Tuesday, April 13, 2010

9-1-1 backup

“Ring, ring, why don't you give me a call?
Ring, ring, the happiest sound of them all”
- ABBA, lyrics to “Ring Ring”

With Cub Scouts, as with most Americans, when you ask them what number to call in an emergency, the answer is 9-1-1. But what if 9-1-1 didn’t work? Do you know the direct phone numbers for your local police, fire or ambulance?

Is this just a hypothetical scenario? Not for residents of Salt Lake City last month. On March 25, for about five hours, some of the 911 calls made by AT&T Wireless customers in the Salt Lake City area were routed to dispatchers in Seattle. The police of Salt Lake City “called AT&T and confirmed that it was occurring.”

Bottom Line

Take the time to add fire, police, ambulance, and poison control to your cell phone. Back this up with a paper list kept near every phone for your children to use. Don’t rely solely on 9-1-1.

http://sorc911.com/911guide.htm
http://www.gov.ky/pls/portal/docs/PAGE/CIGHOME/PRESSROOM/ARCHIVE/200301/KNOWNINE.PDF

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Wednesday, April 7, 2010

Can you find my home?

"There's no place like home" – Dorothy in the Wizard of Oz

It seems no one can find our house. We live at an intersection of D- (a side road) and M- (a main road). The driveway to our house is on D-. Our front door faces M- across our lawn so we have an M- street address. Our mailbox is on a pole shared with our neighbor adjacent to his driveway on M-. Inevitably people see our mailbox and go up our neighbor’s driveway to his house. We’ve had UPS leave our packages on his stoop. Nothing seems to help. We have giant glow-in-the-dark House Letters on a tree in our yard. We have a large house number near the door of our house.

But everyone looks at the mailbox. So we added a giant foam hand beneath our mailbox with a finger pointing to our house. Still we had company come for dinner last week, see the finger, and still go to the wrong house. We can laugh at that. Less funny is the misdirected packages. Not at all funny would be EMTs going to the wrong house after I call 9-1-1.

Sometimes having a visible house number is not enough. In Westchester County we used to have unnamed, private roads that people lived on. With 9-1-1 every road was named and every house numbered. Sometimes an address makes no sense. The New York Times story, Nice Address, but Where Is It Really?, describes the problem in Manhattan of “vanity” addresses that use an address number out of sequence or use the address of the “swankier” street around the corner. In Tokyo the story says, house number 1 used to be the first house built on a street, #2 the second, and so on. There was no physical ordering of the house numbers so #12 could be anywhere along a street.

Bottom Line

Put yourself in the shoes of the ambulance or EMT who is trying to find your house. On a dark moonless night, go stand in the street see if anything marks your house as identifiable. Better yet, drive by in a car at night with lights on and see if you can find the house number – are the numbers on the mailbox legible? Can the numbers be seen driving in both directions? If not put new, larger, numbers on your house and mailbox. The numbers on your house or door need to be lit by the porch light or other house light.

If you have a sidewalk curb, spraypaint your house number onto the curb.

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Tuesday, March 30, 2010

Chest Pain

"Heart attacks - God's revenge for eating his little animal friends"

According to Women's Health Magazine, the fourth Warning Sign that should not be ignored is passing chest pain. Now I could have sworn I had already written about heart attacks but could not find it in my blog. So here goes.

While the heart is a powerful muscle, it has NO pain nerves. There is no direct feedback that something is seriously wrong (other than the classic instant death heart attack). Most heart attacks start slowly, with mild pain or discomfort. People affected aren't sure what's wrong and wait too long before getting help.

We need to recognize a heart attack though its secondary side effects within the first 5 minutes!

Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.

Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.

Shortness of breath. May occur with or without chest discomfort.

Other signs: These may include breaking out in a cold sweat, nausea or light headedness

Bottom Line

If you experience the symptoms above call 9-1-1. Even if you're not sure, call 9-1-1. An EMT can begin treatment when they arrive — up to an hour sooner than driving yourself to a hospital. Your doctor will do an EKG to determine whether your heart has been damaged, and then decide on the best response; false alarm, prescribe clot-attacking drugs, or perform surgery to clear your arteries.

