First responder: CPR alert at work

Within Netherlands each company is by law required to have first responders. These handle various situations until the professionals arrive. It’s usually one of (possible) fire, medical or an evacuation. Normally I’d post this at Google+ but as that’s going away I’ll put it on this blog. I prefer writing it down so later on I still can read the details.

While in a meeting I get a notification from my P2000 monitoring app (screenshot below), then a notification from the Dutch CPR app that there’s a need to perform CPR at work. The CPR app gives the exact address. I realize that I forgot my walkie talkie, plus my pager didn’t go off. I run out, I hear my colleagues explaining to others why I suddenly run out.

I’m wondering if to call security or to get my walkie talkie. I decide on the latter, security is usually busy enough during incidents. I make a mistake going to my floor, then to the correct one. I get my walkie talkie and ask for instructions. Incident is on 3rd, but I need to go to reception. I fetch an AED. A fellow colleague and first responder notices that and joins me. We go to reception (ground floor) but that was a miscommunication; we needed to go to reception 3rd floor. I’m not entirely happy with my mistakes.

While going back to 3rd floor we get an update, person is conscious. We arrive to 3rd floor and are directed towards the person. There’s loads of people around, actually too many. I stay at a distance, my colleague gets closer. A more experienced first responder is closer and asks my colleague to stand a bit away. I’m very happy that despite the mistakes everything is under control.

Me and my colleague decide to assist with waiting for an ambulance. This despite not having a bright jacket, nor my jacket (it’s cold outside). I might at least get a bright jacket from security, having this on is pretty critical. At the same time we overhear that the ambulance arrived. Using what security taught me in a previous incident we reserve an elevator to make it respond only to the buttons on the inside, not to anything else.

We further overhear that the ambulance arrived to the wrong part of the building, this means that we will have difficulty getting the stretcher up to the incident. We guide the ambulance personnel inside the building without the stretcher. While passing the reception I notice ground floor reception is talking to someone who is a relative/loved one/etc. We ask all of them to follow us inside the reserved elevator. The ambulance personnel is relaxed (as always!), they casually ask us to bring us the stretcher after. We were already planning to do this.

Together with my colleague we go down to ground floor to fetch the stretcher from floor -1 somehow. The stretcher needs go up one floor. At this point I’m not entirely sure how to do that, we need more people actually. We discussed this various times but the idea was to have 5 people, not 2. While walking to the stretcher we see 3 people actually carrying the stretcher up a staircase (from -1 to ground level).

The goods elevator meanwhile is reserved but standing at -1. I ask it to be redirected to ground level. No response. We arrive with the stretcher to goods elevator, it’s still at -1. We ask again, seems the new goods elevator system is annoying to use. Goods elevator arrives, there’s some people inside which we get rid of. Later I hear that those people were a bit overwhelmed. Using the goods elevator we take the stretcher to 3rd floor near the incident and then wait at 3rd floor reception. Reception has a few people, at least one person was shaking a bit due to emotions, we try and calm the person down. After that my colleague goes back to work.

Eventually I guide the ambulance personnel without a patient back out of the building . Fortunately no CPR and I’m quite happy they didn’t need to take anyone with them. While closing the doors of the good elevator a big wooden pallet almost falls upon me. Entirely dangerous! I later notice that this took the walkie talkie off my belt… so for a while I’m searching for my walkie talkie. After this I go to my colleague to talk everything over for a bit, followed by discussions with others as well. Various good things and also various improvement points.

First responder: broken ankle

Within Netherlands each company is by law required to have first responders. These handle various situations until the professionals arrive. It’s usually one of (possible) fire, medical or an evacuation. Normally I’d post this at Google+ but as that’s going away I’ll put it on this blog. I prefer writing it down so later on I still can see the details.

While standing a bit away from my desk it seems security (via the walkie talkie) asks for either me or Tim. I didn’t hear my name properly, but I’m pretty sure I heard them call out for Tim. After asking to repeat I get sent to 10th floor and informed that another person is also underway. There’s an ambulance underway and that’s basically all the information available.

I take a bright jacket, AED and run to 10th floor. I arrive at the same time as another first responder. Strangely nobody seems stressed. No group of people anywhere, etc. Though the floors are huge it usually only takes seconds to figure out the location of an incident. We ask around and nobody seems to be aware of any incident. We advice security and get sent to investigate on 9th floor. Apparently the floor number was unknown and this company is located on two floors with the majority on 10th floor. On 9th floor we notice the issue quickly and advise security. Just after we overhear (walkie talkie) the arrival of a rapid responder. The incident is quite easy, the person is lying on the floor with a coolpack, conscious, did not lose consciousness and just tripped because of a slippery floor.

Such an incident could be more serious, it’s quite possible that some kind of problem in their brain caused them to lose consciousness and that resulted in a broken ankle. During the last first aid refresher course they taught us to be aware that the real cause might be a bit different.

