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Speaker 1: Welcome to Stuff You Should Know from how Stuff Works

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Speaker 1: dot Com. Hey, and welcome to the podcast. I'm Josh

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Speaker 1: Clark with Charles W. Chuck Bryant and there's Jerry Jerome

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Speaker 1: Roland and this is Stuff you Should Know the emergency

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Speaker 1: re Rear rear wo er er Ah. We should have

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Speaker 1: a new podcast called Sirens Around the World. Yeah, it's

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Speaker 1: annoying showever, it would be pretty annoying, but there'd be

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Speaker 1: some subset of people who like just really despise themselves.

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Speaker 1: That would be popular. I'm on so we would love it. Uh,

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Speaker 1: we don't hate ourselves? Do we tell me? I need

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Speaker 1: to know? No? Okay, so it depends on the day.

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Speaker 1: I didn't want to hate myself. Sometimes I want to

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Speaker 1: punch myself. Does that count? No? I know exactly what

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Speaker 1: you mean, man. Sometimes is I'm just like, I am

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Speaker 1: so sick of myself? Is that? Is that what you're

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Speaker 1: talking about? That was a good song? Remember that song? No,

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Speaker 1: it sick of myself? No, that was Matthew Sweet. Oh yeah, wow,

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Speaker 1: that's weird that this is going on right now because

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Speaker 1: Matthew Sweet just popped up like randomly in the last

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Speaker 1: couple of days and like an article I was reading.

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Speaker 1: I was like, I forgot about him, haven't heard about

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Speaker 1: him in twenty years, and then bam, bottom mine off.

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Speaker 1: Here he is again. Well he's still around. He's an

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Speaker 1: Atlantic guy. You know, I didn't know that. Well that's cool, Yeah,

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Speaker 1: I know. I think I think that's like the way

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Speaker 1: it goes. Just because you had one hit in the

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Speaker 1: world came and like listened to you and then moved

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Speaker 1: on doesn't mean like you're like, Okay, well, I guess

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Speaker 1: I'll go bury myself alive now in my own backyard.

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Speaker 1: Usually usually the artist like keeps going. You know, yeah,

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Speaker 1: he had two hits stuff. I know, girlfriend and then

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Speaker 1: the other one. You're just talking about girlfriend. That's a

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Speaker 1: great song. Yeah, that's a good song. Okay. So obviously

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Speaker 1: what we're talking about today are paramedics, para medicine really

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Speaker 1: is what we're talking about, which is, um it's actually

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Speaker 1: a pretty interesting topic because you kind of look into it,

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Speaker 1: You're like, oh, these these people save lives. That's great. Um,

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Speaker 1: here's some of the life saving techniques that they do. Fantastic.

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Speaker 1: But there's like actually so much more too. It's got

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Speaker 1: a really interesting history, it's got a it's one of

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Speaker 1: those things where it's way worse off than it should

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Speaker 1: be as far as like funding and and and like

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Speaker 1: UM logistics and stuff like that goes. I just find

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Speaker 1: it interesting. It's it's interesting to kind of poke into

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Speaker 1: a topic and then find that, oh, this is even

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Speaker 1: more interesting than I thought, and have it poked back

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Speaker 1: yep with forceps. So I guess we should say right

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Speaker 1: off the bat that the word paramedic para means alongside,

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Speaker 1: so alongside medicine, I guess, which I'm not quite sure

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Speaker 1: what that means. So what I think it means is

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Speaker 1: as follows Charles, these people paramedics. They are not doctors,

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Speaker 1: but they work with an alongside and really honestly um

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Speaker 1: as an extension of a doctor and empty. So that's

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Speaker 1: what I think it means, because it's not like what

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Speaker 1: they're doing is a different type of wacky medicine. Like

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Speaker 1: they're actually doing the same type of medicine that an

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Speaker 1: E R doctor and E R nurse would be doing,

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Speaker 1: and e R they're just doing it out in the field.

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Speaker 1: Could you imagine how disconcerting it would be to be

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Speaker 1: like on the ground and have a paramedic come up

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Speaker 1: and like blow green dust in your face. You're like,

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Speaker 1: what are the chicken bones for? Man? Oh man, blow

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Speaker 1: green dusty. I don't know, it would depend on what

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Speaker 1: the effect of the green dust was. So, um, I

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Speaker 1: think that's what paramedic means. Right, we can go we

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Speaker 1: can go further back actually and and and describe what

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Speaker 1: ambulance means. We know that one for certain. Yes, Uh,

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Speaker 1: that came around in fifteenth century Spain during the Inquisition.

