Ready for the Unexpected: When Training Meets a Rare Moment
Every 911 call is different. Some are routine. Some are urgent. Occasionally, a call becomes truly unforgettable.
Recently, one of our Communications Officers answered a call from a man who believed his wife was in labor. In the background, the mother could be heard crying out, making it clear their baby was not planning to wait for the hospital.
The Communications Officer calmly reassured the caller while preparing to provide emergency childbirth instructions. Just minutes later, the baby was delivered, but with an unexpected twist. The newborn was still completely inside the amniotic sac.
This rare type of delivery, known as an “en caul” birth, occurs in roughly 1 in 80,000 births.
Recognizing what had happened, the Communications Officer quickly and calmly gave clear instructions on how to safely open the sac so the baby could breathe. Following those instructions, the caller was able to assist the newborn until responders arrived on scene.
Mom and baby both received the help they needed during a critical moment. We later learned the newborn was a baby boy.
Training for the rare and the routine
Calls like this highlight the importance of the training our Communications Officers receive through Emergency Medical Dispatch (EMD). EMD training prepares call takers to quickly assess medical emergencies, provide lifesaving instructions over the phone, and guide callers step by step until responders arrive.
While calls involving childbirth are uncommon, they are one of many situations our team must be prepared for at any moment. Other rare but critical calls can include:
- Helping someone experiencing severe allergic reactions
- Providing instructions during choking emergencies
- Assisting callers through CPR for cardiac arrest
- Guiding someone through bleeding control or trauma care
- Helping people manage overdose situations
- Supporting callers during unusual or complex medical emergencies
No matter the situation, Communications Officers rely on training, protocols, and experience to remain calm and provide clear guidance during moments that can feel overwhelming for callers.
A commitment to excellence
Spokane Regional Emergency Communications is proud to be an ACE (Accredited Center of Excellence) Accredited Center through the International Academies of Emergency Dispatch. This recognition reflects our agency’s commitment to maintaining the highest standards in emergency medical dispatch.
ACE accreditation means our center meets rigorous requirements for training, quality assurance, ongoing review of calls, and adherence to internationally recognized emergency dispatch protocols. These standards ensure our Communications Officers are consistently prepared to deliver lifesaving instructions and support to the community.
When every second counts
Situations like this rare en caul birth remind us that behind every call is a real person experiencing one of the most important moments of their life.
Whether it is guiding a family through an unexpected birth or helping someone start CPR, our Communications Officers are trained to be ready for the unexpected. When seconds matter, calm guidance over the phone can make all the difference.
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