users and Abusers

Recently Governor Ducey signed a new law allowing Naloxone also know as Narcan to be dispensed without a prescription. Narcan is a miracle drug to me. As a paramedic I would give Narcan to a patient down from a heroin overdose in respiratory arrest. Within in seconds the patient would wake up, many times mad because we ruined their high. That is until we told them if we would have arrived a few minutes later, they would be dead.

Please, if you know anyone who either uses opioid for pain, or abuses heroin or opioids to keep some Narcan on hand. There's no need for an IV like the old days, it's delivered by a simple nasal spray.

For those who abuse heroin or opioids there's an app for that too. It's called Remote Egg Timer and it's for those who abuse drugs. Currently it's only available at the Android App Store.

Remote Egg Timer allows you to set a contact person, time, and GPS locator. When the user shoots up they start the timer, in 10 minutes an alarm goes off asking if they're ok. If they don't respond, a text message is sent to your contact saying something like "I used call 911".

This app would also be good for those people who are a little stubborn when having chest pain, shortness of breath or stroke symptoms like our neighbor. She had left arm pain for 2 1/2 hours before calling for help.

Please if you have chest pain, arm pain, or shortness of breath, call 911.

Wednesday, June 22, 2016

Prices soar on the drug-overdose antidote Narcan THIS IS WRONG

Governor Doug Ducey signed a bill last month that allows pharmacists to dispense a drug called Naloxone or Narcan for opioid overdoses without a prescription. Naloxone is a miracle drug, it can reverse an overdose in seconds.

As a paramedic I would find an overdose victim down in respiratory distress and barely breathing. I would start an IV and give the patient a dose of Naloxone. In most cases the within seconds the patient is breathing and is soon alert and oriented.

Pharmacies are over charging for various medications. When pharmacies placed quotas on pain medications, the cost for 90 100 mg extended release morphine tablets went from $200 to over $1000 at K-Mart in Kingman. Prices also went up on Naloxone, the drug used to save people from opioid overdoses. 

Soon after a similar bill allowing the use of Naloxone passed in several states, one company raised the cost of their two pack of Naloxone from $575 to more than $3,700. I'm sorry but Naloxone is not an expensive drug, and should be given to anyone who takes opioid pain medications just in case of an overdose. In Dolan Springs this could mean the difference between life and death for an accidental overdose.

Friday, May 20, 2016

LMRFD WOW Call -- They Were on Another Call Wasn't The Point

You stopped reading at the first statement... They didn't Respond.

If the LMRFD was on another call that day, that's NOT the problem. The LMRFD ambulance in Dolan isn't available between 3 and 6 or more hours a day because they're out on calls. So not being available to respond because they're on other calls is pretty normal, and not the issue here.

Not having the LMRFD ambulance from Meadview, or AMR River Medical respond when someone is down from unknown medical problem, in not normal. In fact River Medical was so concerned about how this call was being handled, they called the sheriff dispatch and asked if they wanted River Medical to respond.

It's a rare event when another EMS agency is so concerned about how a call is being handled, they offer assistance to the sheriff, not the responding EMS agency.

What's not normal is to pronounced someone dead over the phone or radio. If someone from the LMRFD had already checked on the patient, that's one thing.

An EMT or paramedic making any diagnosis over the phone is wrong, let alone saying is dead.

Why didn't the LMRFD ambulance from Meadview respond, they weren't available? Why didn't the LMRFD ask AMR River Medical respond like they do on every other call when they're not available?

What if this was your husband or wife?

Government agencies have a history of not identifying problems until someone points them out.

Man down unknown medical call

1. EMS agency Respond
2. Have 2nd unit respond from EMS agency
3. have another EMS agency respond.

Thursday, May 19, 2016

First Responders and Marijuana After November 2016

It looks like voters in Nevada and Arizona will have chance to join Alaska, Colorado, Oregon, Washington State, and Washington, D.C. in deciding if they want to legalize recreational marijuana for adult use.