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Speaker 1: They clearly had a lot of need for medical work. Uh.

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Speaker 1: And they actually had field hospitals that were called ambu lancias. Right.

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Speaker 1: It was just basically like a mass unit out in

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Speaker 1: the field. Um. And then eventually the the French shortly after,

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Speaker 1: I think under Napoleon, they innovated on the ambulance and said, well,

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Speaker 1: that's great, that's neat that we have these things out

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Speaker 1: in the field, But there's some guys way over there

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Speaker 1: who are injured, and they probably wouldn't die if we

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Speaker 1: could get them to these ambulances, these field hospitals. Right.

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Speaker 1: So they came up with basically mob ambulances um, which

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Speaker 1: is the this idea of a flying or a moving ambulance,

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Speaker 1: which is like a little medical facility that they would

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Speaker 1: put the people into and move them away from battle

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Speaker 1: to go patch them up, rather than waiting for the

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Speaker 1: battle to end. Well yeah, and before that, even during

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Speaker 1: the Crusades, and they also had a great need for

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Speaker 1: medical care. Uh, there were the Knights Hospitaller. Hospitaller I

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Speaker 1: think hospitalier. Oh whoa is there an extra I might

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Speaker 1: be putting an extra syllable in there. Well, I'm known

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Speaker 1: to do uh nights hospitaller. That's what I'm gonna say

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Speaker 1: of the Order of St. John of Jerusalem. And they

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Speaker 1: were the first kind of the first people to practice

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Speaker 1: emergency medicine on the battlefield. And they even invented the

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Speaker 1: what we now call the stretcher, although it's still called

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Speaker 1: a litter in some circles. Yeah, it's pretty intuitive thing,

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Speaker 1: but it's it works. Someone had to think of it.

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Speaker 1: A couple of sticks with some canvas stretch between them.

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Speaker 1: Throw a person on there, you can pick them up.

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Speaker 1: Two people can pick them up and get them off

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Speaker 1: of the battlefield lickety split. So yeah, So this is

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Speaker 1: the idea of emergency medicine grew basically exclusively out of

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Speaker 1: warfare over the centuries. Well, yeah, But what's remarkable to

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Speaker 1: me is that from that time, I have the right idea,

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Speaker 1: let's get these people out of here quickly. It took

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Speaker 1: about a hundred and thirty years all the way until

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Speaker 1: the mid to late nineteen sixties until they said, hey,

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Speaker 1: wait a minute, if we actually put trained medical people

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Speaker 1: in these things and weren't simply driving people to a hospital,

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Speaker 1: we might have even more luck. Yeah, that was the

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Speaker 1: late sixties and then amazing it is And at the

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Speaker 1: time it was so a lot of medic It was

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Speaker 1: practiced through house calls right, including emergencies like if there

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Speaker 1: was an emergency and you could get ahold of a doctor,

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Speaker 1: the doctor was expected to go out to that emergency

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Speaker 1: and do what they could. But more often than not,

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Speaker 1: either the cops um or local morticians were tasked with

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Speaker 1: basically was called like a scoop and scoop and run,

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Speaker 1: scoop and carry, where you just basically get the person

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Speaker 1: out of that car wreck or um from the bottom

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Speaker 1: of that ladder or whatever just happened to him, throw

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Speaker 1: them in the back of a car, a cop car,

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Speaker 1: or a hearse. I would looked it up the ECTO

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Speaker 1: one the ghostbusters, um ambulance is a modified Cadillac Hearse,

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Speaker 1: so um, they would dress the sinking feeling. It really

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Speaker 1: was for a mortician to show up in a Hearse

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Speaker 1: and be like, I'm gonna take you to the hospital.

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Speaker 1: Depending on what happens, you may be back in the

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Speaker 1: same car. Yeah, and talk about a conflict of interest,

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Speaker 1: you know what I mean, that's a good point. Hopefully not,

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Speaker 1: but yeah on paper, yeah right, or they just you know,

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Speaker 1: casually put their hand on the person's nose and mouth

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Speaker 1: in the backseat. Dry. Um. The thing is, though, is

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Speaker 1: whether the mortician or the cops were getting you to

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Speaker 1: the hospital. Even when you got to the hospital. It's

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Speaker 1: not like there was such a thing as an e

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Speaker 1: er room. E Arston come about really until like the

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Speaker 1: mid seventies, where you could find them in in fair

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Speaker 1: abundance around the United States. Like e r just didn't exist.

