When and 'How' to dial 9.1.1; Before and during

 by frollard
911Phone.jpg
Most all countries have an emergency phone number; in Canada and the USA it's 911; In England 999, Australia 000, and other countries, numbers such as 112, 449, or even 7, 8, or 9-digit numbers are used. Japan uses 119. From herein I'll refer to all emergency agencies as simply '911'.

PMDerinsleep added:
turkish numbers are 112 for ambulance, 155 for police, 110 for fire;
and 156 for 'gendame' (sic), o/a jandarma, which is half-police half-soldier.

This number can be daunting if you're unfamiliar with the system, what the number is used for, as well as how and when to use the number. This instructable aims to inform the reader on how to prepare for an emergency call, what to do when calling, and what is likely expected of the caller. The questions asked will vary by location and 911 service, but most all will ask for the same type of data.

My background: I'm a 911 dispatcher in Canada. I'm one of the thousands of people in the world on the other end of the phone when you have an emergency. I took quite a bit of training in dealing with people, specifically to ascertain information. This information is to get with our motto - to send the right response, to the right place, at the right time, as safely as possible.

This instructable does NOT aim to give any medical or safety instructions pertaining to ANY call types. Not only for reasons of liability, but for your own safety it is best to follow the instructions given by the operator when you call 911. I can with clean conscience suggest that all people get a lifesaving/first aid course and maintain CPR/AED/First Aid certification as per local standards. Brushing up on your local/provincial/state laws regarding protection of good samaritans is also a good idea.

Note - sorry to those who found/are reading this because of the proximity to the 9/11 tragedy, I just looked at the calendar on the computer and it reminded me of what I say 200 times a day at work - and how much I've been meaning to write this instructable.
 
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Step 1: BEFORE you call - Preparation

hand-Writing.jpg
Before you have to call 911 there are a few thing you can do to prepare before the emergency to make the response quicker and the event less stressful for you and your family.


Emergency Info Sheet

Remember, this sheet might be used by someone not familiar with your house or area, such as a child, visitor, or neighbor. Rehearse reading this info with children, and keep a copy near each phone, possibly ON each phone. The fridge is a great place to store a copy as well. Whatever you choose, make sure everyone in your family is aware of the location(s).


Compile the following to an info sheet including but not limited to:
italics = optional

Your exact address.
Your phone number.
Driving directions to your location.
A description of the house.
A list of pertinent emergency and non-emergency phone numbers.
Common Name of owner of house/property. (Ex: Everland Estates)
Nearby landmarks. (Ex: Across from the Southridge Pond)
Backup contact info for key-holder. (Ex: Mr. Smith works at XYZ comapny + telephone number)
Any unusual hazards at your location (Ex: Ammo, explosives, non-household chemicals, weapons, high voltage, etc.)

Your exact address:
This is your address in whatever form your municipality/district/county commonly uses. Make sure to include (if appropriate) apartment/house number, road, and bordering intersections.
Ex: Apartment 107 - 4616, 106A ST NW
*106A ST between 46th and 47th AVE*

Your phone number
...kinda goes without saying. Make sure to include area code!

Driving directions to your house
This is CRUCIAL if you live in newer subdivisions, or in rural locations. Phrase them in complete sentences, with specific turns, and distances.
Ex:
*Start at the Kensington drive Mcdonalds heading east on Kensington:*
*go 2km east and turn right into McReary subdivision on 32 ave*
*go 3 blocks south and turn left to McRooney blvd*
*third house on left, number eleventy billion*

Description of your house/area
Be specific, anything that can be quickly used to identify your house
Ex:
*The large brick house on the corner* (assuming there are no other corner brick houses on corners)*
*The house with the red truck* - be sure it's UNIQUE
*The one with the big octagon window out front*

