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Don't let this happen to you!!
This Victim was Killed in an automobile accident, the vehicle in which he was traveling in at a high rate of speed.  This person WAS NOT wearing a seat belt which could have prevented the fatal Injuries
This Victim was also Killed in an automobile accident, the vehicle he  was driving impacted an abutment at a high rate of speed.  This person WAS NOT wearing a seat belt even though the airbag deployed he was thrown over it and was thrown thru the windshield
This Victim was in Traumatic Cardiac Arrest following an automobile accident.  The Driver of the vehicle was Intoxicated and had been traveling in at a high rate of speed. This person WAS NOT wearing a seat belt and was ejected from the Vehicle.  He later was pronounced dead at the hospital.
This Victim was Traumatically Injured by falling Debris following the Terrorist Attacks at the World Trade Center in New York City on September 11, 2001.
This Victim was Traumatically Injured after being struck by a car and thrown over 200 feet.  The patient a pedestrian shown here being stabilized and was transported to a Trauma Center and later recovered from her injuries.
This Victim Suffered an Opened Compound Fracture of the Left Leg after slipping on the ice and falling.  Her leg was splinted and the patient was transported to a Local Hospital Emergency Room were she under went surgery to set the leg.
This Patient Suffered 2nd and 3rd degree burns on bot feet after placing her feet in a tub of water unaware the it had been filled accidentally with hot water.   EMS Treated her feet and she was transported to a Local Hospital Emergency Room and then transferred to the Burn Unit.
Some people might find some of the photos too graphic for their tastes.  There are photo’s if choose to continue which contains graphic images of extensive trauma.  The photos are real to life traumatic injuries.  If you do not which to view, DO NOT PROCEED!!  This is actual trauma seen by EMT’s and Paramedic’s “life and death on the Streets.

Don has a really awesome site-that includes forensic files
                                   Medical Explanation of Crucifixion
                           Description:  A medical doctor describes what happens to the human body during crucifixion, and offers his thoughts.

What is crucifixion? A medical doctor provides a physical description: The cross is placed on the ground and the exhausted man is quickly thrown backwards with his shoulders against the wood. The legionnaire feels for the depression at the front of the wrist. He drives a heavy square wrought iron nail through the wrist deep into the wound. Quickly he moves to the other side and repeats the action, being careful not to pull the arms too tightly, but to allow some flex and movement. The cross is then lifted into place. The left foot is press backward against the right foot, and with both feet extended, toes down, a nail is driven through the arch of each, leaving the knees flexed. The victim is now crucified. As he slowly sags down with more weight on the nails in the wrists, excruciating fiery pain shoots along the fingers and up the arms to explode in the brain-the nails in the wrists are putting pressure on the median nerves. As he pushes himself upward to avoid this stretching torment, he places the full weight on the nail through his feet. Again he feels the searing agony of the nail tearing through the nerves between the bones of his feet. As the arms fatigue, cramps sweep through his muscles, knotting them deep relentless, and throbbing pain. With these cramps comes the inability to push himself upward to breath. Air can be drawn into the lungs but not exhaled. He fights to raise himself in order to get even one small breath. Finally, carbon dioxide builds up in the lungs and in the blood stream, and the cramps partially subsided. Spasmodically, he is able to push himself upward to exhale and bring in life-giving oxygen.  Hours of limitless pain, cycles of twisting, joint wrenching cramps, intermittent partial asphyxiation, searing pain as tissue is torn from his lacerated back as he moves up and down against rough timber.  Then another agony begins: a deep, crushing pain deep in the chest as the pericardium slowly fills with serum and begins to compress the heart. It is now almost over-the loss of tissue fluids has reached a critical level--the compressed heart is struggling to pump heart, thick, sluggish blood into the tissues--the tortured lungs are making frantic effort to gasp in small gulps of air. He can feel the chill of death creeping through his tissues. Finally, he can allow his body to die... All this the Bible records with the simple words, “and they crucified Him” (Mark 15:24). What wondrous love is this? Many people don’t know that pain and suffering our Lord, Jesus Christ went through for us... because of the brutality; crucifixion was given a sentence to only its worst offenders of the law. Thieves, murderers, and rapists would be the types of creeps who got crucified. Yet, here Jesus is being crucified between two hardened criminals... What did Jesus do? Did he murder anyone? Did he steal anything? The answer as we all know is NO!! Jesus did nothing to deserve this type of death, yet he went willing to die, in between 2 thieves, so that we might be saved. And there, in between the sinners, was our slain savior for our sins.
Some people might find some of the photos too graphic for their tastes.  There are photo’s if choose to continue which contains graphic images of extensive trauma.  The photos are real to life traumatic injuries.  If you do not which to view, DO NOT PROCEED!!  This is actual trauma seen by EMT’s and Paramedic’s “life and death on the Streets.
The above pictures depict life on the streets.  EMS (Emergency Medical Services) is a profession made up of EMT’s and Paramedic’s who respond to these types of injuries far too often.  They deal with accidents, suicides, homicides and many types of other trauma and injury.  The photos utilized on this page are a strong illustration of the devastation that the men and women of EMS respond to.  A survey of 50 states in the United States shows an average yearly income that these men and women make approximately $29,000.00.  They respond to these types of injuries on an average of 3.5 times per week per medic.  This site’s page intention is to provide a three prong approach

