The podcast emphasizes the urgent need for EMS workers to advocate for autonomy and actively participate in shaping their profession's future.
A significant concern highlighted is the decline in educational standards for EMS providers, which threatens professional development compared to equivalent healthcare fields.
Deep dives
Addressing EMS Professional Autonomy
The need for increased autonomy within the EMS profession is highlighted, emphasizing that the current organizational structure largely restricts EMS providers' decision-making power. Since its inception, EMS has evolved significantly, yet it remains heavily physician-driven, limiting the ability of EMS workers to influence protocols and practices. Providers are discouraged from advocating for their own profession, resulting in a lack of professional development compared to fields such as nursing. To progress toward a more autonomous and self-governing profession, it is suggested that EMS workers actively engage in discussions about their roles and the future of their field.
Educational Standards in EMS
The discussion points to a regression in educational standards for EMS providers, contrasting their evolution with professions like nursing and physical therapy that have pursued advanced degrees. Historically, EMS started with higher educational requirements, yet many current training programs have reverted to certificate-only options, deterring potential candidates from pursuing advanced education. Factors contributing to this decline include inadequate compensation and resistance from established unions. The notion that higher educational attainment will lead to better pay is undermined by these systemic barriers, risking the future professionalism of EMS.
Inequities in EMS Decision-Making
A significant issue raised involves the composition and functioning of advisory committees within EMS, particularly those comprising mostly physicians with minimal EMS provider representation. This lack of diversity in perspectives leads to decisions that may not reflect the realities of on-the-ground practice, inhibiting the adoption of innovative treatments such as pre-hospital whole blood transfusion. Problems of transparency in decision-making processes and the chronic tabling of critical discussions further exacerbate systemic issues within the EMS community. As a result, there’s a pressing need for a more equitable voice in EMS governance that prioritizes patient care and the professional insight of providers.
Evaluating EMS Interventions
The conversation underscores the necessity of scrutinizing current EMS interventions and the effectiveness of air ambulance services compared to ground transport. Evidence suggests that ground services often outperform air transports in terms of response times, and the prevalence of unnecessary helicopter transports raises ethical concerns. While air services can be invaluable, the focus must shift toward utilizing the best mode of transport based on the specific circumstances rather than oversaturation of services for financial gain. The broader goal is to ensure that EMS practices remain patient-centered, evaluating which interventions truly enhance care for the community.
Dr. Stephen Wood, host of the "Tac Medic Whiskey Podcast" joined us again! We talk about a wide-range of topics from politics (the EMS kind, not national), blood, airway, degrees, trauma...
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode