Domestics

Stevo

Stevo

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Gawd i hate 'em, always a pita.... bunch of big whiney babies.....

what's your protocal for this crap?

93-killers.jpg

~S~
 
Originally posted by Stevo@Jul 2 2005, 10:27 AM
what's your protocal for this crap?
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A zambonie :D
 
Only protocol we have per se is that we hold away from the scene until PD arrives and declares the scene "Code 4" (safe, under control, etc.). That holds true for any call that involves any sort of violence or possible criminal activity.

If the PT needs to be transported and is potentially violent, a PD officer rides in the back of the ambo during the transport.
 
Turn the A/C to max during transport, break out the coldpacks, don't use the prewarmed NS.
 
Originally posted by SafetyPro@Jul 2 2005, 06:42 PM
Only protocol we have per se is that we hold away from the scene until PD arrives and declares the scene "Code 4" (safe, under control, etc.). That holds true for any call that involves any sort of violence or possible criminal activity.

If the PT needs to be transported and is potentially violent, a PD officer rides in the back of the ambo during the transport.
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Same in Vermont, but I had a call one time where PD brought us in before the suspect was apprehended.

Report of a domestic, shots fired. We stage down the road a bit until PD clears us to come in. We arrive on scene to find multiple state and local officers all with shotguns, highpowered rifles and m16's. We now fined that the subject is still in the woods. Great! After a somewhat (heated on my part) discussion with the officer that cleared us to approach, I decided to back away with my crew until the situation became more stable, but too late. The subject now comes out of the woods waiving a rifle himself. I didn't see much after that as I was now on the floor using the dashboard as cover.

Turns out the subject was taken into custody without further incident and the shots fired earlier were into the air during an argument with his wife.

Point is, I still am very cautious when entering even after PD Clears the scene.
 
i can remember walking into many a domestic without prior knowledge of it, you know....the ones where the man or woman calls to have the other taken away because 's/he's nuts'....

once your in, it's a lot harder to back out too, we've been impromtu mediator too many times imho

let the cops bust them all first, then maybe we'll bandage the loosers...

~S~
 
I had one that just came over as head injuries... turns out the husband grabbed the wife by the head and slammed her face into the counter... she got away and ran to the neighbors. So here we are, in the neighbor's garage and I say "so how did this happen"... she tells me, so I grab her arm and say "lets go"... we ran down the driveway, into the rig, and locked all the doors. We did the rest of our assessments there while PD rounded up the husband.
 
In my area, we are dispatched for Assults and Emotional Disorders, expected to stage untill PD arrivial.

Sometimes we will go in, if PD isn't there yet, and we aren't seeing anything nasty on the MDT, but ALWAYS with caution, and ALWAYS with an escape route.

With assualts, dispatch states during page "scene is / is not secure"

Jon
 
A couple of good points were made. One being the scene is not always as "safe as you thought it was".

We all like to think that dispatch received the "accurate" information about the original call. What about the ever popular "Unknown Medical" where you arrive to find a shooting victim.

The truth is statiscally the EMS provider is finding themself in an ever increasing setting of danger. Drugs like methamphetamine are in the rural areas, making it difficult for law enforcement and EMS alike. Those that work domestics in the rural areas, check and see if ETOH and/or Meth played a role in the domestic. I bet it did.

One of the big helpers in a domestic is "Breaking line of sight". When the two parties are seperated it helps them both calm down.

My experience has been that in the rural setting less law enforcment is present on the average call. When I work in a city, there are ton's of people on scene that are on our side.

Since EMS providers have such a strong sense of duty, we place ourselves in harms way unknowingly. I have talked to a lot of providers that say things like "Man, that was crazy....I had no idea" after a close call.

Here is a couple of suggestions regarding domestics:

1) Try to get scene secure by Law Enforcment first. ( Obviously we would not enter if we knew it wasn't safe.)

2) If you get a "funny feeling" listen to it.

3) Keep exits clear. Don't allow people to stand in them, place rescue bags in front of them etc.

4) Have a code word for when you see something that makes you nervous to alert your partner something is wrong.

5) Exercise. Being physically fit can help you escape/survive a violent encounter.

6) Mentally role play. Make up calls in your head. See them going bad and work through them with you winning. No matter what!

7) Always have a portable or cell phone with you.

8) There is no shame in backing out and waiting for help.

9) If you are in a bad situation trying to buy time, try to place barriers between you and aggressors. (table, chair, stretcher, worthless partner etc)

10) Be strong in your faith. Studies have revealed that people with strong faith are able to process information during a stressful event.

11) Appear non-threatening. Get your hands up and open. Domestics are not the place to give orders. (If faced with acts of aggression.)

Anyway jusy my .02
 
Thanks, all great points. I do #6 a lot, in all aspects of my life actually.
 
Deck gun, flowing 1500GPM w/ a stacked smooth bore nozzle?
 
Number 2 is my favorite!!!!!!!! :D
 
5 star post DT4EMS !
 
Thanks all!!

The funny thing is I wish I was smart enough to have come up with this stuff on my own. Instead it had been seasoned medics and cops that taught me everything I know.

I made more mistakes than I ever care to talk about. Some that nearly got me killed. Now I have made it a mission to "prevent at least ONE assault, be it against provider OR patient."

I think the good Lord put me in the places to LEARN from the people I worked with. Even ones I didn't like I learned from. (I just don't tell them).

Cops are still getting killed because of responding to Domestic calls.........so we haven't totally solved the riddle yet.
 
OH! I thought it was about how to get rid of the snow people...

Thus the high flow water.

Yea, what the new guy said.
 
Rule #1: Always go home at the end of your shift.
Rule #2: Do whatever it takes to accomplish Rule #1.
 
Although I think you could break up a fight with a deck gun. Didn't they use to break up riots using firehoses?
 
We, I mean They still do. ;)
 
Originally posted by usafmedic45@Jul 5 2005, 11:53 PM
Although I think you could break up a fight with a deck gun. Didn't they use to break up riots using firehoses?
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I thought the topic was about the snow'people'. I didn't read the posts, I just responded to what I would do... to the snow people.

As for PITA... Maybe a 1500GPM enema?
 
I have this sneaking suspicion at some point during that would it stop being an enema and become a sinus cleaning. :lol: You're a sick dude TTLWHKR....now I know why they keep you around. :D
 
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