Janing has over 25 years experience in emergency response and over 10 years experience in education. She has served as the lead educational developer for the development or revision of several courses at the National Fire Academy and various universities. Her Ph. She has published several clinical, educational, and research articles in various peer journals, and has co-authored several texts. She is an adjunct faculty member at the National Fire Academy. Fire Administration. He has over 25 years of emergency response experience, particularly in the area of incident command, training, and safety.
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No result found for "OK". Please press enter for search. Visit Help Center. Trending Searches. Cart 0. Item s Added To cart Qty. If you are a new user Register login. Help Center. Exchange offer not applicable. New product price is lower than exchange product price. I have been kicked, punched, bitten, spit on, verbally abused.
You name it, I've had it all. Elizabeth, Paramedic. And I put my hand on his back and, you know, was rubbing his back… and he just jumped up and punched me right in the face… Nicole, Paramedic. He's sitting on the stretcher, and I'm standing up. He puts his one arm on the stretcher to transfer, and just comes up and punches me in my mouth with everything he had. Participants indicated that the gender differences were attributed to reporting issues. I believe that men, they suck up more than we do.
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They have a rep to keep. Their thing is — what [would] I look like telling them somebody bit me, what [would] I look like saying the chick punched me in my head… Kelly, Paramedic. Participants also explained that the gender difference could be due to females feeling more motivated to report an incident to ensure the protection of their jobs i.
I think because men view it as a weakness if you report an injury. Like I seen guys get really injured badly and they won't report it, but …I know as a female…. I'm going to report it, because I know I have to prove that I got injured on the job. But most guys will shake it off. Participants explained that male patients are more willing to intimidate a female and are less reluctant to be aggressive if being treated by a male paramedic or EMT.
And we are also females.
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Females in general, people tend to believe are passive weaklings. In contrast, we also heard that females have the ability to diminish the likelihood of a violent encounter by verbally deescalating situations. Participants rationalized their risk as typical, especially when the patient is elderly, ill, or has a certain medical condition e. Many participants appeared sympathetic to these types of combative patients and made individual judgments about whether the incident warranted reporting.
For example, a female paramedic rationalized her decision not to report a violent incident with an older, combative female patient stating:. So [she] just brazed me. But like we said, we suck up so much. I didn't even call nobody. I didn't even tell — I didn't even report it because okay, she's old, she's upset.
I understand she's upset Kelly, Paramedic. The way in which the dispatch center handles a medical call can determine how the remaining healthcare experience will unfold, for both the paramedic and the patient. Participants stated that they often feel a disconnect with the dispatchers:. We're dispatched in way too many incidents that we have no idea what we're walking into.
And when we ask dispatch what it is, they're very vague — 'oh, I don't know'…That's what we walk into everyday. Participants felt that dispatchers are oftentimes not collecting enough background information on calls. This has been a concern with which many medics and EMTs expressed frustration. They believe the dispatchers do not listen to the needs of the medics, which places them in dangerous situations:. And I can say I know a lot of members on the street don't feel comfortable if — ever something serious would have happened with the way our dispatch system works because they don't listen to us.
Another sentiment that was expressed from the participants is the feeling that dispatchers do not realize that they are working with the EMS providers and not above them:.
A lot of times we feel very disconnected from the dispatch center. They send us in situations that we don't feel safe with and when we ask more questions, we're therefore yelled at by them. They feel they're our supervisors, which is not the case at all. They have no repercussions for any actions that they take.
The issue of feeling unsafe and unprotected oftentimes stemmed from the actions of the dispatchers.
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Participants revealed that they often felt disconnected when they asked for assistance or backup. This was emphasized by participants who stated:.
I don't even wait, because if you press the button, dispatch will say are you declaring an emergency? They say it like three times before they say okay, it must be an emergency. So when I press my button, I need help now. Nicole, Paramedic. But as far as I know, the department has no standard on if we need a backup…what we're supposed to do.
I mean the example I used a few minutes ago with the person requesting an assist and he never got it, he was put in a very dangerous situation. Participants discussed what they think the community expects from their services, and how they are expected to act while meeting those expectations. This was a predominant theme that appeared in every interview and the focus group.
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That is the way people see us. Along with feeling frustrated at being seen as merely a taxi service, this participant is also bringing up the idea of professionalism while out in the field. Multiple participants explained that they felt community members have a shared understanding that EMTs and paramedics must remain professional at all times, and that knowledge can sometimes influence the way medical providers are treated in the field:.
Not like I'm out to physically assault anybody, but a lot of the things that you hear and a lot of the ways that you're expected to act because the patient knows that your hands are tied, that kind of gives you a different level of treatment towards them, and it's hard.
We get calls for…the remote…I mean, they were bedridden or whatever. You know what I mean? Or I mean, there's calls where people said I needed my remote over here. But the problem is, is I guess when we're assaulted they're not arrested because they're intoxicated or because they have a mental emotional problem, and so they tend to do it over and over again. There is no repercussion for their actions.
I mean that's my personal opinion. Then there is a lot of drug use and there is a lot of alcoholism and just no respect period for life. I don't know if you can ever fix it. You can educate people but people are going to call.
Their emergency is their emergency. We — I can say it's not an emergency but they think it's the worst thing that ever happened to them today. We could put in deterrents, but I mean right now the [City name] does not charge for an ambulance to come to your house. There needs to be a way to make these people pay. If it's — if you're going to call the ambulance, this is how much it costs.
That would definitely be a deterrent and of course, education. I think we could definitely do a better job with education. A female paramedic explains:. People don't realize that it's not just about your loved one that you call for. You're jeopardizing also the people who you call to respond to your house. You've gotta think — they don't think about us.
It's always just them, them, them. Anna, Paramedic. Participants spoke about feeling defensive, anxious, and detached after facing a violent encounter.