Saturday January 28, 2012
I ran a 5k with two of my kids last night at Disneyland. It was fun and the entire route stayed within the theme parks. If a medical emergency had happened, there were plenty of staff members (cast members, that is) and spectators along the entire route who could get help.
But what if you went down nobody knew who you were? In a half marathon through my home town not too many years ago, a man collapsed in sudden cardiac arrest. Other runners started CPR and an ambulance responded from its post at the 6th mile marker. The man survived to run again.
He was alone on the course. No one knew his name.
On the backs of most running bibs like this there is a medical information form. It contains the essential information needed for the hospital to begin treatment and contact family. Everyone should fill out that form.
The very definition of an emergency is that it's an unexpected event. Most distance runners feel like they're in pretty good shape, but the reality is that anything can happen. In distance events around the country every year runners get hit by cars, suffer head injuries, break bones, fall into rivers, develop heat stroke...the list can go on indefinitely.
Those are just the healthy runners. What about the folks with heart disease, diabetes or dozens of other chronic conditions? They can run but have just a bit more chance of something going wrong.
I don't carry anything when I run. I don't have ID or money. I don't even take my cell phone. If I collapse (and I certainly don't count out the possibility) I'd better have someone who knows me running right by my side or else I'd better have some identifying information written on the back of my bib.
ER nurses and paramedics take note: If you treat a runner from an event, look on the back of the bib. A smart runner will have information you may need written there.
Thursday January 26, 2012
I've been thinking about getting my parents a first aid kit. It's kind of silly that their son, paramedic and first aid author, hasn't even put together a little bag of goodies for life's little emergencies.
I should have done this for my mom's recent birthday or made it a gift from the kids. My daughter could decorate Grandma's first aid kit with some psychedelic tie-dyed crosses and maybe even bedazzled it. I could stuff it full of all the gear I can be sure my mom would never buy for herself.
My mom isn't the type to buy special bandage scissors or even special bandages. She's the type who uses every washcloth until it falls apart then finds other uses for the scraps. She can sew dresses from scratch and grow all kinds of yummy veggies in her backyard garden (it's not entirely fair to compare Mom & Dad's veggie patch to everyone else because my parents live on a farm -- the backyard is like 40 acres).
My dad can build anything (he once copied a complicated hay rake from pictures I took at a farm show -- even painted it to match). Neither of them is happy unless they're working and active. Even so, they're both a little less spry than they used to be and a first aid kit with certain specialty items is probably overdue. Perhaps next week I'll make Grandma a sparkly new first aid kit.
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Thursday January 19, 2012
News reporters are all talking about it: walking around with your mp3 player on might get you killed. It's official according to recent research. But what does the research really say?
A study published January 16, 2012 in the journal Injury Prevention reports that incidents involving pedestrians struck by vehicles while wearing headphones tripled from 2004 to 2011. Authors searched several databases for incidents involving pedestrians struck while wearing headphones (and presumably earbuds) and found 116 cases from 2004 to 2011. Since they could only find 16 cases in 2004-05 but were able to find 47 examples in 2010-11 they concluded that the incidence of pedestrian accidents with headphones on had tripled.
The whole media machine is now reporting how dangerous headphones are, assuming of course that the presence of headphones in all these cases actually caused -- at least in part -- the pedestrian to get hit.
I'm not so sure about that.
For one thing, isn't everybody wearing an iPod or cell phone earbuds these days? It used to be easy to tell the truly psychotic schizophrenic homeless people from the simply unshaven, but now everybody has a bluetooth thingy in their ear so you can't be sure they're not actually talking to another human on the other line. Even I have fallen victim to the lure of mp3 players and hands-free headsets.
To test the assumptions of my media colleagues I did a little research project of my own for 2009, the latest year all these statistics were easily researched. I didn't search out every year of this study because I'm a busy guy and because I'm proving a point, not a thesis. This is what I found:
- 5,219 pedestrians were killed by moving vehicles (planes, trains, automobiles, forklifts, bicycles, Big Wheels, whatever) in 2009
- 4,092 of the pedestrians were killed by cars, trucks, buses or motorcycles (in the study, 55% of the cases were hit by trains?)
- 1,408 of the pedestrians killed in 2009 were drunk (they had .08 or higher blood alcohol content)
- Neither of the official government databases I looked at (CDC or NHTSA) reported whether the pedestrians were wearing headphones or not and the idea that only 116 people mowed down by trains or cars were wearing headphones in a 7 year stretch from 2004 to 2011 seems extremely unlikely to me.
My scientifically dubious research into the whole issue of pedestrian fatalities leads me to conclude two things:
- You're much safer wearing earbuds while walking home from work sober than you are walking home from the bar after 9 shots of tequila -- with or without earbuds. And...
- My colleagues in the media could use a statistics lesson.
Maybe it isn't headphones that are causing an increase in pedestrian fatalities. Here's my theory: the number of people wearing headphones and earbuds tripled from 2004 to 2009, including among those who got thrown under the bus (or train or whatever).
I'm a believer in backing up our assumptions with evidence. Indeed, I'm always the guy who defends all those studies that seem to back up common sense. You know what I'm talking about; the studies that leave you saying, "They should've saved their money and asked me. I could've told them that."
This may seem like one of those studies. Let's see, wearing headphones could lead to stepping in front of the train you didn't hear coming. It makes sense, but what does this study really say? The authors were able to find more examples of pedestrian victims wearing headphones - there's just nothing to suggest that the headphones are actually causing any harm.
The only way the authors could actually suggest that headphones are dangerous would be to compare the percentage of pedestrians who wear headphones to the percentage of pedestrian victims who wear headphones. For example, if they could tell me that 15% of all folks on the street had music blasting in their ears, but 50% of all pedestrians hit by trains had music in their ears, I'd be singing a different tune (quietly, you know, so I wouldn't distract anybody trying to play Frogger on a real street).
What research does show is that about 35% of pedestrians killed by motor vehicles are liquored up. Since I'm fairly certain that 35% of us aren't stumbling around completely sauced all the time, that's a pretty good indicator that getting plowed before you leave the bar on foot is a pretty good way to end up getting plowed down the street.
Until proven otherwise, I recommend watching where you're going whether you listen to headphones or not. Oh, and if you get drunk, call a cab.
Tuesday January 17, 2012
A cool head under pressure: that's what most folks want in their surgeons, paramedics, police officers, firefighters, soldiers and captains. We don't pay any of these people for the routine, mundane activities that make up most of their careers. Instead, we want them to be prepared for the moment when everything goes horribly wrong.
Rescuers look for survivors aboard the sinking Costa Concordia.
(c) Laura Lezza/Getty Images
Looking at how things were handled differently between Captain Francesco Schettino of the Costa Concordia and Captain Chesley "Sully" Sullenberger of US Airways Flight 1549 really illuminates why we expect so much of the folks we put in charge when things go wrong. When Flight 1549 lost power after hitting a flock of birds -- completely unavoidable, I might add, which we'll talk about in a moment -- Sullenberger kept his calm and guided the plane into the Hudson River. It was a beautiful landing considering he had to skim the airliner along on its belly sans landing gear or a runway. No one was killed aboard Flight 1549, nor was anyone seriously injured.
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