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Speaker 1: It was here you go, doc. I know, you just

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Speaker 1: delivered a baby and you um treated somebody else for Angelina,

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Speaker 1: but now you've got to put this person's head back together. Yeah,

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Speaker 1: And it was all just medicine at the time. So yeah,

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Speaker 1: the idea of getting somebody to a hospital and having

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Speaker 1: a medical person a professional in the car that's transporting them.

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Speaker 1: It came out of Ireland, I think, right yeah, big

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Speaker 1: shout out N seven to Dr J. Frank Pantridge of Belfast.

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Speaker 1: He had a study. He published a study that said, hey,

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Speaker 1: you know what, we have more success saving people's lives

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Speaker 1: when our mobile units have a physician or a nurse inside.

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Speaker 1: And everyone went, huh, I never really thought about that,

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Speaker 1: but there it is. There's a study. Pretty cool. So

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Speaker 1: he definitely um set the stage for this. And then

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Speaker 1: the year before there was a report I think it

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Speaker 1: was a year earlier, right, the one from Congress in

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Speaker 1: America a couple of years sixty five. I think it

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Speaker 1: was like the National Academy of Sciences or somebody basically

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Speaker 1: got together with another group and said, let's let's study accidents.

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Speaker 1: And what they came up with was this idea that

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Speaker 1: there was like this um overlooked disaster that happened, like

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Speaker 1: accidents were a huge, major leading cause of injury and

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Speaker 1: death in the United States, and the this inquiry determined

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Speaker 1: that we weren't doing much about it, and specifically a

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Speaker 1: lot of people died who otherwise wouldn't have if there

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Speaker 1: had been something like an emergency medical service to attend

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Speaker 1: to them at the accident scene and on the way

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Speaker 1: to the hospital, and then having the hospital actually know

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Speaker 1: what they were doing as far as emergency medicine goes. Yeah,

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Speaker 1: it's just it's just staggering to me. It seems so

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Speaker 1: intuitive and I can't believe it took that long for

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Speaker 1: this to happen, you know. Uh. And in fact, the

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Speaker 1: Emergency Medical Systems Act was signed in nineteen seventy three,

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Speaker 1: which basically said, we need a standardized system here, Yeah, nationwide.

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Speaker 1: That was after that paper came out in nineteen sixty six,

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Speaker 1: many years later. I mean that's the speed of government,

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Speaker 1: I guess. Uh. And then in nineteen seventy seven the

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Speaker 1: publication of the first very first national standard Curriculum for

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Speaker 1: e m T s and Paramedics seventy seven. Yeah. And

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Speaker 1: then so alongside this para this, um, they they there

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Speaker 1: were people like around the country, at universities around the

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Speaker 1: country and around the world, who, um, we're kind of

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Speaker 1: all recognizing all of this. At the same time that

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Speaker 1: there were there's a lot more that could be done

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Speaker 1: for people who were injured in accidents. Um. And so

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Speaker 1: you had the people at Pitt University of Pittsburgh taking

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Speaker 1: up the cause. Yeah, they started UM. Is it the Panthers? Huh,

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Speaker 1: they started UM creating some of the first curriculum for paramedics,

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Speaker 1: some of the earliest tests for paramedics. Uh. The University

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Speaker 1: of Cincinnati came up with the first curriculum for training

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Speaker 1: physicians in e er medicine. I think the University of

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Speaker 1: California was an early entrant into the world of of

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Speaker 1: UM teaching paramedicine. And I think they were the first

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Speaker 1: one to be accredited in nineteen eight, Like they had

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Speaker 1: their operation going for years, but they were the first

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Speaker 1: one to say, hey, somebody take a look at this

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Speaker 1: and make sure we're kosher, and then we can say

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Speaker 1: we're an accredited training facility for paramedics. It is. It

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Speaker 1: is pretty amazing. And then the problem is this, So

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Speaker 1: the federal government got into the act in nineteen seventy

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Speaker 1: three with the Emergency Medical Services Act. But bye, there

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Speaker 1: was an omnibus budget that said we're out, We're done,

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Speaker 1: We're not funding emergency services anymore. And then from that

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Speaker 1: point forward, the emergency service system in the United States,

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Speaker 1: whatever had been developed to that point, broke into patchworks

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Speaker 1: of state, local county programs, sometimes multiple ones within a

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Speaker 1: single county. I think there's a county in Michigan that

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Speaker 1: has like eighteen different emergency services UM and that has

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Speaker 1: kind of created this where we are now, which is

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Speaker 1: people doing the absolute us they can in what what

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Speaker 1: amounts to a broken system in a lot of ways.

