Paramedics Unaware of Assault; Madison Reviews 911 Policies


 
 

SANDY CULLEN | | Tuesday, December 1, 2009


The Madison Fire Department will review its procedures after paramedics responding to a 911 call for a man who had been beaten did not know he had been assaulted, Chief Debra Amesqua said. Amesqua said paramedics were initially dispatched for an unknown problem involving an unconscious man in the 400 block of West Doty Street shortly after bar time Halloween night.

Paramedics were not aware of an update stating the man might have been beaten, which a 911 call taker sent two minutes before paramedics arrived at the scene at 2:20 a.m. Nov. 1. "The fact that this male had been beaten up was information that we would have liked to have had," Amesqua said. "I do think that our approach would have been different if we knew that the person had been beaten up." Ideally, the call taker's initial communication would have included information about the possible battery, said Paul Logan, support services manager for the 911 center. But call takers typically update information to dispatchers and emergency responders while they are on the phone gathering information from callers, he said.

The need for call takers to communicate critical information as soon as possible will be reviewed during upcoming training, Logan said. He said the call was handled according to the center's protocols and dispatched as a high priority, and paramedics were at the scene within six minutes. Accounts of what took place next differ.

Jordan Miller, 21, of Salem in Kenosha County said he suffered permanent injuries, including five fractures in his spine, when he was knocked backward over the railing of a first-floor porch at 436 W. Doty St. by a man he said he didn't know. Miller said he lost consciousness, then awoke to three men kicking him and making derogatory references to his sexual orientation, while another man took money from his wallet. Miller is gay. The assault began after a female friend, with whom he had been arguing after they had been out drinking, kicked him and he pushed her away, Miller said. As he was being beaten, a woman passing by began hitting one of the attackers with her shoe, then lay on top of Miller to stop the attack, he said. Miller's mother, Holly Wells, has tried unsuccessfully to find the woman, whom she credits with saving her son's life, both to thank her and to get more information about the incident, which Madison police are now investigating.

Because of his injuries, which medical records show also include bulging discs, Miller was unable to complete the fall semester at UW-Parkside, and it is uncertain if he will be able to start a theater job in New York City scheduled to begin in January, he said. Brief contact, then back in service Miller said he told a paramedic, whom he thought was a police officer, that he had just been beaten and could not get up. He said the paramedic told him to get up or he would be taken to detox, then pulled him up and took him back to the house of the friend with whom he had been arguing. Miller said the paramedic asked if he needed an ambulance, and he replied that he had no health insurance. The paramedic then asked whether he was refusing medical treatment, but Miller did not reply, Miller said. Amesqua said the paramedic, Gary Schreiber, denied that Miller told him he had been beaten. Miller also had no apparent injuries, she said. Schreiber told a police detective that Miller refused medical treatment, Amesqua said.

A Fire Department report indicates only that paramedics responded to "a man sleeping in a alley. We were able to get him up and inside his house." According to the 911 center, the ambulance was back in service less than two minutes after arriving at the scene, and a police officer sent to assist paramedics was at the scene for 18 seconds. There was no indication that the officer spoke with Miller, said Central District Capt. Mary Schauf. It was unclear whether the officer was aware that Miller might have been beaten. Miller returned home the same morning and later sought medical treatment. He filed a report with police Nov. 2 after learning the department had no report of his assault, he said.

Schreiber declined an interview request, fire department spokeswoman Lori Wirth said. Amesqua said Schreiber, who has been with the department for 13 years and has been a paramedic for five years, acted appropriately. 'He's just laying there in a lump' Neighbor Mike Zydowicz, 22, said he called 911 after a house guest who had been on his back porch woke him and said someone was being beaten up outside. In his 911 call, a recording of which was obtained by the State Journal, Zydowicz says, "Someone said they beat some guy up ... we don't feel a pulse and we need somebody over here right away ... he's just laying there in a lump ... it's not good." Logan said that after police and paramedics were initially dispatched for an unknown problem involving an unconscious man, dispatchers, who were busy handling other calls, did not radio the updated information that Miller might have been beaten. While the new information was sent to paramedics electronically, Amesqua said, paramedics must manually refresh their computer screen to view updates, which is not part of their protocol.

The department will review the incident to see if any changes are needed to ensure paramedics have the most current information, she said. Schauf said the police department was adequately staffed for the city's annual Halloween celebration, which drew about 44,000 revelers to State Street for Freakfest. Miller's lawyer, Jeff Scott Olson, said his client's injuries were not exacerbated by the paramedic and no action against the fire or police department is planned. "I don't fault the police or the paramedic for their handling of this situation on Halloween, when they're stretched to the breaking point," Olson said, adding, "It would have been nice if they had had a little more time for him."

MISSED MESSAGE

Timeline of events following the beating of Jordan Miller in the early hours of Nov. 1, according to the Dane County 911 center log.

02:14:29 - 911 call received

02:16:00 - 911 call taker sends first message to dispatchers and emergency responders: 'UNKNOWN PROBLEM/MAN DOWN (LIFE STATUS QUESTIONABLE [man down in alley] 20 year old, Male, Unconscious, Breathing status unknown. Caller'

02:16:52 - Madison Fire Department dispatched

02:17:30 - Madison police dispatched

02:18:00 - 911 call taker sends update: 'STATING IT LOOKS LIKE THE MALE WAS BEAT UP'

02:20:07 - Ambulance arrives at scene

02:21:42 - Police officer arrives 02:21:51 - Ambulance back in service

02:22:00 - Officer back in service




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Leadership and Professionalism, Legal and Ethical, Operations and Protcols

What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS

 

 

 

 

 

 

 

 

 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

The Evolution of Civilian High Threat Medical Guidelines

How mass killing events have proven a need for new guidelines.
More >

Multimedia Thumb

Ebola Changes How North Carolina EMS Responds to Calls

Concern about virus spread leads to new protocols.
Watch It >


Multimedia Thumb

Oklahoma Hospitals Prepare for Ebola Cases

Training and preparation are keys for metro hospitals.
Watch It >


Multimedia Thumb

EMS in Nevada Prepares for the Unexpected

Protocols and PPE protect AMR personnel.
Watch It >


Multimedia Thumb

D.C. Fire and EMS Brace for Possible Ebola Patients

Union leader shares concern over precautions.
Watch It >


Multimedia Thumb

Life Link III Trauma Tactics Conference in Minnesota

Conference was designed to enhance the skills of providers of all levels, covering rescue and prehospital situations, to transport and in-hospital treatment.
More >


Multimedia Thumb

EMS Tailgating

Rigs converted for football.
More >


Multimedia Thumb

CDC Ebola Training for Clinicians

Students learn the complexities of working in bulky suits.
More >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


More Product Videos >