Homepage / EMS / What vs Why - Ramsay vs Hunter
Has Video Killed the Radio Star?! Dispatch centers tracking the wrong things? Does your confidence exceed your abilities around the homestead? This post is about fentanyl so you shouldn’t read it, you’ll OD Off-duty: Intervene or Be a Witness? Mass Shootings in a Small Town: What are Your Resources? #TapTapTime: The Latest Trending Topic Police Responsible for Ambulance Bills on College Campus? The Spooktacular Episode “I’m out of ideas” Advanced Airway Seminar HM on Medic 2 Medic Podcast Respond to the Rollover – Tales from the Interwebs Hazards we can most certainly remove Witty Banter with the Unaware – Volume 3324 the Crossover Ep 125 – Who Gives Two Sh*ts Why Giving Two Shits About a Patient is Not a Bad Thing the Crossover Episode 122 – Annual Kilted Show! Things keep getting worse for Cop who likes arresting Nurses My Beautiful Blue Eyes The Seizure Patient 500 – An EMS Race Crossover Podcast – Ep 116 – That’s Not Why we Have Cameras, Gary …for the head injury, PD on scene Crossover Podcast ep 113 – Middletown Ohio or Deathville USA? the Crossover Ep 112 – Are you a good hair boss or a bad hair boss? Stop Responding for Overdoses? Sign Me Up! Yup. Still Barfing I Heard You, She Heard You, the Baby Heard You Is there a Doctor on board? the Crossover Podcast – Ep 111 – Paramedic Perv Reporter Unclear of Aircraft EMS Operations The new rigs are here! the Crossover Show – Ep 110 – Do You Poop Where You Eat? What to do for an allergic reaction…or not The Last Shift of the Lost Cause The Crossover Show – ep 109 – Is that Cocaine or Anthrax? How to respond when your spouse tells you to be safe at work Always, In Service – EMS Week 2017 Lost Cause gets cocky FDIC 2017 – Structural Response to Aviation Incidents: Engine Company Operations I Got Lost Going to a Call – So I made sure everyone knew about it Crossover Podcast Ep 102 Mrs Happy Medic and Mike the Cop Arby’s Roast Beef Ad angers EMTs, not sure why Strippers and Cocaine watch – 2017 Seizures! Seizures Everywhere! Nothing is certain except death and taxes. I can help you with both What to do when the powers that be – just can’t. Episode 99 the Crossover Ep 98 – Off Duty and Fancy Free NO is Never Easy to Hear Ohio Cop vs Ambulance Crew Member on Video – Crossover Show Investigates! An MCI With Wings: Aviation Incidents EMS Today 2017 First in Ambulance MCI at EMS Today 2017 Crossover Show Learns How to Take a Joke To Haul or Not to Haul – Should the Complexity of a Refusal Influence Transport? Crossover Show – Ep 91 – ACLU cameras Tip of the Helmet – Bj’s Brewhouse the Crossover Show – Episode Eighty Eight Eminence Based Medicine If You Don’t Give Him Insulin He’s Going to Die Lost Cause Strikes Again the Crossover Podcast – Ep 85 – Florida Cry Baby “I Can’t Breathe!” you keep using those words… the Crossover Show – 84 – TN Bus Crash Happy 150th Anniversary San Francisco Fire Department! Thank You For Your Service? A Complete Secondary Assessment the Crossover Episode 81 – Let’s Talk Politics! Aircraft skids off runway, rescue task force ill equipped Crossover Show – Ep 79 – Do we need so much active shooter training? How to Ignore Everyone in the Room: Be an Intern Your Meme is Bad and You’re Not One of Us Anymore Goodbye tarps, I never loved you The Crossover Episode 76 – Flashback to the Beginning You found me how? Less CSI, More Columbo EMS Festival Standby – You can’t just park a car there the Crossover Show Ep 72 – Florida EMT photo game A&O vs able to make decisions Kilted to Kick Cancer Cops vs Firemen Writer calls for Medics to risk more in shootings, misses the target What’s with the French? the Crossover – Ep 69 – Twelve Ninety Désolé the Crossover Show – Ep 67 – Traffic Stops and Profiling Actually, Officer, No. It Really isn’t that hard to try When Patients Don’t Play by the Old Rules Letters in the File – Oklaloosa Selfies the Crossover Podcast – Ep 64 – Turning Passion into Retirement Why Pokemon GO is so much like EMS Us Against Us Apathy is worse than absence So Now I’m Back! Changes are a-comin’ The Sounds of Silence I know that feel, Bro TCS – Ep 59 – SHOOT HIM! CISD with OK GO part VI the Crossover – Ep 56 – Rooms for Shooting the Ballad of Big Dave the Crossover Episode 55 – Text me Bro