As the rapid responder is already within the building I decide not to treat the ankle. The ankle was already being cooled and it seems better to leave it to the professionals. Someone asks for a update to relay to the rapid responder, I respond and keep it brief.

Meanwhile more first responders arrive as well as interested colleagues. As per a tip from another first responder I give all kinds of tasks to the newly arrived first responders. One I ask (tell) to get all other colleagues away. Another is sent to get the persons jacket. Yet another is sent to the elevators to guide the rapid responder towards the incident.

Once the professional arrive we stand at a distance. We discussed if we should ask the rapid responder if he requested an ambulance but it was decided to better not to ask questions unless you really need to. This especially as the rapid respond is on his own. We prepare for a possible ambulance to arrive. This as a rapid responder (either motorcycle or a smaller car) cannot move people. It’s a bit overkill to use an ambulance for a broken ankle, but oh well. I volunteer to wait for the ambulance in the cold. Apparently there’s a reserved elevator which I can use (one which only responds to buttons within the elevator). Outside I see that the rapid responder parked in an interesting location and it might make things difficult. I check for any ambulance calls on my app, plus change the app to show me non-priority calls as well. If an ambulance comes I’ll need to ask for a lot of assistance. We had enough which responded.

After standing outside for a while I hear that the plan changed. The reserved elevator needs to go back to 9th and they’ll use a chair to move the person. On 9th floor I had to wait a while so to kill the time I ask how to reserve an elevator. I only know how to takeover the emergency elevator. Taking over a random one? I thought only security could do this. Tim explains it to me after which a bunch of people arrive, including someone in a chair. We guide the person downstairs. Person is then brought to the hospital by a colleague. We aren’t sure why the rapid responder didn’t bring the person. After the incident security ensures I can also reserve elevators.

During the whole incident we only used walkie talkies. Another way is pagers, worn by more people than the usual first responders. The pagers have as drawback that you might get an overkill of first responders. We recently changed procedures to optimize this a bit. It’s still nice to see how many responded just based upon walkie talkie usage.

First responder: fire alarm

Within Netherlands each company is by law required to have first responders. These handle various situations until the professionals arrive. It’s usually one of (possible) fire, medical or an evacuation. Normally I’d post this at Google+ but as that’s going away I’ll put it on this blog. I prefer writing it down so later on I still can see the details.

While having lunch I noticed a notification about the fire department going to my (huge) office building. As this was during lunch time and there might be way less first responders available I headed back. The message says “Handmelder” which is Dutch for those manually operated red boxes. As these are manual the fire department assumes someone verified that there’s a fire.

Screenshot of an P2000 app

According to Google Maps the fire department is a 7 minute drive away, so a maximum of 5 minutes for them. I saw them using a road which was partly closed for construction. A bit strange as they’ve been informed & there are signs. Anyway, I went inside. At this point I don’t know much. You hear people asking what is going on. I can guess but better not to assume too much. I do see that one of the fire doors closed itself. I notice the lack of an evacuation alarm though the pager indicated it’s either cellar, parking level or ground floor.

To help out I need a bright vest and a walkie talkie. The bright vest is very important a) for fire department to recognize whom to approach b) force people to listen to me. A walkie talkie I have at my desk, that’s useless as the elevators won’t work, I have no idea what is going on and it’ll take forever using the stairs. To start I take a bright jacket as well as ask and get for a spare walkie talkie from security. It takes a bit until I notice the walkie talkie battery is dead. I want to find another but there’s 2 unneeded people in the security room standing in the way so quickest is to ask again. Normally security is a hell during these things so I really don’t want to distract security. Fortunately there’s another working walkie talkie.

I announce myself and ask for instructions. I get told to check parking level 4 east side. Normally I easily know east vs west but at the moment not so much, I’m more thinking on how to approach safely but quickly. Last week security mentioned that the new fire detection cables have east and west mixed up. It seems easier and safer to check the entire parking level.

On parking level 4 I initially see nothing strange plus I’m the only one. This is strange as I was late to arrive to the incident. I missed all of the previous conversations. It’s a waste of time to ask about this so I skip it. I don’t see any fire at all, though there is a hell of a noise. I first check if it’s one of the cars (super easy). Nothing. There’s also various doors for building related things. Normally I’d have keys for that but alas, not now. I relay that first impression is no fire. I get told to check everything as per request fire department. I don’t get why they don’t come up but pointless to wonder. It takes me a few minutes to check the various doors. I check for fire indicator lights (fire behind a door) as well as a door check (heat, smoke). Nothing to be seen. Meanwhile a car enters the parking level. That should not be possible and usually cannot be done (parking gates close). Something to tell security. I communicate that nothing found except a really loud running airco.

As of a month ago the building has a fire detection cable on all parking levels. It is very sensitive to temperature changes. It’s also installed above the parking places close to two airco outlets. They thought ahead of the potential problem and they said they addressed it (made it less sensitive). My guess is that it’s still too sensitive.

One incident leads too loads of questions. Some answered during the incident, some just after, some take a while. There’s been enough learnings in this one.