The Campaign to Regulate Marijuana Like Alcohol already has 200,000 signatures to get their initiative the Regulation and Taxation of Marijuana Act on the ballot for the November 2016 general election in Arizona, so we need to talk about this.

If recreational marijuana becomes legal in November law enforcement, EMS, and fire agencies will need to revise their policies on marijuana use. In 2013 CBS 5 Investigates traveled from Phoenix to Dolan Springs to interview me about the use of medical marijuana by first responders

Back in 2013 most agencies including DPS didn't have a policy on medical marijuana. CBS 5 only found 3 agencies with specific policies on medical marijuana. Yuma does allow city employees, including firefighters and EMTs to use medical marijuana as long as it is off-duty. Gilbert Fire Department allows employees to have medical marijuana cards, but may reassign or put the employee on paid leave, and Chandler Police Department prohibit officers from having a medical marijuana card. 

What's the LMRFD going to do if recreational marijuana becomes legal? We were told that when the LMRFD started drug testing several years ago, they lost many of the volunteers we depended on.

We would never want anyone to respond to fire or EMS calls while impaired on marijuana, alcohol, or anything else. That said, I would much prefer to have a first responder who used marijuana the night before, rather than one who had a hangover.

Marijuana is legal in one form or another in 23 states and the District of Columbia, and medical marijuana or legalization is on the ballot in as many as 20 states in 2016.

First Responders and Alcohol

Cops and firefighters are notorious drinkers, in many towns there are cop or firefighter bars. Ask anyone who's been on the job more than a few months and they'll have stories about drunk cops pr firefighters. 

In Spokane a DEA agent pulled out of the Sheridan Inn and hit a Spokane police car broadside. He didn't go to jail back then, but was held until a supervisor arrived from Seattle. He was never charged. 

My Undersheriff from Lincoln County got in a fight downtown Spokane. When officers tried to arrest him, he was threatening to tip over their patrol cars. He was 6'5" 300 pounds and they were worried he could really do it, so the sheriff had to talk him down. We go a new undersheriff after that.

One Christmas I was working dispatch while the local fire department was having their party, I punched out the fire tones ringing all 30 pagers at once, after a long pause I said Merry Christmas. After a few minutes the phone rang, it was the firefighters telling me I scared the hell out of them because no one was in any condition to respond to a fire.

Here are some links about first responders and alcohol abuse

Who Will Rescue the Heroes
Firefighters and alcohol
Alcohol and the badge
They drink when they're blue 

What about Marijuana Marijuana vs Alcohol

Many police and fire agencies where it's legal are still not allowing their employees to use marijuana for medical or recreational purposes. If you have ever had bad hangover from alcohol, you know you're not functioning their best. Yet it's ok to drink the night away and show up for duty the next day. Is this the EMT you want showing up when you need medical care?

Marijuana on the other hand doesn't cause a devastating handover leaving someone barley functioning the next morning. No one should ever come to work high or with a hangover. If they're not in top condition, go home.

Drug Testing
People using alcohol or meth can pass drug tests......
Many people today use marijuana for medical and recreational purposes. It's sad that someone who drinks alcohol everyday can be a volunteer for the LMRFD, but someone who used marijuana a month ago would be rejected for failing a drug test. Someone who used meth on Friday can pass a drug test on Monday. Marijuana stays in the system for 30 days, meth and most other serious drugs only 72 hours.

We need to change some of our policies on drug testing. Before the LMRFD required drug testing we had a lot of volunteers. How many injuries or accidents did we have?

Was the drug testing policy changed because of real safety issues and documented accidents, or to be politically correct?

I can only hope in November we choose to stop destroying lives by legalizing recreational marijuana in Arizona.

Jay Fleming

Law Enforcement Against Prohibition (LEAP)
LINK to My Speakers Page 
LINK to LEAP Web Page

Please do your research

Marijuana and Kids

Why legalizing weed is unlikely to turn your kid into a pothead

Cartels are Losing Money Because of Legal Marijuana

Marijuana Legalization: Bad For The Cartels, Better For All

This article tells how many police officers including myself feel about the drug war today.

Why I Hated Being a Cop