Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

Arming EMS – Defensive or Simply Offensive

On EMS Office Hours most recent show, Jim Hoffman, Josh Knapp, and I discussed a topic I have written about several times – particularly my recent post Why are We So Afraid of Our Patients.

Arming EMS – Defensive or Simply Offensive


Original cartoon credit.

How well prepared are we to use lethal force on the job? Not medications, endotracheal tubes, and other potentially lethal interventions, but guns, knives, clubs, and other weapons.

Randy called in and made some good points.

Why do we think we won’t be donating our weapons to the people we want to protect ourselves from?

If we carry weapons that are concealed well enough that nobody notices, how long will it take to draw the weapon in a confined space while being attacked?

The police have psychological screening, but for EMS the only screening seems to be to have failed the police psych exam.

Is is better to fight back or to run away?

We are not there to fight. We should not stay to fight.

How many EMS providers are murdered in any year?

How many of them are murdered on a call?

Will any of this be improved by putting a weapon in your partners’ hands?

This is not about whether you are safe with a weapon.

This is about whether your partner is safe with a weapon.

I have worked with a few people who would be safe with a weapon, but most of the partners I have had would only be dangerous with weapons.

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We are not there to win arguments.

 

We are there to treat patients.

 

Go listen to the podcast.

Also listen to –

EMS Situational Awareness at EMS Office Hours.

Surviving the Next Shift the Standing Orders podcast.

Other sites mentioned on the podcast –

DT4EMS.com

EMS Museum post at Rescuing Providence

Copy & Paste post on Federal EMS agency at EMS Patient Perspective

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Comments

  1. I don’t think arming medics is a good thing. I am medic with SRT and some of my partners want to be armed as we respond with the SWAT teams during warrents or barricaded subjects. With the fire power they have and experience I feel safer leaving the guns in the hands of the police. I do work in a very high gun use area but still don’t think we should be armed. Scene safety, waiting for police to arrive and leave scene if not safe is what we can do. Even if we were armed, are we going to enter every call with gun in hand clearing each room before we check the patient?

  2. This post is well below your usual standards regarding data and analysis. You certainly wouldn’t use statements such as,

    The police have psychological screening, but for EMS the only screening seems to be to have failed the police psych exam.

    in any other context regarding EMS, but you feel free to use such gratuitous insults regarding EMS providers when it comes to something that you don’t favor.

    It certainly undermines your credibility when it comes to your other declarative statements about EMS, providers, physicians, and medical control.

    Statistically civilian gun owners are safer at handling their firearms than are police officers. Most police officers are not “gun people” and many that I know view having a firearm as a liability. On the other hand, civilian gun owners spend a lot of time practicing and especially practicing safe handling of their firearms.

    Why do we think we won’t be donating our weapons to the people we want to protect ourselves from?

    There is no data to support the long spoken lie that civilians will always have guns taken away from them by criminals. Another myth you are perpetuating with this post.

    I guess facts are only important when it’s something you believe in. Noted for future reference.

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