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Speaker 1: Should we take a break, all right, when we come back,

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Speaker 1: we will put the broken system behind us momentarily. Talk

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Speaker 1: about e m t s and paramedics change to change,

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Speaker 1: all right. So if you want to ride in an

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Speaker 1: ambulance or drive an ambulance and get on the scene

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Speaker 1: and help someone out who's in need, there are a

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Speaker 1: couple of ways you can do it. UH. You can

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Speaker 1: be an empty emergency medical technician. And this is the UH.

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Speaker 1: This is the person who has has undergone about between

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Speaker 1: about a hundred and twenty and a hundred and fifty

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Speaker 1: hours of course work. They're they're well trained and all

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Speaker 1: kinds of life saving procedures. If you need CPR, if

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Speaker 1: you need oxygen administered, if you were having some bad

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Speaker 1: allergic reaction, that your life is in jeopardy. But there

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Speaker 1: are limits to what they are allowed to do. So

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Speaker 1: one thing they cannot do even in the case of

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Speaker 1: giving shots, is they can't break the skin, right, which

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Speaker 1: is super interesting. I never knew that. No, I didn't

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Speaker 1: know that either. But you can consider an e m

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Speaker 1: T like an entry level paramedicine professional, right, that's where

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Speaker 1: you would start. And in fact, I think you have

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Speaker 1: to start as an e m T to go on

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Speaker 1: to the next level, which would be paramedic. Yeah. So

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Speaker 1: if you're a paramedic, you have about ten times the

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Speaker 1: amount of coursework and schooling under your belt by the

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Speaker 1: time you're a paramedic. And I think you do have

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Speaker 1: to have about s months at least of prior immediately

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Speaker 1: prior e m T experience to start um becoming a

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Speaker 1: paramedic as well, which I'm sure is the way most

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Speaker 1: people go. As you start out as an e m

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Speaker 1: T and then you you know, move on to the

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Speaker 1: next level, which is paramedic. Yeah, which, like you said,

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Speaker 1: ten times, so that's about anywhere from hours depending on

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Speaker 1: your state or your municipality to get certified. And this

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Speaker 1: is where the real action can happen. Um, you can

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Speaker 1: give an i V. You can if someone's having a

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Speaker 1: heart attack, you can deal with that. You can operate uh, defibrulator, fibulator, fibrillator.

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Speaker 1: It's fun to say. Once you master it. They should

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Speaker 1: have just called it the the clear machine. Yeah, the uh.

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Speaker 1: But it's a it's a lot of work in a

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Speaker 1: lot of hours. And one of the people that they

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Speaker 1: interviewed in this article said that, you know, it's really grueling,

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Speaker 1: and when you're in paramedic training in school and doing

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Speaker 1: your coursework basically for a year or two, you can

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Speaker 1: just say goodbye to your friends and family. Yeah, I

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Speaker 1: saw that too. Stuff. So, um, the paramedic is actually

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Speaker 1: they operate under the license, not just like like under

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Speaker 1: the direction, but under the license of a physician in

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Speaker 1: their locale. Right, there's a couple of ways that you

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Speaker 1: can do it. And and as you'll start to see,

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Speaker 1: like I saw a quote that um it said, if

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Speaker 1: you've seen one emergency medical system, you've seen one emergency

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Speaker 1: medical system. They're all just so different and the whole

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Speaker 1: thing is so patchwork. But um there is a national standard,

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Speaker 1: which I think is the National Emergency Medical Technician Registry Exam.

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Speaker 1: That's like the national exam, and then you may have

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Speaker 1: to pass like a state and or local exam to

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Speaker 1: depending on where you live. But there is like a

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Speaker 1: national accreditation and national coursework. But then how the system

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Speaker 1: functions and runs is what's the the patchwork part of it. Yeah,

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Speaker 1: and it will cost you. I mean it depends on

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Speaker 1: where it is, of course, and what program. But the

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Speaker 1: the example they used in art article is the u

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Speaker 1: c l A Center for Prehospital Care. Uh, and they

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Speaker 1: quoted about ten grand for just tuition. And then of course,

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Speaker 1: like any college or coursework, you're gonna have to pay

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Speaker 1: for books and equipment and uniforms and stuff like that.