1.) Education (you must have the ability to deal with all types of traumatic situations, dealing with horrific pain and suffering)
2.) Reference Material (many EMS Educators have requested permission to use these images for in class presentation)
3.) Public Service (these pictures demonstrate irresponsible behavior such as failure to wear seat belts, the cause and effect of drinking and driving, the cause and effect of violence use guns, knives and physical abuse.)

                 I conducted a site poll over 2003, 659 individuals responded to the following question;
Many EMS and Fire related magazine’s share traumatic injury photo’s for both educational and public service resources. The poll question stated as follows:  Should this provide the same type of data? Yes= 329 No= 217 Not Sure= 113

                               This site page contains a notice before viewing any material on this page:
“Some people might find some of the photos too graphic for their tastes.  There are photo’s if choose to continue which contains graphic images of extensive trauma.  The photos are real to life traumatic injuries.  If you do not which to view, DO NOT PROCEED!!  This is actual trauma seen by EMT’s and Paramedic’s “life and death on the Streets.”

Case reviews for various trauma photos are and will be added to the data, including mechanism and treatment.

                  This is life on the Streets.
Pennsylvania Emergency Health Services Federation
Authorized to use by: EHSF

We’re sorry if we wake you in the middle of the night,
but someone in your neighborhood is fighting for their life.
Sometimes someone is choking, sometimes a child in need,
sometimes a heart stops beating, sometimes we watch you grieve.

So if you catch our sadness when we thought we were alone
you know that we’ve had a “bad one” and our emotions we postpone.
You ask us how we do it, “I couldn't do that stuff”. We keep on answering your call, even when the going gets tough.

Somewhere deep within us, our souls are crying out
“we’re here to help our neighbor, that’s what we are about.”
God gave us something special to help us see you through.
We are there because we fight to save a life, and it is our extensive
training that sees you through, this is who we are and what we do.
Starting an access line using an 18 gauge Anglo catheter, always try for I.V. below back of hand vein.
                                            EXPLANATION OF THIS SITE PAGE
Today’s Ambulances are high tech and heavily stocked mobile trauma units, specially built Ambulances meeting strict Federal guidelines, are staffed with the most advanced trained EMT’s and Paramedics.  As seen in these three (3) pictures these rolling emergency rooms today utilize a computer aided dispatch plan (CAD) are moved through your city streets.  How many times have you seen an ambulance parked in a mall parking lot? This is moving company’s assets around to better increase response times.  In our area they are referred to as “signal” or “point” which stages ambulances and there crew through out various locations in your city.  When one of these units is dispatched to a call, the dispatcher will reposition ambulances and crews to new locations to continue to provide rapid response coverage.  National guidelines require a 6 minute response time and CAD helps these agencies to meet those guidelines.  As seen in the middle picture a EMT/Paramedic treats the patient vigorously utilizing the same equipment found in an Emergency Room/Trauma Center’s. 

