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	<title>Firehouse Zen &#187; heart attack</title>
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	<link>http://firehousezen.com</link>
	<description>Brain Food for Mongo. Change management &#38; leadership in today&#039;s emergency services.</description>
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		<title>Cellular Dependency</title>
		<link>http://firehousezen.com/2009/07/21/cellular-dependency/</link>
		<comments>http://firehousezen.com/2009/07/21/cellular-dependency/#comments</comments>
		<pubDate>Wed, 22 Jul 2009 01:00:37 +0000</pubDate>
		<dc:creator>Michael "Mick" Mayers</dc:creator>
				<category><![CDATA[change]]></category>
		<category><![CDATA[fire service]]></category>
		<category><![CDATA[Firefighter Nation]]></category>
		<category><![CDATA[firefighting]]></category>
		<category><![CDATA[motivation]]></category>
		<category><![CDATA[professionalism]]></category>
		<category><![CDATA[safety]]></category>
		<category><![CDATA[heart attack]]></category>
		<category><![CDATA[Hilton Head Island]]></category>
		<category><![CDATA[incident management]]></category>
		<category><![CDATA[leadership]]></category>
		<category><![CDATA[South Carolina]]></category>

		<guid isPermaLink="false">http://www.firehousezen.com/?p=553</guid>
		<description><![CDATA[It wasn&#8217;t really by design, but the last time I was in Atlanta, I found that I had some problems getting my e-mail on my fan[...]]]></description>
			<content:encoded><![CDATA[<div id="attachment_556" class="wp-caption alignleft" style="width: 160px"><img class="size-thumbnail wp-image-556" src="http://www.firehousezen.com/wp-content/uploads/2009/07/webIMG_1172-150x150.jpg" alt="Hilton Head Island Engine 7 at truck fire" width="150" height="150" /><p class="wp-caption-text">Hilton Head Island Engine 7 at truck fire</p></div>
<p>It wasn&#8217;t really by design, but the last time I was in Atlanta, I found that I had some problems getting my e-mail on my fancy smart phone.  Likewise, on this occasion when I spent a few days in &#8220;The City Too Busy To Hate&#8221;, my &#8220;missing&#8221; status this week evolved into a few days of real time with my family.  As far as being away went, other than a boneheaded move in leaving my wife&#8217;s laptop unattended on top of luggage (while my 3-year-old daughter lurked nearby- things didn&#8217;t end well), it was a beautiful weekend with my wife and children.  The weather in Atlanta was amazing, the hotel and staff excellent, and best of all, the smart phone silent.</p>
<p>Interestingly enough, the homilist at Mass on Sunday reflected on the same thing: Even Jesus needed a break.  You know the story: Jesus asks His entourage to go ahead after a hard day&#8217;s work and prepare a place away from the huddled masses where He could rest, only to find someone leaked the plan and when Jesus arrived, there were plenty there waiting.  Of course, Jesus goes on to have pity on these &#8220;sheep without a shepherd&#8221; and goes back to work.</p>
<p>While I&#8217;m certainly not even in the slightest comparing my situation to Jesus&#8217; situation, the point is that even the most important people in the world need to step away from time to time, so really, who am I to believe that the world will come apart if I shut off the phone for a while?</p>
<p>There&#8217;s a certain amount of imbalance in our lives, especially for those of you who like me, are always picking up a new thing they want to share and work with.  The problem is that in our doing so, we forget that we need an opportunity to recharge and step back for a while.  If anything, you can chalk it up to needing fresh perspective.</p>
<p>So you&#8217;ll have to accept my apology when I keep this one short, as my daughter wants me to teach her how to make fried chicken.  After that, I&#8217;ll check the e-mail.</p>
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		<item>
		<title>Firefighting as Asymetrical Warfare</title>
		<link>http://firehousezen.com/2009/05/09/firefighting-as-asymetrical-warfare/</link>
		<comments>http://firehousezen.com/2009/05/09/firefighting-as-asymetrical-warfare/#comments</comments>
		<pubDate>Sat, 09 May 2009 11:00:42 +0000</pubDate>
		<dc:creator>Michael "Mick" Mayers</dc:creator>
				<category><![CDATA["accident prevention"]]></category>
		<category><![CDATA[command]]></category>
		<category><![CDATA[fire service]]></category>
		<category><![CDATA[firefighting]]></category>
		<category><![CDATA[LODD]]></category>
		<category><![CDATA[officership]]></category>
		<category><![CDATA[professionalism]]></category>
		<category><![CDATA[safety]]></category>
		<category><![CDATA[heart attack]]></category>
		<category><![CDATA[Hilton Head Island]]></category>
		<category><![CDATA[incident management]]></category>
		<category><![CDATA[leadership]]></category>
		<category><![CDATA[management]]></category>
		<category><![CDATA[rescue]]></category>
		<category><![CDATA[risk reduction]]></category>
		<category><![CDATA[South Carolina]]></category>

		<guid isPermaLink="false">http://www.firehousezen.com/?p=415</guid>