A list of pertinent emergency and non-emergency phone numbers.
This list should/could include:
*Utility company(ies) business-hours and after-hours numbers.
*Nursing medical question hot-line - there are several and they can decide if you need an ambulance or just an aspirin.
*Veterinary clinic 24-hour emergency number. (pets are people too, sadly we don't send ambulances for them)
*City hall numbers for municipal issues
*Call-before-you-dig 1-800 number - you don't want to knock out a city block of telephone lines, I've done it.
*Police Non-emergency number (also called the complaint line)
*Fire Non-emergency number (sometimes direct line to the fire station)
*Medical Non-emergency number (hospital or nursing line)

House Preparation

Signage: Make sure your house number/address is bold and visible from the street, DAY AND NIGHT.  Your emergency crew and/or pizza guy will thank you.  Consider getting a lit up house number sign from a home improvement store, or getting retroflective numbers that glow when any light is shone on the house.  It doesn't do much good to have the right address if the crew cannot tell which house is yours.  A porch light might not cut it if the light is off and you break your leg in the basement - you won't be able to turn it on.  There are options that are solar powered so you don't need to modify your house to install a bright safe light.

Path: This should go without saying, but keep your walkways clear of obstructions and debris.  Have snow/ice cleared regularly.  The emergency crews might need to bring a stretcher into your house, and if they can't get the stretcher inside, it can delay life-saving medical attention.  Crews are at risk on scenes where they don't know the lay of the land - Twisting an ankle because of a hole in the yard or crack in the path is NOT going to help during an emergency.
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geewizartcool says: May 10, 2013. 10:49 AM
Awesome. This really needed to be said. I am an EMT in Kansas (other wise known as basic paramedic outside the US). One thing that could really help you out if you have an emergency at your home is a more visible house number. You can get the light up solar kind that sits out in your yard or you could add glow in the dark paint. There is also some kind of paint you can put over the numbers on your house that is clear during the day but at night when we put our spotlight on it it shines like the sun, i have a feeling its probably a scotch brite product but let me tell you, it makes finding that house at 3am so much faster.
frollard (author) in reply to geewizartcoolMay 10, 2013. 3:31 PM
I'm going to add this -- It's all well and good to know where you are if where you are is nondescript :D

Thanks for the tip!
*As I dispatch, I hate having the crews come back and say "none of the houses have numbers"...really adds delay to the process.
rrrmanion says: Jan 15, 2012. 6:40 AM
definitely worth reading. I volunteer as a first aider at British Red Cross, I will tell one of the trainers about this, as more information about what to say when making the call would be helpful, they only say to remain calm and be specific that the casualty is not breathing in their basic life support course (which mainly consists of CPR)
frollard (author) in reply to rrrmanionJan 15, 2012. 5:37 PM
Thanks for the comment: it's true. The sooner we get the information needed to begin lifesaving instructions the better.
porcupinemamma says: Mar 5, 2010. 5:16 PM
I am an EMT, and I was incredibly frustrated and angry when I called 911 . My friend had a compromised airway, was diaphoretic, poor cap refill and had severe chest pain. I was extremley clear about the situation and yet the 911 operator constantly asked me the same questions over and over, wasting precious time. The paramedic that arrived had the nerve to tell me that my friend probably had indegestion. Later, my best friend died. This was a priority one situation, and yet I was treated like I was calling in about a hang nail. It's my policy to be positive and kind when I make comments on the Instructables board, but I had to voice my extreme concern. 
frollard (author) in reply to porcupinemammaJan 5, 2012. 3:51 AM
I never noticed this message so long ago, sorry for late reply;

It's helpful and harmful when you have more information than is required -- yes, I agree all the symptoms you mentioned are pri-1. Only problem lies in that most, and I must emphasize most (>90%) of comms folk worldwide are not medically trained. Nobody's perfect and I can't comment to your case obviously but there is certain information that has to come in the right order -- hence why this instructable doesn't teach the questions.

