PRIMUM NON NOCERE Copyright © 2017, David C. Stone All rights reserved. This book or any portion thereof may not be reproduced or used in any manner whatsoever without the express written permission of the publisher. P REFACE The stories presented throughout this book outline a ten year period of my journey in emergency medical services from volunteering to working as a paramedic. The events are real, although some details have been changed to protect the identity of those involved. The purpose of this book is not to glorify myself through high- intensity, adrenalin packed war stories. It is to expose the reader to the harsh reality of managing a dynamic, fast-paced emergency scene and how these encounters have a lasting impact on the responder. The stories I chose to present had the largest emotional impact in my life. They changed me from the person I used to be and shaped me into who I am today. These are the experiences that will stay with me forever. There is no intention to discredit the emergency services field. A book detailing the thousands of patients I attended where everything went right would not be a compelling read. The experiences in this book provided the framework that made me a good medic. DAVID C. STONE AUTHOR I am husband and father of four young children. I had been involved in emergency services since I was eighteen. I ended my service as a Paramedic to spend more time with my family and live a more meaningful life. I am not an author. I initially wrote about my calls as a coping mechanism to deal with the stress I was facing. Although I did not like the path emergency services had taken my life, what I learned throughout my career ultimately changed me into who I am today. I wrote this book to share my experience in hopes it could help others in ways I may not yet understand. S TORIES VOLUNTEER A Perspective on Life The White Paper Peaceful Death Standing in the Corner Officer Down Change of Heart EMERGENCY MEDICAL TECHNICIAN What’s The Worst Thing You’ve Ever Seen Don’t Say Needles Little Shits Right of Way Falling Off a Cliff Your Call, Buddy Reassurance PARAMEDIC SCHOOL No Crying on the Ambulance Invisible Boy Day of The Falls An Angel’s Halo The Most Stable Rhythm Training Day PARAMEDIC Campfire Ghost Stories Almost a Bad Day You’ll Never Be the Last One If She Dies, She Dies Four Loco When You Start Thinking About Your Kids The Golden Hour Monday Morning Quarterback Nightmares The Real World Sixth Sense Tough Guys That’s Already Been Done Careful What You Wish For One Day Later Possessed Primum Non Nocere The Closest Unit Ambulance Drivers Hands of an Angel What’s The Best Call You’ve Ever Had? Today Was a Good Day VOLUNTEER A PERSPECTIVE ON LIFE The smell of airbag deployment that fills the passenger compartment from a head on collision down a quiet country road. The gurgle of vomiting when performing CPR on a dead stranger. The screams from a young child who just saw the dead body of her mother. All of these describe ugliness to me. These have been my experiences since I decided to become an EMT. When I was seventeen, I might have had a different definition of ugliness. But now, I have a new perspective. I would define ugliness as the utmost state of pain and misery people experience. I have seen the lifeless body of a woman whose vehicle got split in half on the interstate. I have seen the outline in grass which was preserved from burning by its homeowner. I have seen a helicopter fly away with a little girl who likely won’t survive her crushing dirt bike accident. I have seen the result of drunk driving. I have heard a man scream to God for forgiveness while he was pinned underneath his rolled over vehicle. I have seen the heartbreak of those who lost a friend to a drug deal gone wrong. I have seen the anger in family members when we were unable to resuscitate their loved ones. But, I have not seen it all. I had no idea that much ugliness actually existed. It is real, and it is my definition of ugly because I have witnessed it repeatedly. Anyone who joins the field of emergency medicine for the excitement and adrenalin rush is in for a rude awakening. Life is ugly. THE WHITE PAPER I used to care what other people thought. I was once self-conscious and nervous about the attention brought upon me. That really only made me appear more awkward, attempting to hide in plain sight surrounded by others. I hated being the center of attention. I talked less, mainly because the less I spoke the less I was noticed. At least I thought. I was nervous at the thought of having to speak in front of others. During high school, I remained inside a shell counting down the days until graduation. That would be my day of freedom. Free from judgment and free from ridicule. I held all my thoughts within. On the outside I looked hopeless and destine to live a life playing video games alone in my parent’s basement. On the inside, I had a vision and a plan for something different. I wanted my life to be better than it was. After the terrorist attacks on US soil, I finally understood where I wanted to take my life. On September 11, 2001, I sat in a classroom with twenty-some other students, all with our eyes glued to the television set. We were trying to comprehend what had just happened. We were wondering if the world we were used to was going to change forever. I watched as the men and women of FDNY raced towards the burning towers in a courageous attempt to save countless victims. I was infatuated with the heroism demonstrated when suddenly my teacher turned off the TV. “That’s enough of that. We still have to have school today,” she told the class. I didn’t learn a thing that day from my educators. I was pissed at them for shutting off what was surely history in the making. A desire to help began fueling me. I finally knew what I wanted to do with my life. My father was a Lieutenant with the fire department in our rural town. For years, he had been trying to convince my brother and me to volunteer, but so far had been unsuccessful. The year after the attacks, I enrolled in a cadet program offered through my high school for fire suppression and emergency medical aid. My brother, who must have felt the same desire I had, joined the department that year. As soon as I was eligible, I began volunteering for the same department my dad and brother were involved with. After passing the regional training academy, I was placed on their shift. The events written within ‘A Perspective on Life’ encompassed my first two years in emergency services. As part of a college writing course, I was assigned to discuss the topic of ugliness. With my recent exposure to this side of life, I found the subject quite fitting. I have no recollection of my first response. I can only recall the excitement that circulated my body as the alarms in our station rang. Someone needed me and I was equipped to handle their emergency. I prepared mentally and physically for the title and knew I would not let stress get in the way of my passion. I was not going to end up a statistic of those who could not handle the pressure of an emergency.