As seen again in the middle picture the EMT/Paramedic risks his/her life in every emergency transport with critical patients the EMT/Paramedic cannot buckle up as they must attend to the patient.  This is why it is so critical that that you pull to the right upon hearing the audible siren and oscillating lights, also keep car stereo’s turned down stay off cellular phones and please pay attention at intersections a minor accident can kill the EMT/Paramedic attending to what could be your family member and leaving a spouse of the medic and his/her children widowed and orphaned.
Here a Cardiac patient is being bagged via an tracheal tube inserted by Paramedics enroute to a Local Trauma Center another medic using "universal precautions," monitors the patients cardiac rhythm.
Here a patient is protruding from beneath an overturned vehicle often EMT's and Paramedics often climb into twisted steel that once was a car and begin treatment of the patient at grave risks to their own lives as Firefighters use the jaws of law to free the patients an allow for transport.
Here a victim ejected from a (SUV) sustained major head trauma,the patient is being attended to as Paramedics prepare for intubation. medic's & firefighters using "universal pre-cautions," prepare the patient for air transport in this situation.
as a result of a "white out," dozens of cars smashed into each other causing a mass casualty incident (MCI) EMT's Paramedics, Police Officers and firefighters using "universal pre-cautions," extricate the patient trapped in the twisted steel.
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       In the Realm of EMS

        There is No Next Time

    There is No Second Chance

         There is No Time Out

August: End of Summer Vacations and Family Get togethers-- Please remember Don't Drink and/or Drive Druged!   Also Buckle your seatbelts
                                                             FIREWORKS ARE DANGEROUS USE CAUTION
"Air Bag Deployment      Example with belt"

How did you find this site page?
From a site link
A Search Engine
CE Class

A child restraint seat should be used until?
The child is out of diapers
The child reaches a height of 27 inches
The child reaches a height of 49 inches
The child is able to buckle his/her own seatbelt
The child won’t stay in the seat

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    Copyrighted © 2001-2017  DAVE’S EMS HEADQUARTERS All Rights Reserved
"What do you do for a living?" my neighbor asked me. I told him my usual reply, "I'm a Paramedic. I work on an ambulance." Without fail, the reaction is always the same: "I could NEVER do that!" I think anyone in EMS has had this exact same conversation a thousand times. 

What I find interesting though is the variety of answers you get when you ask "why". Some mention they don't like people enough to help them, others mention the hours and sitting in an ambulance all day without a station, but most people have a big hang-up with the gore.

The other day I had one of the goriest calls of recent memory and I found myself puzzled at the prospect that the blood and the smell and the guts didn't bother me, but the "gore" itself did. This may sound strange as most people look at those two things as one in the same, but to me they are distinctly different.

It was a busy Friday night and my partner and I were laughing about how bad my driving was this particular night. Over the past couple of weeks I had a lot on my mind and I wasn't myself on shift. When I am patient man, I usually snap myself right into work mode, however when I drive it doesn't hold the same interest for me and I tend to get scatterbrained now and then. We heard the firefighters radio channel dispatch out a man with a gun threatening suicide and we happened to be in the area. Not long after we were sent to the same call and we were advised to stage for the police.

Staging is quite possibly one of the greatest benefits of being on the ambulance. The police go in first, make sure everything is safe, then tell us to come in. It adds an element of safety to our job that so many people take for granted. Tonight was one night I'm glad we staged.  We parked behind the fire truck around the corner awaiting word from the police to come in and handle the psych evaluation. I had my feet crossed as I slouched in the seat getting comfortable anticipating a long standoff and my partner chatted with his girlfriend on the cellular phone. We had been there about 10 minutes when we heard "bang". Chaos ensued.

