Want More of Me?

I write this blog because I want to improve my profession.

One day I was taking this cute little 9 month old to a tertiary specialty childrens’ hospital. It was a nice place, big, clean, bright, state of the art equipment, people scurrying about looking busy, cute nurses, etc.. It was a class act. The patient was stable and quite pleasant actually. We had been playing in the back for the last hour to the extent that a 9 month old can play while in a papoose restraint. Yes, he was papoosed, but only because he had a fractured femur and needed the tight immobilization. I happen to like kids thankyouverymuch.

What got me about this is that when I got the patient into the ER room, a bunch of slightly older kids walked in wearing scrubs. My first thought was that they had a new crop of ED techs that were in training… however, much to my horror they identified themselves as surgical residents. Oops. Looks like the last ten years or so that I spent driving fast and breaking things could have been spent in a cramped room looking at books and developing my student loan debt. It got me to thinking that if new doctors were starting to look young, and if I was starting to feel grandfatherly in the ambulance, maybe I should consider advancing my career.

The problem with this is that I’m an EMS addict. Really. No I don’t have 25 warning lights in my personal vehicle and my physique is free from star-of-life tattoos… But I just have always liked getting up every morning and being plum lucky enough to be a paramedic. I can’t imagine doing anything else for a living. It has struck me that whenever I hear coworkers talk about career advancement it usually involves leaving the streets and taking time away from patient care. If you’re on the fire side, you can become a lieutenant or captain and get off the “box” away from the “gomers”, or if you’re not you can become a nurse and increase your income while diminishing your clinical decision making skills (Yes, I pick on most nurses here). However, I’ve been thinking about what I could do to “advance” my career while feeding my addiction to making sick people feel better in the way that only medics can.

So here it is, after a shift or two of kicking it around, I have decided to decrease the amount of my time that I used to spend sitting around on duty watching Internet videos of people hurting themselves and looking up pictures of cats with funny captions (Yes, I’m more of a man because I love my fluffy-wuffy lil’ Kitty-Witty) and spend some time writing useful tidbits of ambulance crap that I have garnered through the last ten years or so of riding under the lights and being smacked around by what the streets have served me up. What follows on this blog is one of my first pieces for the enjoyment of a wide audience. If you like it, I’d love feedback here or at: proems1@yahoo.com.

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  • Anonymous

    Thank you so much for doing what you do! It’s because of bright ideas from those just in to those who are well seasoned that is going to make this profession soar! I love your posts. Thank you for your insight in everything you do!


    I have much respect on Paramedic personnel which leads me into visiting this blog. But after reading your introduction, and as a Nurse with advance degree in Anesthesia, I completely understand why Nurses and allied health professionals don’t give high regards of respect on Paramedics as an auxiliary professionals. With your grandiouse delusions stating that nurses has diminished clinical judgement as if you came from a nursing school that concludes you such statement. You will never understand nursing unless you are one. Nurses has more autonomy and requires CLINICAL JUDGEMENT at all times. From bedside nursing to advance practice in prescribing. We treat the patient not the condition, nursing having a broad scope of practice caring patients from womb to tomb definitely requires a clinical judgement. EMT is a traditional nursing scope and it is still practiced by an ambulance nurse in most countries. Respect begets respect. Dont you ever compare a Nurse over EMT beacause Technicians is always equals to that of a Nursing assitant that requires supervision from a RN/MD.