EMS, EMS 2.0, HMHQ

What vs Why – Ramsay vs Hunter

In the 1995 submarine film Crimson Tide Gene Hackman plays experienced Navy Captain Frank Ramsay assigned to the nuclear missile submarine Alabama.  Playing opposite him is the younger, up and coming Lieutenant Commander Ron Hunter played by Denzel Washington.

I enjoy the film and constantly find myself watching the battle of wits between “Old School” and “New School” often wondering who will win the upper hand.

Ramsay is from the Old School of Navy warfare and he knows it.  Hunter is the new Executive Officer (XO) on the boat and one night at dinner the conversation turns to the glaring difference in style between old and new.  Ramsay mentions that the Navy doesn’t want him complicated, but simple.  With just a hint of sarcasm the young Hunter replies that Ramsay has the Navy fooled, indicating that he is indeed more complicated than he’d like to let on.

“Be careful there, Mr. Hunter. It’s all I’ve got to rely on, being a simple-minded son of a bitch. Rickover gave me my command, a checklist, a target and a button to push. All I gotta know is how to push it, they tell me when. They seem to want you to know why.”

The conversation continues to explore the reasons for war and the different views on the subject which I won’t go into here, but it’s a great back and forth.

“They seem to want you to know why” sticks in my head though.

I see this conversation all the time in Fire Stations and Hospital ambulance bays.  The salty old anchor who is good at what they do questions the up and coming schooled rookie, assured that simply knowing what to do is better than worrying about why.  The rookie, educated and trained far beyond the salty anchor lacks experience and needs to find a balance.

Cut off from command, their last message was cryptic and incomplete.  Nuclear war is feared and the two schools are pitted against one another.  Old school sees it as an order to fire while the new school sees it as a chance to get more information.  The What vs the Why.  Ramsay orders a launch, Hunter refuses and the battle of wits has begun.  Old school bends the rules to meet their ends and new school tries to outwit him at every turn.

Throughout Crimson Tide we see a struggle between old school and new school during a crisis situation as each of the leads falls back to their comfort zones for support.  Ramsay leans on loyalty while Hunter seeks out new members to join him in opposing the Captain’s actions.

Don’t get me wrong, knowing what to do is important, but I think you know I’m a bigger fan of knowing Why.

One of my instructors used to say “I can teach a cat to intubate, but I can’t teach him when not to.”  He was the same instructor that, when faced with a scenario in lab and someone would initiate a treatment he would always ask “Why?”

BP is low, start a  line.

“Why does their blood pressure bother you?”

We’re here to fight.

“Why do we fight wars?”

Pulse is 50, hand me the atropine.

“Why is Atropine indicated here and why will giving it make things worse?”

I don’t think this is a good idea.

“Why can’t you just do what you’re told?”

 

In the end of the film, we discover that Why wins the day as the information was incomplete.  Had What been victorious a bad decision would have been flawlessly executed.  You can perfectly intubate every time, I get it, you’re a salty dog, but the last 4 you got were completely unnecessary.

 

Let me show you Why.

 

Which one are you?

 

Related posts:

2 Comments

  1. Ambulance Driver April 11, 2013 8:49 am

    Ramsey’s assessment of the Lipizzaner stallions’ training program also has many parallels to traditional EMS education:

    “Turns out if you stick a cattle prod up his ass, you can teach a horse to deal cards. Simple matter of voltage.”

  2. burned-out medic April 11, 2013 10:58 pm

    old guys always love to say, “i’ve been doing this for a long time…”

    it really doesn’t mean much to me.

Post a Comment

Your email address will not be published. Required fields are marked *

*