		<description><![CDATA[There used to be a day when warriors considered it less than chivalrous to take cover or to shoot from a prone position.  Most of[...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-thumbnail wp-image-416" src="http://www.firehousezen.com/wp-content/uploads/2009/05/2005-1139-150x150.jpg" alt="2005-1139" width="150" height="150" />There used to be a day when warriors considered it less than chivalrous to take cover or to shoot from a prone position.  Most of us in this millennium probably would never consider it a good idea to stand up and march forward upright into a withering hail of bullets unless we were certain we wanted to end it all right there.  While Napoleonic tactics continued to be used on the battlefield well into the 1900&#8242;s, for centuries, experts in the art of warfare were aware that when fighting a battle with an enemy that had a decided advantage, less than conventional tactics had to be applied.</p>
<p>As anybody who has ever been in the military knows, the one of the least preferable places to engage the enemy is on his own ground.  This is especially true in urban warfare, where going house to house can bring on any sort of undesired surprise.  Again, marching down the street in perfect formation, wheeling into position to the left or right, and moving forward to the center of the contested area is likely going to result in a heavy body count.</p>
<p>The advantage for the opposing force utilizing unconventional tactics is surprise; your force doesn&#8217;t know where or when the attack will come, you are unfamiliar with the terrain, you are unfamiliar with the weapons that will be used against you, and the attack is most likely going to come where your units are concentrated and have little ability to maneuver or escape.</p>
<p>Likewise, as we engage a fire in a building, especially in commercial occupancies, we have a disadvantage in that we are relatively unfamiliar with the layout, we may or may not be familiar with the fire load and the construction, and we don&#8217;t know for sure how long the fire has been burning, where it has extended to, or what components have been impacted.  We can get good reconnaissance when we do our preplans, but even then, unless it is a building you are in routinely, you probably aren&#8217;t going to have a good feel for the &#8220;terrain&#8221;.</p>
<p>Nonetheless, we have some holdouts in the fire service who continue to embrace the romantic image of the valiant firefighter, bolt upright, dashing into the flames with no regard for his own safety, and emerging unscathed with babe in arms, to the cheers of the crowd.  And before some of you haters out there begin to judge, realize that I come from four generations of these, of whom I am extraordinarily proud to be descended from.</p>
<p>And although I&#8217;m okay with that image in my heart, there&#8217;s a point where my head takes over.  Because while there is a certain amount of adrenaline surge in the glory of headlong engagement with the enemy, my years of education and experience kick in and I realize that I am locked in mortal combat with an enemy that has a decidedly favorable advantage.</p>
<p>If I choose to ignore the risks involved to the point that only the mission matters, if we had an unlimited amount of resources with which to throw at the enemy, maybe that would be okay (stick with me, now).  I don&#8217;t know about your department,  but in my department, we would have a limit of about one dead firefighter before things get a little crazy on scene (I&#8217;m being facetious; I hate to spell that out, but I&#8217;m heading off the hate mail).</p>
<p>There is nothing wrong with that image of valor I discussed before, but as I said in my <a href="http://www.firehousezen.com/2009/05/01/lets-take-an-unemotional-look-at-the-problem/">earlier post</a>, misusing the resources we have been allocated, of which losing personnel would be probably the most severe (at least it would be in my department), is a seriously poor contribution to minimizing the disaster and bringing it under control.  In fact, in most cases, it exacerbates it.</p>
<p>In no way should my opinion be construed as being against taking risk.  Risk is part of my job and if God strikes me down while taking what I considered to be a good risk versus an appropriate return, than so be it.  But risk to the exclusion of common sense isn&#8217;t valiant, it&#8217;s stupid.</p>
<p>Most of the firefighter deaths in this nation don&#8217;t come from valiantly charging into a burning building to save a life.  Most of them come from preventable issues, like cardiac-related incidents and motor vehicle collisions.  And while I mourn my fallen brethren just as terribly whether done on scene or in training, my job as a responsible emergency service leader is to insure that we aren&#8217;t throwing away souls toward lost causes or through poor judgement.  I know my family is appreciative when I come home intact, and so should yours be.</p>
<p>Saying you are for doing the job regardless of the safety aspects isn&#8217;t manly, it&#8217;s irresponsible.  Being cognizant of safe working practices doesn&#8217;t mean I stand outside a building and tremble when I roll up on a structure fire, but it does mean that I look at the fire progress, the extent of involvement, the building construction, and the likelihood of interior tenability (among other things) before committing my personnel.  Realize that this comes from a guy who has charred several helmets off the top of his head in his day and has had his share of hairy saves.  And I loved riding the tailboard just as much, if not more, than any of you out there as well.  But there comes a time when you look at what you are doing, and remember how close you came to throwing everything you had at the fire, only to have the insurance company write it off and be out there with a track-hoe the next day, hauling your &#8220;saved&#8221; building into a dumpster.</p>