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Speaker 1: That's exactly where they get you the plaid skirt. Uh.

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Speaker 1: And then after that, though, the good news is is

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Speaker 1: that you have a really good chance of getting work.

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Speaker 1: I get the impression that if you have gone through

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Speaker 1: all of your paramedic training, you're not sitting around like

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Speaker 1: there's usually a job waiting for you somewhere. Yeah. I

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Speaker 1: saw that as well. And actually, um, it doesn't necessarily

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Speaker 1: pay super well people. So if you ever see a paramedic,

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Speaker 1: be extra nice to them for sure, because not only

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Speaker 1: are they running around saving people's lives, they're not getting

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Speaker 1: rich off of it at all. Um, They're doing it

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Speaker 1: because it's something they care about um, but they're just

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Speaker 1: bite that despite the mediocre pay um, it's I saw

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Speaker 1: it's gonna be one of the most in demand jobs

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Speaker 1: over the next like ten to fifteen years. I really

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Speaker 1: wish I could remember the statistic exactly, but I think

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Speaker 1: they're like expecting another like fifty three thousand e m

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Speaker 1: T jobs or paramedic jobs to be added to the

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Speaker 1: American economy over the next decade maybe. So it's definitely

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Speaker 1: a growing, growing um career for sure, growing profession. Yeah,

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Speaker 1: and you mentioned the pay. If you, uh, if you

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Speaker 1: go to the US Bureau of Labor Statistics to kind

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Speaker 1: of find a mean salary or something, they do it.

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Speaker 1: It's not really they should separate it out, but they

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Speaker 1: lump in e m T s and paramedics, when of

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Speaker 1: course e m T s don't make the kind of

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Speaker 1: money they're paramedic would. But they had a mean annual

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Speaker 1: wage of about thirty one dollars a few years ago. Uh.

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Speaker 1: And if you're in the top ten percent, it's about

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Speaker 1: fifty four thousand. And apparently this to Washington is one

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Speaker 1: on the higher side. They you can get as high

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Speaker 1: as seventy one grand in the state of Washington, but

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Speaker 1: I mean, you know, that's a that's a good living

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Speaker 1: and a decent living. But it's not like like you said,

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Speaker 1: they don't go into this because like, oh man, you

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Speaker 1: know that thirty one grand year. It's sort of like

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Speaker 1: being a school teacher. It's a I feel like it's

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Speaker 1: a calling in a lot of cases for sure. For

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Speaker 1: sure um as I was saying about the license that

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Speaker 1: they operate under, right, So if you're a certified paramedic

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Speaker 1: when you are um depending on the state you're in,

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Speaker 1: you may be operating under the license of the state

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Speaker 1: medical director, like that's where you have your license, or

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Speaker 1: you could also be operating under the license of a

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Speaker 1: local physician, like that physician's license covers you, covers the

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Speaker 1: physician's assistant, basically everything working for everyone working for him

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Speaker 1: or her. So you might be operating under that physician's license,

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Speaker 1: or I didn't know this man during an ambulance ride.

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Speaker 1: So remember how just adding like a trained medical professional

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Speaker 1: to the ride from an accident scene to the hospital

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Speaker 1: improves outcomes. And we've done that since nineteen sixty six

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Speaker 1: at least they've figured out that if you can communicate

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Speaker 1: with a doctor, an e er physician en route you

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Speaker 1: could also improve outcomes even more so. During these um

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Speaker 1: this transportation from an accident to the hospital, the paramedic

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Speaker 1: is probably in touch with an E R doctor who

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Speaker 1: is instructing UM and advising and consulting with the paramedic

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Speaker 1: to figure out the best course of action, the best

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Speaker 1: course of treatment, and then how to carry that out.

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Speaker 1: And from what I understand at that time, the paramedic

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Speaker 1: is operating under that physician's license in that state. Would

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Speaker 1: that make you feel better or worse? What that the

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Speaker 1: paramedic was getting instruction from a physician, Like if you're

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Speaker 1: here here this going on, I don't know. I would say.

