One of the hardest parts of this job: The call after
A paramedic details how EMS providers carry the weight of difficult calls with them through their next interactions with patients and families
Lindsey Stein, MS, NRP, FP-C, originally posted this reflective essay on her personal Facebook page in support of the Code Green Campaign.
You’ve just carried the tiniest dead baby into the ER, found unresponsive after co-sleeping. Told a husband of 40 years that his wife, who was released from the hospital last night with chest pain, is now dead. Pumped on the chest of an elementary schooler while his mom wails in the background. Told the wife of a heroin addict that it’s too late for Narcan this time. Been asked by the suicide attempt why he’s still alive, only for him to die minutes later. Told a wife and young son that their husband and father, who was healthy and well hours earlier, is now dead. Zipped up the body bag of a young woman who drove drunk, another who took her own life, one who shot up too much heroin after being clean for months.
And then, before your ambulance is put back together, you get toned for abdominal pain. You smile and say hello, and ask what’s wrong today. You tell them that you’re sorry they’re not feeling well, that that’s no way to spend a Saturday. You apologize for asking the same question twice. You make sure they’re comfortable, ask if they’re too hot or too cold.
You empathize with the elderly man who’s had diarrhea for three weeks and just can’t seem to get better. With the mom whose only child cut her head open and needs a stitch or two. With the woman whose migraine today is worse than it’s ever been. You tell them there will be a little pinch, and ask if they’d like some medication for nausea. You touch their arm, tell them the nurses will take great care of them, and that you hope they feel better soon.
And it’s exhausting. They don’t know that you still need to document the futile efforts of a pediatric code. That there’s blood on your boots you didn’t notice yet from a suicide. That you’re questioning if you should’ve worded that death notification differently or tubed that patient earlier or moved faster on that scene.
They don’t know, and they never should. It’s our job to treat every patient like our only patient - a near inhuman task at times, and a necessary one. But after we take care of our patients, it’s our job to take care of ourselves and each other. Ask. Talk. Cry. Question. Understand. Do what you need to do to make sure your partner’s OK. The next patient depends on it, and so does your partner.