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
JMatt
Did You Watch ‘Nightwatch’ Last Night?
This is so over dramatic.They Give EMS workers super powers and give them a Medical degree.They are not even nurses. They perform a hard job with some skill but cardiac message and opening up chests and make shift surgery ,inflating the lungs!! Come on!!! The comments by the EMS workers are very AWKWARD. " WE…
2015-01-27 02:23:13
Rob Lawrence
Did You Watch ‘Nightwatch’ Last Night?
i hope someone got patient consents. Did the GSW victim sign the forms? Hate to wake and anger the HIPPO monster!
2015-01-24 22:19:38
Sean Cerny
Did You Watch ‘Nightwatch’ Last Night?
We run lights and sirens mandatory to most calls. There's a lot of non emergent calls as well and ALOT of etoh calls. Also on every shift almost there is a GSW somewhere if not multiple. It's a high volume service. The tv aspect Is certainly there but I think they did a good job.
2015-01-24 13:02:54
Steven
Did You Watch ‘Nightwatch’ Last Night?
As a brother to one of the medics in the show, and also a fellow paramedic in new orleans, I can't stress enough that the fact that they only displayed one ETOH call is perfect to me. As you said, "this is the big easy" we run a cast majority of drunk calls, so many…
2015-01-23 15:54:29
keeley
Did You Watch ‘Nightwatch’ Last Night?
My last 12hr shift i worked 2 codes and a gsw so it happens at NOEMS more often then people realize and again every city is different unfortunately we see GSWs almost on a daily basis. ..enjoy the season NIGHTWATCH 🚑🚑🚑
2015-01-23 15:07:39

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