Developing Mental Strength

The need for physical strength in what we do is obvious. The patients are getting larger, equipment heavier, and the need to be able to handle signficant physical aspects of the job continues to increase. However, how to do we develop that mental “toughness”. Those of who take on the job, whether fire, police, EMS, or other levels of emergency response/management, are often thought of to be a bit more mentally tough. unfortunately though, we aren’t all that tough. Like those outside of emergency services, we are impacted by the things we see and the people we interact with. It may take more than it would with someone NOT in the system, but it’s still going to come. 

So, what do we do to prepare for the sudden hit. How do we understand that we aren’t 100% made of steel?  Understand these are my thoughts, not ones that have been scientifically proven, just ways that get me through and have helped me.

Understand your triggers and prepare for them - i know the calls that I will be most impacted by. I have run them and been impacted by them before and because of that I’m able to better prepare myself for the next one.  I know that any call with a child, especially a young boy will be hard. Because I know that I’ll see my two boys in the patient.  Because of that I train harder on the pediatric issues.  It helps me stay focused on the treatment and the specific patient and keeps my mind from wandering to the “what-ifs”

Recognize your limits - When I first stated I used to run multiple nights and multiple different stations. I probably deserved the number of times I was called a squirrel. However as things changed in my life, I recognized the limits of my time, my ability, and most especially my mental strength. At a certain point you have to “step back”. in the volunteer world it’s a bit easier than the career side. But occasionally you have to take a day off, enjoy a vacation with the family. Even if you say “well I only work 10 days a month”, there is still an impact on you during those days and recognizing your limits BEFORE you get there is huge!

Train Like Your Life Depends on It - I know this seems a bit cliché, but training means that when you are on that call that throws you mentally, whether it’s the young child, a family member, a crew member, or whatever your trigger is, that you’ll be able to fall back to the basics, the training that you have to complete the job ahead of you. I can say this because I’ve used this one.  I’ve run calls of family members, both major and minor injuries. I’ve seen crew members who have had medical emergencies or been injured. Most importantly, I’ve had to treat my own children through illnesses and other problems. By having the strong basics skills that I do,  the impact of these situations ahs been much less than it would have bene had I not trained properly.

Know when to ask for help- Have you ever seen Bringing Out the Dead. I think Nicholas Cage truly embodies the image of burn out. He’s a man that recognizes he has gone over the edge, but continues to get on a truck. He is haunted by his demons, but continues to go out there and introduce himself to so many more. I don’t ever want to become that person. I don’t ever want to put myself in a position where I am doing more harm than good because I didn’t know when to ask for help. In a previous post I hit on the need to know where your help is and how to get it and I can’t stress that enough.  You need to know your resources BEFORE you need them!  And you need to recognize when you need help!  It’s not a sign of weakness to ask!

So, those are some ways I start and continue to build my mental strength and preparedness BEFORE the call. What works for you?  How do you prepare for the reality of the job you do?

Thanks for reading and until next time…stay safe and don’t forget to follow on twitter (@stickysidedwn).

My Time At FDIC

So I started this post yesterday, but packing, traveling, and recovering definitely took priority, so here I sit Sunday night reflecting on this past week’s trip.  It’s funny that every year I attend I find myself having a different experience than any other year, but each year is still a GREAT experience!  This year’s focus was two-fold.  The first was introducing my father-in-law to the experience of Indianapolis and FDIC and the second was taking the opportunities given to me by Fire Engineering to share my thoughts and promote my book.

We arrived Tuesday and after checking in took an opportunity to check my computer and make sure it would be perfect for class.  Afterwards we took the opportunity to wander around and found my book on display at hte Fire Engineering booth!  There it was in all it’s glory!  I know that seems silly, but seeing my book on the shelf at a major trade show, really was a bit overwhelming!  We also found the sign that advertised my book signing opportunities. Honestly I think I was more impressed by the names that I was included with then with the fact that I was going to have a book signing.

Because of my schedule this week I wasn’t able to attend a large number of classes (only attended 1). I was able to help my husband get ready for his class (which was a smash hit). I was able to participate in a radio webcast with Mike McEvoy and Robert Raheb (I’ll share the link later). I was able to meet some amazing people! 

