Hermione: Did You Find Out Anything From Dumbledore?

My foster kitten

Could somebody be a paramedic if they were missing a forearm?

Y’know, sometimes a question comes along that exposes your biases. I’m really, really glad you asked me this.

My initial instinct was to say no. There are a lot of tasks as a paramedic that require very specific motions that are sensitive to pressure: drawing medications, spreading the skin to start IVs. There’s strength required–we do a LOT of lifting, and you need to be able to “feel” that lift.

So my first thought was, “not in the field”. There are admin tasks (working in an EMS pharmacy, equipment coordinator, supervisor, dispatcher) that came to mind as being a good fit for someone with the disability you describe, but field work….?

(By the way, I know a number of medics with leg prostheses; these are relatively common and very easy to work with. I’m all in favor of disabled medics. I just didn’t think the job was physically doable with this kind of disability.)

Then I asked. I went into an EMS group and asked some people from all across the country. And the answers I got surprised me.

They were mostly along the lines of “oh totally, there’s one in Pittsburgh, she kicks ass” or “my old partner had a prosthetic forearm and hand, she could medic circles around the rest of her class”. One instructor said they had a student with just such a prosthesis, and wasn’t sure how to teach; the student said “just let me figure it out”, and by the end of the night they were doing very sensitive skills better than their classmates.

Because of that group I know of at least a half-dozen medics here in the US with forearm and hand prostheses.

So yes. You can totally have a character with one forearm, who works as a paramedic for a living.

Thanks again for sending this in. It broadened my worldview.

xoxo, Aunt Scripty

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According to the CDC, in 10 percent of those drownings, the adult will actually watch the child do it, having no idea it is happening. Drowning does not look like drowning—Dr. Pia, in an article in the Coast Guard’s On Scene magazine, described the Instinctive Drowning Response like this:

“Except in rare circumstances, drowning people are physiologically unable to call out for help. The respiratory system was designed for breathing. Speech is the secondary or overlaid function. Breathing must be fulfilled before speech occurs.

Drowning people’s mouths alternately sink below and reappear above the surface of the water. The mouths of drowning people are not above the surface of the water long enough for them to exhale, inhale, and call out for help. When the drowning people’s mouths are above the surface, they exhale and inhale quickly as their mouths start to sink below the surface of the water.

Drowning people cannot wave for help. Nature instinctively forces them to extend their arms laterally and press down on the water’s surface. Pressing down on the surface of the water permits drowning people to leverage their bodies so they can lift their mouths out of the water to breathe.

Throughout the Instinctive Drowning Response, drowning people cannot voluntarily control their arm movements. Physiologically, drowning people who are struggling on the surface of the water cannot stop drowning and perform voluntary movements such as waving for help, moving toward a rescuer, or reaching out for a piece of rescue equipment.

From beginning to end of the Instinctive Drowning Response people’s bodies remain upright in the water, with no evidence of a supporting kick. Unless rescued by a trained lifeguard, these drowning people can only struggle on the surface of the water from 20 to 60 seconds before submersion occurs.”

This doesn’t mean that a person that is yelling for help and thrashing isn’t in real trouble—they are experiencing aquatic distress. Not always present before the Instinctive Drowning Response, aquatic distress doesn’t last long—but unlike true drowning, these victims can still assist in their own rescue. They can grab lifelines, throw rings, etc.

Look for these other signs of drowning when persons are in the water:

Head low in the water, mouth at water level

Head tilted back with mouth open

Eyes glassy and empty, unable to focus

Eyes closed

Hair over forehead or eyes

Not using legs—vertical

Hyperventilating or gasping

Trying to swim in a particular direction but not making headway

Trying to roll over on the back

Appear to be climbing an invisible ladder

So if a crew member falls overboard and everything looks OK—don’t be too sure. Sometimes the most common indication that someone is drowning is that they don’t look like they’re drowning. They may just look like they are treading water and looking up at the deck. One way to be sure? Ask them, “Are you all right?” If they can answer at all—they probably are. If they return a blank stare, you may have less than 30 seconds to get to them. And parents—children playing in the water make noise. When they get quiet, you get to them and find out why.

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