Wednesday, March 11, 2009

The Rules of EMS.

1. Skin sign tells all.
2. Truly sick people don't complain.
3. Air goes in and out, blood goes round and round; any variation on this is a bad thing.
4. The more equipment you see on an EMT's belt, the newer they are.
5. If you drop the baby, pick it up.
6. When dealing with patients/supervisors/citizens, if it felt good saying it, it was the wrong thing to say.
7. All bleeding stops...eventually.
8. All people will eventually die, no matter what you do.
9. If the child is quiet, be scared.
10. Always follow the rules, but be wise enough to forget them sometimes.
11. If someone dies by chemical hazards/electrical shock/other on-scene danger, it should be the patient, not you.
12. There will be problems.
13. You can't cure stupid.
14. Sometimes it's easier to beg forgiveness than get permission
15. If it's wet and sticky, and not yours, LEAVE IT ALONE!
16. If the patient is sitting up and talking to you, then they are not in V-Fib, no matter what the monitor says.
17. The severity of the injury is directly proportional to the difficulty in accessing, as well as the weight, of the patient.
18. They said, "Smile, things could be worse." So we smiled, and sure enough, things got worse.
19. If a patient vomits, be sure to aim it at the bystanders that wouldn't back up.
20. If you don't have it, don't give up. Improvise, Adapt, Overcome, then call for a 2nd unit.
21. If there are no drunks at an MVA after midnight, keep looking, someone is missing.
22. If it's stupid but it works, then it ain't stupid.
23. The important things are alway simple, and the simple things are always hard.
24. When it comes to needles, 'tis better to give than to receive.
25. Most of your patients are healthier than you.
26. The address is never clearly marked.
27. Asystole is a very stable rhythm.
28. No matter how bad the politics get, the doors go up and the trucks go out.

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