My first book signing was Thursday from 11-12.  Here I am:

It was an opportunity to put a face to a book. I actually had two people come and buy my book and ask for my autograph!  My class was Thursday night and was met with great reviews.  I taught on developing strong rehab operations and policies. I’m always happy to share information, but as happens in every class, I’m also just as happy to learn from my students. After class I went and got ready for the Courage and Valor 5K. I had set absolutely no expectations for the run, which was probably the best. I ended up walking some of it, but still finished in a decent time.  I was just happy to have participated in an event that raises money for a great cause and to bring focus to health initiatives for firefighters.

Friday we spent the day wandering through the exhibits. There is always new information, new products, and some great ideas. There are also lots of giveaways and contest to enter (which I LOVE doing).  Come one, you know we all love free stuff! It was nice to relax and take our time walking through. I had my second book signing and while I didn’t get an opportunity to sign any books, I was given a great opportunity to meet and talk to two fire service legends. Paul Combs (best known for his illustrations of issues in the fire service) and Battalion Chief Frank Montagna of FDNY.  These men have had a great impact and took the time to give me comments, ideas, and support for my book and future projects.  It really was an honor!

Saturday was leave time. We got up and did one last sweep through the exhibits. We packed, we entered one last contest, which my husband won and we went home.  The trip home became quite an experience (but that could be a whole separate post).  I’m happy to be home, but truly thankful for the experiences I had and people I interacted with.

I have a few more posts about the week that I’ll share throughout the next few weeks, but until next time…stay safe and don’t forget to follow on twitter (@stickysidedwn).

Friday Five – FDIC Five

So, given that FDIC is only three days away, and I leave next Tuesday (only five days from now) to participate, today’s post is dedicated to five things I hope to do/see/participate in during this year’s FDIC.

Top Five “To-Dos” For FDIC

1.  Teach My Class - This may seem like a simple concept, since that’s really why I’m going, but man do i look forward to teaching. I always come away from my classes feeling like I’ve met some great people, taken away some great ideas, and firmed up why I love doing what i do. The opportunity to teach to a national/international audience is a truly humbling experience and I love doing it each and every time.  If you are attending FDIC, my class is Thursday from 1:15-3:30 in Lucas Oil Stadium Room 10-12

2.  Take AMAZING classes – This conference is an amazing opportunity to take classes from nationally recognized names and from those people who are working their way to that status. It’s an opportunity to hear about programs and initiatives across the country that I might not have been exposed to. Fire Engineering has done a great job of finding a great mix of Emergency Management, Fire, and EMS training opportunities.

3.  Promote my Book – I don’t often like promoting myself, but Fire Engineering has given me a great opportunity two have two book signings during the conference. I will be available on Thursday from 11-12 and Friday from 1-2 to sign copies of my books.  If you already have a copy, bring it!  If you miss me at the Fire Engineering booth, stop me in the hallway and I’ll be happy to sign the book!

4.  Participate in some great events – This year I’m actually participating in the Courage and Valor 5k.  It’s a great opportunity to promote health, recognize a great Fire Service Leader, and hang out with great people.  My goal is to finish the event with a time that beats my split time from the 10K I just participated in, but other than that I look forward to running with some great people and being motivated to keep maintaining my health. Along with that event, I plan on attending the F.O.O.L.S. event on Wednesday night and watching the 9-11 memorial stair climb at Lucas Oil Stadium.

5.  Enjoying time with some amazing people.  Not just the ones I’ll be traveling with, though, but I also look forward to interacting with my fellow Fire and EMS service members, with the amazing employees of Fire Engineering who organize a great conference, meeting some new vendors, interacting with the people of Indianapolis, and truly just enjoying my time surrounded by a great city, wonderful people, and amazing opportunities.

This list may look corny, but this conference is truly a great event and I look forward to it each year!  If you haven’t been, you should definitely plan on attending next year.  The opportunities for learning and interaction are truly too many to number!

Are you going to FDIC?  If so, what are you looking forward to?

Until next time…stay safe and don’t forget to follow on twitter (@stickysidedwn)

What Resources are Out There?