<p>As Chris Naum says in his post on <a href="http://thekitchentable.firerescue1.com/2009/05/opposing-spectrum-of-fire-service.html">The Kitchen Table</a>, there is a place in between overly cautious and overly aggressive that the good firefighters take their place in the line.  I ask that you consider that location and mark it out, and strive for the use of thorough size-up, sound tactics, and reasonable safety measures while remembering that there are more out there who depend upon you than just that victim.  Don&#8217;t throw everything you have at a situation you can&#8217;t win.  Choose your battles through knowledge and skill, and do the best you can do.</p>
]]></content:encoded>
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		</item>
		<item>
		<title>Putting Things In Perspective</title>
		<link>http://firehousezen.com/2009/04/29/putting-things-in-perspective/</link>
		<comments>http://firehousezen.com/2009/04/29/putting-things-in-perspective/#comments</comments>
		<pubDate>Wed, 29 Apr 2009 14:12:44 +0000</pubDate>
		<dc:creator>Michael "Mick" Mayers</dc:creator>
				<category><![CDATA[customer service]]></category>
		<category><![CDATA[DHS]]></category>
		<category><![CDATA[education]]></category>
		<category><![CDATA[fire service]]></category>
		<category><![CDATA[funding]]></category>
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		<category><![CDATA[Media Relations]]></category>
		<category><![CDATA[politics]]></category>
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		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[CDC]]></category>
		<category><![CDATA[disaster]]></category>
		<category><![CDATA[heart attack]]></category>
		<category><![CDATA[marketing]]></category>
		<category><![CDATA[media]]></category>
		<category><![CDATA[mortality]]></category>
		<category><![CDATA[risk reduction]]></category>
		<category><![CDATA[starvation]]></category>
		<category><![CDATA[swine flu]]></category>

		<guid isPermaLink="false">http://www.firehousezen.com/?p=407</guid>
		<description><![CDATA[As much as the media hype is annoying and excessive, my heart breaks for the parents of the first swine flu death in the United St[...]]]></description>
			<content:encoded><![CDATA[<p>As much as the media hype is annoying and excessive, my heart breaks for the parents of the <a href="http://news.aol.com/article/swine-flu-outbreak/452130?icid=main|main|dl1|link4|http%3A%2F%2Fnews.aol.com%2Farticle%2Fswine-flu-outbreak%2F452130">first swine flu death </a>in the United States, as well as for all of the other deaths that have occurred so far. As the parent of three young children, I can only imagine the pain that the family is going through and pray that things work out somehow.</p>
<p>However, as I was explaining to several people, and I have also said in my <a href="http://twitter.com/truck6alpha">Twitter</a> and <a href="http://www.facebook.com/home.php?#/profile.php?id=1254985524&amp;ref=name">Facebook</a> feeds, we need to look at this situation and put it in perspective.</p>
<p>According to the <a href="http://www.geni.org/globalenergy/issues/global/qualityoflife/hunger/index.shtml#starvation">Global Energy Network Institute</a>, 35,ooo people die DAILY from starvation in the world.  Yet since these people probably aren&#8217;t subscribers to USA Today or have TVs to watch network news, I guess it&#8217;s not that much of a problem.</p>
<p>According to the <a href="http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.108.191261">American Heart Association</a>, over 150, 000 people die each year from myocardial infarction (heart attacks, for you non-medical types).  The actual figure for 2009 translated into an average of 413 people dying per day, from a largely preventable disease, and a disease that we as EMS providers toil daily to educate the public about and secure funding for programs to mitigate against, but there is no media frenzy.  Now realize that number has dropped since 1980, so we are chipping away at the problem, but still, this is an astounding number of deaths from something we could work harder at solving.</p>
<p>Then of course, there is something much more preventable, that of death from injury.  According to the <a href="http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_14.pdf">CDC</a>, in 2006, people were dying at a rate of 490 a day from injuries.  How many times have we tried to get that message out, but have our PSAs relegated to after the 11:00 news when everyone has gone to bed?</p>
<p>I think we need to look at the swine flu situation carefully.  We need to take reasonable measures to mitigate against further outbreak and to minimize exposure to ourselves and our families.  But like the HIV hysteria of the &#8217;80&#8242;s and every other crisis that comes along, the media has done a great job overselling the drama when it suits their purpose, and a mediocre job of helping us get the message out about many other efforts like putting smoke detectors in homes. It is our job to continue to bubble up the real message to our customers and it is our job to help the CDC and other parties to keep the effects of this pandemic to a minimum.  But the hysteria can stop already.  I have enough drama in my life, I don&#8217;t need this to make it that much more of a challenge.</p>
<p>Take universal precautions, eat and drink healthy and stay fit, and stay well.  Let&#8217;s not make this any worse than it needs to be.</p>
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