Open letter from a Paramedic

Specialties Emergency

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Open Letter From A Paramedic

Dear citizens of (and visitors to) County,

By and large, you're a good bunch. I enjoy providing you with the help you need when you call 911. You make my workdays (and nights) interesting. However, from time to time, I notice a few small issues -- perhaps we can call them gaps in your knowledge? -- that make my job a little bit more frustrating. Herein I offer a few simple pieces of advice to help make everyone's emergency experience more satisfying.

1. When I ask you questions, please strive to tell me the full and complete truth. There's no badge or gun on me. I'm not going to get you in trouble for being high on drugs, but I really would like to know what exactly you did. You're not fooling anyone. Likewise, I don't care who you were having sex with, where, with what exciting accessories, and what your respective spouses will think, but if it's contributed to your condition you should probably bring it up.

2. I regret to inform you life is not like TV. We do not run from the ambulance to the patient, we do not drive everyone to the hospital with lights and sirens, and most dead people stay dead despite our best efforts. On the other hand, we are not just a fancy taxi ride. I can start an IV (in your arm or leg or neck), put a breathing tube down your throat, do an EKG to see if you're having a heart attack, shock your heart if it's in a bad rhythm, and give about thirty different drugs for different medical conditions. I can do more in the short term than most nurses. I had to go to school for years. Respect me and I'll respect you.

3. In a related vein, if you could keep the drama to a bare minimum when your parent/sibling/spouse/friend/neighbor/coworker is hurt or sick, it will help everyone immensely. I understand that the situation is upsetting, and I respect your feelings, but the best thing you can do for the patient, me, and even yourself is try to remain as calm as possible. Shouting at me to do something or hurry up will not help. Yelling in general is not, in fact, helpful. Trying to keep out of our way, answering the questions we ask in a succinct and informative manner, and keeping your dramatic tendencies restrained are the absolute best thing you can do.

4. However, if it is your young child who is badly hurt or critically ill, you are allowed all the drama you want.

5. If I am trying to help you and this makes you upset for some reason, please do not try and hit me. I may not be as big and beefy as some of my coworkers. I make up for it in dirty tricks. If you do decide you'd like to tussle, I'd like to point out that you get ONE swing and it is never free. I have giant zip-ties, sedatives, and a radio that can call a whole lot of cops, who aren't nearly as nice as me.

6. If you are driving and happen to see my big vehicle with all the blinkies and woo-woos, please get the hell out of the way. Specifically, pull ALL THE WAY to the right of the street and STOP YOUR CAR. You don't know where I'm going and when I'll need to turn. Unless you're driving a Hummer I've probably got more weight than you, and if you do something stupid that I can't avoid and we stack it up, things won't come out well for you. Also I'll lose my job.

7. Finally, exercise a modicum of common sense about when to call 911.

Examples of when 911 is IS appropriate: Traffic accidents with injuries. Chest pain. Trouble breathing. Lack of breathing. Serious bleeding. Unconsciousness. Seizures. Strokes.

Examples of when 911 may NOT be appropriate: Blisters. Small cuts. Dissatisfaction with your fast food order. Needing a prescription refill. Colds. Minor problem (sore leg, stomachache) which has been going on for three days.

Bearing all that in mind, it's a pleasure to serve you, and hopefully I won't be showing up at your doorstep, street corner, or car door anytime soon.

Love,

One of Your Many Hardworking (If Underpaid) County Paramedics

Specializes in ED.

LOL!!!!!

I didn't write this, it's been floating around the internet for a very long time. I am an ER nurse and not a paramedic. The paramedics and all the other nurses I work with thought this was hilarious, as did I. I really didn't take it to heart as a serious piece of writing, just for the light-hearted funny piece that it is.

Lighten-up!!

P.S. By the way...most of the stuff written in this little letter to the public is TRUE! That's part of what makes it so funny and so real!

Specializes in EMS, ER, GI, PCU/Telemetry.
Dirty tricks? Like?

Most of what you say is right on. However, please try to remember that the long-lasting abd pain or leg pain might not be so minor. Also, even if the victim isn't our child and is, instead, our parent, spouse, sibling, or friend, not everyone is really capable of remaining calm and being succinct and informative and totally honest and all else that you said all the time. Recently, my loved one was darned near murdered and I, even though an RN and normally quite sedate, together individual, kind of lost it. I couldn't remember his allergies. I did, however, know that it was wrong to see NS running wide open on him when his BP was 230/189. No one in charge, of course, wanted to hear that. It really was all I could do to not scream and throw things and call down Heaven's wrath upon the perpetrators of this violence against my beloved.

