Homepage / EMS / When Patients Don't Play by the Old Rules
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 Why vs How and Book vs Street A Mother’s Day Crossover Show Dear Valencia County Fire Chiefs Dear Random Township Fire Department at FDIC the Crossover Show – ep 50 – Revenge of the Vine Stars Strippers and Cocaine need your help Educational Standards in EMS Engine Company First Strike MCI – FDIC 2016 the Crossover Show – Ep 48 – What’s in your feed? Washing the Chief’s Car What Should I Do With This Knife? – The Crossover Ep 46 Firefighter Jokes Medical/Legal Advice, Google Style the Crossover Show – Episode 45 – Cop Vines and the Cajun John Wayne You Make the Call ebook Now Available To the Intern Who Froze the Crossover Show – Episode 44 – Day of Remembrance New at Uniform Stories – Raising Revenue BLS Fire Officer or Paramedic – Who Makes Scene Decisions? the Crossover Show – Episode 43 – Viewer Questions Why Budgeting Matters – Our Plumbing Nightmare the Crossover Show – Episode 42 – Protesting a Rally with a March DC FEMS MD Quits, calls FD Leadership “Toxic” the Crossover Show – Episode 41 – America Ball The more things change… Hey Board of Supervisors, You’re Remembering the Wrong People the Crossover Show – Episode 38 – How not to Get Tazered the Crossover Show – Episode 37 – What Makes a Good Chief? Johnny and Roy lied to me – I write receipts Defining System Abuse – A Response to Ambulance Chaser the Crossover Show – Episode 36 – Perception vs Reality Good Morning America skims over Fatigue in EMS Police-24,336,756 EMS-4 EMS Bike Program from the ground up Become a Patron of the Arts – Support the Crossover Show! Engine Company First Strike MCI in San Bernardino Video Shows Woman Banging on Ambulance Accusing Them of Organ Harvesting


When Patients Don’t Play by the Old Rules

You had a simple job, Mr patient.  All you had to do was follow the script.  I am highly trained and very experienced in the interventions you needed.  I have done countless thousands of chest compressions, delivered many score of shocks and can interpret dozens of heart rhythms.

You collapsed to the ground.

I specialize in that.

You weren’t breathing.

I carry tools to help oxygen get back into your lungs.

All you had to do was play along.

Our training has included intubation during compression for years and we are quite proficient.  The IV fluid meant to flow into your vein and into your heart can carry chemicals they give me to get your heart beating again.

The state of the art monitor I carry can let me see every aspect of your heart’s activity and deliver therapy accordingly.

Our tools can determine your oxygen saturation, blood pressure, mean arterial pressure and many, many other metrics.

All ready for you in case you need it.

You didn’t need it.  You aren’t playing by the old rules, are you Mr patient?


You collapsed in a crowded public space.

You hit the ground at the feet of two persons trained in bystander CPR.

They began compressions almost immediately, which drew the attention of a nearby Police officer.

The Police officer pulled the Public Access AED not 30 feet away and attached the pads.


By the time the dispatcher sent the call out you had already been defibrillated and the second round of CPR was just starting.  By the time I made it to the far side of the bay to respond the same dispatcher told me you were awake.

And you were.

Joking, telling me your ribs hurt because someone just did CPR on you, I tried to apply all the tools I had, all the training, education and experience…but you needed none of it.

What used to be a shot in the dark is turning into people walking out of the ED the next day.

That’s where I saw you, climbing into a car, telling me all about how cool it was to die and come back.


They didn’t prepare me for that.  Score another one for the good guys…the bystanders.

Related posts:

One Comment

  1. http://www.florida912groups.com/ March 27, 2017 6:25 am

    Sherry – I think more people should use their God given soap boxes, and you should keep using yours as you’re right – it is a gift – no, really. Jesus only really asks us to do two things – be salt (that usually involves a soapbox) and light (that measns taking a stand and speaking from your heart). So box on my friend.

Post a Comment

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