About 30 seconds after the shot, we were frantically being waved in by the police officers and lead to the man laying on the ground in a pool of blood. One of the officers ran along side of us saying "He shot himself in the left temple with an exit on the right side of his skull." We rushed to his side with the fire department and we could hear a rescue (paramedics) getting dispatched to our call.

As we approached the scene the police on scene yelled to stop. ahead of us was the weapon about 1 foot in front of our stretcher that we almost ran over. My partner and I looked at each other and let out a sigh of relief that some one noticed us before we contaminated the crime scene.

The fire guys were already next to the patient who much to our surprise was still talking or at least trying to talk. He was mumbling as blood filled his mouth from the bullet's puncturing the sinuses. Everyone seemed stunned watching this man die as no one was doing any definitive care. I yelled at one of the firefighters to suction his airway while another grabbed an airway adjunct. I laid the backboard down next to the patient and instructed my partner to get a bag valve mask ready. I told them to load him quick and I'll go set up some I.V.s.

I ran to the ambulance and set up two I.V.s and the firefighters came screaming around the corner with the patient. They loaded him in still frantic from the nature of the call. I instructed one to check for a pulse, he said there is none and was going to get the defibrillator. I told him to forget the defibrillator and start CPR. My partner was starting an IV as the rescue arrived. After a brief report we were off to the hospital.

As I pulled away I looked back and saw several officers trying to console this man's wife. He was 65 years old and he shot himself in front of her, ending a 5 year battle with depression. I remembered realizing that with his depression coming to such a violent end, she will now carry on his pain with a violent beginning to her own depression.

Despite the lousy night I had with driving I had my focus back for this drive. It seemed as though I could see every bump miles before we reached them, and made a safe quick trip to the trauma center.

15 minutes after arrival, at 4:03AM, our patient was pronounced dead by the trauma doctor. We all left the room a bit quietly after looking at the devastation a single bullet caused to this man's head. The right side was completely open and his skull was shattered. Much of his brain and fallen out the side and there were many small shreds of gray matter on the floor. We knew that the mess in the back of the ambulance would have to be handled at the main ambulance hub so we threw the unclean stretcher back in and made way for home.

As we arrived I opened the back doors and had a look at the big mess. There was blood everywhere and small pieces of brain matter. Giant pools of clotted blood making long stretches of half solid/half liquid blood near the corners and the stretcher catch. I grabbed a rag mumbling about the mess when as I started to throw pieces away it dawned on me. This wasn't a mess I was cleaning up, this was a person I was cleaning up. These little pieces of his brain once held hopes, dreams, aspirations, and his memories. It was somewhat saddening to think of it this way, but once I had begun, I couldn't think of it otherwise.

It took over an hour and a half to get the back cleaned up. Blood was everywhere. We estimate he lost about 2/3 of his blood in the back of our truck. I had cleaned up blood, guts, vomit, and even stool one time from the back of the truck. This time though there was a definite sadness to things. It didn't gross me out to pick up his remains, but rather it saddened me to hold a piece of his 65 years of life, a memory that no money could buy, or a dream that was never realized, gone with a gentle squeeze of a handgun.

Steve Jensen
EMS & Trauma---What I Do & See
This Patient was thrown from Jet Ski were upon he was impaled
on a wood pylon, after extrication he was transported to the local trauma center.  This patient survived his injuries and was able to keep his leg.
Approximately six months following this accident, this man made a full recovery.  The patient suffered from a shattered hip, broken leg, several broken ribs, internal injuries and soft tissue damage. Doctors credited his recovery to the actions of both the Paramedics and Firefighters on scene; the post lodged in the coccyx area of the spine, and was lodged so tight that it prevented very little external bleeding preventing massive blood loss.
This type injury with the bruising can lead to blood clots that can break away leading to a Pulmonary Embolism (PE)