In an emergency situation, we need very few things to get a pre-alert out, namely location, preferably phone, and general idea of what's going on. The rest is serial linear questioning to stay on track -- extra information out of order can HURT the process.

for example, when I get a call from a doctor/nurse and I ask tell me exactly what happened, they volunteer at the start "my pt is diaphoretic, poor cap refill, a/o 2/4, sat 67, bp 190/100, high potassium, hasn't had a bowel movement in 3 days", none of that is a direct answer to a question that we can reasonably assume. I'll do my best to remember it, but the start of a call I'm pressing for priority symptoms. If they just said "chest pain" or heart attack off the get-go, then we've saved 20 seconds of dialogue. A question with a clear answer already volunteered can be considered answered but like I said before, if the answer was not the target of a previous question it's information easily lost.

As for asking 'the same questions' then that's just poor communication. I would put forward an inquiry to that call to see if procedure was followed.
porcupinemamma in reply to frollardJan 5, 2012. 5:13 AM
Thanks Frolard,
It's far too late, and still a very painful memory. I miss my friend very much. Basically I gave the info you described and stuck to address, phone number airway breathing and circulation, but probably with too much info since I immediately kicked into EMT mode, and I knew my friend was in crisis.

It also happened in Canada, back when there were just "ambulance attendents" with very basic training (couldn't hang IV's, couldn't intabate etc.) and most Canadians did not know what an EMT was. This is not a bash at Canada-it's just the way it was. I was trained in the USA where the program spinned off of Vietnam medic training during the war.

Training has come a very long way in Canada since my friend died. I can certainly see where you are coming from, and what you say makes sense. I will remember what you have told me. Thank you very very much for listening, and helping.

Thank you also for posting your Instructable.
frollard (author) in reply to porcupinemammaJan 5, 2012. 6:18 AM
Again, I'm sorry for your loss -- that sounds like quite some time ago, and I hope things (industry) have improved since then -- all our 'rules' are written in blood, unfortunately something bad had to happen to lead things to how they are today.
porcupinemamma in reply to frollardJan 5, 2012. 7:30 AM
Thanks for spending your time to help me work through this-I never really did until now.
FlatLinerMEDIC in reply to porcupinemammaJan 3, 2012. 4:02 PM
Anaphlaphteic shock?...cant spell yew kno what i mean.. Paramedic got charge for neglect huh?
porcupinemamma says: Jan 3, 2012. 7:48 PM
When the ambulance has been dispatched, and iIf possible, have someone other than the person staying with the patient quickly flash the front porch lights on and off. It really helps the driver figure out where to head. If someone else is able to stand at the end of the driveway and wave their arms, it's also really helpful.
frollard (author) in reply to porcupinemammaJan 4, 2012. 8:41 AM
A waver is definitely a plus!
FlatLinerMEDIC says: Jan 3, 2012. 4:06 PM
Mexico. 066 police, Mex-065, Fire 068

HAZMAT - chemtec- 866-222-2177 US and MX
alexpja says: Aug 17, 2009. 10:51 AM
in poland, 997 is police, 998 is fire, and 999 is hospital sources: my mother (im 100% polish, born in chicago...)
frollard (author) in reply to alexpjaAug 18, 2009. 2:28 AM
Thanks for the info!
alexpja in reply to frollardAug 19, 2009. 8:05 AM
No prob.
dehlome in reply to alexpjaJan 8, 2011. 6:24 PM
What about your mother?
possum888 says: Jan 1, 2011. 6:49 AM
Read this about a year ago and thought I'd never need it.

At my work, a dairy (convenience store), one of the pie warmers caught fire and I had to ring 111.

These instructions helped a lot when talking to the operator! Your quote of: "When you have an emergency, time seems to stand still." was true!

Thanks!
frollard (author) in reply to possum888Jan 1, 2011. 8:52 PM
Glad it helped! How did your disaster turn out?
possum888 in reply to frollardJan 2, 2011. 4:30 PM
Well it was rather interesting. We were standing outside the shop while all of this smoke billowing out of the door, and we had a lot of customers walk past and ask 'What did you do". No permanent damage was done. The firemen took the pie warmer out side to inspect it (see photo)

After an electrician looked over the pie warmer, it turns out that the previous electrician ran the live wire right beside the heater element!
IMG_0217.JPG
aramanthe says: May 27, 2010. 12:50 AM

Does your agency use the ProQA system? I recognize some of the questioning and wording from the system.

