‘But Clearly, Somewhere Along The Way, I Missed The Signs’ | Anon Paramedic

I collapse to the ground and lean back against the trig-point atop the small hill of Brunt Knott. My body is awash with sweat from the short walk up. Working in London has certainly taken its toll on my fitness.

Sitting back, I take in the majestic views of the Kentmere valley and the surrounding Lake District. The sun beats brightly above me. A gentle breeze blows across my face, and Skylarks singing above mark the only break in the mountain silence.

I breathe in deeply. The air is fresh and clean.

Sitting in this joyous solitude, I can feel tears falling freely down my cheeks. Another memory has broken the peace and invaded my mind. I close my eyes, but the black canvas of my eyelids only acts as a projector screen and enhances the images I see . . .

“Am I going to die?!”

My patient’s eyes pleaded with me, their pupils wide with fear.

“Not on my shift!”

I quipped back, striking my standard mockingly heroic pose. The security guards standing over my patient chuckled out loud. Success! This seemed to break the tension, and I smiled down at my patient, expecting the same back.

I’ve used this phrase so many times now, together with the ridiculous pose, it’s become my trademark. It would instantly bring calm to a situation and allow my patient to see that everything was under control and not as serious as they first perceived. After all, a large part of being a paramedic is bringing an image of calmness that convinces the patient, and those around, that everything is going to be fine.

My patient had been out shopping when they’d collapsed outside a busy shopping centre. I was working as a solo paramedic at the time, and as such, was first on the scene.

My patient stared back at me, pupils growing wider, their colour draining. The Lifepak15 started blinking different colours at me and making funny sounds.

Within seconds of uttering my life-saving mantra, my patient had become unresponsive. Then they stopped breathing. Then they went into cardiac arrest.

Then they died.

And nothing I, nor anyone else did changed that outcome.

This, however, was not a particularly “bad job” in the grand scheme of being a Paramedic. This sort of thing happens all the time – of sorts. And it was affecting me.

I was having increasing flashbacks of every job where I was questioning my decisions, and it was changing my life. I would constantly go over and over a job trying to change the images of what had happened, to change it to something that should have happened. Over and over it would go, round and round in my mind. And I couldn’t shake it. Ever. And I would always lose. I would always end up back at the conclusion that I’d f__ked up. And it was getting worse.

I was also having nightmares more and more, going over the same decisions again and again. But in my dreams the images and scenarios were accentuated and often exaggerated. And this would always happen as I was just drifting off.

I was becoming short-tempered. I was drinking more. I would even randomly burst into tears in public places! I was losing interest in all the activities I loved – like climbing and walking. My concentration on simple matters was waning and as such, perpetuating the mistakes, I would make at work. And as such, the whole thing repeated again and again.

I didn’t realise at the time, but something was clearly wrong. Apparently, we never do. We just get on with it and convince ourselves it’s all just “part of the job”.

However, I’m not as strong as my fellow colleagues, who have seen and done a lot more than me, and couldn’t stop this cascading process collapsing in and around me. So, two years ago, I made the difficult decision to leave London and move Up North. And, ironically, it was only once I left that I started realising and accepting that something was wrong.

I eventually left full-time Ambulance work and am currently Bank staff. I maintained my LAS Bank contract for a while but only worked the minimum required. And even then, every time I was due to work, it would feel ten times worse than the feeling I’d get when going back to school. So, eventually, I dropped the LAS Bank contract and am just Bank up here now – doing Paramedic “Practitioner” type work in Walk-In Centres and Urgent Care Centres to keep the money up.

However, as time has slowly crept by, I have felt the heavy dark shackles, the dirt and the grime, and the angriness and guilt, gradually fall away . . .

. . .

I open my eyes. The tears have stopped.

The sun still beats down, and the Skylarks continue to sing. The air is still fresh.

The images and memory are now gone, and I smile. The mountains have rescued my mind again.

I slowly and stiffly stand up and begin the long late afternoon walk back down.

I have lived here for two years now, and the bad memories are coming back less often now. And I no longer seem to have nightmares. My mind is more and more focussed, and I can feel my strength and happiness of yesteryear returning.

More importantly, I feel the increasing desire to return to work as a frontline Paramedic.

I suspect my story is not uncommon. However, I have been fortunate to end up living where we do. The Lakes has provided a magical mountain therapy for me. And the more I spend in the mountains, the stronger I become.

It’s taken over a year to be able to write this, and I apologise for that. I really haven’t been sure about how to approach this subject. I have been nothing but a mediocre Paramedic in London and never thought I would have any of these issues. I was always cautious about the problems that can arise. But clearly, somewhere along the way, I missed the signs. No matter what I admit to, I still feel some shame and embarrassment and can’t help that. My colleagues in the service have done and seen far more than I could ever.

I will continue to write this blog – but as usual, I will wait on timings and inspiration. Thank you.

Twitter | @Binder999

One comment

  • PTSD can be insidious, creeping slowly into ones mind, until that one event that keeps repeating itself, or instant.

    But until you achieve mental acceptance that you did everything right, everything you could do and the patient probably wouldn’t have made it even in hospital with all the staff and techniques available, it’s only one event away from being triggered all over again.

    I’ve been there and everyone’s experience and resolution is different, my son’s was triggered by an idiot doing a swan dive off a theatre balcony, he was the only direct witness and could do nothing from the stage pit to stop it or help except to stop the show so the paramedics could get through the crowd, meeting the cause who wanted to apologise 2 years later didn’t help either, nor does others inability to see him as a victim.

    Solo working without a crewmate to talk through the event at the time and after, sometimes months after, and being ‘strong’ doesn’t help, too many solo response people end up burnt out, time the services realised it’s a major contributor to loss of good staff and stopped pushing solo response as the answer to response times, good luck with your future life and keep sharing.

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