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Pleasure Ride Turned EMS Bike Team Deployment

EMS Bicycle Team grabs a golden opportunity to prove its value

By Steven Weigold, EMSCI #085
St. Clair Township-New Miami EMS (OH)

Every year for the last 21 years a bicycle tour called the "Morning Glory Ride" has been held in Cincinnati. The ride attracts as many as 2000 riders. The route is approximately 17 miles long and passes through some of Cincinnati's most interesting and historic neighborhoods. An optional 4-5 mile loop through Northern Kentucky is also available. What makes this ride unique is the 4:00am starting time. It is set up so that much of the ride is in the dark, but when the riders get to the parts of town with the best views, the sun is rising. The ride concludes with a catered breakfast at Serpentine Wall on the Cincinnati riverfront.

This is the first year I participated in the event, and therefore, I was a bit unsure of what to expect. Since the majority of the ride was at night, and I was not familiar with the route and its lighting, I opted to wear our department EMS Bicycle Team Uniform. We recently added new Bratwear uniform shirts to our ensemble, and while they are navy blue, they are outfitted with a large retroreflective logo on the back and retroreflective striping. I figured that I would look like a rolling reflective billboard to vehicles behind me. Those who met me at the recent Tennessee instructor course can probably appreciate that!

Since I had decided to wear the uniform for the ride, I concluded that I should probably take along the gear bags. Since I was going to be representing our department, it seemed only fitting that I have the equipment to do so in a proper manner. Besides, our bags have extensive reflective striping on them as well. As if that wasn't enough incentive to carry them, I figured a 17-mile ride with fully loaded EMS bags - especially on the hills of Cincinnati - would be good training.

Some of you may be thinking, "isn't this guy getting a little out of his service area?" Maybe, but one of the things that makes our EMS Bike Team unique is that we don't limit ourselves to just our department's immediate coverage area. Our team regularly makes trips quite a distance to provide EMS Bike coverage for events. We've deployed several counties away in the past, including Cincinnati, so making the tour a real bike unit deployment wasn't out of the question. I also concluded that riding the route as an EMS unit would likely get the team some useful P.R. As it turned out, I wasn't disappointed.

The ride itself was uneventful. Using proper spinning technique the hills were bearable, even with a fully loaded bike. As you might imagine, I attracted quite a bit of attention.

I left the starting line toward the end of the pack, with the idea that I would be in the best position to find someone that needed my help. All of the riders were courteous, and many made comments either to me, or about me, generally implying that perhaps they should be riding near me. I assumed it was because I could help them if they got injured, but now that I think about it, it may also have been because I make a good candidate to draft behind, at least from a size standpoint!

In any case, the scenery was beautiful, the ride enjoyable, and the route well planned.

Things got interesting after the ride. As we were standing on the riverfront enjoying our breakfast, I was approached by a woman asking about, of all things, a golf cart. I think she thought I was a cop. They wanted the cart to get an injured women to her car so she could be taken to the hospital. She was described as "pretty beaten up." I explained that I had no idea where a cart could be obtained, and then asked if anyone was helping the woman. When she indicated no, I pointed out the loaded bike, and indicated I could help. I think at that point it dawned on the woman what "EMS" means, and I was all but dragged over to what turned out to be my patient.

As the story unfolded, I learned that the woman was descending one of the last hills on the ride into town when she lost control of her bicycle and crashed. It's still unclear as to how fast she was going, but considering the hill in question, if she had not been wearing a helmet, I'm sure the outcome would have been different. As it was, the helmet was obviously damaged. She had crashed about a mile from the finish line, and had been assisted into the sag wagon for a trip back to the start. She vehemently refused ambulance transport, despite my recommendations and those of the sag wagon driver.

I was a bit surprised to find that a "21st annual" event for that many riders did not have a highly visible degree of organized EMS coverage, but I pulled on my gloves and got to work nonetheless. The woman's husband had gone to retrieve the car, and since the woman fully intended to just ride to the ER in the car, I focused on bleeding control and bandaging.

Her most severe external injury was a five centimeter long, "L"-shaped laceration to her forehead that was visibly at least a centimeter deep. Other injuries included a number of smaller lacerations and quite a few abrasions (can you say "road rash"?). Some sterile water flushed the rocks and gravel out of the injuries, direct pressure controlled bleeding, and by the time her husband arrived with the family vehicle, I had the woman all but covered in white and holding onto an ice pack. She said she "wanted to go to sleep," but was alert and oriented, and she still refused an ambulance. They left for the ER with my "do not pass go…" instructions ringing in their ears.

I got the P.R. I was seeking. Four different people took pictures of the treatment in process. I'm still waiting to see if any of them make the paper. Of even more value was the discussion with the sag wagon driver after the patient departed. While I was busy cleaning up my biohazard, the driver and I chatted. I learned that he was one of the ride planners, and to make a long story at least a bit shorter, our team has been invited to "officially" attend the 22nd annual Morning Glory Ride. It seems that those Williamson Medical Center guys were right... sometimes it IS better just to show up, rather than wait to be invited!


Steve can be reached at sweigold@polezero.com.

Ed's Note: Nick Gatlin of the Williamson Medical Center EMS Bike Team in Franklin, Tennessee, attributes much of his bike team's success to its tendency to, in the early days, "just show up" at events, often on their own time. It paid off; the team now does 60-80 events per year "on the clock" and is in constant demand by the public. As described in the article that appears What's a Bike Team Worth?, the Bike Team is now considered to be a valuable public relations tool.

(C) 2002 IPMBA. This article first appeared in the Fall 2002 issue of IPMBA News.


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