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Reasons I didn't become an EMT, ranked

236 points · 112 comments · citelao

  1. whartung · · focus · HN ↗
    Friend of mine was an EMT, and he advanced on and became a paramedic.

    The work seemed to suit him, he enjoyed it. I'd hang out with him at his base of operations (he was a private paramedic in LA County).

    Then, one day, he quit.

    He quit, and didn't renew his certification.

    And he won't talk about it, and, boy, yea, did he have some stories.

    But something got to him.

    1. zrobotics · · focus · HN ↗
      This is just a danger in the medical profession, but especially for first responder or trauma focused parts.

      My BIL is a pretty highly credentialed RN. He was seriously considering quitting a few years ago and was asking me about software dev or IT as a career path. I didn't ask for any stories as that would be disrespectful & insensitive, but he was working in the NICU (intensive care unit for infants) and had transferred in from the ICU.

      Medicine is clearly his calling, but even as an outsider I can understand how emotionally draining it would be to have to struggle (and sometimes lose) to save children's lives and then go home to your young family. It's tough to see death and suffering daily, and this is a big struggle for these parts of the medical field.

      My BIL ended up transferring to a specialist organ transplant unit. He continues to apply his trauma experience, but doesn't need to see quite as much trauma and death on a daily basis.

      Suicide & self-harm/addiction issues are higher, and it's not uncommon at all for people to need to leave the field after a traumatic event. If you aren't in the field or don't know anyone who is, it's easy to gloss over how soul-wrenchingly difficult it is to deal with having to be calm and professional to help people going through trauma. Some of the stuff these folks need to deal with is truly horrific, and it's no wonder that PTSD is fairly common.

      Also not surprising that EMS has a bit of a fratty/military culture. The job demands high periods of physical exertion and exposure to stressful and traumatic experiences. I'm glad there are people who do this work, but I very much understand why it is difficult.

      1. somenameforme · · focus · HN ↗
        I think this is often where the black humor tend to come into play. But black humor and political correctness are like oil and water, so I imagine it creates an extremely uncomfortable work environment for some people on both sides. Somebody who's PC is probably going to find everybody else beastial, and somebody who's not is probably going to be terrified of the PC types going to HR, social media, or whatever else. This nuance immediately came to mind when this article described the EMTs as fratty, which is probably exactly how this might seem to an outsider who doesn't understand how people can cope with being around extremely depressing scenarios constantly.

        I have family in medicine and there were just endless stories that would have had social media in a frenzy if anybody ever shared them. At some point you have to laugh or cry, and one is way more sustainable than the other.

        1. ethbr1 · · focus · HN ↗
          Personally, I think this is one reason The Pitt has been so popular.

          It shows the grindstone that is never-ending work + being disrespected by a chunk of the public for doing a good thing + dealing with insurance/financials + personal trauma.

          The way that EMTs/PMs and ED staff find a way to make that pressure cooker sustainable shouldn't need any excuses for not being PC. It simply is making an impossible thing possible. Normal folks have the luxury of not dealing with that.

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