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Speaker 1: Part of me is like better because it's a doctor

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Speaker 1: telling you that, But the other part of me is like,

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Speaker 1: don't you know? And you would hate to hear like

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Speaker 1: the doctors say, we'll get the something something and for

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Speaker 1: the paramedic to say the what you're right, I don't

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Speaker 1: know what that is. I've never seen this before ever.

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Speaker 1: Have you ever had to take an ambulance ride for yourself? No,

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Speaker 1: thank goodness, I didn't think I had either, But then

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Speaker 1: I did. Remember UM, when I was thirteen or fourteen,

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Speaker 1: my brother was sixteen, or seventeen, we were in a

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Speaker 1: car wreck. There were eight people in a jeep, my

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Speaker 1: and my brother's jeep that was once my dad's cheep,

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Speaker 1: and that was definitely not safe to do to begin with.

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Speaker 1: But we were going to a movie after church on

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Speaker 1: the Sunday night. A bunch of kids in youth group

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Speaker 1: piled and my brother's cheap wasted now just kidding, um,

355
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Speaker 1: completely sober wasted on the Lord we were and it

356
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Speaker 1: was raining really hard and uh, you know at at

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Speaker 1: Ponts ponstantly on Avenue here in Atlanta. Everyone that doesn't

358
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Speaker 1: live Atlanta probably laughs that we pronounced it that way

359
00:22:07,800 --> 00:22:11,840
Speaker 1: instead of pulse dadion. Uh. But on Ponts where it

360
00:22:12,240 --> 00:22:15,359
Speaker 1: kind of um, if you're leaving from Atlanta, it's that

361
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Speaker 1: big curve where you go over that large stone archway. Yes,

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Speaker 1: kind of headed toward Intdicator. We were coming down that

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Speaker 1: way nowhere near North Lake Mall where we were supposed

364
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Speaker 1: to be headed. We were lost and my brother we

365
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Speaker 1: hydroplane hit a curb and turned the jeep over on

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Speaker 1: its side and I ripped through the canvas ceiling or

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Speaker 1: whatever it's made. Man, you got thrown. Oh yeah, we

368
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Speaker 1: were scattered all over the street. You are lucky. I know.

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Speaker 1: It's the only time I think that I've been knocked unconscious,

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Speaker 1: and I just remember waking up, you know what would

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Speaker 1: have been probably seconds later, in the pouring rain, and

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Speaker 1: looking around and seeing my friends like scattered within like

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Speaker 1: twenty ft of each other in various places. Man, that

374
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Speaker 1: is scary stuff. It was scary so uh. In the end,

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Speaker 1: the good news is no one had like I think

376
00:23:05,840 --> 00:23:09,640
Speaker 1: the worst injury was like a broken collar bone. I

377
00:23:09,680 --> 00:23:13,080
Speaker 1: broke my finger. There were little cuts and scrapes, but

378
00:23:13,160 --> 00:23:16,760
Speaker 1: nobody was hurt bad. Uh. But I do remember this.

379
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Speaker 1: My brother doesn't listen to this one. In the ambulance

380
00:23:20,480 --> 00:23:23,560
Speaker 1: on the way, my brother was just sort of catatonic,

381
00:23:23,880 --> 00:23:27,040
Speaker 1: and they said they were trying to get information, and

382
00:23:27,080 --> 00:23:32,160
Speaker 1: they asked what his name was, and he said a whole.

383
00:23:34,840 --> 00:23:37,800
Speaker 1: He said a hole, he said the real world. Yeah.

384
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Speaker 1: I think he was just sort of out of it

385
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Speaker 1: and felt terrible. And he didn't curse at all at

386
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Speaker 1: the time. It still doesn't even curse much, but it

387
00:23:46,240 --> 00:23:48,840
Speaker 1: was just it's weird that that is what stands out

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Speaker 1: of my mind. I wonder if he remembers that. Actually, well,

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Speaker 1: that's a big one. Especially you didn't curse. You're not

390
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Speaker 1: so funny man, that's a that's you were a great storyteller.

391
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Speaker 1: Was that a good story? Yeah? I was like, I

392
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Speaker 1: was seriously, well, you kept like going off on tantons.

393
00:24:03,240 --> 00:24:04,840
Speaker 1: I'm like, no, We've got to get back to the story.

