Bad news for those finally jumping on the Evidence Based bandwagon, most of the things you love about EMS are going out the door.
Don’t get me wrong, I’m new on this Evidence Based roller coaster, but we used to call it common sense. How can EMS take ourselves seriously when we demand research for a new toy while defending high dose Epi and backboards as
witchcraft Standard of Care? If something works once it does not guarantee a repeat occurrence. Ask any married man with kids.
Where was I. Ah yes…
Things you have to give up if you truly are “Evidence Based”:
Lights and sirens
Most of the rest of your drugs except benadryl, albuterol, epi 1:1000, Adenosine and Dextrose
Automatic CPR devices
System Status Management
The pre-packaged occlusive dressing
MAST (oh, wait…I forgot, are we in a 10 year MAST is good or 10 year MAST is bad time period)
The idea that transporting is the solution
Fee for service
Community Paramedicine (They’re calling it Mobile Integrated Healthcare now…you know…to make sure the word Paramedic isn’t in there and so nurses can do it and bill more)
The idea that “seconds count” (See no more lights and sirens)
The idea that putting a cardiac monitor on a trauma patient does anything at all (Thanks Ambulance Chaser for the reminder)
The idea that CQI is out to get you (Maybe yours is, but I’m not. Unless you fracked up, then it’s on like Donkey Kong)
The idea that your manager was promoted for no reason but when you get the gig it’s earned.
The concept that being more like Seattle will save more lives
The idea that a new Medical Director, Chief, Manager or boss will change things for the better
The idea that you are too good for where you are
The idea that EMTs save paramedics
“BLS before ALS saves lives”
The idea that making anything that is red and costs over $200,000 ALS will save lives
The idea that thinking only ambulances can help people
Need I go on?