When 911 calls fail
theverge.com
theverge.com
Let me implore you. If the area isn't safe, do not even attempt to enter the scene. Fires can instantly flare up and engulf a room in seconds. Rivers can be so cold they cause shock upon entering the water and, in some cases, they cause cardiac arrest. Tiny pieces of broken glass can cause deep, sometimes life-threatening lacerations. An accident on the side of the road can immediately escalate into a multi-vehicle incident if another driver doesn't pay attention.
What we don't want to happen is for you, the hero, to become another patient. Not only are you putting your life in danger, you're also increasing the risk for your rescuers as well.
What you can do is this:
1. Secure the scene. If the accident occurred at the side of the road, park behind the accident and turn your hazards on. Wave at traffic to slow down and be cautious around the accident. If there is a house fire, try to find the gas shut-off valve and turn it off.
2. Assist the location of the scene. It's often difficult for EMS to locate the scene of the emergency. Standing near the front of the building or the entrance to the parking lot and flagging the ambulance/PD/fire down helps a ton. Leading them directly to the scene is just as important.
3. Use your common sense. Don't let the panic take hold of you. Be rational, reasonable. I'm not saying you should never try to help someone, just make sure that YOU are safe FIRST before heading in to assist.
I hold EMT/Paramedic certs and volunteer in my spare time.
Thanks.
Edit: I also want to point out that there is generally very little anyone can do aside from basic management of the ABC's (airway, breathing and circulation) without equipment. Some of that equipment is located onboard a fire truck or an ambulance. Most of that equipment is usually found inside the operating room of your local hospital. The faster the patient is moved safely to the local ED, the better it is.
While that's true, I don't think it's that dangerous. Winter swimming, for example, is not considered especially dangerous for healthy persons.
Also, they do not just jump into water out of nothing, they take little exercise before, try to keep their hair not wet in water etc.
Edit: wiki you linked states the same in the health risks chapter: "Winter swimming can be dangerous to people who are not used to swimming in very cold water."
When I took CPR causes we were told to start doing cpr before calling an ambulance, unless we thought it was a heart attack (since the person would be death by the time the ambulance arrived otherwise). Was this wrong?
The only exception to this rule is if you are in an area where no one will find you unless you call for help yourself. For example, if you are home alone with someone and you start CPR, you will probably need to stop out of exhaustion before someone will hear you cries for help. In this case, you need to call 911 first. If you're in a mall or something, then leave the emergency call to someone else and get started on chest compression.
1. Check for signs of life. Vigorously tap (hit) your patient a few times. Generally, we like tapping their upper chest, right below the shoulders when we do this. Yell, "Are you OK?" a few times. If the patient does not react at all, it's time for you to become a hero.
2. Call for help. In training, this is normally emphasized by having the student point at someone and yelling "Call 911!". If you know that there is a defibrillator in the vicinity, this is also the perfect time to yell, "Grab the defibrillator!".
3. Begin chest compressions. Take one hand, splay your fingers out (so it looks like you're making a "five" symbol). Take your other hand, fit each finger between the other finger; your thumbs should be at the very end and your fingers should interleave. You want to begin compressions about the middle (or slightly higher) of the patient's sternum - that's the central bone where your ribs connect to. Try to get about 100 compressions per minute. It's the tempo of a fast, upbeat song.
4. IF YOU ARE TRAINED: You may begin to perform head-tilt chin-lift, 2 rescue breaths every 30 compressions.
5. Continue compressions until better trained rescuers arrive.
On a more HN-note, I saw an interesting glimpse into how some of the responders view privacy. In context of what to do for VoIP phones, the general feeling at one NENA meeting was "ISPs should provide detailed location information on any access lines to VoIP devices". The implication there is that any software on your computer or network would be able to do a real "geo IP" lookup because your ISP would have to provide your address of record to anything using the connection. No one seemed to realise the massive problem this would create.
The other interesting thing is that PSAPs are heading towards an interconnected model. The idea being (at least a few years ago) that PSAPs could all be on the Internet, and transfer calls to each other with SIP + some nutty extensions, bridge in translators, a real utopia. Which sounds nice until you realise so many PSAPs are woefully underfunded and in no position to be running critical infrastructure on the Internet. Hopefully states would step up and provide adequate funding and it could be pulled off as a government project. But it's not so clear, and there's a long way to go. One PSAP told us he didn't want us sending calls from "Internet phones" because his PSAP equipment might get a virus (over his voice line.)
