So, we claim to believe in science and the best for our patients. And yet, day in and day out, we apply cervical collars, backboards, prophylactic IVs, prophylactic oxygen, prophylactic code 3 response, etc, etc.

I don’t understand how we can pretend to be looking out for their best interest when the best we can come up with is analogous to witchcraft, voodoo or superstition.

Yet daily, we perpetrate these crimes on our patients, all the while telling them it’s in their best interest, or the all time favorite “just in case…” We are overseen by physicians, who are supposed to be scientists and believe in logic, reason and proof.

Why then does this august body of educated individuals demand that we abuse these patients all in the name of…..I don’t know what. But it surely isn’t science. Will we someday do what it is right, or we will continue doing this abuse forever? Discuss



So, this is simply an opinion, no facts really to back it  up, just anecdotes from myself and many I know across the country.  Why is it that we are constantly running Code 3 to all this nonsense.  There’s this graduated response system built into MPDS and you know that Joe blow is calling because he’s drunk and wants a sandwich.  You make it an Omega, you still send us, and you send us Code 3?

So, when we go through that red light and the kid jumps from behind the parked car and we can’t stop and kill him, how’s that going to look on the 11 o’clock news?  “Ambulance kills child while responding to local drunk”.  Sure, we can say you could drive slower, etc.  But, in so many systems, if you don’t make the times, your service gets penalized, usually monetarily.  And, if you’re the only responsible one, that means you get to be the sacrificial lamb eventually.

Integrity? Principles?  Those are all great, but let’s face it, most people in Fire/EMS don’t have a lot of responsibility with money and such, and as such we usually can’t afford to be without a job.  So the employer wins.


Therein lies today’s question.  Are we really here to do what is the best for the patient?  Or are we here to be a PR machine/appease the lawyers and accountants, medicine and science be damned?  I know this is EMS heresy, and frankly I don’t care.