We were paged to a vehicle accident it said the patient walked to a near by house for help.

We arrived to find what looked like knife wounds to the chest. The LEOs went to the accident site insted of the house. They radio to us "What do you have, We have a truck with no damage and a bloody knife in the seat. We can't leave to come there because it looks like a crime scene."

The patient's got wild eyed but his collapsed lung kept him in check. (Self inflicted knife wounds)

I have  been to a "injured knee" call. Where upon arrival they were on the porch shooting at each other.

 

We get these kind of things a few times about every year. Most all the pages central calls for LEOs but most of the time they don't come for run of the mill medical runs.

 

What can we do to help stop this? (I doubt it can be stopped)

Is there somewhere we can get some kind of training? (I was thinking to see if the sheriffs dept. could help us with training).

How do other departments handle these?

 

I would like to have a code to give each other on are department. So we know we are walking in on a possible violent scene. We don't use 10 codes so I was thinking something like "code V". I hate to come out and say violent scene with them a few feet away. It may be a trigger to a fight or something worse.

Is this a bad idea?

Another thing dispatch will come on and say "Law enforcement is 20 mintutes out". Not good this lets them know they have plenty of time for a chance to run.   Not that we would try to stop them, But how would they know that. It could be shoot the guys between them and the door and run for it?

Out of a hundred and twenty five runs a year I would say five of them are something like these. I would think big city guys would deal with this stuff almost daily.

 

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Part of the solution is having dispatch recognize the possibly violent situation. If we get a call for an attempted suicide (any method), knife or guns mentioned, assault or domestic violence the police are dispatched with us. We are supposed to stand by two blocks out until the police arrive and clear the scene. They usually respond immediately with us. That of course does not always happen. Once we are on scene if the situation turns violent or gets squirrely we call for the police. We can do that three ways, if I want the people involved to know I am calling the police I just ask dispatch "give me the police the patient is (agitated, violent, we are wrestling with them, they are threatening us) whatever they are doing. If I do not want the patient to know I am calling the police we can say I have a code 13 (we do not normaly use 10-codes), which is our police code for get me some help. If there is a life threatening situation, man with gun or knife or they are attacking us we can call a code 99, this is our police code for officer in trouble. When this is called every cop listening drops what they are doing and comes lights and siren. The police station is in my engine's first due area so they are there is a couple of minutes. Working it out with dispatch is a big issue, our dispatch is run by the fire department and the dispatchers are SFD employees. Working with your chief and dispatch will help.
Thanks Gregory, We to stage if we know it's a violent situation. We cover right at 100 square miles and some of it is "The Boondocks". I wish we had law enforcement close, sometimes are county has only one deputy sheriff on duty. They maybe over an hour away on the other side of are county.
Not good.

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