Posts Tagged ‘Media’

Airwave

Wednesday, July 14th, 2010

It would appear that the radio system that the LAS uses has been in the news of late – claims that it doesn’t work in the rain, or that vehicles are without radios.

Or vehicles use the ‘Airwave’ standard, a digital network shared by, amongst others, the police. We have a main set that is fixed to the ambulance and should have two handsets that we carry everywhere with us.

I can only talk personally, but in my experience the radios are often a bit flaky (but remember that this is a system that was forced on us by the government), but not any flakier than any digital phone network.

The problem is that they are digital, if they have a poor signal then they just refuse to work, unlike the old VHF analogue radios that would transmit, although over a load of static. With analogue though the human brain is a great signal filter, and so you could make yourself understood. With a digital system you just have silence.

So it’s not perfect, but it’s not bad – at least we have handsets now, it’s been something we’ve been wanting for crew safety for quite some time.

As for not having radios on vehicles – I suspect that the spokesperson for the LAS is counting the main set in the vehicle as a radio (quite rightly as that is all we have had for years), but the HSE are also counting the portable handsets.

These do go missing, but there is normally at least one handset on a vehicle. When we were trained in the use of the radios we were told about the system for replacing them if one should go missing – sadly this seems to have gone out of the window.

Oh well, no change there.

The switch to digital has meant some changes. For example you can no longer hear everyone on the radio talk group, so you have no idea where your workmates are or what they are doing – this results in much less awareness at street level of the situation across your sector. I can’t tell if a hospital is full or not just by listening to the radio, nor can I hear if any crew needs assistance. This makes you feel a lot more isolated on the road.

The other side effect of not hearing the rest of the talk group is that, when it is busy, you ‘buzz in’ to talk to Control, but you don’t get an answer, all you have is what seems like an empty channel while Control seemingly ignore you. With the old system you would hear them talking to the other crews, and so you would know that they were busy so you knew you weren’t being ignored.

Overall, the provision of handsets has made crews safer, although I can’t comment on the panic button as I’ve never had to use it. Some things are better, some things are worse. But at least the LAS has made the effort and the problems are with the design of the system rather than with the LAS.

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Can I also take a moment to mention one thing that I forget to write about in the last ‘Transplant’ post – that you should also discuss your being on the donor list with your family, so that they are prepared should the worst happen and that they know your wishes and don’t overturn them. You might also be able to persuade some of them to sign up as well.

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Finally, big changes coming up, but it’s something that I need to sit and write with plenty of time, not fire out in the half hour before I leave for work. And I’m not just talking about the NHS White Paper.

Bookmarks for February 6th through March 10th

Wednesday, March 10th, 2010

These are my links for February 6th through March 10th:

I See My Name Mentioned…

Monday, October 19th, 2009

along with the lovely Scott Pack and the Friday project.

Paintbrushes

Wednesday, September 30th, 2009

Somewhat of a ramble I’m afraid – my brain is shredded at the moment.

Another TV medical series, another missed opportunity. I’m yet to see the first episode of NBC’s ‘Trauma‘, mostly because I’m not American, but I have read some of the responses to the first episode, from the short ‘Funniest damned EMS show since Mother, Juggs and Speed. Wait, you mean it’s not a comedy?‘ to the longer review on JEMS

‘I also realize that it’s 2009, and writers and producers like to inject sex into every episode, and have characters with cocky, rebellious 90210ish cast members who bring a host of personal problems to work, but this series bubbles over with a cast that should be stationed on Wisteria Lane, not the streets of San Francisco. The premiere of Trauma doesn’t begin with a well-dressed crew checking their drugs and equipment before their first run. It starts with the sights and sounds of the boyfriend/girlfriend crew having sex in the patient compartment of their rig. Then, before you can get the words “I can’t believe it” out of your lips, you hear the dispatcher (who obviously knows the way the crew starts their shift), tell “Naughty Nancy” Carnahan to button her blouse and respond to an emergency call.’

Even the NAEMT has penned a rather strong letter to the producers,

Why is it so hard to write a decent, realistic TV drama about emergency or pre-hospital care?

I think that there are two reasons, first that TV producers think that viewers are stupid, secondly that the writers carry paintbrushes.

I remember, as a child, watching Rolf Harris on a Saturday afternoon creating works of art using 4″ paintbrushes. Big sheet of paper, slopping the paint everywhere and then, as if by magic, a painting would appear.

Big tools, used well to create wonderfully subtle works of art.

Writers today also use those 4″ brushes, but they use them not for portraits, but to paint walls. Huge strokes slabbered on with no finesse. Before I visited NBC’s character biographies I could guess the characters ‘personalities’. You’d have the maverick, the womaniser, the hard as nails female, the unsure rookie, the heartless administrator, the drinker/gambler/philanderer. The list goes on. Oh, and we must not forget the racially diverse cast of good looking people.

Look at those character types, you can see them appearing in pretty much every show.