394
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Speaker 1: What happened to the cheek? I know you looked a

395
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Speaker 1: little nervous. Yeah, so, um wow, Okay, should we take

396
00:24:12,240 --> 00:24:15,240
Speaker 1: a break. Oh yeah? And also I forgot to mention

397
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Speaker 1: the one guy that was tragically killed. Right, You're like,

398
00:24:19,119 --> 00:24:22,159
Speaker 1: but did I mention? I also broke my finger. No, nobody,

399
00:24:22,280 --> 00:24:25,280
Speaker 1: nobody was hurt. Everybody's too bad. Everybody was good. Everybody's good.

400
00:24:25,280 --> 00:24:28,600
Speaker 1: I think my brother broke his foot. Yeah, it was

401
00:24:28,640 --> 00:24:30,680
Speaker 1: just stuff like that. Heck of a story, chuck, heck

402
00:24:30,720 --> 00:24:33,040
Speaker 1: of a story. Thank you? Uh yeah, let's take a

403
00:24:33,119 --> 00:25:03,200
Speaker 1: break and regroup, shall we. Yeah, let's do okay, check, Okay,

404
00:25:03,200 --> 00:25:06,119
Speaker 1: we're back. I'm not reeling quite as much as I was.

405
00:25:07,359 --> 00:25:09,720
Speaker 1: But that was a good story. Again, I feel like

406
00:25:09,760 --> 00:25:12,240
Speaker 1: we should mention even though it's kind of silly that

407
00:25:12,320 --> 00:25:16,160
Speaker 1: emergency TV show Oh yeah, for sure from the seventies,

408
00:25:16,200 --> 00:25:19,960
Speaker 1: because it seems like it definitely like actually played a

409
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Speaker 1: part in ramping up ambulance services. Yeah. So this is

410
00:25:26,400 --> 00:25:30,960
Speaker 1: I think n Or seventy two and it premiered and um,

411
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Speaker 1: remember the Emergency Medical Services Act wasn't passing until nineteen

412
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Speaker 1: seventy three. That white paper had come out in nineteen

413
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Speaker 1: sixty six. So this idea of like this new type

414
00:25:40,119 --> 00:25:43,560
Speaker 1: of medicine, this new type of like healthcare worker was

415
00:25:43,600 --> 00:25:45,760
Speaker 1: really on America's mind. But one of the ways it

416
00:25:45,800 --> 00:25:49,280
Speaker 1: got there was from that TV show Emergency, in part

417
00:25:49,320 --> 00:25:53,040
Speaker 1: because it was shot like documentary style. People played themselves

418
00:25:53,080 --> 00:25:55,679
Speaker 1: on it, like there were real dispatchers on the show

419
00:25:56,080 --> 00:26:01,400
Speaker 1: acting as dispatchers. Um, it just captured America his imagination. Yeah,

420
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Speaker 1: I remember watching it, see I I don't think I

421
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Speaker 1: ever saw an episode of it. Yeah. It was an

422
00:26:05,880 --> 00:26:10,760
Speaker 1: emergency with an exclamation point in Mantle seventy seven. And uh,

423
00:26:11,040 --> 00:26:15,200
Speaker 1: it was mainly two dudes, uh to firefighter characters is

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Speaker 1: what the story centered on. And one of them was

425
00:26:17,680 --> 00:26:24,240
Speaker 1: a young Kevin tig Ortigue. He was did you eversee Roadhouse? Yeah,

426
00:26:24,520 --> 00:26:26,560
Speaker 1: he was the owner. He's a character actor, he's been

427
00:26:26,600 --> 00:26:30,480
Speaker 1: in he owned the Double deucee. Yeah, he's great. Yeah,

428
00:26:30,760 --> 00:26:32,560
Speaker 1: I can't remember what else it's you. I've seen him

429
00:26:32,600 --> 00:26:35,520
Speaker 1: young before. I wonder if it was Emergency now that

430
00:26:35,560 --> 00:26:39,040
Speaker 1: you mentioned it. Maybe, huh, maybe I have, because I'm

431
00:26:39,080 --> 00:26:42,680
Speaker 1: gonna for sure it did. I'm a Jack Web fan,

432
00:26:42,760 --> 00:26:45,800
Speaker 1: and I think he produced or created it. You're big

433
00:26:45,920 --> 00:26:49,959
Speaker 1: Jack Web guy, are you not. I don't know. Uh,

434
00:26:51,040 --> 00:26:53,480
Speaker 1: he's the dude from Drag Night. He Sergeant Friday. Yeah,

435
00:26:53,520 --> 00:26:56,160
Speaker 1: I guess I need to think about that. Yeah, he's awesome.