I thought about calling this mental monday, but figured that might not be appreciated by someone who stumbles on this post. Emergency services humor can be kind of sick and twisted to some. Sometimes that’s how we help ourselves and each other.And sometimes the best way to help ourselves is to ask for help from others. That’s when the question comes into play: “What resources are out there?” What do you have access to that can help you deal with the things we see on the job?

One of your first resources should be your company officer. unfortunately not everyone has the opportunity to turn to that person. Whether it’s because of personality conflict or other issues. When this happens, you should have a mentor. Someone who understands the job, someone who understands the situations that can arise. This mentor can be someone who is retired, works in a different department/different station, it doesn’t matter.

The next resource is interdepartmental. I believe that each department (whether individual stations or entire jurisdictions), should have a group of people who members can turn to. i wouldn’t call it a formal debriefing group, but this should serve a method for providers to go to someone they don’t work with on a daily basis. Or in cases where they do not have a mentor or are fairly new to the department, give them people who have training and experience to bounce feelings off of. They may not have formal training and should DEFINITELY be the person that others turn to in the leadership role (whether formal or informal), but they should be there and willing.

Another resource that is out there for help is much more related to the career side.  If your department (whether career or volunteer) has an Employee Assistance Program (EAP), this can provide you information and resources to assist with mental stress.  They are also able to provide assistance with substance abuse, financial concerns, legal concerns, and many other topics. Many departments offer EAPs that provide a few sessions for free, which should definitely assist in getting people to seek help.

Another resources you need to look into is the International Association of Critical Incident Stress Management. Not only do they provide trainings across the country, they also have access to the CISM points of contact for EVERY state.  This can help you find CISM teams after a major incident that might have you looking to conduct a debriefing.

I hope that you NEVER have to access the resources that I’ve mentioned, or other resources that you have in your department. However, you should always have quick access to the resources, should the time come that you do need.

I’d be interested in knowing what other resources you have at your fingertips.  Leave me a comment!

Until next time…stay safe and don’t forget to follow on twitter (@stickysidedwn)!

Friday Five – Five Leadership Characteristics

I’ve been thinking recently about leadership.  Good leadership vs. bad leadership, developing leadership, finding leadership, various different aspects of it. I serve in a leadership role at my volunteer agency and a supervisory role in my career, but also serve as a subordinate and a “follower” (for lack of a better term) in other aspects of my life. In recent months, I’ve begun considering what are the qualities of leadership that are both appreciated and not so appreciated, whether I’m the supervisor or the supervised. So, in honor of that, today’s friday five are five leadership characteritsics that I’ve encountered recently, and whether I appreciate the characteristic or not

Five Leadership Characteristics

1.  Willing to Get Your Hands Dirty - A leader who is willing to get their hands dirty is one I’m ahppy to serve under. This is the individual who not only delegates tasks, but recognizes taht they may need to step up and assist in teh completion of tasks. Instead of giving orders and then disappearing behind closed doors, this is someone who participates in the trainings, cleanings, and overall tasks at the station. Now, this characteristic can definitely become a negative thing when the leader is so busy doing the dirty work they forget to actually “lead the troops”.

2.  Ability to delegate responsibility - As a leader, I know that I do not have the knowledge, skills, and abilities to complete every task. I also recognize that the individuals who serve under me are qualified and capable of completing tasks assigned to them. With that knowledge, I’m happy to delegate the tasks to those people who truly should be doing the task. As an employee, I’m also much more appreciative when the person who should be doing the job is the one assigned the task. I’ve never been more frustrated than I am when my supervisor assigns a task to others, when it isn’t their task to complete.

3.  trustworthy – I need to be able to trust the person that is leading me. Maybe not in the personal realm, but definitely in the professional realm. On the street, I need to trust that the individual who is leading me isn’t going to lead me astray or in the wrong direction. I need to trust that the decisions my supervisor makes are going to be the safest, smartest, and best decisions to accomplish the goals. As a leader, I want me people to trust me and I want to trust them. Trust allows me to hand them a task and know that it will be complete. Their trust of me allows them to know that I’m not going to go around them to complete the task and that I’m not going to “sell them out” when something goes wrong.

