EMS Video Dedicated To Emergency Professionals

A new video from Farooq Muhammad dedicated to the special men and woman, dedicated to serving the public, in Emergency Medical Services and Fire Suppression all across the globe.

Fire The Mayor And Put The Tooth Fairy In Prison While You’re At It

The past few weeks have left me drained. No audio podcasts this week, since my voice is still shot from my illness. I have been sicker than I have ever been in my life and I feel as if I am starting to have delusional dreams both while I am sleeping and awake.  One is I keep hearing EMS providers in NYC calling for the Mayor to be fired over the snow storm in December.

Now, I understand the frustration and anger over the Mayors handling of the storm emergency and also his finger pointing at EMS implying that they did not do their jobs well enough during the storm. Of course the first head to roll for the lack of response was the EMS Chief himself John Peruggia. We talked a little about this during the last live podcast and many asked why is EMS being punished for any response issues when it was clearly a lack of access to patients and streets from little to no snow removal by the Sanitation department.

EMS being the lowest entity in the cities mind and the easiest to make some type of example of as a knee jerk reaction to the outcry of long EMS response times, patients dying or not being reached in time, is the obvious first line of political attack from above. What the EMS Chief could have done better to get crews to patients in the unplowed streets I just don’t know. But here is my thing.

Making statements that the Mayor and his inner circle should be fired is just ridiculous. This is not going to happen. While it is unfortunate that Peruggia was demoted from his position and others I am sure will follow from other agencies. The Mayor isn’t going anywhere. Setting up Facebook groups and trying to make a case that the Mayor should be fired as if it can actually happen just makes EMS look like children stamping our feet because we are angry that we didn’t get any recognition for our actions during the storm or because EMS is somehow being singled out at the moment as the scape goat for what went wrong.

As providers who where there, you now better and instead of an “Off with his head” mentality you should be offering solutions for future emergencies of a similar nature. I may be a bit delusional right now from my illness, but I am not that bad off where I think the Mayor getting fired will happen any more than I think the Tooth Fairy is going to get thrown in prison for stealing my teeth.

Sometimes these Facebook groups that get started can be great and open up great ideas and keep people informed on a specific topic. We have to be aware though that what we write and how we write our posts there are seen by many. Even those that we may not think read them at all. Such as the general public and even the Mayors Office.

So when statements like this are posted  “….Why hasn’t the Mayor and his Butt Boy Sanit. Commish. been investigated by the D.A.’S office for Crim. Negligent Homicide in any deaths of New Yorkers…”  and “The firing process should start with the mayor, then the sanitation commisioner….” or “….they doing a investigation as to what happen .Ok here is what happen streets not plowed NYPD FDNY and EMS where getting stuck in the snow that what happen…”

They do nothing to help the future or even the present other than venting and while I understand the anger and frustration that may bring on these comments. As EMS professionals we need to take a step back and think about what we post in a public forum that so many can see. Is the mayor going to get fired? No. Are there other solutions that can be looked at for the future? Definitely. So let’s get that thought process going, the next storm is just around the corner. Good luck Abdo.

EMS For Free?

Should 911 EMS services be free? I wonder sometimes that if local government paid for the 911 EMS services provided and we didn’t bill patients, how different the system would be. Would there be more abuse due to people feeling that their taxes are paying for it? Would local government become more aware of the EMS industry and find ways to reduce abuse and offer other solutions like community paramedicine?  Perhaps even giving the ability for EMS crews to decline ambulance transport for patients who don’t require it.

What are your thoughts? Take the quick poll below and feel free to post comments on your views and what you think a solution could be and if free EMS is a good or bad thing.


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Sharing Some Negative Feedback

I have a feature on my other blog Authorized Transmissions that I most likely will be moving here soon called Monday Minutes. These are just some quick audios on calls I had, observations and tips. I recently posted one on some negative feedback I received and thought you might find it interesting to take a listen.

Patients, Protocols and Practice

As someone who always looks for changes in patient care and ways to improve EMS and the treatment we give. It becomes hard to always walk that line between following protocols set by medical control. Trying to look beyond the cookie cutter formulas and think about a clinical picture being presented by a patient.

Each patient is different and needs to be thought of as perhaps needing a slightly different approach to their care and transport. Now of course there are bigger brains than mine out there that sit and create the protocols I am operating under. I don’t advocate working outside your set protocols provided by your medical control, but I do promote approaching patients with a thought process that goes beyond what is printed in your field guide.

Being a good clinician and thinking about the causes of a patients condition, the effects of treatment you give and the outcome upon arrival to the ED and beyond, is what makes good EMS providers at any level.  We are that extension of the ED and the doctor whose license we are working under via the protocols. So, by looking at the big picture with each patient we can practice as true health care providers and not just a ride to a hospital.

Protocols are guidelines that we follow after we can make that determination as to what the patient may or may not need. Sometimes that determination is made with your partner or with a online medical control consult. Our goal as prehospital care providers should be to blend the patient presentation, the protocols provided to us and practice good clinical judgement.

When new treatment comes along we should be advocates to bring that to the field. When protocols we are using are less than desirable for operating in the field, we should be discussing this with our medical directors to have them adjusted for better patient care and outcomes.

We have to take an active role in our education as well as be more vocal for what we need. Knowledge is the key to better patient care, better utilization of protocols and being EMS practitioners.