Your requests are reasonable and sane and I hope we all do our best to make your life easier as you try to help the public. Just try to remember you are working with real people in real crises and don't expect perfect compliance. Does that make sense?

i'm sorry you had a bad EMS experience and i hope your loved one is doing well.

i understand its hard to have a sick loved one and sometimes it does feel like no ones listening to you. i was on the rig when my dad was having a CVA, and even though i had worked with these guys for years, they told me to chill out and let them handle it... and i realized thats just what i needed to do. its hard to do anything you need to, in EMS, nursing, working at an office or restaurant or whatever, to do it 100% efficiently when someone who is angry and panicking is jumping down your throat.

please remember that we also, like an LPN or RN, have taken an oath to do no harm.

it was meant to be a joke. and as an experienced paramedic, i found it to be hilarious.

Specializes in Nephrology, Cardiology, ER, ICU.

Sundance - you rock! I'm a pre-hospital RN with my little rural squad and yes, I do love the blinkies and woo-woo (love that BTW), but please move over and stop. Scott's law is also there for OUR protections. This is an IL law that MANDATES that ALL vehicles move over to the other lane or if not possible, slow wwaayy down if you must pass a stopped emergency vehicle. I came very close to getting hit a couple of years ago at the scene of an accident where I was assisting with traffic control and a rubbernecker was looking at the accident instead of looking at me!

So...please do slow down for emergency vehicles along the roadside. If at all possible, scoot into the other lane to give them a wide berth.

Specializes in 6 years of ER fun, med/surg, blah, blah.

Love that post!!! But aren't we preaching to the choir here? This needs to be disseminated to the public. When I've told patients of others who've called 911 for a hang nail, when I have another patient having an AMI drive themselves to the hospital, they can't believe the ignorance of some people.

Specializes in CT ,ICU,CCU,Tele,ED,Hospice.
Specializes in ED.

I am SO glad to find this still lurking on the pages of AllNurses!! I have been looking for it in my old files for weeks to no avail when I remembered posting it here so long ago! Way To Go AllNurses for having such an extensive file storage vault!

Now, if I could only find the one about 10 insane medical practices of yesteryear...

I am SO glad to find this still lurking on the pages of AllNurses!! I have been looking for it in my old files for weeks to no avail when I remembered posting it here so long ago! Way To Go AllNurses for having such an extensive file storage vault!

Now, if I could only find the one about 10 insane medical practices of yesteryear...

http://www.cracked.com/article_15669_p2.html

is this what you were looking for?

just yesterday, was driving, and could hear something but couldnt quite figure what it was....openned the window thinking maybe a flat tire....you knw that rythmic sound.....well it was an amb. must have been at least 1/4 away when i heard it firstl....and i have a hearing def! must have been THE loudest woo woo's in amb hx.....and since they were coming at me(the other side of the road) and around a corner, i dont think the persons they were coming up on knew they were there as soon as i did.....I pulled to my right, AND so did the driver behind me! gee we must be the most polite spot in the country!....lol.....just so you know ignoring amb is nothing new....in 1970 i had a ride in one, and watched the cars NOT move in front of us.....

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

i was at starbucks, right next to the doc-in-a-box. parked in back of the doc-in-a-box was an ambulance with all the "blinkies and woo-woos", the crew picking up a patient for transfer to the hospital. in line right behind me at starbucks was a firefighter with a large order -- the fire engine was parked right out front, sans blinkies and woo-woos. the engine crew happened to pull out of the parking lot right in front of me, headed in my same direction. right after i pulled out of the parking lot, the ambulance pulled out, blinkies and woo-woos a-going, the moment i noticed the ambulance was headed in the same direction as me, i pulled over to the right and stopped. interestingly, the fire engine did not, forcing the ambulance to pass them in the oncoming lane.

i followed that fire truck right back to the fire station, and had to stop while the driver held up traffic backing into the station.

you'd think if anyone would be tuned in enough to pull over for an emergency vehicle with an actual emergency, it would be the driver of another emergency.

Specializes in ER.

"I can do more in the short term than most nurses"

For Pete's sake, you do some things, we do other things, and I bet we can both do our respective things in less than 15 minutes. What's the difference? We work in two very different environments.

Specializes in Emergency room, Flight, Pre-hospital.

:yeah::lol2::D:rotfl::redlight::redlight::redlight::redlight::redlight::w00t::w00t:

Fantastic letter!!!!! LOL! Love it!!

"blinkies" :redlight::redlight::redlight: and "woo-woos" :w00t::w00t::w00t: (as close a smiley as I could find)

I love em! :yelclap:

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