4.  Able to share the spotlight – As a leader/supervisor, I am happy to share the spotlight. In fact, I’m happy to step into the shadows to ensure that the person who deserves spotlight gets it. It can pluck a nerve when I hear someone say “We did a great job” when they were not even a part of the group doing the job. As an employee, I do not do my job for the spotlight, but we can all admit that receiving recognition for our work is important. I’ve had bosses who have happily accepted the praise and accolades handed out for work that they had no participation in, beyond delegating the task to me. I believe that a good leader is happy to turn the spotlight on the people who truly deserve the recognition.

5.  Ready to Fight For His/Her People- I work for government and I volunteer in a government structure, so I know that you have to choose your battles. I’ve often said that the battles I fight for my volunteer agency aren’t necessarily the ones I would choose myself, but they are the choice of the membership. As someone who serves under leaders I want to know that my leader is not just in it for himself, but is willing to put aside his desires when the majority believes in something different. Nothing is worse than a leader who is only willing to fight “their” fights. It definitely breaks the trust, keeps the spotlight on them, and breaks down the group dynamic that we have in many situations.

 So, those are just five characteristics that I have come across that when applied appropriately can truly create a great leader. I can’t say that I succeed in demonstrating these characteristics, but I definitely strive to keep them in mind as I lead.  As with any of my lists, there are certainly many other characteristics that could be added to this list.  What do you look for in a leader or strive to be as a leader yourself?

Until next time…stay safe and don’t forget to follow on twitter (@stickysidedwn)

Fire Department Instructors Conference (FDIC)

Today marks the one month countdown for the 2012 FDIC festivities. I (along with four other family members) will leave my hometown and travel to Indianapolis, Indiana for the annual Fire Department Instructors Conference.  I am honored not only to be able to attend as an instructor for the third year, but also to attend as a new author for Fire Engineering/PennWell Publishers. I have been to numerous conferences, but none like this. The training classes that are offered, the instructors that are brought in, and the vendors that line the exhibit floors are AMAZING, OVERWHELMING, and AWESOME!  Each year I arrive excited for the opportunities and leave overwhelmed with the information I gathered.

As I said, I will be teaching a class.  If you are attending, I would love to have you sit in and join me:

Course Title: Beyond the Water Cooler: EMS Role in Rehab
Course Date: Thursday April 19
Course Time: 1:30-3:15

Two other great courses to attend (forget that they are taught by my husband and my father) are:

Course Title: Engine Company Operations
Instructor: Robby Owens
Course Date:Wednesday April 18
Course Time: 10:30-12:15

Course Title: Emergency Responders vs. Electrical Hazards
Instructor: Frank Cheatham
Course Date: Friday April 20
Course Time: 8:30-10:15

Along with the great training/education opportunities, there are some awesome social networking opportunities, and just some amazing chances to meet other emergency services providers from around the country/world.  This year I will also be participating in the Courage and Valor Fun Run, a 3.1 mile (5K) run through White River State Park. There will also be a 9/11 memorial stair climb. I plan on watching that this year as well!

Even thought it is just 30 days away, there is still time to register and also to find a great hotel room.  Check out this link for some additional information.  http://www.fdic.com/index.html

Hope to see you there!

Until next time…stay safe and don’t forget to follow on twitter (@stickysidedwn)

And the Winners Are…

That’s right, that title isn’t a typo, I’ve been able to get my hands on an extra book and am actually going to be able to giveaway TWO copies of Incident Command for EMS.

1.  The first winner is Clayton G. from Pleasant View Fire in Springfield Missouri.  He sent a picture of their accountability board, which as he said, allows for changes to the ICS structure on the fly, which is a great feature to have.  Here is his picture:

2.  The second winner is James M. from Black Creek Fire Department in Mechanicsville, Virginia. James shared a picture of Hanover’s unit accountability tag, which allows each agency member on a truck to be accounted for. THis can then be given to the Incident Commander for placement on the assignment board.

Congratulations to you both on winning and I hope that you find the book informative and useful (and not just to balance the kitchen table)!  I’ll be contacting you this weekend to confirm shipping address!