I'm a 911 dispatcher in Texas and this is definitely a helpful 'able. Our city recently transferred to a consolidated dispatch center; we have Ambulance, Fire, Police, and Animal control dispatchers in the same room as calltakers. After we did that, the city sent out a newsletter in the water bills with tips on how to call 911 and what to do, what info to have, etc. I wish they would've sent this out instead! 

frollard (author) in reply to aramantheMay 28, 2010. 11:34 AM
*and welcome to instructables!
frollard (author) in reply to aramantheMay 28, 2010. 11:30 AM
Thanks for the kind words!

cypm
looking4ideas says: Dec 4, 2008. 11:34 AM
its not spelled gendame its jandarma =P
porcupinemamma in reply to looking4ideasMar 5, 2010. 5:23 PM
 instead of publically pointing  out the author's spelling errors, use the private message option, or better still, look past the error and appreciate the core message of the posted instructable.
looking4ideas in reply to porcupinemammaMar 7, 2010. 1:32 PM
 it wasn't a attack on his spelling its a Turkish word i dont expect him to know it i was just telling him the correct way of writing a foreign word. 
porcupinemamma in reply to looking4ideasMar 7, 2010. 7:17 PM

"discression" is the operative word.  Enough said.

frollard (author) in reply to looking4ideasDec 5, 2008. 11:55 PM
Definitely good to know...
Warlrosity says: Aug 21, 2009. 10:53 PM
What is 911?
frollard (author) in reply to WarlrosityAug 22, 2009. 3:59 AM
Where are you from Mr.Pug? 911 is the emergency phone number in USA and Canada. In England, 999. Many different countries use a different short number to get help on the phone.
caarntedd in reply to frollardMar 5, 2010. 4:14 PM
I'm in the Sydney area in Australia, our number is 000, as you said earlier.
If you dial 000 and don't do/say anything, the fire brigade turns up.
frollard (author) in reply to caarnteddMar 6, 2010. 12:37 AM
I was speaking to a new friend in Austrailia just last night about this, 112 is regular police fire ambulance and 000 is wildfires...neat stuff!
caarntedd in reply to frollardMar 7, 2010. 2:14 AM

Everything is 000 where I am. (Sydney) 112 works from mobile (cell) phones even if they are locked. Also I think there is a new system (don't know if it has been implemented anywhere yet) where dialing any one of the emergency numbers that you have mentioned here, including 112, will automatically divert to 000.
We get alot of US television here, and itis amazing how many people try to call 911. (By the way I am a firefighter).

Where is your new friend located?

frollard (author) in reply to caarnteddMar 7, 2010. 2:53 AM
I believe in the far south, I don't recall exactly - it was a quick video game chat about it.
Warlrosity in reply to frollardAug 22, 2009. 11:52 PM
Oh, whoops.Australia,
northantrim says: Jan 9, 2010. 9:07 AM
WoW.

Very good, helpful instructable.
This could save more lives, people no know when TO and when NOT to dial 911, therefore lines aren't held up.

I 'd like to be a 911 operator.
northantrim in reply to northantrimJan 9, 2010. 9:08 AM
Sorry

People know when TO and when NOT...

Could also speed up the process, if people have all the info written down, then it's quicker to explain.
frollard (author) in reply to northantrimJan 9, 2010. 9:50 AM
The only piece of advice I can really really give that is universal to every situation - since each dispatch center does it differently -- Know where you are.  If you're visiting somewhere, note where its written, or get it written by the phone.  If you're driving, set/reset your odometer often to say "I'm x kilometers outside of y town" rather than 'somewhere past x'
northantrim says: Jan 9, 2010. 9:01 AM
Awesome extra buttons?

What do they do?
frollard (author) in reply to northantrimJan 9, 2010. 9:37 AM
speed dials to various dispatch centers, fire stations, and other emergency services like translation services, utilities, poison control - etc.
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