Post Aggravated assault victim, once Law enforcement secured the scene, EMS Who were "staged," (Paused near the scene until allowed in by Police.) The victim suffered respiratory arrest.  More on scene Safety located on EMS Dangers Pages
With the economy in a severe downslide and Gas prices high. More people are buying motorcycles which is resulting in higher Motorcycle injuries and Fatality's
With the economy in a severe downslide assaults are on the rise including assaults against EMT's & Paramedics across the Country.
Dear Dave,
On September 10, 1993, a group of people I'd never met before saved my life—and my son's.  They weren't firemen, EMT’s or Paramedics nor members of the local police force. They had been blood donors.  I hope my story will encourage you to give someone else the gift of life. As a blood donor myself, I can tell you there is not a better, easier way to touch someone’s life in a truly immeasurable way.

In 1993 my husband and I were ecstatic to learn that we were expecting a baby on Christmas Day. Everything was going well, until September 10. My water broke and the doctors had to deliver my son four months early. The doctors told my husband and me that our son had only a 20 percent chance of survival. I lost a lot of blood and it took several blood transfusions to save both of our lives.

Branden will turn 16 this year. He's happy, healthy, and a member of his high school's varsity golf team. To look at him, you’d never know his birth was anything out of the ordinary.

But that’s why donating blood is so important: tragedy could strike at any time, and you never know who is going to need your help. It could be your mother, your father, your husband, your wife—or even your child.

I was a regular blood donor before my son was born, and I’m still a regular blood donor today. In fact, I’ve already given this month at a Red Cross blood drive in my home town.

When I ask people who haven't given blood before why they've never donated, can you guess the response I hear most often? "No one's ever asked me before."

                                                          I’m asking you and your Site visitors. please donate blood.

Thank you,
Karen Kerr
Proud American Red Cross Blood Donor since 1975
American Red Cross Blood Donations
Below is an E-mail Received, That demonstrates the need to regularly donate blood, in this situation blood was needed while the patient was in a hospital.  However Medical Helicopters carry blood to the scene of accidents.  Other times blood is rushed to the scene to assist ground medics treat entrapped patients.  Please also remember blood is needed to treat our injured Military Personnel on the battlefield as well as in the mobile surgical units in Afghanistan and Iraq.
Post hairline fracture of left elbow, this type injury with the bruising can lead to blood clots that can brak away
Alcohol-related driving account for about 17000 fatal car accidents in the US every year, this translates to a US drunk driving death every 31 minutes killing approximately 50 people per day.

Approximately 1,300 Intoxicated Drivers were involved in fatal car accidents were previously arrested over a 3 year period for DUI (Driving under the Influence.)
                                                     Did You Know?

As a First Responder EMT or Paramedic will you accept the H1N1 Vaccine?
Yes Without Doubt
Yes (With Concern)
No (Do not Trust Vaccine)
No (But maybe later)
Not Sure

Trauma & Injuries-1
Trauma & Injuries-2
This Page was Last Updated: August 11, 2017
Trauma & Injuries-3
This Victim was was shot in the face at close range with a High Caliber Hand Gun.  He survived the Gunshot wound but will encounter several operations throughout his life.  Lock your hand guns away from children and treat it with extreme care ALWAYS
This is a police officer who was injured, while assigned to a presidential detail.  Presidential motorcades travel at high speeds as dictated by the United States Secret Service.

*They also provide a challenge to EMS Department running Diesels.  Diesels are not rapid acceleration friendly.
  Pt was the victim of a terror bombing sustaining a head injury
Crew was responding to a medical with lights and sirens when a driver failed to yield for an Emergency Vehicle
Pt was the victim of a high speed driver side impact accident the picture shows the contortion of the driver seat which left the driver in critical condition
Aero Med Prepares to transport a patient who was critically injured, air medical transports save much time in getting patients to trauma units
Download for Use
         I.V. Start
       I.V. Start-2
Pt was the driver, impacted the windshield, Cervical Collar has been applied and patient is being assessed for further trauma
Pt was the driver, impacted the windshield, Cervical Collar and boarded is being assessed for further trauma
Medical Helicopters Transports