Police departments will also let you submit crime reports online. I "swatted" myself by accident after filing a report because one of my license plates was missing. I didn't get any follow up, so I figured I'd just go deal with it later. A bit after that, a cop pulls me over, draws his weapon, aims -- because my car pops up as stolen on his scanner. If someone was to file such a report on someone with concealed carry, I'll be the outcome could be pretty bad.
Since there was zero confirmation, this means you can just do the same to anyone. If the person is particularly jumpy, disabled, has mental issues, etc. it could easily get serious.
Is that really surprising? I suspect there are countless things about the ins and outs of emergency services that wouldn't occur to you.
In the future, I believe the move to VoLTE will make E911 more reliable, as it will enable more location data to be sent from the handset at the time of call, but until then, the most reliable way to get geolocation data to a PSAP is to use a landline, period, the landline telephone, is and will remain more reliable, consistent and predictable than any of the technologies replacing it.
As far as why the carrier couldnt be reached? likely calling the wrong place - Sprint FWIW is and has been in the midst of a forklift network upgrade for a couple years now, its just wrapping up now, but parts of the network have been partially non-functional for hours or days at a time - I know however that regular e911 drive testing is a part of test and turnup, and the planned maintenance process for Sprint.
It has a few interesting results — most notably, when giving a location, they likely know nothing about it. If you say you're in "Central Park, Fakesville", and it's a small park where you can see the whole thing from the entrance, they will still ask you where about in the park you are — because they don't know. People in high-stress situations can end up wasting time trying to describe in gratuitous detail where they are, instead of just giving an answer like, "it's small; they'll see".
I'm surprised that the situation wasn't handled better by the phones, though. At least here, if a mobile can contact any tower (regardless of network), an emergency call can be placed through it without charge. I suppose if the emergency line is already stagnated, trying again on a different network would just make it worse. Hmm…
This threw me a little as I live in what is, arguably, the UK's second city (Manchester) and assumed that the system would have at least identified that much from the cell tower.
Still, the fire brigade responded within 5-10 minutes of me placing the call and had the blaze under control little more than 10 minutes after that so I guess the system works.
Only recently did most phones have GPS capability. Picking the PSAP based on cell tower gets you to roughly the right place, but PSAPs have to have really good handoff capability to nearby jurisdictions, and some of them don't.
All this is a separate issue from calling 911 and not getting any answer. That's a serious carrier failure and should be treated as such.
This poses a problem in dense urban areas with high-rise buildings. The private sector companies mentioned in the article who "zipping ahead" of carriers can provide an altitude using things like wifi tracking, but that still needs to be cross-referenced to an actual floor number. (Keep in mind some buildings don't have a 13th floor, etc.) Barometers in phones don't work well indoors either...
So, this may be a case where an FCC regulation is next to impossible to meet, unless someone can figure out how to map altitudes to actual building floor numbers at scale. Seems like that would be pretty labor intensive effort...
So, it would seem knowing the floor number would be super helpful (though maybe not a regulatory requirement as you say.)
[...]
Two weeks later, Leneweaver got in touch with the company.
Erm, how is this okay?
I've never had one of the dispatchers become upset at this - they want your 911 calls to succeed just as much as you do.
There is usually a script for this, and the first words out of your mouth should be "This is a non-emergency call. I am testing <insert short description>. Is this a good time?"
It tells the call-taker that they don't need to worry about you, and that you are being careful not to tie up resources. If they need to hang up and focus on priority calls, they will. Most likely, they'll be happy to help.
So, user's in Texas, gets an MSAG-validated address, everything's good. They move to Kentucky, change addresses. The new address would have some MSAG issue, and could take days or longer to resolve.
This company thought the best thing to do was to route the call to Texas.
(MSAG is the street addressing system that the PSAPs use. It can be considerably different from the postal address.)
My understanding is the key rules are:
1) wait for an operator and do not hang up (because if you hang up they assume something bad happened and will send police/fire/etc to you), and,
2) tell them that it is a test call so that they can assess whether they can spend time on you or should hang up to answer a more urgent call.
I'm sure kids call 911 enough as a prank that your test call won't have a meaningful impact on call volume.
It leads me to wonder if your comment about capacity (which I assumed was the case as well) does not apply evenly everywhere.
So, IMO, that the system isn't meant to handle this type of false alarm isn't reflective of call center capacity but rather fire/police/ambulance capacity (and also annoying everyone involved).
