For regular BLS transports: Treating borderline BLS/ALS patients and getting some paperwork / vitals done during the short commute to the hospital, while finding time to radio ahead.
For working ALS type stuff: Being calm. I haven't worked nearly enough calls. I'm still at a point where the adrenaline can sometimes get in the way.
I'd like to see what others have to say. Great thread
I haven't done much time, but from what I have done adrenaline and self doubt are my problem as well. My doctor and co-workers have all said it will wear off with time and that it's probably the hardest aspect of the job to get over.
Getting out of bed at 3am when the tones go off and being 100% on my game after being at work all day. It's got harder over the years, when I was a young whippersnapper it wasn't a problem, now it takes me a couple of minutes to get into the groove.
I have to agree that it is hard to get out of bed at 3 in the morning. I would have to agree with MMiz that it is hard to put your finger on something that is the hardest part of the job. The two that I find to be hard are the pediatric calls, and deaths of young people.
Kids are hard - EMT training doesn't teach us ANYTHING about dealing with kids.
3am is hard. Even going from wantching a movie to doing CPR 10 minutes later is a heck of an adjustment.
Paperwork, espicially with my messy, chicken-scratch handrighiting.
Managment is a pain
Incompetant EMTs are a pain
Worst is the drunk, high, or psychotic patioents that think kicking, spitting and cursing at me is acceptable, and I can't do anything to shut them up (Lithium and Haldol aren't on the state drung list let )