Security providing a sight blockade for the paramedics
Really awesome job of security, it's pretty rare that medics can work so undisturbed and are shielded against gawkers so well. Thanks!!!
Some of our team are paramedics and/or firemen themselves and know how to keep a paramedic happy. ;3 Thank you for the compliment!
Medic Visibility
A medic needs to be easy to spot, and the medic badges probably don't provide enough visibility. The crew of the ambulance that arrived at the scene didn't recognize any of the official convention medics as such so there was some confusion that can cost valuable time.
I have to disagree here. Our paramedics aren't obvious for a reason I'm gonna elaborate in the next point. Every ambulance that arrived on-site was introduced by either security or the paramedics themselves. A little "Hi, I'm xxxxx, paramedic for this convention" doesn't take away any time and is part of the situation briefing anyway.
Idea: Some kind of "uniform", e.g. a mostly bright white shirt or vest that shows artwork similar to the badges (a including a Red Cross, Aeskulap's Staff or similar insignia and the word "MEDIC" would really help). Added bonus: con attendees will be able to spot a medic from across the hall when they're running for help.
As Dragony already said: Our paramedics aren't directly reachable because that would over-strain their capacity with non-issues. This might sound harsh, but please let me try to explain that further: During times our paramedics are visible (by high-viz-vests at the parade) or when they are in their office, people flood them with "I need a plaster", "Can you give me aspirin?", etc. All these things aren't medically urgent issues and our paramedics aren't allowed by law to hand out any drugs. From years of experience we learned the hard way, that things work out only like we do it currently. If someone has a medical problem, even the slightest, security will approach the person immediately and we do call the paramedics, even if it's something small. But for the mentioned reasons, our paramedics won't walk around in uniform.
Paramedics Office
The paramedics office was in a remote, almost concealed location. If possible, large, unobstructed signage right at the entrance should point to the medics office, it should be on the ground floor and ideally accessible directly from the "lobby" part of the venue where most people pass through. That way, everyone knows WHERE to find the medics because they saw it when they came in.
Same reason as above. You'd be amazed how many people with the most harmless things come knocking while the paramedics are treating a serious injury inside their office. In most cases it is absolutely necessary to have a calm room in a remote location, if just to relieve the patient of stress. Therefore the room was chosen and proved to be the right choice for four years. The paramedics "office" was never meant for people to approach directly, especially, since our paramedics aren't in there, unless they are treating someone.
Idea: Maybe set up a medic booth or desk in the lobby and have volunteers on rotation there (could even be security stewards, just that someone is there with a radio). Alternatively, if staffing the booth is too much of a logistical burden, set up an emergency phone just like in the Maritim, but it still shouldn't be upstairs and literally around five corners to reach.
While I disagree with this idea, again for the same reasons as stated above, we will emphasize the way to get medical help during the next opening ceremony. Security is running around the convention site 24/7 and I don't see any need to man another post that won't do anything else but say "Sorry, they can't give out drugs" or "Sorry, you gotta go to the pharmacy" all day. Sorry, we can't do that.
Difficult Patients & Situations
This was more of a general concern but it pretty much turned out to be a real issue. I guess it boils down to "need more medics", but it's a little more complex than that.
With increased convention size, you need a number of seasoned medics who can make quick and correct decisions under pressure and are able to lead not only other helpers, but actually lead the PATIENTS, both in terms of providing comfort as well as strong guidance telling them what to do.
That means in every incident where medics are called sooner rather than later one of the "veterans" needs to show up and assess the situation. Medics with fewer years on the job are a great and valuable help, but they shouldn't be left alone with such a huge burden of responsibility. It's always better to have four eyes evaluate a patient than two.
Example: Difficult patients who might be in pain, panicking, or non-compliant because they are under the influence of alcohol, emotional stress, etc. - Just imagine an insistent patient ("See, I'm better, now leave me the fuck alone ok?!!") who has a very serious condition (*cough status epilepticus cough*) succeeds in making the medic hesitate or even walk away from the incident. It requires an assertive nature to guide such patients and notify emergency medical services no matter what they say.
I'm sorry, but I can't see any real issue in this point. We did not have a single case where we had a lack of medical personnel. While we did have issues with patients that where violent or needed more manpower, they were handled (as intended to) by licensed security personnel. The paramedics had enough personnel to act stress-free, even with multiple issues at the same time. Of course the team will be increased for next year, but that is simply because increase of the amount of attendees we expect.
Our paramedics are very experienced people with long history. These guys are beyond veteran and know exactly what they are doing. Some of them are even trainers for paramedics. They won't be fooled and we do have a safety concept that worked out flawlessly for many years now. Especially since our lead paramedic is a specialist for these concepts. :3
Paramedics Equipment
There should probably always be at least one well-stocked rescue bag held by one of the medics who are on duty, and they should stay at a central location (e.g. lobby / medic booth). It wasn't always apparent whether that was available, so it's mentioned for completeness sake. :-)
Rest assured, that from the wound-dressing to the defibrillator everything was ready at all times at the reception, the paramedics-room and the hotel-rooms of the paramedics. :3
Ignorant Bystanders
Probably a sociological problem that's hard to tackle - at one time a person collapsed and had been seemingly ignored by furs literally just two steps away from them (the collapsed person was admittedly slumped down in a dark corner, but on the public sidewalk nonetheless).
Idea: PSAs or a nicely illustrated flyer that accompanies the con book reminding furs to actively watch out for each other, to always call medics if in doubt, and to not turn away.
That might be an idea, yes. I didn't receive any report of such problems, but that doesn't mean anything.
Thank you for your feedback! I hope I could answer some of your questions. :3