re: Are we "developers" gatekeeping "knowledge" from our juniors and peers? 🤦 VIEW POST

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re: It's weird when you talk to paramedics outside of the US. My best friend used to be an Australian paramedic and they don't backboard at all...they ...

As someone who was trained in a more "disciplined profession" as am Emergency Medical Technician, I would not get your hopes up about things becoming more logical and evidence-based over time.

In a sense, you are really proving your point on culture is still a large part of how things will run. We can be in an industry with over a thousand year worth of data, and still fall back to instincts.

In 2013, I had instructors telling me to go for a jugular IV in critical situations even though we had IO lines available.

This is personally very terrifying to hear, I have heard similar stories on how EMT in US differs greatly from state to state (let alone another country).

In Singapore (where I am at) we are told the opposite to never attempt such a procedure on-site unless it's an extreme last resort (no valid IV on hands and legs) with no other means of evac. Making such a procedure theoretical, instead of practical.

Because we are a small island, we are pretty much 15 minutes away from any hospital on any part of the island. There is always an evac route. So god forbid if there is ever a large disaster which turns that theory into practice. Only seen jugular IV done in ER once, and never on route.

We did a lot to standardize things over the past 5 years or so. They changed the curriculum into a national standard, as states had some very unique systems to cope with logistical challenges. There has always been EMT-Basic, EMT-Intermediate and Paramedic, but states used to have a lot of freedom to define those. In Montana, where there are counties that are 600 square miles and all volunteer, Basics could get training to intubate or do IVs because they didn't have resources to train paramedics. Now Basics are EMTs, Intermediates are Advanced EMTs, and Paramedics are still Paramedics.

It's sad how much of our system is dominated by profit. The provider I used to work for claimed they couldn't meet their contractually obligated response times without a $10 million grant (keep inb mind they bid on this contract, so they knew exactly what they were getting into). The city's main EMT service said their studies showed meeting the goal was possible without any additional funding, so the private company stopped 911 service over a weekend and forced the city to take over 60 square miles of coverage. The sickening part is that they kept all their staff in the area to continue running private facility transfer calls because they were making money off of those.

Didn't expect so many other EMT developers on here, thank you all for your service!

We did a lot to standardize things over the past 5 years or so.

That's awesome to hear

It's sad how much of our system is dominated by profit.

A sad truth, of human greed on every system we touch - regardless of industry

the private company stopped 911 service over a weekend and forced the city to take over 60 square miles of coverage

This is literally taking hostage of lives 😞

Didn't expect so many other EMT developers on here, thank you all for your service!

I think it actually makes sense, they have much overlap in core skill sets in my opinion.

But they have a huge difference in pay (hence why I believe the switch makes sense to many). Did a long tweet thread on this before, on how those in the medical profession deserve a better salary.

PS: its a long tweet thread, so click on it to view the full thing.

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