Sounds like a cop-out, Remi. I am pointing out that people, including physicians, are not correct solely because of their education- for example, as a somewhat-competent provider of medical services (albeit not as skilled, educated or legally enabled as a physician),
A cop out? Maybe you should look that term up, because you don't seem to know what it means. While you are at it, learn what "irrelevant" means.
The real problem with this industry is not compassionate, competent, educated people like me willing to recognize that good medical care is also good customer service. It's with fools like yourself who believe that lack of legal ability or support to teach us to manage conditions like this justifies converting entire swathes of our service into glorified taxi rides on the basis of cost efficiency...and it's with the culture that associates acute pain relief with crime, addiction and dependency, a culture you and many others seem to have bought into wholeheartedly.
The problem that I am referring to is one of lack education combined with overconfidence / arrogance / cockiness - or whichever other pejorative you think fits best - that plagues so many members of the EMS community. It has always been a problem, and it remains a problem. We used to use the term "paragod".
This discussion really has nothing to do with analgesia, it has to do with you and the other paragods and how your actions affect EMS and more importantly, our patients. Always thinking you are the smartest in the room, in spite of your low level of education and experience relative to those who disagree with you. Always confusing your own opinion with fact. Always outspokenly telling others that they are doing it wrong, yet refusing to consider the feedback that others provide you. Always thinking that "go big or go home" is a good philosophy of patient care. Always thinking that just because you carry fentanyl and sux, that you need to use them as often as possible, and screw anyone who tells you that that might not be the best thing for the patients. Always being sure that you "know" all about something, without even having any idea what the current research on that topic says. Or even knowing how to read research.
Ever stop to think that if the citizens of Boston or King County or Austin were as unhappy with their EMS systems as you think they should be, that they would change them? Ever stop to think that if the patients of the EMS system were being harmed or having a bad experience because of the poor system design or protocols, that the physicians and other officials who run the EMS systems might make some changes? Why do you think you know so much more about what the people of Boston should be satisfied with than the collective entirety of the citizens of that city?
Ever stop to think that perhaps medicsb
might know something that you don't about managing the pain of a patellar dislocation? That
maybe at some point during his four years of medical school and several years of residency, they thought to briefly cover the topic of managing a patient's orthopedic pain while they wait to be seen? Of course the fact that someone is a physician does not make them infallible. But it's a safe bet that a paramedic-turned-EM doc knows what he is talking about and isn't going about abusing his patients. Did you consider that? No. Instead of asking him to explain and maybe learning something, you insult him. Good grief. Same with jwk. The guy used to be a paramedic, and now he literally manages pain for a living. But you know more about what is appropriate and necessary analgesia than he does. Right.
Get over yourself, man. You don't know what you don't know.
