91W wrote:The Sleepy Doc wrote:
Another huge discrepancy is that the civilian medics aren't properly trained in triage for Mass Casualty. This I've seen time and time again at crashes.
There was a house explosion that there was 2 pt out of. There was a possibility of approximately 5 pt. I was shocked when I saw an email on how great that "MCI" was handled. Initial medics on scene had three aircraft tied up and four of the five ambulances in the county on scene, For two fucking patients. When we did your AAR I was told to keep quiet since this is not the military.
I worked through several mascals while in Iraq both in the hospital and field. Until the civilian side pulls there head out of their asses and realizes that how they train for mascals is a joke I pray that I do not have to be involved with a real one.
The problem with AAR's in the civilian world is that they are mostly run by the agency/agencies involved. And in the civilian world the folks involved have a very hard time pointing the finger at themselves and telling themselves they are fucked up and need to revamp the system.
It all has to do with the idea of not bringing people down, or causing a lack of confidence, because some shrink wrote it in a book somewhere on how not to talk with people. I have been told too keep my suck shut in AAR's because it isn't the military. I never do though, which is probably why I've been fired from a few places. But then I have also helped some places grow because their shit was weak.
People in Emergency Services will tell you they do things the way they dol them, because that is the way they have always done them. Well, when I started in EMS we didn't wear gloves. So who gives a shit about the past when their shit is weak and needs to be changed?
It all starts with you/us as individuals. When you get on your rig, or too your place of work, make sure your shit is squared away. From your uniforms to your equipment; constantly stay up on the latest ideas and treatments. Then mold your partner into a good EMS person.
When I was riding the streets, I was always in my partners shit. Especially being the medic, I always got on my EMT. Not in a bad way usually, but I would throw scenarios at them a couple of times a day. I made them help me GI the back of the rig, while doing so, going over the equipment, and more teaching/learning.
The pay off is when I see them years later and they are squared away, and squaring away others to be good medics. It's not an easy job, especially in high volume areas, but it is rewarding if you are on your game. And it is rewarding in watching the people you help turn into good medics, turn others into good medics too!
So that's how I fuck up the current systems. You can always find a way around their stupid Politically Correct niceness. If you can't break it off in them, point out where they fucked up, and deal with the fall out when it happens. When I have, I know I was right and what I said could save a life, so I didn't give a shit!
Good luck!