Now on the other hand, don't be a jerk. They're busy at certain times of day and they kinda expect people to make test calls during relatively boring business hours but not during rush hour or at bar close time. Don't be making test calls while a hurricane is hitting the city or while a t-storm is passing thru or a presidential visit or wildfires are kinda nearby, etc.
I've done this helping out as part of PBX installs (admittedly a long time ago) and just be calm and clear and polite when verifying the address routing and remember to say "thanks" and its not a big deal.
That is quite a bit off, there are ~3650 days in a decade. If you really wanted to use round numbers, would 5K not have been a better choice?
Also I forgot to mention I used small biz pbx as the most populous estimate because I assumed j.random.ATT cellphone user wouldn't test, one iphone should do about the same as the next
That or even a button on the screen that will "read" them to the telephone operator at the other end.
This is obviously anecdotal, but I've had to call 911 a couple times (I live in NYC, things happen on the subway). Explaining where I am took up 75% of those calls. They want very precise details and it's sometimes hard to answer to the level of detail they want.
Example: I once had to call 911 when a woman fainted in the middle of the platform. I spent (seriously) several minutes explaining my location to the 911 operator. I was waiting for a train that only has one platform - the train goes east/west, and eastbound stops on the opposite side of the same platform as the westbound. The 911 operator couldn't process this and kept asking me whether I was on the westbound or the eastbound platform.
We wasted a few minutes going back and forth on this - which could've been critical if the woman was in need of urgent medical care.
Talking takes time, attention and requires you to use your hands - something that is not desireable in an emergency.
But talking about the article, suppose there is a scheduled maintenance that will affect service, and there's no way around it. What exactly should the telco do? There's not a whole lot they can do. Yeah, it's bad if the service is unavailable, and generally, no one wants that to be the situation. But somehow trynna make it out to some terrible secret is silly.
For the other issues, agreed, there's only so much you can reasonably expect.
911 is not there to help you. You need to know how to help yourself.
My story - Interstate 880 in the East Bay, Fremont, CA. Not a desolate stretch of highway, not in the middle of nowhere (I mean, Fremont sucks but...)
I saw an SUV swerve and then roll in front of me on the highway. Took out 2 other cars as well. Slid on its roof about 50 feet then stopped. Gasoline, debris, and fruit (it was carrying fruit?) strewn about the Freeway.
Tons of people pull over. Insanity.
The car is still running, and gas is pouring out of the SUV. A bystander and myself get the passengers out. They're unconscious. I recognize the danger of moving them, but the fire danger was very real.
Anyway, long story short -- guy goes into shock. Pisses himself, won't respond.
15 people had called 911.
Elapsed time? 20 minutes.
Still not a single local PD, Firetruck, or CHP officer.
The first officer was DRIVING BY on the freeway and didn't know the accident had even happened.
Imagine that was your wife, your son, your partner, your family.
We had a nurse stop and give care. We also had a contractor who had a box of flares stop and close lanes for us. This was all citizens doing work.
Shortly after this incident, I bought a handgun. Because I knew when seconds count, the police/fire/emt are MINUTES away.
(I also took medical course)
A fire extinguisher and a first aid kit in your car might be more useful.
"15 people had called 911. Elapsed time? 20 minutes." ... "Shortly after this incident, I bought a handgun. Because I knew when seconds count, the police/fire/emt are MINUTES away"
the handgun is kept at home, because even when you're in your own house, you can't count on the police being there soon enough. you just can't, because they are human beings in automobiles, incapable of teleportation and omniscience.
But yes, a fire extinguisher and first aid kit would also be a good idea.
It just isn't practical to expect that kind of help at that kind of speed.
I wasn't looking for trouble. I actively avoid danger. I stumbled across a scene where I was 10 feet away from a guy violently assaulting some very terrified and very gentle people. It looked like a bear mauling children. I didn't weigh the options beforehand I just responded to the situation, by getting the bear's attention.
I am obviously not blaming the police for arriving in "3 minutes flat". That's about as fast as is possible. I was trying to illustrate a real-world example of how things play out even under ideal circumstances.
I thought that concealed carry was essentially illegal in California for private citizens, which is what it sounded like you were buying it for...
generally it only takes one incident involving the police (or lack thereof) for someone to buy a gun or take other measures for their own personal safety. for me it involved an assault on the streets not a mile from my own home that basically ended with the police not giving a shit about me or my situation.
in reality, you are on your own. the police don't care about you. this is really, really tough for some people to swallow.
http://www.nytimes.com/2005/06/28/politics/28scotus.html?_r=...