For another non-medical example of how characters need to be drawn in these wide strokes look at the new TV series ‘Flash forward’, based off a book by Robert J. Sawyer – in the book the protagonist is a physicist. In the TV series, an FBI agent. I’m guessing that it’s easier to create an interesting FBI agent (with an alcoholic past natch) than it is a sympathetic physicist.

Writers seem to be using these shorthand clichés so that they don’t confuse people, and because they are so easy to write for.

It’s the same with the ‘plots’ that they find themselves in – after watching one TV programme too many I have come up with a variation on Chekhov’s gun. ‘Chekhov’s pregnancy’ – ‘If there is a heavily pregnant woman in the first act, she will get trapped in a lift/locked building/under rubble and will then give birth’.

(Needless to say, on TV pregnant women race through the stages of labour in fifteen minutes, not the more normal twelve hours or so)

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So that’s the writers, but why do they write such rubbish? Well I sincerely think that it is down to the TV production companies wanting to keep things simple. A writer once told me about his great script that got cut to shreds because the producers wanted ‘people in tower blocks to understand it’.

It’s that talking down to people that really gets on my nerves – that we can’t have TV that is well written, that shows that not all politicians are corrupt, that all doctors are worthy, that all journalists are sleazy and will stab anyone in the back to get a story, that the police have a heart of gold, that nurses are sex maniacs or that all married men desire extra-marital sex.

Does TV really have to be all broad strokes and dumbed down? Can we not use TV to show people the subtleties of life rather than a Daily Mail diet of ‘X is Good, Y is Bad’.

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And yes, ‘Casualty’ does still make me grind my teeth – ‘blonde sexbomb’. ‘joker’, ’socially awkward nerd in glasses’ who, in the their second episode tell us what their personalities are by talking to a psychiatrist. Next series I think they’ll stop giving the characters names and instead they will instead walk around carrying placards with their character traits written on them.

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What you need is an ambulance worker who likes little old ladies, not because he cares for his elderly grandmother, but just because he finds them sweet. Who dislikes drunks, but secretly enjoys picking them up because they are an easy job that he doesn’t need to talk to them while they sleep on his stretcher. Who sees that the ambulance targets are crap but is powerless to do anything about it, and who isn’t a ‘joker’ and ‘maverick’ a ‘bad-ass with a heart’ but is just a normal person doing an unusual job.

Ripability

Wednesday, September 16th, 2009

Thanks for all the comments on my last post – all very helpful. Although it seems a bit off that I have to rely on a personal blog to get feedback on a clinical issue, but that’s a tale for another day…

Due to me avoiding a et of nightshifts by burning some of my annual leave, I have around two weeks off work. As this is so close to my other holiday I’m running a little short on ‘tales from the ambulance’, and so I’m afraid that for the next couple of days I’m going to write about whatever interests me.

I apologise in advance – but I’m not just an ‘ambulance driver’ you know…

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I was having a little to and fro with @Charlesarthur yesterday on twitter; I was bemoaning the difficulty in buying ebooks (after struggling with the rather poor showing of such sites in the UK and then cursing the inability to ‘import’ ebooks from the US), he on the other hand was suggesting that the format isn’t proven yet – much like betamax, minitape and eight tracks.

The discussion started when I started whinging that there isn’t a simple ‘iTunes’ like store for ebooks that might help wipe out regionalisation, encourage reading and drive down the prices of ebooks while also making impulse purchasing more likely. Most of this was prompted by the headache of usability and stability that is the Waterstones ebook site.

[The price of ebooks are often the same as the same title in hardback. This strikes me as incredibly dumb as the cost to 'make' each unit of book is practically zero (that's price per unit, not overall price as you need to take into account copyediting, advances, promotion and the like). Additionally the purchaser cannot do as much with an ebook as they can with a physical product - due to DRM the customer can't lend it, nor sell it on. So why so expensive?]

The price issue is one reason why the Friday project cut the price of many of their ebooks to less than a pint of beer. Well worth a test purchase to see if you like the idea of ebooks. For example you might like ‘In Stitches‘ or the really rather good ‘The Equivoque Principle‘. [disclaimer - The Friday Project are my publishers].

But this discussion was a really good one, I learnt a few things and then, by talking with someone smarter than me, it led me to a flash of insight…

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Digital media has come after pretty much all the recent innovations in other media formats. Before MP3 there were CDs, still the standard for music distribution. Before .avi/DIVX/.M4v DVDs were the standard for movie distribution (I’m ignoring bluray as it’s not taken off massively at the moment). Books have pretty much always been text on paper from before computers were a glint in Mr Babbage’s eye.

Now, the important thing about the video and music formats is that when you move to digital you can bring your ‘old’ media with you. You can rip your CDs into a digital format that your computer and iPod can play. It took a bit of time but all my CDs are boxed away in my loft and now reside on one of my network hard drives. DVDs are much the same, it is easy to convert them from a physical disk into a digital file that you can play on your computer, laptop or mobile phone.

If I had the inclination I could convert all them into a digital format.

Both of these shifts in format from physical to digital are trivial to perform (even if it is illegal under British copyright law). You put a disc into your computer, click an import button on a computer programme and -pop- your media is now digital, portable and able to be backed up.

