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The Armed EMT

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Disclaimer: I hunt. I shoot. I believe fervently in the right to keep and bear arms. At last count, I owned seven shotguns, five rifles, four handguns and a perhaps a dozen assorted air rifles, muzzle loaders and antique pieces. And a couple of compound bows. Maybe a blowgun. Enough edged weapons to skin a brontosaurus. I think there’s even a sharp stick (Urg the Neanderthal Signature Model) that I won at auction at the last Pterodactyls Unlimited banquet I attended. Hey, I was drunk and the thing had nice engraving.

That said, I think that any EMT who believes they need to pack heat while on duty has his head up his ass. You do not need to wear a gun while on duty. You need situational awareness, verbal de-escalation skills, and a well-honed sense of when to bug the hell out. Remember the Three R’s – Retreat, Radio and Reassess.

And don’t feed me the old cliche “I’d rather be judged by twelve than carried by six.”

I’m not saying EMTs shouldn’t defend themselves. I’m not even opposed to the abstract idea of CCW while on the job. It’s just that most EMTs I know who insist on carrying weapons are just the sort of EMTs who shouldn’t…well…be EMTs. Much less armed EMTs.

They cannot communicate effectively. They lack empathy and compassion. They’re hotheaded. Every patient encounter is an adversarial relationship. They conduct patient interviews like police interrogations. When the feces strike the thermal agitator, they’re the type who thinks shouting orders and throwing their weight around constitutes effective leadership and good crisis management. They’re just not…reasonable people. A reasonable person with a concealed weapon is one of the safest people you will ever meet…and one of the most dangerous, depending on how you approach him. An unreasonable person with a firearm is just plain dangerous, regardless of whether you’re law abiding or not.

Here’s a hint: if you have shown off your carry weapon to your co-workers, you’re just the sort of goober I’m talking about. And here’s the sad thing – most law enforcement agencies wouldn’t have you either, Sergeant Tackleberry.

Both LawDog and Matt G. have spoken about the combat mindset far more eloquently than I have, and they have training in the use of force continuum. Any cop worth his or her salt will tell you that the most effective weapon is the mind. And the most effective conflict resolution tool is talking. Talk, talk, talk.

Keep your wits about you, and keep talking. We as EMTs have an advantage over cops – we have the luxury of being able to disengage from a threat, and most critters view us as non-combatants.

Relax, EMT Tackleberry – I said most, not all. But that line gets dangerously blurred when you start carrying a weapon. For the same reason, I won’t work at an EMS agency that insists on outfitting us in cop-like uniforms and badges.

I want the ability to be able to get a patient in the back of the rig and say conspiratorially, “Relax, bro. I ain’t the fuckinpo-leece. But if you want me to help you, you gotta level with me and tell me what you took.”

Call it the EMS version of Good Cop, Bad Cop. I’ll use whatever means necessary to get the information I need to treat the patient. The cops I know respect and understand this.

But unless you are God’s Honest, Truly Prepared mentally and emotionally for what it will mean to take the life of the psychotic/chemically enhanced/angry person whom you were initially called to help, just leave the piece at home.

I invite your comments…

  • Anonymous
    I have to disagree. I agree there are some EMT's that do exactly as you say try to be bad ass and get nasty with about every patient. I hate when they do that. I tend to do as you say and get on the patient's side to calm them down and what not.


    I have been in some situations where I thought I was at risk though and had no way out. I can think of one in particular.



    We had a call for chest pain in a bad part of town. We got o bad parts of town all the time and nothing usually happens. The engine company was on scene when we arrived. Upon exited the truck I heard a male screaming about us taking a long time and not wanting to be in a hurry because it wasn't a white neighborhood. (We had a normal response time no longer than it would have took us to get anywhere else). We entered the house and the fire dept had called for an officer to be dispatched to us because of the irate guy walking down the street. Well we make pt contact and start assessing her suddenly I hear the yelling again and it is right outside then the guy comes into the house and bust in the room with us yelling and cussing about we aren't moving fast enough and trying to help this lady that called us which happened to be his mother which was why he was in the house. (We didn't know he lived there when we arrived and the engine company didn't tell us or we would have not entered until the scene was safe. We thought he was going on down the street. ) So I am standing there while my two partner assess the pt and he is between us and the only door into and out of the room he comes right up into my face and keeps yelling about how he could kick all our assess and such then starts throwing things around the room and threw a piece of trash he picked up at me. I just looked at him and said nothing to keep from escalating the problem. He walked into another room for a minute still yelling and then the officer arrived and pulled her taser on him which finally made him calm down. But the thing is what if it would have escalated or if he had a gun and decided he was going to use it? We had no way out and nothing to defend ourselves. I didn't have my carry permit then but I do now and carry on duty but only for my safety and no one knows I carry it.



    we have also had one other of our EMT's have a gun pulled on him while in the back of the unit the pt became irate and pulled a gun he had stashed in his pants. The driver heard what was going on and had officers intercept us and they came and safely diffused the situation This EMT was armed but with the pt having the drop on him and such small quarters there wasn't anything he could do.



