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EMS News in Focus
by Arthur Hsieh

8 things we wish the general public knew about EMS

After watching yet another television show that attempts to glamorize public safety providers, I thought about what really goes on inside our world

By Arthur Hsieh

After watching part of — a little bit — OK, about five minutes of yet another television show that attempts to glamorize public safety providers, I thought about what really goes on inside our world. Here are the top eight things we wish the general public knew about providing care in the field. Feel free to add your comments below!

 We do more than drive ambulances at breakneck speeds. In fact, we try not to drive fast at all, since we don't want to hurt ourselves — or you, when you pull out in front of us, turn in front of us or hit us from the side when we are responding to a call. Even more important, we'll take our time to get to the hospital so we can provide you a comfortable ride that doesn't scare you half to death.

 We train hard. In the very rare circumstances when your life is hanging in the balance, you will want us to do everything right to give you the greatest chance of surviving the catastrophic event. We live for that moment.

 And while we live for that moment, the vast part of our day is spent managing social, financial and emotional issues. Most of our patients are not experiencing medical emergencies, even when it feels like it to them. That's OK — we know that just having a fellow human kneeling by your side and saying "We are here to help you" can go a long way in assisting your recovery from your crisis. 

 We're not all firefighters. And we're not all paid. And if we are paid, it's often not well. Most of us cannot afford to have a family or own a home on our base salary. We compensate by working long hours — 60 to 80 hours a week. That gets old.

 We get hurt. A lot. Lifting human bodies is difficult; in fact, it's easier to move refrigerators than patients. Please don't be surprised if we ask you to move from your chair to our cot. We've made a clinical evaluation and determined that it's safe for you to do so. It's not that we're lazy; it's just that many of us want to continue to work in our profession for a long time.

 Virtually everything you see on television and movies does not depict what we do. If it did, it would be fairly boring. We spend a lot of time staged in parking lots and on street corners, waiting to be dispatched to the next call. Sometimes, while sitting at the station, we spend a lot of time staring at the TV ourselves.

 On occasion, our boredom is punctuated by some hair-raising event. We're human, so we, too, will be nervous and even a bit frightened in really dangerous situations. We just won't show it because we need you to trust that we know what we're doing. So while everyone else is running around, EMS providers walk a little slower, act a little more deliberately. That gives us the chance to see the big picture and try to keep everyone safe.

 To reiterate: We're human. We make mistakes. We work hard. We don't do this line of work for the glory or for the money (there's precious little of both). We do it to help members of our community when they need it the most, 24 hours a day, seven days a week, 52 weeks a year. You expect it, and you deserve it. We know it's a big obligation, but we will be there when you call.

About the author

EMS1 Editorial Advisor Art Hsieh, MA, NREMT-P currently teaches at the Public Safety Training Center, Santa Rosa Junior College in the Emergency Care Program. Since 1982, Art has worked as a line medic and chief officer in the private, third service and fire-based EMS. He has directed both primary and EMS continuing education programs. Art is a textbook author, has presented at conferences nationwide, and continues to provide patient care at an EMS service in Northern California. Contact Art at
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