Rules of EMS

51-100

51. If you respond to an MVA after midnight and you don't find a drunk, keep looking - you've missed a patient.

52. PVC's can be eliminated by sending a strip to the hospital.

53. The ultimate QA program in EMS is an autopsy.

54. Best time to work a code - overtime.

55. Pain never killed anyone.

56. All fevers eventually fall to room temperature.

56. A Pt.'s weight is directly proportional to the chances the elevator will be non-functioning.

57. Here is a simple ETOH test: Hold your hands about 6 inches apart with thumbs and forefingers touching and ask pt. what color string you are holding. If pt. indicates a color it is a positive test.

58. All patients eventually die, no matter what you do.

59. If you drop the baby, pick it up.

60. The dead never get better, on the other hand they never get worse.

61. O2 is good, blue is bad.

62. Never trust an ER doc with anything sharper than a tongue depressor

63. Less than 8, intubate (GCS score).

64. Asystole is a very stable rhythm

65. A Pt.'s weight is in direct proportion to their altitude in the building.

66. A Pt.'s weight is directly related to the number of stair flights between him/her and the rig.

67. "When in trouble, when in doubt, run in circles, scream and shout".

68. EMS RULE OF THREES (as it relates to codes) 300 pounds <30 minutes to shift change 3 stories up in the building.

69. Whoops: 1) the monitor just fell down the stairs, 2) the cold and flu patient just coded, 3) the wrong house. (Hint: the one with the lab probably didn't call 911)

70. Rules: 1) Don't get dirty, 2) Don't run, you may violate rule #1, 3) If it looks like you might get dirty doing something let the new guy do it.

71. For every ALS skill we learn, we forget a BLS one.

72. The fire tetrahedron consists of the following: heat, oxygen, fuel, chief officer. Take any of them away and the fire goes out.

73. "Compassion Kills", don't dive into incidents.

74. When a call comes in 2 min. before shift change you will always pass your relief 1 block from the station. (He/she/ it will be laughing and waving at you.

75. If there is little to be gained, there is little to be lost. If there is a lot to gain, there is a lot to be lost.

76. If you lift an inch, crib an inch.

77. What do you call a medical student who finishes last in their class? Doctor.

78. If you think the cost of education is expensive, check out the cost of ignorance.

79. Universal Precautions - Is it wet? Is it yours? If it is, and it isn't then leave it alone.

80. EMS is extended periods of intense boredom, interrupted by occasional moments of sheer terror.

81. Every Emergency has three phases - PANIC, FEAR, AND REMORSE.

89. You are bound to get a call either during dinner, while you are on the can, or at 02:00 in the middle of a great dream.

90. Training is learning the rules; experience is learning the exceptions.

91. Rocket scientists that get into stupid car crashes are the first ones to complain how bumpy the ambulance ride is.

92. "Poke & Hope" = blind sticking

93. Why do fire chiefs where white helmets? So you know where the Preparation H goes.

94. Never trust your rig, drug box, or airway bag to be fully stocked. (In spite of the assurances of the off going crew.)

95. If you don't have it, don't give up. Adapt, improvise, overcome, and (then call for a second unit).

96. There is no such thing as a "textbook case".

97. Newbies always look for large things in the smallest compartments and vice versa.

98. There is no such thing as a bad call. Only calls that didn't go the way you planned.

99. Just because someone's EMT or Paramedic original license date is before yours does not mean they know what they are doing.

100. Truckies are people who are over 6 feet tall and their hands drag the ground while walking upright.