Books however are different.

To convert a book to a digital format there are two ways to go about it – You can sit at a keyboard and type it all in, or you can destroy the book by feeding it sheet by sheet through a scanner, then run OCR software that will do it’s best to convert it into a text file, then you copyedit it for the errors put in by the OCR software. Both of these approaches need you to physically be at a machine working on converting the book into digital. You can’t press a few buttons and leave it running overnight.

So, the problem with ebooks as a format is that you can’t bring along your old media. I have shelves of books, my loft is full of books – I have more physical books in my possession than at any other time in my life. I’d love to be able to convert them to a digital format, but it’s just not realistically possible.

Instead, my only realistic and legal, option would be to purchase them again – which, for a few books, I’d be willing to do. But not all of those books are available in the UK in an ebook format, and those that are cost the same as a hardback.

Part of what let the iPod and other digital music players take off was the ability to play your old media, unlike the move from vinyl to CD there was no need to re-purchase your media. Do you think that iPods would be as popular if in order to use them you had to buy all your music yet again? And most of it wasn’t available?

If there is anything that is going to hamper the ebook market from growing it is this lack of portability from your old format to a new one.

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The solution to promote ebooks and prevent people from visiting torrent sites is quite simple.

When you buy a physical book from Waterstones (who are the big player in the UK ebook market) they give you a coupon or code which allows you to download that book for free, or at a greatly reduced cost, onto your reader. While it is true that some people will then give away the book, I would suggest that not many books are only ever read by one person in their lifetime anyway. And wouldn’t you rather have customers coming to your e-store and then coming back for return business rather than visit the torrent sites for illegal copies of your book?

The alternative is to treat ebooks like a poor relation of physical product and then get stuffed when Amazon release the Kindle in the UK and Amazon starts offering a lot more stock for less money.

The Kindle edition of Dan Brown’s The Lost Symbol, his follow-up to 2003’s smash hit The Da Vinci Code, has become the top-selling item on Amazon.com. The e-reader edition is outselling the hardback copy of the novel, which had previously become the sixth best selling book of 2009 on pre-publication orders alone.

Commentators are wondering whether the book is heralding a new era in publishing. While Amazon is offering almost 50 per cent off the hardback copies, $16.17 instead of $29.99, the Kindle edition is available at just $9.99 – and there is no wait for delivery.”

Rebuttal

Monday, June 22nd, 2009

First off, apologies for the lack of blogging, but I’ve been working a 60 hour week, coupled with a two day conference and other stuff (including being contacted a lot about Nightjack – about which I appeared on Channel 4 news, but which I, myself, missed.)

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I was woken from my sleep by a text message from a friend telling me that I was in the News of the World. As far as I know the publishers hadn’t planned anything with them so it was a bit of a surprise.

He sent me this picture of the article.

Newspaper

I was somewhat perturbed. Actually I was flaming furious. You see, despite the mistakes, it also implies other things.

For comparison you can read the original post here.

Firstly, I didn’t say anything, I wrote it. Over three years ago. Hardly news. I’m also not based at the Royal London hospital – we have these things we call ambulance stations. And they get the name of the book wrong. So far not exactly quality reporting.

(And why I do have more than one blog, I think they are mixing up ‘blogs’ and ‘posts’, which while annoying is perhaps a little petty to bring up)

The ambulance arrived and took the baby to hospital (sorry ‘brain bug tot’), the baby didn’t travel in the neighbour’s car at all.

The implication is that the baby definitely had meningitis (which it didn’t) where in the actual article I try to show that it isn’t meningitis. Also things have changed for the better and FRUs are waiting on scene for long times a lot less often than when I did it.

I would guess that the News of the World got hold of a copy of my book – reached page four (where this story is printed) and got no further because they smelled something they could get outraged about. Rather than, say, doing some work and seeing how busy the ambulances were that day (three years ago).

While I’ve never expected quality journalism from the redtops, it still surprised me how easily they twisted the facts to say what they wanted to say, while getting even the basics wrong.

The sad thing is that this sort of coverage will probably make my bosses look a little less favourably upon me, even though I had nothing to do with the paper printing it, or with putting their own spin on things.

Something For The Weekend

Thursday, June 4th, 2009

Seeing as I’m working nights this weekend and blogging will be light I thought I’d leave you with something to read while I’m either chasing drunks down the street or snoring in my bed.

In the first of, hopefully many, formats to download, The Friday Project have put my book up on Issuu – and it really does look lovely, and is best in fullscreen mode. The license that ‘More Blood, More Sweat And Another Cup Of Tea’ is published under lets you embed the book in your own blog, read it from any site, or download it to read on your own machine. Feel free to forward it to anyone who might be interested.

I’d love to see it on as many blogs and sites as possible. The more eyes it gets in front of the better. You can download the .PDF from the Issuu website.

Next week I’ll explain exactly why almost everything that I create is licensed under a Creative Commons License, and by then I can probably get back to writing about ambulances rather than pimping my book.

Once the plain text version is ready we’ll see about getting it into as many formats as possible.