If you were sick or injured would cost concerns stop you from calling an AMBULANCE?
Ambulance Bill would stop me
Ambulance Bill would not Stop me
I have insurance not worried
I have Medicaid or Medicare I would call

"Battle Sign" can indicate a serious brain injury
Medics are on scene of Semi Accident that fell over interchange ramp
A medic suffered chest trauma during a rescue
    Patient stabbed in right upper quadrant with large knife
A patient is being loaded after he was shot while driving, he sustained a collapse ling
Patient suffered severe crushing chest pain along with feeling ill, and diaphoretic
A similar case where patient fell into cardiac arrest and was defibrillated x2 to sinus tach.
A Trauma patient was critically injured several attempts at peripheral IV's were unsuccessful.  Medic's established an Interousis IV in the patient leg
     Pt rushed to waiting ambulance after being shot
Electrical Injuries and Burns
Paramedics roll trauma patient into the Ememergency rm. The patient was transported Priority-2 (see priority scale) on EMS Action Page.

Grand Rapids Michigan Fire Dept Engine #9 on scene of trauma call.  Firefighters are trained to the Medical First Responder (MFR)
Grand Rapids Michigan LIFE-EMS Paramedics on scene of trauma call.  After patient fell down Apartment steps injurining neck and back
Paramedics transporting patient, after suffering shortness of breath (S.O.B.) while participating in the Mackinaw Bridge Walk.  An Annual event celebrating the Bridge connecting Upper and Lower Michigan
While using an industrial meat slicer, this patient suffered a small avulsion to the left thumb.  In addition this patient suffered slight nerve damge caused by the blade.
Picture Two
Grand Rapids Michigan Police Officer/E-Unit (Paramedic) Phillip Workema, treats a child who was struck by a vehicle
Grand Rapids Michigan Life EMS Paramedic Kraig Dodge, also treats child who was struck by a vehicle.
Left Photo Kent County MI Kent County Sheriff Deputy/Paramedic John Rikans is assisted by Rockford MI Paramedics treating a Trauma patient that was involved in a Roll Over.
Spectrum Hospital's AeroMed  Helicopter
returning from after picking up a patient on-scene.
While using an industrial meat slicer, this patient suffered a small avulsion to the left thumb.  In addition this patient suffered slight nerve damge caused by the blade.
Back to EMS Action Photos
Over the next four weeks the patient thumb developed an infection causiing, the reopening of the wound in order to clean out infected and dead tissue.
Daves EMS Headquarters

Navigation Menu provided
by Dave's EMS Headquarters

A group of 20 year olds went hot tubbing, a few week later three developed serious MRSA Infections, all three had to undergo the opening of the infections to clean out and pack, followed by 14 day course of antiboitics.  Two of the infected redeveloped MRSA infections
  Seat Belt Law's are being enforced across the U.S. over 2017
Click to Enlarge Pictures
A serious MRSA Infection, that required, opening the wound thoroughly cleaning out diseased tissue, then packing the wound with gauze.  Despite a nerve block the patient felt 90% of the pain if the surgical procedure
Back to EMS Action Photos
     Page 2 to be activated                          soon
Always be Breast Cancer                    Aware
This woman while walking in an annual 5k walk fell and fractured her right arm.  Brought quickly to medics who evaluated and treated her.
   Page 3 to be activated                        
Aero Med crash scene, both the pilot and FAA Inspector escaped with injuries & recovered
Grand Rapids, MI Fire Dept Engine 9 on scene of Medical as MFR.
In 2012 MSP Unit Struck by inatentive driver on icy roads.  Trooper recovered from minor injuries.
In 2013 MSP Unit Struck by driver on icy roads.  Trooper sustained minor injuries.
This Page was Last Updated: August 11, 2017
(Remember that a life can be Altered or Ended in one careless moment.)