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

- Rogue Medic

Why We Do What We Do: a view from the ROUGE Medic at First Few Moments

At EMS Today, I participated in the First Few Moments LIVE podcast. Why We Do What We Do: a view from the ROUGE Medic Episode 20

Dr. Jeff Myers, Kyle David Bates, Scott Kier, Robert Raheb, and I discussed not why we work in EMS, but why we provide certain treatments and why we do not provide other treatments.

For example –

Spinal immobilization.

How do we justify not immobilizing?

How do we justify immobilizing?


How do we justify not intubating?

How do we justify intubating?

Isn’t the Gold Standard having the patient protect the patient’s airway?

The endotracheal tube is really only one of many alternative airways.

On line medical command versus on line medical consultation.

During this discussion, the following article was referred to.

Adios, Rampart: give medical control the boot.
Bledsoe BE.
JEMS. 2002 May;27(5):168. No abstract available.
PMID: 12004554 [PubMed – indexed for MEDLINE]

Free Full Text PDF Download from BryanBledsoe.com

About half way through I switched with Robert Raheb, who discussed improving driver training, especially with simulators.

Go listen to the whole podcast.