You guys got this, right?
I mean, your EMT-Basic ambulance was dispatched as the primary ambulance to a high-level chest pain call in your jurisdiction. Sure you have an ALS ambulance responding to assist, but you can handle it by yourselves, right?
I’m sure you can, because even though the call notes say that the patient is experiencing crushing, sub-sternal chest pain at a 10 out of 10 and is pale, cool, and clammy with shortness of breath according to his wife who called 911, you arrived on scene and cancelled the responding paramedics 3 minutes after you arrived.
I’m sure them paragods weren’t really needed anyway. Even though the guy has a cardiac history and has taken his nitroglycerine tablets with some relief, you’ve got this, right? I mean, you can handle the patient with your wide array of BLS skills, training, and equipment, I’m sure. In the three minutes you’ve been there, I’m sure you completed a detailed physical assessment complete with vital signs, differential diagnoses, and have obtained a quality 12-lead EKG tracing, right? I’m also sure that even though you can’t interpret a 12-lead EKG that you acquired the tracing, transmitted it, and had a physician interpret it within that three-minute window you’ve had to get this all done… Right? Forgive me for pointing out that a 12-lead EKG cannot definitively rule-out myocardial ischemia and for also pointing out that even if the computer interpretation of the EKG printed out by your monitor doesn’t flag the tracing as “***ACUTE MI SUSPECTED***” or “MEETS ST ELEVATION MI CRITERIA***” that something bad could still be going on with the patient that even a physician would need lab work and possibly a consult to accurately assess and diagnose.
Of course, I’m sure you know that. I’m also happy to reassure you that as a paragod myself, my motives really are simply to take your patient away from you so I can bruise your egos, talk down to you, and soak up that sweet, sweet, transport revenue. You’re right that your coverage area is your responsibility and that the people who live there are better off being treated by EMT-Basics who run a handful of calls per month and who learned every single solitary scrap of information presented to them in their initial 8 month training class.
Because all of the above has to be true, right?
Because otherwise, you’re hurting the people you’re supposed to be helping.
And that can’t be true.