    So like I said I agree you shouldn't be a bad ass but I don't think carrying is such a bad idea.
  • Chris
    Great blog, AD. Now I am constantly checking up on TWO blogs (LawDog's is the other).


    I'm glad to see you've made it clear(er) just exactly who you're talking about. IMHO, anyone who is caught showing off their CCW should be at risk of losing the right to carry it. It's called a CONCEALED CARRY PERMIT for a reason. If I see it, it's no longer concealed.



    That said, I have to side with the Second Amendment on this one. Mainly because no one can accurately regulate firearms possession/carry without pulling the pin on a Great Big Shit Grenade. Politics and all, you understand.



    Mongo don't need a carry permit, I agree. I just can't say that too loud, or someone will try to legislate it.



    Oh, and Janean, if leaning over a patient opens you up to having your CCW snagged, then it wasn't properly concealed in the first place.







    Chris
  • Janean
    Not to mention the fact that when you are caring for a patient, you bend over them CONSTANTLY putting you in a position to have your CW snagged by the "patient".
    Peace officers usually try not to get that close. The nature of being an EMT is getting "up close and personal".
  • Ambulance Driver
    Divemedic,


    The last paramedic class I taught, I took the whole class to the range on the day I taught ballistics as part of kinematics of trauma. We fired shotguns with birdshot and buckshot, .270 rifle, several 9mm handguns, a .44 mag, a few .22 rifles and handguns and a .17 HMR.



    They got to see what high and medium velocity rounds and different calibers do to hollow air-filled organs (empty cans), hollow fluid-filled organs (melons and unopened cans) and muscle tissue and solid organs (a few hams).



    All of the students learned how to secure a weapon should they ever encounter one, and a healthy respect for what they can do.



    It's not the guns I have a problem with, or even the act of carrying. It's that the act of carrying on the job in EMS always seems to be linked to people who should do neither - carry weapons nor work in EMS.



    Glad to know you don't fit into that category.
  • divemedic
    I have taken my coworkers to the range. Most of them know I carry. Most know I am a hunter. Most of them are, as well.


    Do I carry at work? No. Have I been in situations that have turned violent? Yes. Did I try to talk them down? Yes.



    There ARE medics who are rude, and who get citizen complaints. I am not one of them.
  • Ambulance Driver
    Pax, I agree with your comments. If you'll look back at the post, I note that it's not so much the idea of EMS and CCW that bugs me, it's the people who practice it.


    Perhaps they have the wrong outlook to begin with, and I noted that, but every EMT I've met who carried on the job had an entirely skewed perception of their role in things.



    It's equally likely that there are plenty of EMTs I've met who DO carry, and I've never noticed because they're the reasonable sort I referenced earlier - they know their weapon is simply for their defense, not an extension of their penis. They don't make a show of it.
  • pax
    First things first: love the blog. Read it every day & it always brightens me up.


    That said, I'm going to disagree with you on this one -- but only because I think there's a little misunderstanding about the purpose of a concealed weapon going on out there. And the supportive comments above seem to bear that out.



    Folks seem to be responding to the idea of an armed EMT as if the concealed weapon under the EMT's clothing suddenly turned the EMT into a cop, responsible for enforcing the law.



    Not true. And a very dangerous misperception, to boot.



    I agree with you, absolutely, that anyone who has to blather on about their firearm and show it to co-workers shouldn't be carrying it. That's evidence of immaturity and cluelessness, both of which contraindicate an armed status.



    I also agree with you that avoidance, de-escalation, and defusion are the primary tools anyone (not just EMTs!) should be using. There's just no place for bluster or braggadocio. You do the job you were called to do, you do it with politeness & professionalism, and you either defuse the situation or you get the hell out and wait for the boys in blue to deal with it. You don't stand around with your thumb up your butt letting a situation get worse. You don't get panicky or stupid or screechy and make the situation get so bad that a gun's the only way out. That's unacceptably stupid.



    But ...



    1) Your concealed firearm needn't alter your relationship with the patient, such as it is. The patient will never know you've got a properly-concealed firearm on you. He won't know because



    2) The purpose of the gun would be to save your life when there are literally no other alternatives. It would never, ever, ever come out to enforce patient compliance, or to enforce some law, or to put you into a "position of authority" over a scary family member or any other such bullshit. That's not the purpose of a concealed weapon in the hands of a non-LEO.