Until next time…stay safe and don’t forget to follow on twitter (@stickysidedwn)

Friday Five – Five Classes for EMS Providers

Okay, so I don’t normally provide too much background on my choice for Friday Fives, but I have to give a bit of a background to this list.  I had the pleasure of having a telephone conversation with what I call an EMS purist. You know them, those people who will only ever ride on an ambulance, only ever concern themselves with EMS stuff, and never understand the need for anything other than EMS. Don’t get me wrong, there is nothing wrong with that. However, the conversation with this guy made me feel like I’d fallen backwards 10 years in progression fo the system.

This gentleman did not understand why he, an EMS provider, needed to take NIMS training. Ten years after it was put into place, this individual still had not taken any of the NIMS trainings because and I quote “That’s a fire science class and I only run EMS calls”.  Without reaching through the phone and smacking this person, I calmly explained to him that while he may only run EMS calls, he will always work with other members of the emergency services field and that NIMS provides a framework for responding with multiple different agencies. He still didn’t seem to get it, even after I used his own localities recent interaction with state and federal resources as the result of damage from a hurricane.  He didn’t get it when I explained to him that the basics are important and that it actually wasn’t a huge deal because the training is available online, FOR FREE. After finally finishing my phone conversation I was struck by two things:

1.  Some people will just never get it.

2.  There are still EMS providers who believe that the only training they need is first aid based, just as there are probably still fire service members who believe the only training they need is how to put water on the fire.

With those two things in mind, today’s friday five is a list of five classes I believe every EMS provider should have (beyond first aid training), even if they are only riding on a fire truck.

Five Classes for EMS Providers

1.  National Incident Management System (NIMS) - Forget that this is a free course and forget that you don’t even have to get out of your pajamas to take it if you don’t want to. If this course cost and you had to travel, I’d still recommend it. The NIMS training, while not federally mandated, should be made a mandate by agencies for their members. It provides an understanding of the frame-work of response, from the basic to the large-scale incident. It takes out the actual operational efforts and describes the organization fo the efforts and the resources/agencies available. Anyone who might EVER respond to an event should have this training. Check out: http://www.fema.gov/emergency/nims/NIMSTrainingCourses.shtm for more information

2.  Incident Command Systems (ICS) - While NIMS talks about the ICS structure, the application and implementation of ICS is covered in other. Many of the courses offered are actually specific to the field, so you can take an Incident Command/Operations Course aimed at a target audience of EMS providers. This will provide scenarios that are EMS based and allow you to better understand the fact that you have a role in ICS, even if you only ride on the ambulance.  The National Fire Academy (NFA) offers a wide variety of these courses, and is an experience every emergency services member should have!  Visit http://www.usfa.fema.gov/nfa/index.shtm for additional information on National Fire Academy courses

3.  Hazardous Materials Awareness - Every EMS provider should take a hazardous materials awareness course. We need to understand how to recognize a haz-mat situation, how to identify a hazardous material (from a distance) and how to look that same hazardous material up in the Emergency Response Guide (ERG) to assist in the treatment of our patients. This is a course that can be taken online and is often taught in person by the state Emergency Management agency or Fire Programs office.

4.  Vehicle Extrication – This is a hard one to explain. Some of you  readers are actually doing extrication off the ambulance. In some jurisdictions though, extrication is a fire department activity (probably in more localities than there are EMS doing extrication). Even if you never place your hands on a spreader, cutter, ram, etc, you need to understand the process of extrication. Extrication is a patient care driven issue (that’s another argument I could write about). We wouldn’t be doing extrication if there wasn’t a patient in the car. An EMS provider with an understanding of the process of vehicle extrication can be prepared for the impacts on the patient, understand the time issues associated with different techniques, and use their knowledge to provide information to the patient (if conscious) about what the extrication team is doing.

5. Critical Incident Stress Management - This training, whether through International Critical Incident Stress Foundation (ICISF), the Red Cross, or some other agency, provides not only the ability to help others deal with the impacts of the job, but also provides a foundation for recognizing when you are personally impacted as well. We focus so much on the reactive approach (treating things AFTER they happen). If we could provide this training, or even a simpler form, we may be able to PREVENT individuals from being impacted emotionally/mentally by a critical incident.

