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More and more, providers are being held to higher (legal) standards of care without the appropriate support from their employers. That is, medics are being investigated and sanctioned at a more aggressive rate than ever before over smaller and smaller clinical infractions. To get with the times, agencies need to spend much more of their allotted training time on skills like 12 lead EKG application and interpretation, assessment algorithms, and intubation or advanced parenteral route access, for example. The list of available and important topics is as long and diverse as the national, state, and local scopes of practice. On the other hand, agencies that resist this reality cannot be surprised to discover that their care is generally substandard, for which there can be grave legal consequences. They can’t throw their bottles on the floor and cry because they don’t have them. I predict that any agency that emphasizes drilling on patient care as much as or even more than firefighting will very quickly see a dramatic shift in the culture from EMS apathy to EMS advocacy. That culture shift should be a welcome bonus; the key benefit being finally providing the superior care about which they already brag. Yes, there will be some resistance at first and that is great. Resistance is the surest way to quickly identify those who are not committed, because they will whine and complain the most and they will require the most work. If they are not willing to do the work, then maybe they don’t belong.
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David Givot (Sirens, Lights, and Lawyers: The Law & Other Really Important Stuff EMS Providers Never Learned in School)