Resources

http://www.americanheart.org/presenter.jhtml?identifier=4595

http://www.healthcentral.com/heart-disease/patient-guide-44510-6.html

http://www.nhlbi.nih.gov/actintime/haws/women.htm

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Wednesday, March 10, 2010

Staying Calm During an Emergency

Two hunters are out in the woods when one of them collapses. He doesn't seem to be breathing and his eyes are glazed. The other guy whips out his phone and calls 9-1-1. He gasps, "My friend is dead! What can I do?" The operator says "Calm down. I can help. First, let's make sure he's dead." There is a silence, and then a shot is heard. Back on the phone, the guy says, "OK, he’s dead. Now what?"

For the Readyman Webelos Activity, young boys are taught four ways to demonstrate “Courage” during an emergency. Be Strong, Be Calm, Be Clear, Be Careful. I’d like to focus on the importance of being Calm and Clear.

In June of 2009, a natural gas explosion blew the roof off of a ConAgra Food Plant during working hours. Here is one call made to 9-1-1.

"ConAgra just blew up," a caller said.
"ConAgra?" the responder asked.
"ConAgra. In Garner."
"What did it do ma'am?" the responder said. "What do you mean it blew up?"
"It blew up! Please send some help."

Notice how little “real” communication is going on here. When asked a question by the responder, the caller just repeats the same words back, “ConAgra”, “It blew up”. The event is vivid and clear in the mind of the caller to whom ConAgra is obvious and “it blew up” is self-evident. “Please send some help” gives no clue to the scope of the problem, is one EMT needed or a fleet of ambulances?

Callers forget that what is obvious to them may not be obvious to someone at a phone bank in another city. Being Calm and Clear means carefully providing details like “the ConAgra Food Plant #3 in Garner has suffered a huge explosion with dozens injured. We need dozens of ambulances and fire control for an industrial plant.”

Consider this call to 9-1-1 in Arizona in 2008,

"There's three dogs, but one is very aggressive, and the man is holding one, and there's kids over here, too."

How would you interpret this? The responder said she would contact Animal Control. 12 minutes later there is a second call, "We're still waiting for an officer. We've got injuries." Is the picture clear yet? The responder sent a reminder to Animal Control. Then a minute later, "Uh, there's a dogfight over here, and there's been a man bit. And I called about 15 minutes ago, and nobody's here yet." With this call, a different operator, and the magic words, a man’s been bit, medical personal (Fire Dept EMT) were finally mobilized. It turns out a pit bull wriggled out of its leash, lunged at a man with two small kids walking his beagle, bit his right forearm, and dragged him about 7 feet after his beagle barked at the pit bull. Could you have guessed any of this from the original call to 9-1-1?

Watch out for "buzz words" and technical jargon. In another emergency call there was confusion between an armed “robbery” and a “burglary”. Do you know the difference? A robbery is a crime happening now – immediate response is needed to rescue the victim and catch the robber. A burglary is after the fact, the robber is gone, and there is no need for police to hurry. The victim in a Dry Cleaning store armed robbery activated the silent alarm but the emergency dispatcher reported it as a 10-15, burglary just occurred. So the police did not use sirens, arrived slowly at the scene, to find a distressed victim asking, “What took you so long?”

Bottom Line

Be very clear on 9-1-1 to say what you need – police, fire, ambulance. Be clear on what is damaged and injuries and the number of people needing medical attention. Call back if you think 9-1-1 misunderstood or ask to speak with a supervisor.

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Saturday, February 14, 2009

911 Pranks

“I have left orders to be awakened at any time in case of national emergency, even if I'm in a cabinet meeting.” - Ronald Reagan quotes
The 911 service not prepared for new generation of pranksters with access to VoIP.
“After paying a small fee to one of the readily available caller ID spoofing services available on the Web, a prank caller with a grudge or a serious psychological problem can call 911 and tell the operator just about any story he or she wants. Since the 911 system wasn't built with VoIP in mind, these calls appear to originate from anywhere, and said hooligans take full advantage of the opportunity. The practice has been dubbed "swatting," typically because the spoofed emergency stories that these troubled individuals make up are horrible enough to send police and even SWAT teams to unsuspecting victims on the other side of town or the continent.
Here is an example of a California family raided by police with helicopters based on a prank call.

Bottom Line
Technology is rarely pure good or evil. VOIP is great for calling my sister in Canada cheaply. But what about ID spoofing? It is easy to say "ban it" based on the story above but it can play a role in protecting privacy from unwarranted government inspection. Do we have a right (or need) to be anonymous?

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Thursday, January 1, 2009

Silly 9-1-1 Calls

An optimist stays up until midnight to see the new year in. A pessimist stays up to make sure the old year leaves ~Bill Vaughan
Happy New Year 2009!
For something light, I've googled silly 9-1-1 calls. Make yourself a better person this year by not repeating these mistakes!

