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Bass Ackwards

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Old defibrillator batteries lead to $3.2 million Chicago death settlement
This is bad news, literally. This is not a matter of a paramedic or paramedics failing to do their job. This is a matter of a system and it’s managers failing to do their job. Failing to replace batteries in a device for FIVE F&^(#$& YEARS is not negligence, it’s not gross negligence, it’s malfeasance. It’s wanton and willful misconduct. The managers responsible for this should be fired and criminally charged, but of course they won’t be. Instead the City of Chicago is going to pay out a settlement to the family.

The article says that the defibrillators (which I assume were monitor/defibrillators) were replaced a couple of months after the incident with new devices with batteries that are changed out every two years. As if before that, the batteries couldn’t be changed out. Ridiculous, of course they could. The Chicago Fire Department management just chose not to spend the money for new batteries. I’ll leave out comments about this being a fire service EMS problem because I’d bet that there are some private and third service systems that have similarly stupid purchasing philosophies.

But, she [First Deputy Corporation Counsel Karen Seimetz] said, “The problem is under the law, if there’s any percentage chance that a person could have survived but for the alleged negligence, that’s enough to recover [damages].

No counselor, the problem is that the managers of the City of Chicago Fire Department EMS Division didn’t do their jobs. To the level of a criminal act, if you were to ask me. And it’s not negligence, it’s malfeasance, pure and simple. That’s a non lawyers opinion.

I’m got ire to spare, so I’ll toss a little at the sidebar by the EMS1.com resident attorney. Counselor, counter to your advice, none of those items are the first three things I check. The first three things I check every shift are the oxygen delivery devices, the suction devices, and then the monitor/defibrillator. Not just the batteries on the last, either. I check to make sure it turns on, do a user test, check the cables and electrodes. Then the stretcher, stair chair, and other BLS equipment. THEN, I go on to the drug box, advanced airway equipment, IV supplies, medications, and so on. Remember ABCs come before ALS.

Really, if you’re going to give risk management advice, give good risk management advice.

Here’s my advice. Don’t take the off going crew’s word that “everything is all set”, since their minds are not totally focused on going home. Check for yourself. Because if the fit hits the shan, they will swear on stack of bibles that “Everything was working when we left.”

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I'm a retired paramedic who formerly worked in a largish city in the Northeast corner of the U.S. In my post EMS life I provide Quality Improvement instruction and consulting under contract. I haven't really retired, I just don't work nights, holidays, or weekends.  I escaped the Northeast a couple of years ago and now live in Texas.  I'm more than just a little opinionated, but that comes with having been around the block more than once. You can email me at EMSArtifact@gmail.com After living most of my life (so far) in the northeast my lovely wife and I have moved to central Texas because we weren't comfortable in the northeast any longer. Life is full of twists and turns.

8 COMMENTS

  1. Amen! I've forwarded your blog site entry to a few in the ski patrol industry who could do with the same advice. Maybe they'll actually listen now. Thanks!

  2. Maxwell, thanks, OldNFO, I think it was more the money that woke them up, but then again, maybe it's not their money. Chip, Horsewhipping? How quaint! Tar and feathering is more in order, I think.

  3. How stupid can you get? Oh, I forget, you can be pretty stupid nowadays! The first thing I learned in Basic was to check the equipment! no matter what who said or did what before I got there! It was pounded in our heads! Secondly, the service that I currently work for requires everyone to check every piece of equipment that's checked out to them and sign off on before they even leave the parking lot. Why didn't Chicago have that same protocol? Its a wonder they haven't lost someone before this due to this kind of laziness which is what it really is- laziness!

  4. Not Chicago bashing here, just saying…My daughter was visiting the windy city a month ago. In her hotel room she started experiencing abdominal pain. Friday night, midnight, twenty-something with abd. pain, we've all been there.No vitals taken, walked to the rescue, driven two blocks to the er. Billed for 700.00.Turns out she had a prolapsed ovary. Not life threatening, but left untreated certainly life altering. She had surgery the next day.Lack of training in Chicago, or just lack of caring, I don't know.

  5. Lack of something Michael. Caring, oversight, accountability? As I've said before, these things aren't exclusive to fire service EMS, they just seem to happen there more often.

  6. Good thing the engine was there to stop the clock…. Right?Though I wonder if there'd have been a suit if the family member onscene hadn't happened to be a paramedic who knows what was supposed to happen.

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