So, those are the trainings (beyond first aid) that I truly believe EVERY EMS provider should have. You may or may not agree with me, but I think we can all agree, that the training is out there and we should definitely take advantage of it. Why would you not want to be the best provider you can be?

Do you have any classes you would add to this list?  Feel free to share your thoughts here or on twitter!

Until next time, stay safe and don’t forget to follow on twitter (@stickysidedwn)

EMS Nutrition #9 – Healthy Dessert Options

For some people the end of dinner signals a time for a cup of coffee or a cigarette.  For me, it means it’s time to consider dessert.  Maybe it’s because I LOVE to bake and like to try things and then bake them myself.  Or maybe it’s because I have a MASSIVE sweet tooth.  Whatever it is, one of the things to remember during healthy eating is that you don’t have to completely cut out desserts. It just means that you have to consider some healthy alternatives to what you might normally make and eat.  This week I’m going to focus on some baking alternatives/snaking ideas and next week I’ll share some healthy recipes for some great desserts (and maybe a few not so healthy desserts!).

Dessert Considerations

1.  If you have a craving, choose to indulge!  Have you ever had that craving that just won’t go away?  Mine normally looks like this:

When I have a craving, I don’t go for some healthy alternative.  I go for a small serving size of my actual craving. Otherwise, I’ll just keep eating foods until I feel like I’ve met my craving, which normally ends with me eating what I wanted to begin with (in much larger quantities).  It’s okay to have an off moment and indulge in something that isn’t so good for you, if only to make sure you aren’t over indulging later.

2.  Consider desserts and snacks that are naturally sweetened. This will eliminate a desire to add refined sugar to your dish, packing on the calories

3. Consider dark chocolate- Dark chocolate has received recent news coverage as an anti-oxidant. Dark chocolate (must be dark, not milk)

4.  Consider altering your recipe – I’ve read lots of writing about substitutions in your recipe to make a dessert healthier, and while I will admit to not having tried most of them, the reviews I’ve read and heard are that some of the substitutions are wonderful. For instance, substitute unsweetened applesauce for some of the fat additives. Or, consider honey as a sweetener instead of sugar. Because it is in liquid form, you need to use only 3/4 cup honey for every cup sugar.  Additional substitutes can be found at: http://www.livestrong.com/article/366614-healthy-sugar-substitutes-in-baking/

5.  Never underestimate the power of fresh fruit - Some of the best desserts I’ve had have been cold/frozen fresh fruit. It’s naturally sweet flavors and the cold make it seem like a much better option than some of the other unhealthiest choices.  If you’ve never had frozen grapes, you are missing something!

Next week I’ll share some of my favorite healthy dessert recipes (and my not so healthy dessert recipes).

Until then, stay safe and remember to follow me on twitter (@stickysidedwn).

I’m having a giveaway!

Have I mentioned I wrote a book?  I know, I’m funny aren’t I?  In case you didn’t know, here’s a picture:

Well, in honor of the release of my book, and in hopes of spreading the information, I’m giving away a copy of the book.  That’s right, one signed copy of my book will be given away to a lucky reader.  Here are the details:

How To Enter

In order to enter you will either need to tweet (@stickysidedwn) or email (sticky-side-down@comcast.net) a picture of what you use for incident command.  It could be a picture of your riding assignment board, a picture of an Incident Command Vehicle, a picture of a command vest.  Really, anything that shows how you use ICS at your station.

Remember in your e-mail to include your name and station location. We will share pictures that are entered into the contest, as they might give others ideas on what they can do with their station.

**Edited to add** – Your picture doesn’t necessarily have to have specific ICS (or even fire/EMS themed) items (such as command vests). Think outside the box – take a picture of your Lieutenant’s Badge, your assignment board (if you a nurse it could be bed assignments).  It could be a picture of a triage tag or an ambulance. Anything that shows your structured response!  If you aren’t a member of an agency, consider writing down the command structure in your own house and sending a picture

Deadline

Pictures will be accepted through 5:00 p.m. March 9, 2012.

Choosing a Winner

A winner will be chosen at random and their name will be posted Saturday March 10, 2012.