Bottom Line

Many large cities, notably LA and NY, support the number 3-1-1 for information. A promotional website for 3-1-1 in Los Angeles described the distinction as follows: "Burning building? Call 9-1-1. Burning Question? Call 3-1-1."

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Wednesday, December 31, 2008

Cell Phone Numbers for the New Year

A New Year's resolution is something that goes in one year and out the other ~Author Unknown
If you are considering resolutions to make for the New Year, permit me to add one to your list - add the following list of phone numbers to your cell phone address book.
  1. Poison Control: 1-800-222-1222. Of course call 9-1-1 for serious poisoning but suppose you just want to ask a question, "Johnny ate some fire ants, will he get sick?"
    [Urban Myth? A parent calls poison control about his child eating ants. Will he get sick? The answer is no. That's great news, says the parent, but just to be sure I fed my child some ant poison to kill the ants. Poison Control, responds, NOW we have an emergency...]
  2. ICE (In Case of Emergency) - first responders are now asked to check a cell phone for an entry called "ICE". It represents the person you want called in case you are incapacitated (or dead).
  3. Your Car Insurance Company - if you have an auto accident, call your insurer to find out what information you must collect and what actions you must take.
  4. Police Dept - for a simple accident with no need for an ambulance, call the police directly instead of using 9-1-1.
  5. Tow Truck Company or AAA - who you gonna call if your car breaks down? (NOT 9-1-1)
  6. Local Taxi Company - when the tow truck drives off with your broken down car, how will you get home?
  7. Your Boss - (continuing the auto accident theme) you'll want to call the office and let them know you'll be late.
  8. Your Next Door Neighbor - due to an accident or bad weather, perhaps you won't make it home tonight. Will your neighbor feed your cat?
  9. Your personal Doctor - your neck is sore after that car accident, better schedule an appointment.
  10. Power Company - you don't want to look up their number in the dark when you lose power do you?
  11. Favorite Take Out or Delivery Food - there are times I'm driving home and think, if only I knew the number of my favorite pizza place. I could order now and pick it up on the way home.

Bottom Line

Dial 9-1-1 when there is a medical, fire or police emergency, such as
• Life or lives are in danger
• A fire
• Serious injury
• Serious medical condition
• A serious crime in progress

9-1-1 is so convenient that Americans now call it for everything - directions when lost, to ask questions, etc. But this is WRONG. 9-1-1 is for serious emergencies only:
• Life or lives are in danger
• A fire
• Serious injury
• Serious medical condition
• A serious crime in progress

For all other situations use the phone numbers listed above and now stored in your cell phone!

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Tuesday, December 30, 2008

911 for Special Needs

"Safety is a cheap and effective insurance policy" - Unknown
In the state of Connecticut, AT&T supports a 9-1-1 Special Needs program for your landline phone at home. Just fill out and mail this form to let 9-1-1 know of any of the following:
  • Blind
  • Cognitive Impaired or Psychiatric Impaired
  • Hard of Hearing / Deaf / TDD
  • Life Support System
  • Mobiliy Impaired
  • Speech Impaired

I have not found anything similar for other states but I did look at 9-1-1 services for the deaf.

Start with the website www.deaf911.com/. It has radio buttons to select the emergency - Police or Fire/Rescue and then a drop down box to select a state. I have not tested it beyond that since the site posts a warning against "prank" calls.

According to this article, the Los Angeles police dept is looking at ways to support 9-1-1 texting.

Bottom Line

According to National Emergency Number Association, 9-1-1, the government proposed an national emergency number in 1967 and AT&T began implementing it in 1968 with Alabama and Alaska as early adopters. (Was AT&T implementing it alphabetically by state?) Today 96% of the geographic USA is covered by 9-1-1. (I wonder where the gaps are?). Additional facts about 9-1-1 can be found at http://en.wikipedia.org/wiki/9-1-1

Note also that while 9-1-1 works in the US and Canada, other countries use different emergency numbers:

000 Emergency phone number in Australia.
100 Emergency phone number in India.
111 Emergency phone number in New Zealand.
112 Emergency phone number across the European Union and on GSM mobile networks across the world.
119 Emergency phone number in parts of East Asia.
311 Non-emergencies telephone in US and Canada.
999 Emergency phone number in Ireland, Poland and United Kingdom (where it works parallel to 112)
108 Emergency telephone number in India.
192 Emergency telephone number in Macedonia

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