Or here:
http://en.wikipedia.org/wiki/Warren_v._District_of_Columbia
It's tough for people to swallow because they've been subtly led to think that the police do have an obligation ala "To Protect and to Serve" like the L.A.P.D. OFFICIAL motto.
http://www.lapdonline.org/history_of_the_lapd/content_basic_...
But it turns out that like corporate-customer-service-speak "How can I help you? You want to cancel? I'm sorry I can't do that it's against policy".
Now why is it that way? People in government and the police are worried that you could end up in a situation where the police are held accountable for literally every thing that doesn't go exactly perfect. Even when the reasons it went wrong were out of their control.
But I suspect that the balance has been shifted a bit too far towards giving the police the benefit of the doubt, at least re: people's expectations.
I'm a firefighter/paramedic. Our district is on the edge of the county (PSAPs in this area are county-wide). It's not uncommon for a caller in our district to get connected to the 911 center in the neighboring county, if their phone happens to grab a tower there. This adds several minutes to the response time, as the call has to get transferred (which seems to be about as reliable as transferring calls in any generic call center...).
While I would never discourage someone from improving their ability to help themselves in an emergency, I think it's a stretch to say "911 is not there to help you." I'm sure the countless folks helped every day by a 911 response would disagree with you.
The truth is, there are _extremely_ few situations where a few minutes are going to make the difference between life and death. If someone is going to die within the next few minutes, they are probably going to die no matter who shows up...
I would absolutely recommend everyone take a CPR class every few years. It will cover the few situations where you really can make a difference by taking action right away (opening an airway, performing chest compressions, etc).
That being said, I can show you literally dozens if not hundreds of situations where a few minutes (actually seconds) made all the difference between life and death.
It's also probably more true for law enforcement calls. In the case of EMS calls, really the only things that need to happen Right Now™ are basic airway maneuvers (positioning, Heimlich, etc), CPR, and defibrillation. If you can do those things (all of which are taught in a CPR class), you've got 90% of the EMS related 'seconds matter' scenarios covered.
A 'basic' CPR class for the layperson includes CPR for adults and pediatrics, using an AED, and the Heimlich Maneuver
Lots of businesses (mostly larger) have started having a unit on site as well.
I was fascinated by that technology when I did my CPR training last year.
Even using this really low number, your "dozens" or "hundreds" would less <1% in under a year. That is, even using artificially low numbers, "dozens" or "hundreds" of cases are no more than freak events.
A middle of the road urban fire company gets around 8,000 dispatches a year. Most of these calls are EMS, and run the gamut. The serious ones are all time sensitive -- someone having a cardiac incident or serious car accident needs immediate care from someone wight a clue.
I think the real point here is the bullshit/ignorant knee-jerk reactions "911 isn't there to help you" are just that. Thousands of peoples lives are touched in a positive way by efficient emergency services response.
I was pointing out that even low balling the number of calls (a good way to get an estimate on the scale of a situation to reason about it), the number of cases the person was offering to present was such a small fraction, we could never get below that threshold of times things went weird. The reason for low balling the numbers in my estimate is that it made the resulting figures biased towards favoring the argument being made by the other person. If when the number start biased in their favor and still don't support their argument, it's reasonable to use an estimate to reject their claim.
The main thrust of my argument was essentially: the number of cases the person above my post offered to present was so small relative to the number of cases happening that they're mere anecdote, not data representing any underlying problem.
I would encourage you to understand what estimates are and how they're being used in arguments before making comments about numbers being nonsense or simply referring to them as made up. It simply makes you come across as mathematically ignorant.
I don't think that anyone is arguing that having more people know CPR or first aid is bad, but rather, the number of cases cited were too small to even infer that kind of information from: it's quite possible that there's nothing that could have been done for many of the cases the paramedics were late to respond without actual medical equipment onsite, ie, having more than just bystanders who know CPR or basic first aid. The gap in size between the cited number of cases and the number of cases that happen is too great, especially considering that the cited number of cases were from a biased selection, eg, only cases that matched a particular profile.
It's important that we not let emotion or our desire to do something about tragedies cloud our vision of what's actually helpful and what things actually matter.
I would expect for every case cited to me where someone saved a life being a bystander, I could find one where bystanders with basic training and good intentions ended up making the situation worse. That is, of course, beside the point, because both collections of anecdotes would be just that, and not actual data about what's a good idea.