    The only -- repeat that, the ONLY legitimate purpose for a citizen-carried concealed weapon is to save your life if necessary. That's it, that's all, full stop. There is no other purpose for it: not crowd control, not revenge, not bragging to the co-workers, not intimidating an unruly drunk, not anything.



    Corollary to that, the only reason anyone should ever seen your concealed weapon is because they have done something so beyond the pale that you have no doubt in your mind whatsoever that they intend to kill you and are capable of doing it. No other reason will suffice.



    If the situation isn't bad enough to warrant literally killing another person in order to save your own skin, it is not a situation that requires you to reveal your armed status, to them or to anyone else.



    So here's where you & I part ways: I don't have any trouble at all with an EMT who understands all the above, being armed on the job or off it. I think such a person should be armed, in fact.



    pax
  • firefighter girl
    my volunteer district has a rule about responding up a certain road without police protection, for any kind of call. Unfortunately, the S.O. is a tad understaffed, so we ended up getting bullet proof vests that look as far from law enforcement as possible.


    Here's the rub with carrying on the job: it removes EMTs from a non-partisan status. We need to be viewed as nonjudgmental in order to effectively do our jobs, particularly with the skittish critters.
  • garys
    Xavier Thoughts http://xavierthoughts.blogspot.com
    has
    some really good thoughts on self defense, de escalation, and more importantly being aware of a situation before it develop.



    It's in the archives so you might have to do some searching.



    I have a LTC, which is what most states call a CHL. My agency, like most in EMS, has rules about it. I've never felt the need to carry really.



    Gary
  • Hammer
    I agree with you in principle. I was thinking back to my CHL class a couple months ago. 90% the lecture was regarding de-escalation, removing yourself from the situation and means of communicating with people to avoid confrontations.


    Most folks who take the class can keep their mouth shut. If they can't stop talking about going Rambo and busting caps the instructor will ask them to leave...sans certificate.



    It sucks that the blustering, assjockeys that you describe are in that job to begin with.
  • Mr. Fixit
    I'm gonna have to be careful on this.
    I'm a hunter and shooter. I also have a Texas Concealed Handgun License.



    Does an EMT "need" to carry on duty? Not if they're doing their job right, most of the time.



    But the real problem in my opinion is not haveing the weapon, it's the attitude and maturity of the person with the weapon.



    We carry narcotics for instance. Is it a problem to have them? Not really. It is a problem if the guys on the box think they are a first choice in every situation.



    The department I work for will not allow weapons on city property. The volunteer department I am on, has no such rules. I have never carried a weapon on a call with my full time department.



    I have carried a weapon on EMS calls occassionaly with my volunteer department. But, only because I already had it on, and arrived at the scene in my personal vehicle. At least once my options were to wear it in with me, or unholster and leave it in the glove box with my kids in the car. I know of one time when I didn't even realize I had it on until we were leaving.



    Haveing said that; Have I ever thought I "needed" to carry a weapon on a run? NO!



    As AD said, we need to maintain a distance and difference of perception between us and police. It helps us do our jobs.

    Does that mean we dislike cops? Hell no! Some of my best friends are cops. I even have a cop as a brother-in-law.

    But on the scene, one on one with our patient, they need to know we are not cops, we are not trying to get information to arrest them, we are trying to help them.(whether they want it or not)



    After all that blather and fence sitting, I'll try to sum up my opinion.

    If you think you need to, you shouldn't be doing this.

    If you want to just cause, you really shouldnt be doing this.



    The only ones who should possibly be allowed to are the ones who you never know have a weapon (it's concealed from sight and not talked about), who really don't want too, and who think it is silly to have one, but will do it 'just in case'.



    And then only maybe.
  • Ambulance Driver
    Thanks mgdavis. It's fixed now, and thanks for the kind words!
  • mgdavis
    My only quibble is spelling. "who whouldn't...well...be EMTs." should be "shouldn't" I think. Other than that mostly agree with you. Your Blog makes a great read, BTW. Keep it coming.
  • Anonymous
    AD, I agree wiyh you. I am a nursing student with a lot of years on him, compared to my classmates. A quiet tone and a smile ans sympathetic behavior will usually defuse any tense situation. At least that has been my experience. I do carry concealed off work and have done so since the shall carry laws were passed here in Oregon. Haven't had to deal with "critters" yet, but that will come. A few hysterical pregnant moms on the OB ward was bad enough. Angry Psych ward patients are fun. That's where I found the quiet, reassuring part to work best.


    Thad
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