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Why EMS 2.0?

Posted by Patrick Lickiss on Sep 7, 2010 in Current Events, EMS 2.0, Politics | 2 comments

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So if I were asked to pick one buzzword most often thrown around in the EMS blog community I would have to land on “EMS 2.0″.  But what is it?  And more importantly, what does it mean to me?

WHAT IS THIS EMS 2.0 THING ALL ABOUT?

Thankfully Justin Schorr, of Happy Medic and Chronicles of EMS fame, has taken a moment to post the EMS 2.0 manifesto over at Chronicles of EMS.  Now he doesn’t refer to it specifically as a manifesto, but that’s more or less what we’re talking about.  In my opinion, the idea behind the EMS 2.0 movement is basically the thought that if we are given more leeway in treatment (and at the same time have higher expectation of ourselves and our peers) that patients can only benefit in the long run.  What this means, unfortunately for some systems, is that management and medical directors are going to have to move outside of their comfort zone.  Some folks are unwilling to do this.  To that end, we, as a community need to push this type of agenda.  There’s a link on the site to a PDF of the EMS 2.0 manifesto.  Print it out, give it to your coworkers, students and management staff.  Get involved with protocol committees and research groups.  Learn all you can because when the time comes, we will need to stand together and show that we have the knowledge, skill and compassion to move away from a system which values us largely as glorified taxi drivers.  It’s up to you folks!

DON’T GET LEFT BEHIND

One important point Justin raises is that not everyone has a place in the new EMS.  You have to work for it.  Now this is probably not a popular opinion, but that doesn’t make it any less true.  It does however, jive pretty well with another post I read recently about psychomanipulation by bloggers of their audience.  The basic premise is that a lot of blogs (in general, but definitely in EMS) pander to their audiences and only say things which are already popular.  Doing so gets a lot of positive comments and makes the author feel good about how great they are, but does little to affect real change.  What we should expect from authors, coworkers, management, the public and EMS agencies is the opposite.  Honesty, and the tough conversations which result will do more to improve EMS as a service and a career than all the daisy and puppy dog posts in the world.

THE BOTTOM LINE

So basically the message is this:  If you aren’t happy in EMS as things stand right now; get involved.  If you like the idea of EMS 2.0 (realizing that is means something different for each system); do something about it.  If you sit back and wait for EMS to improve around you, you’re going to get left behind. My part, and something that I see other EMS authors trending towards, is to have high expectations of my readership.  The time has passed that paramedics are able to say “I don’t need to know that because I won’t use it”.  The very real possibility is that you will need to use that knowledge in the future.  Just because it wasn’t taught during medic school doesn’t mean it isn’t worthwhile.  I hope that this and other blogs are places you can come to expand your knowledge base and become a better practitioner.

So get out there, learn all you can and take action.  The future of EMS depends on all of us.

  • http://thesocialmedic.net Dave

    I think you touch on one very important aspect that often gets overlooked when EMS 2.0 gets discussed… that it will be different for every system. What works for one system may not exactly work the same for another, although different elements might. The sharing of “best practices” among agencies over the last few years has definitely been encouraging.

    I know there are systems where protocols are viewed as laws and if a patient presents with A you must do B, C, and D otherwise you are viewed as violating the law. These inflexible systems are most at danger for failing to effect substantial change because they remain focused instead of expanding their vision to the elements surrounding them. Systems where protocols are viewed more as guidelines as opposed to laws will hopefully see change sooner because their providers will not have the laser beam focus already preset.

    And in the end, the success of change to a system lies solely in the hands of the providers and their ability to adapt and overcome to the new challenges those changes will undoubtedly bring forward.

    I will now stop pontificating on EMS systems, but I do want to say that the TechCrunch post is a very interesting read… but of course all Arrington did was re-affirm his own methodology for writing blog posts while at the same time proclaiming he doesn’t do that.

    • http://510medic.com 510medic

      You bring up a good point regarding the differences between “cookbook” protocols and “guideline” protocols. I’m lucky enough to work in a system where the first line of the protocol book is “Treatment algorithms should be used as a guideline and are not intended as a substitute for sound medical judgment. Unusual patient presentations make it impossible to develop a protocol for every possible patient situation.” I think that pretty much says it all.

      The TechCrunch thing is kind of funny and ironic. I thought about that while I was reading it. But he makes a good point just the same. I don’t see any of us committing blog-suicide intentionally, but we should be honest with our readership and have high expectations before we worry about whether that truth is popular or not.

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