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

- Rogue Medic

Smile! You’re on Camera – Part I

Patrick Lickiss writes about the kind of situation that depends on ignorance. Somebody has a video that appears to show a department being uncaring and abusive.

Why ignorance?

Much of the public think they know what we do, but they rarely do. Many medical directors do not even understand what we do. They are ignorant of what we do.

We rarely seem to correct these misunderstandings – and for perpetuating these misunderstanding, we do deserve to be punished.

We need to expect that everything we do in public will be on video. Everything.

I was on the phone a lot while in the ambulance, a couple of Sundays ago. It was Mothers’ Day and I know a lot of mothers. No causation should be implied, although I am the reason for one of those mothers being called a mother – Hi, Mommy! Would those phone calls look good on YouTube? Does it matter?

The example provided by Patrick is different.

The video, shot on a cell phone, shows your accident scene with the fire department working to extricate your patient. Periodically, the camera pans back to a familiar looking paramedic leaning on the hood of an ambulance on his smartphone.[1]

This is one of the problems with EMS.

We are expected to be capable of responding at any time, but many people seem to think that means doing EMS work at all times, or washing ambulances a second time so that some wasteful boss doesn’t feel that his money is being wasted, or even being awake at all times, or being awake between certain hours.

These are all bad ideas.

We are supposed to be prepared to treat patients, but that does not mean that our downtime needs to be always focused on the job. We do a horrible job of educating ourselves about this. We do a horrible job of educating the public about this.

Downtime? This isn’t downtime. He is at the scene of a car accident. He needs to be doing something important, like documenting the mechanism of injury!

We do not need to be aggressive about meeting the expectations of the public. This is exactly the wrong thing to do. This is as foolish as a hospital focusing on its Press Ganey scores.

We do need to be aggressive about telling people what we really do and why we do it.

I have been yelled at in public for eating a meal, because the irate buffoon person yelling felt that I have more important things to do.

No. I did not have anything more important to do at that time.

Should we change a policy to satisfy the irate buffoonery people making more noise than sense? Some EMS systems do. Rather than use our brains, to explain why the buffoon naïf is wrong, we often change our policies in order to try to manipulate appearances.

We are too worried about appearances and not worried enough about providing excellent patient care.

We let fear of malpractice suits and fear of public opinion have too much influence on patient care. We use these fears to justify harming patients.

Why do we deserve respect?


Image credit.

Footnotes:

[1] Smile! You’re on Camera
510 Medic
Posted by Patrick Lickiss
May 2, 2012
Article

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