Kevin Lipscomb

Mishap Report

A message primarily to: All current EMS members Mishap Report It will never happen to you, right? Here are summaries of mishaps reported to the EMS Department over the past few months.  What could have been done to prevent these? BACKING COLLISIONS: An ambulance, backing with one spotter, made...

Ambulance turning guidance

Members,   Improper turns that result in “curbing” tires and side-swiping obstacles are *major* problems in our system, especially with ambulances.  In the past 3 days, we’ve had at least 3 ambulances damaged and taken out of service by these errors.  Unfortunately, that rate of damage is not terribly...

Ambulance backing guidance

Members,   Improper backing is one of our top three vehicle safety problem areas.  The following graphic has been reviewed by all squad commanders and provides guidance that we should be using when backing ambulances.   Please note a couple of instructions that may be new to you:  ...

Vehicle Safety — where we stand

Members,   Recently, we’ve been doing a bunch of analysis on “possible fault vehicle events” in the VB EMS system.  These are vehicle damage events that may have been our fault.  All these events are severely disruptive to operations.   Here’s a complicated graphic showing the relative frequency of...

Mishap Report

A message primarily to: All current EMS members Mishap Report It will never happen to you, right? Here are summaries of mishaps recently reported to the EMS Department.  What could have been done to prevent these? An ambulance struck a mailbox when attempting to pull into a tight driveway....

Keeping the wheels from falling off

A message primarily to: All EMS members Keeping the wheels from falling off A simple step in your check-off can prevent a major malfunction Yesterday, a tandem set of wheels fell off of one of our ambulances as it was transporting a patient.  The ambulance tilted to one corner...

Changes to how we handle STROKE

A message primarily to: Core Ops Members Firefighters Changes to how we handle STROKE New screening tool, new receiving facility BEFAST For a couple of decades or so, our preferred stroke screening exam was the Cincinnati Prehospital Stroke Scale.  It was composed of the following elements: F:  Facial droop,...

The Preemption Pause

A message primarily to: Operations members The Preemption Pause Not so fast, buckaroo I had planned for this to be my Sterile Cockpit article, but there’s something else we want to share with you first. Recent changes Clearly our earlier articles have had an impact.  Personnel have been doing...

Tight Dispatch Cycle

A message primarily to: Operations members Tight Dispatch Cycle Another key concept from the new radio Communications Manual First, a brief recap The main message from the last article in this series was that we want all on-air personnel to have a mental Common Operating Picture of how calls...

Common Operating Picture

A message primarily to: Operations members Common Operating Picture A key concept from the new radio Communications Manual Background There’s a feature in the new CAD that’s supposed to help reduce response times.  It’s called Automatic Resource Location (ARL), and it is GPS-based.  When an incident needs an ambulance,...