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On The Adrenaline Rush

8 comments

TOTWTYTR has a post on his blog about the public perception of EMTs as adrenaline junkies, managing life-and-death situations every shift. That perception is borne out by the Hollywood portrayal of EMS in shows like Trauma, and, truth be told, is probably one of the main things that attracts new people to our profession.

The thing that drives them out, however, is the ugly realization that it ain’t all saving lives and stamping out disease and pestilence all day long. This is the constant lesson I try to impart to Rookie Partner each and every shift, and that lesson can be summed up as:

The more competent you are, the less exciting it is.

And I can truthfully say, it’s been a damned long time since I’ve felt particularly excited on a call. That’s not to say it isn’t rewarding and stimulating, because it often is… but exciting? Not so much.

That’s something that RP is just beginning to grasp as he discovers that a resuscitation works smoothest when the person directing it is calm and matter-of-fact in demeanor and leadership style.

In fact, it makes a tough call downright… dull.

And dull is a good thing for the patient, folks.

If the calls still give you a bit of an adrenaline rush, there’s a strong possibility that you haven’t quite reached that level of competency.

Keep trying, though. You’ll eventually get there.


  • Valerie

    Truer words were never spoken..um..blogged.

  • totwtytr

    In the many years I've been doing this, I've had two partners with whom I was so well synced that just about every call was routine. One, I barely had to talk to on calls, we thought that much alike. Almost every call, even the tough ones, went smoothly because we each knew what the other was thinking and where we wanted the call to go. With the other it's not quite at that point yet, but we've only been working together for about a year.

    Having a good partner really helps. Which is probably a good subject for a blog post, only I pretty much said it all in this comment.

  • maddmedic

    Oh yeah the adrenaline rush from drinving a large, ill handing, heavy vehicle with bright lights and loud sirens through traffic!!
    Umm not so much!
    The thrill of the trauma call and blood etc…
    Ummm not so much..
    The rush of the traffic accident with multiple victims..
    Ummm not so much
    The relief that the early am baby not breathing call that turns into the, baby crying robustly when you arrive and you can feel your relief as you assess the baby.
    Ummmm Oh yeah.
    The one unconscuous not breathing call that turns into a diabetic that you wake up with a little IV and sugar and then transport with the patient smiling at you and asking how low was my sugar and do I really need to go to hospital? Yes sir, your wife requested it.
    As a medic I found that a good EMT is the best thing you can have. One that remembers and reminds you of the basic and knows what you need and when. I was lucky enough to have that.
    Those that enjoy driving like idiots and running to the scene leaving the equipment behind! Ummm none with stood the ass chewing I woould give them!
    Professionalism and knowledge. Thats what I want.
    And a little bit of fear way in the back of your head when you realize you have someones future in your hands so don't screw up!!

  • Spencer O

    I completely agree!
    As a brand new medic I still feel that jolt of adrenaline on a lot of calls (especially when the person is really not doing well). I personally will be thankful when the days comes where Im not overly excited and amped by a tough call. I don't particularly enjoy fighting against my body's reaction to do my job properly. I'm in this job not for the adrenaline but for the simple fact that I really enjoy the job itself. I like working with a variety of people in a variety of places and I like that every day is different. I almost can't wait until the day comes when I'm not the F.N.G. but “it is what it is.”

  • anne0091

    i only get a rush of sheer panic as i'm new and green… i hope it goes away… i do mostly transfers which is why i so rarely get experience. i can also be my own worst critic. is panic the same as adrenaline rush? because i HATE it

  • http://www.oa-emsconsulting.com/ Janet Smith

    It's a slippery slope for EMS mentors as they watch new EMSers straddling the rescuer/persecutor ego fence. The goal is to keep EMS responders feeling “on top” and control of bad situations no matter how long they have been in the business. We have seen lots of rookies come into the profession with flares in the trunk of their personal vehicles along with a jump kit- “just in case”. For many, the new EMS job is considered a “calling” and lots of new guys and gals take all the extra shifts possible to prove it. During all this flurry of activity, we necessarily put rookies in a position where they hang out with experienced people who think the job is “dull and unexciting.” If we're not careful, pretty soon the new guy finds out it's cool to complain and that it is normal to feel more victimized than the people they are caring for. The only way to feel “on top” again can often express itself in the once rookies and now more seasoned employees persecuting what are considered the less deserving 9-1-1 patients of an EMS crews' response. Recognition of altruistic and benevolent behavior, rewarding the successful completion of advanced EMS training, encouraging engaged community involvement, and making sure everyone in an EMS organization gets a chance to celebrate patient-by-patient clinical successes helps EMS people stay as inspired and motivated as they were when they didn't realize stamping out disease and pestilence wouldn't be on the menu everyday at work.

  • http://www.rescuingprovidence.com/ michael

    I've been doing this, (EMS) a long time and still get an adreneline rush when responding to shootings, major trauma or house fires, all of which I did this week. The pleasure and satisfaction from this job comes more from the interaction with people and the mundane things we do.

  • http://www.rescuingprovidence.com/ michael

    I've been doing this, (EMS) a long time and still get an adreneline rush when responding to shootings, major trauma or house fires, all of which I did this week. The pleasure and satisfaction from this job comes more from the interaction with people and the mundane things we do.


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