A Country EMS in The Big City

Last night I was fortunate enough to have been given the opportunity by Baltimore City FD to ride-along with one of their EMS crews as part of the EMS Today 2012 conference. My desire was to learn some of the many differences between their service and the more rural EMS service back home. While there clearly were definite differences, the thing that struck me more than anything else was actually how similar we all are, not how different.

I anticipated the promise that each tone held to expose me to some uniquely urban situation. And while the individuals I met were clearly unique, the choreography between us all was mostly a repeat. This is exactly how we are trained in EMS. We take whatever situation is given to us and we bring a defined order to the chaos. We seek sameness in purpose and outcome. The empathy I felt for the apparently homeless patient with the self-induced alteration in LOC and the young woman facing a possible miscarriage was no different here than anywhere. I simply wanted to help. The public attitude toward EMS leading to abuse of the system and the painful inefficiencies it causes was also no surprise. We face the same issues everywhere even if the proportions change.

It was witnessing the banter between calls that told me I wasn’t back home. The teams and even the sports were different, the union issues too. But then then there was the discussion of changes in protocols, the latest findings in medicine, the issues faced in home life. Maybe I am not so far from home after all.

At this conference I have already met medics from truly rural areas as far apart as Georgia and Alaska. I’ve met some who work for private agencies and others who come from city or county services. It is a commonality that brings us together and that allows us to discuss and learn from each other about our unique situations and approaches. The pre-conference session I attended yesterday has also helped me think about operational questions I had never considered before. Personally, I am definitely ready to start this conference today with a proper perspective.

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Comments
Elizabeth Nicholas
Did You Watch ‘Nightwatch’ Last Night?
Some of the EMTs on the show also have a nursing degree. Dan Flynn also works as an ER nurse, I believe.
2015-05-08 21:15:05
Bill
In Support of Backboards
Good article. I'm stunned with the comments about "if a study exists showing backboards help" comment. You'll never get an IRB board to approve such a study, but that's where the methods of immobilizing the joint above and below the fracture come in. The comment about disregarding this post because the author is not like…
2015-04-20 16:15:16
ALBERT MIGNONE
In Support of Backboards
IF YOU HAVE EVER HAD THE MISFORTUNE OF HAVING A REAL MCI, BACKBOARDS ARE STILL AN ASSET. REMEMBER YOU MIGHT HAVE 15 AGENCIES WITH DIFFERENT LEVELS OF TRAINING, DIFFERENT FUNDING WHERE THEY MIGHT HAVE NEWER EQUIPMENT BUT NOT ENOUGH TO WORK AN INCIDENT. FIREFIGHTERS WILL BE ASSISTING, MOSTLY WITHOUT EXTRA TRAINING. A DOUBLE BUS CRASH…
2015-04-20 08:53:03
Gloria Bowman
In Support of Backboards
At a swimming pool, the use of a backboard is the most efficient and safest way for the lifeguards to remove an unconscious/submerged (non-spinal) victim from deep water. After the person has been rescued and brought to the side of the pool, the assisting lifeguard holds the victim in place while the primary lifeguard puts…
2015-04-17 22:03:38
Dennis Dudley
In Support of Backboards
Don't throw away the back board yet! You can have all the discussions regarding it's validity but I am in favor of keeping it on board the rig. Scoop stretchers and Reeves are good and I have used them in place of the board, but I find the sturdy back board as a good way…
2015-04-17 14:03:34

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