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

- Rogue Medic

EMS Rapid Fire Show – September Edition

This week on EMS Office Hours, Jim Hoffman, Josh Knapp, Bob Sullivan, John Broyles, and I discuss what is important in EMS.

EMS Rapid Fire Show | September Edition

Does it matter if I am called an ambulance driver?

Why do we spend more time worrying about what we are called than we do about the quality of our patient care?

If I want to be seen as a professional, should I spend my time improving my abilities or should I spend my time telling people I deserve respect?

When someone refers to us as ambulance drivers, we get comments as if it is the most important thing in EMS.

When the topic of poor intubation quality comes up, we ambulance drivers seem to want to deny that there is any problem.

If we cannot look down at nurses for not being permitted to intubate, although we seem to be surprised when we learn that some nurses are permitted to intubate, our image will be crushed?

When someone in EMS does something that receives negative media coverage, we come out of the woodwork to condemn those actions, no matter how ignorant we are of what actually happened.

We go to conventions and prance around in dress uniforms, as if that is some kind of indicator of competence.

How many of us post our intubation success rates?

How many of us post our resuscitation rates – not ROSC (Return Of Spontaneous Circulation), but leaving the hospital to go home to continue a meaningful life?

If I resuscitate only 10% of my cardiac arrests, does it matter if I get pulses back on 20%, 40%, 60%, 80%, or even 100% of those patients?

We worry about appearances at the expense of patients.

Does a snappy Cap’n Crunch suit improve resuscitation?
 

 

John Broyles mentions responding in a bath robe and slippers, rather than getting all dressed up for the sick patient brought to his barracks. Which is more important, the patient or our attire?

We spend more time criticizing the attire of other ambulance drivers, than working on the quality of our own care.

Maybe we should learn what is good patient care, rather than pretend we are fashion critics.

It may be that we have more skill at fashion criticism, than at EMS, but how would anyone know?

Regardless of what people call me, I do drive ambulances.

Go listen to the podcast.

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