Contemplating life.

Going Nuts

I have recently discovered the joy of having a decent sized container of mixed nuts with me in the ambulance. Great for on-the-go nibbles.

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What I was really going to talk about was more about patients behaving badly. I haven’t come across such a patient in a while now (can’t remember when I had to sedate someone last), but it does happen. And I’ve come across this topic on the web recently.

EMS Outside Agitator has a link to an interesting vid. Go have a look, possibly a chuckle, and then a thought or three how you would have handled the situation if you were first on scene. I know I would have called for police quicksmart, and strongly considered sedation. Not sure about the whole backboard though…your thoughts?

Rogue Medic wishes us a Happy Excited Delirium on his take on the above post. Interesting and edgy, as always.

And last but definitely not least, EMCrit talks about Human Bondage and the Art of Chemical Takedown. Brilliant podcast, listen to this episode – much of the stuff he talks about can be adapted to the world of out-of-hospital care too.

Note on the side: I hear and read that UK Paramedics can’t chemically restrain patients – there is no mention of it on the JRCALC website, couldn’t find anything under ‘Mental Disorders‘. Midazolam or Haloperidol/Droperidol is not part of their drug regime, and Diazepam is only indicated for seizure activity and symptomatic cocaine toxicity – no mention of sedation.

Any UK paramedics (that includes EMTS and everyone else) that would like to chime in?

May your shift be a good one…

professional industrials or industrious professionals?

In a recent EMS Garage episode (150 – International Paramedic etc), Chris Montera (@GeekyMedic) got upset with our line of work and stated: “Why is our industry like this?”

Because you called it an industry. Because, largely, we are seen as an industry. We act like an industry.

From the ‘New Oxford American English’:

in dus try |ˈindəstrē|

noun ( pl. industries )

  1. economic activity concerned with the processing of raw materials and manufacture of goods in factories: the competitiveness of American industry.
    • [ with adj. or noun modifier ] a particular form or branch of economic or commercial activity: the car industry | the tourist industry.
    • [ with adj. or noun modifier ] informal an activity or domain in which a great deal of time or effort is expended: the Shakespeare industry.
  2. hard work: the kitchen became a hive of industry .


pro fes sion |prəˈfeSHən|


  1. a paid occupation, esp. one that involves prolonged training and a formal qualification: his chosen profession of teaching | a lawyer by profession .•[ treated as sing. or pl. ] a body of people engaged in a particular profession: the profession is divided on the issue.
  2. an open but often false declaration or claim: a profession of allegiance.
  •  a declaration of belief in a religion.
  • the declaration or vows made on entering a religious order.
  • the ceremony or fact of being professed in a religious order.


Choose your place. I know I’ve chosen mine.


After four years of study, work, sweat and toil, I am now a Paramedic.

Sue, Sueing, Sewers, Sewing, So-So, So What?!

It’s been brewing for a while in my mind now, and a recent post by CCC brought it up again, and I need to release it:

What’s the deal with everybody trying to sue everyone else? The US is a very litigious society, and I don’t understand it. Dear Americans, please help me out!

It seems that protocol must be followed in order to protect yourself. That’s why so many people get collared and boarded. Why don’t patients sue paramedics, paramedic services or medical directors for hurting them unnecessarily? No proof it helps, growing proof against it, it’s uncomfortable. Sue ’em for putting me through pain. Plus the very real pressure ulcer granny developed.

Also: Paramedics should sue their employer. How dare they have the nerve to use antiquated stretchers where you have to lift the darn things in order to get them in to the back of the ambulance? Come to Australia and Europe, land of the roll in, roll out stretchers (yes, their made by US companies…), or check out the lifts in the UK.

And whats with the deal of no three point seat belts in the back of the ambulance? Accidents happen, paramedics will get hurt, sue your employer. And while we’re in the back of the ambulance: WHY THE HECK aren’t there any dedicated spaces to lock in the monitor? 10 kilos of prime head musher coming straight atcha in an accident…

Rant over.

Had to get this off my chest. I though suing was a two way street. It can be used against you, but you should be able to use it in your benefit too.

Comments more than welcome!


Yeah yeah, whatever. This job is the bet job in the world, and always will be. I’m keen, enthusiastic as f*ck, and why should that change?

Looking around, I realise that most of the older medics, who have been around for a decade or three, must have begun the job all bright eyed and bushy tailed too. Some still have the passion in there eyes, but most just plod along, and some are just plain burnt out.

I don’t want to end up like that. Reading Kelly Grayson’s recent post on the way home from my last day of work before days off made something go click.

So, as passionate as I am about this job (or more, because of my passion), I forced myself to take some time off. This is the first time in three days I’m doing something paramedic related.

I’ve been riding out on my bike the last three days. Been building up my other bike. Milling around on the net comparing and selecting components.

Brilliant balance. Everyone needs something to counter the stresses of the job. Mine is cycling.

Whats yours?