Domestic Violence
One of the things I love about this job is the way it allows you to practice being a total liar and sucking up to people you don’t like in order to get things to go your way. A man ring up because his girlfriend has “a nasty head injury”. A law of emergency medicine is that if someone tells you what is wrong, but not how it happened, nine times out of ten something dodgy has gone on (the rest of the time, they just can’t say it in English). I ask the man how it happened. He pauses, and his girlfriend can be heard whimpering in the background.
“We were having a bit of an argument, and, um, well I sort of pushed her, and she sort of, slipped, and hit her head against the, um, table and then the, er, door.”
Girlfriend in the background starts to cry.
“I see” I say, in a sugary, “it could happen to anyone” kind of voice.
“You’re not going to have to send the police, are you?” he says.
I say a lot of things that don’t actually answer the question. I’m not the police, it’s my job to get your girlfriend’s injuries seen to, the final decision rests with the ambulance crew, the most important thing is that she gets help. This is all true, but at the same time I know the dispatch desk will have most likely sent the call straight down to the police as soon as they see what I’ve typed on the ticket (”30 year old female, fell after being pushed by boyfriend, head inj, ? domestic assault” — putting a ? before anything is a great get out clause, because you’re not accusing anyone of anything, merely stating it as a possibility).
I carry on speaking reassuringly and calmingly to the boyfriend and hope that his girlfriend isn’t going to have any more “accidents” while they wait for the police, I mean, ambulance, and then say goodbye in a way that conveys the message that I have in no way cottoned on to the fact that his girlfriend didn’t fall and quite obviously got those injuries when he punched her in the face.
on November 11th, 2005 at 6:49 pm
Oooh, yeah. these calls are always “fun”, especially as an EMT responding to the call. Local protocols require police notification & backup as soon as you suspect anything awry. As you point out, suspicion is usually a pretty good indicator that there’s something else going on.
The worst part is getting the victim into the back of the ambulance for treatment while your partner is calling for police presence, with the batterer outside the ambulance getting worked up about the situation & banging on the ambulance doors while the victim is sitting in the back refusing treatment as s/he doesn’t want the police there & doesn’t want the batterer to get into trouble.
I never knew I’d be using so much psychology/sociology in emergency medicine…
on November 15th, 2005 at 3:24 pm
Hi there! Very interesting site - I do your job in Australia, and it’s fascinating to see how similar things are over there. Wanted to send you an email, is there an address I can email you at?
on November 15th, 2005 at 3:33 pm
Sure — blog at neenaw dot co dot uk!
on November 15th, 2005 at 9:27 pm
I love the look of your website - I saw on TWR that its hosted by WordPress? How do I get a wordpress hosted blog? The only hosts I saw recommended on wordpress.org were various US ones that were about $10 a month…
on November 16th, 2005 at 3:04 am
Great site! Who knew that ambulance running could be so entertaining? I admire what you do, and your blog is great. Very well-written. Cheers!