redundantbassist
Nefarious Dude
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He's right, its pretty disturbing how few EMTs have medical knowledge beyond that of a high school biology level.Shots fired!
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He's right, its pretty disturbing how few EMTs have medical knowledge beyond that of a high school biology level.Shots fired!
Going to fire school and one of my buddies from class is a medic, classmate asks him how he likes being an EMT.He's right, its pretty disturbing how few EMTs have medical knowledge beyond that of a high school biology level.
I believe that EMT and Paramedic education should be just that- education. It should further expand on the whys and hows of medicine to the point where all EMS providers the same competency as other healthcare providers with a similar scope of practice. Many members on this forum share this same opinion, and are irritated when they find EMTs lacking very basic medical knowledge who are put in a position of patient care. However, some members wrongly direct this irritation towards the individuals themselves instead toward the flawed training programs.(Which I will admit that I am personally guilty of this)I won't front, it can be intimidating (thinking about) posting on here. I am new and starting Basic school in a couple weeks, then medic school next fall, and I generally don't fear asking a question because ancora imparo and all that... But y'all can be like mother sharks eating their young around here! ;P
I've cruised the forums as a guest long enough to see people throw some grenades at folks asking what I imagine are some basic questions that maybe they should know answers to, and after a decade plus in a leadership role I sometimes look at folks that respond that way and shake my head.
20 years in my profession has given me plenty of jaded snark, believe you me, but I feel like we should provide mentorship folks that are newer than us, not cut them down. (Mostly because I am one of those newbies, and liable to fill my dipey if someone looks at me all crossly) ;P
Did ya see all the sparkly-eyed enthusiasm I had goin' on there?!
I don't think it was a personal insult, just a tongue in cheek observation of the general baseline knowledge of most (not all) EMTs.
Sorry if you took it personaly, but if my comment got your panties in a wad, I suggest working on developing a thicker skin.
I don't think it was a personal insult, just a tongue in cheek observation of the general baseline knowledge of most (not all) EMTs.
Sorry if you took it personaly, but if my comment got your panties in a wad, I suggest working on developing a thicker skin.
Why? I suppose it mostly comes down to money, or the lack thereof. An EMT-B class costs much less money to put on and take than a paramedic class. Also, for many services it would be financially infeasible to always run medics as a primary care provider. While in a perfect world, every provider would be a medic with a degree, that is simply not practical. All I am suggesting that the bar is raised to the point where all levels have medical knowledge to understand why they are performing the interventions in their scope of practice. That leads to all around better patient care, rather than blindly following protocols.I'm smellin' what you're steppin' in @redundantbassist , so let me ask you and others a couple of questions, since I am an uber-noober (and mayhap we won't end up waxing too philosophical on this subject)
Why is the system set up this way? I understand an EMTB is educated to a basic level of competency/skill, but why not just have all providers educated to the Paramedic level? In my area there is only one agency and they run Medic/Medic on their trucks, but other places they run Medic/Basic, or just Basic/Basic. And if someone is only a Basic then why cast stones at them for their level of training? If they meet minimum requirements and have no desire to increase/enhance their knowledge and skills then that (while sad because I believe we should all strive to improve ourself) is their choice. I ask that question innocently, not in an accusatory way, g-d knows I don't live in a glass house.
If folks aren't happy with the education level of Basics then how can we change the system to either A: raise the bar on the educational side, or B: change the specs of the education requirements? I'm new to this so I don't know if the National Registry functions in the same manner as NFPA guidlines mandate things on the FF side.
Read some of these opinion pieces. This might give you some insight on the thoughts that many of us share on EMS education.
http://emspatientperspective.com/2014/03/08/making-our-lowest-common-denominator-emt-even-lower/
http://www.boundtreeuniversity.com/...MS-directors-discuss-hot-topics-in-rural-EMS/
http://happymedic.com/2016/04/educational-standards-in-ems/
Final description.Too funny. Most EMTs have a hard time with anything beyond "the hip bone's connected to the leg bone".
Read some of these opinion pieces. This might give you some insight on the thoughts that many of us share on EMS education.
http://emspatientperspective.com/2014/03/08/making-our-lowest-common-denominator-emt-even-lower/
http://www.boundtreeuniversity.com/...MS-directors-discuss-hot-topics-in-rural-EMS/
http://happymedic.com/2016/04/educational-standards-in-ems/
TL;DR?
Many of us (me included) believe that EMT is woefully inadequate, the baseline education should be a 2 year degree and even paramedics know just enough to be dangerous. The IAFF and other groups (see me looking at you New Jersey First Aid people?) believe that the education requirements are TOO HIGH and should be reduced. This is ridiculous, yet lawmakers continue to push this agenda. Professional EMS workers need to stand up for themselves and push for real education. If we don't, who will?
Why? I suppose it mostly comes down to money, or the lack thereof. An EMT-B class costs much less money to put on and take than a paramedic class. Also, for many services it would be financially infeasible to always run medics as a primary care provider. While in a perfect world, every provider would be a medic with a degree, that is simply not practical. All I am suggesting that the bar is raised to the point where all levels have medical knowledge to understand why they are performing the interventions in their scope of practice. That leads to all around better patient care, rather than blindly following protocols.
Degree. Always a degree. Why do it any other way?
It'll help when you're tired of EMS and want to pursue something else. Like nursing or PA school. You’ll have more opportunity and flexibility. In some cases degreed Paramedics make more money. It'll help in developing additional critical thinking skills. It'll make you a more well-rounded individual. And, you'll be doing your part to become an agent of change, helping to lift EMS out of the hole of voc-ed and drive it toward a degreed allied health specialty.