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

- Rogue Medic

Emergency Mythology Services Video – Not the Current EMS Myths

Is the treatment in the video (at the end) that much different from these myths?

Image credit.

Real medics/nurses/doctors do not need Waveform Capnography to confirm tube placement.

Prehospital treatments are effective at warming up hypothermic patients.

We should delay arrival of the patient at the trauma center, just so that the patient can arrive by helicopter.

Naloxone (Narcan) is harmless and it helps to identify heroin overdoses.

2 mg of morphine is pain management in otherwise health adults.

Physically restraining, but not sedating agitated patients is patient care that should not result in a malpractice suit, and maybe criminal charges against the medical director and the medics.

Lasix (furosemide/frusemide) should be used by EMS.

50% dextrose is as good as 10% dextrose.

OLMC (On Line Medical Command requirements) protect patients.

Spinal immobilization protects against disability from spinal injuries.

Intubation is airway control.

Mandatory CISM (Critical Incident Stress Management) is good.

Triage based only on Mechanism Of Injury works.

Sodium Bicarbonate is the first drug for hyperkalemia.

Sodium Bicarbonate is the first drug for acidosis.

More than 3 nitro is too much.

If it wheezes it is asthma.

If it crackles it is heart failure.

The Golden Hour is not a hoax.

Is any of that EMS quackery really different from the quackery portrayed in the video?

h/t Respectful Insolence for the video.



  1. I’m a realist: you do all that crap AFTER the tourniquet is in place.