436
00:26:56,280 --> 00:26:58,280
Speaker 1: I'll let you know, man, if you go back and

437
00:26:58,320 --> 00:27:00,879
Speaker 1: watch like old episodes of drag Now, Oh my god.

438
00:27:01,400 --> 00:27:03,280
Speaker 1: Yeah that was a good show. Yes, it was. And

439
00:27:03,320 --> 00:27:07,600
Speaker 1: I think Emergency maybe Adam twelve is like the direct

440
00:27:07,640 --> 00:27:10,480
Speaker 1: spinoff of Dragnet. Maybe that's what I'm thinking of. But

441
00:27:10,560 --> 00:27:13,000
Speaker 1: I swear I know exactly what you're talking about with

442
00:27:13,160 --> 00:27:18,600
Speaker 1: um fatigue fella from the Roadhouse and then wasn't Dragnet

443
00:27:19,080 --> 00:27:24,000
Speaker 1: Colonel Potter, Yes, Harry Morgan, right, we had a Emilina

444
00:27:24,080 --> 00:27:27,680
Speaker 1: had a long conversation about Match the other day and

445
00:27:27,720 --> 00:27:30,800
Speaker 1: how that was I was a mash nut, and how

446
00:27:30,880 --> 00:27:34,080
Speaker 1: that show was one of the few to survive like

447
00:27:34,359 --> 00:27:39,080
Speaker 1: major cast changes. Oh yeah, like three of them. Yeah,

448
00:27:39,119 --> 00:27:43,400
Speaker 1: they certainly didn't like like big stars, like co stars.

449
00:27:43,440 --> 00:27:45,040
Speaker 1: I think one of the few people who made it

450
00:27:45,040 --> 00:27:47,920
Speaker 1: through was Alan Alda, Right, he was there the whole time. Yeah,

451
00:27:47,960 --> 00:27:50,919
Speaker 1: and like Hot Lips I think was the same, Um

452
00:27:50,960 --> 00:27:55,240
Speaker 1: and a few others. But they had like Radar and Clinger. Yeah,

453
00:27:55,280 --> 00:27:58,800
Speaker 1: they co existed I think. But eventually Radar left and

454
00:27:58,840 --> 00:28:02,680
Speaker 1: Clinger took his job. They Potter took over for what's

455
00:28:02,720 --> 00:28:06,480
Speaker 1: his face, the original guy, I don't remember, but he

456
00:28:06,520 --> 00:28:08,840
Speaker 1: wore the fishing hat. Yeah, he was a man, the

457
00:28:08,880 --> 00:28:12,720
Speaker 1: saddest ending ever for that one. What when he left? Yeah,

458
00:28:12,720 --> 00:28:15,720
Speaker 1: I remember he got his papers to go home and

459
00:28:15,760 --> 00:28:18,720
Speaker 1: everyone's all excited and then he was killed in a

460
00:28:18,720 --> 00:28:22,399
Speaker 1: helicopter crash or a plane crash. I don't remember that

461
00:28:22,600 --> 00:28:25,960
Speaker 1: this way out. Uh. And then of course Frank Burns

462
00:28:26,040 --> 00:28:29,520
Speaker 1: left and was replaced by Winchester, and then Trapper left

463
00:28:29,560 --> 00:28:32,720
Speaker 1: and was replaced by Honeycutt. Right, but it just it

464
00:28:32,800 --> 00:28:36,040
Speaker 1: was still great, Well, I got it wasn't as great

465
00:28:36,080 --> 00:28:39,800
Speaker 1: at the very end. I don't know. Man, Goodbye, Farewell

466
00:28:39,800 --> 00:28:42,480
Speaker 1: and Amen was one of the all time best last episodes.

467
00:28:42,520 --> 00:28:45,320
Speaker 1: That true for sure, Um, But you're saying they pulled

468
00:28:45,320 --> 00:28:48,160
Speaker 1: it together at the at the last episode. I think

469
00:28:48,200 --> 00:28:50,320
Speaker 1: I remember the last couple of seasons, it was a

470
00:28:50,360 --> 00:28:53,320
Speaker 1: little bit like, you know this, maybe it did run

471
00:28:53,320 --> 00:28:56,600
Speaker 1: its course, but that was a very discerning twelve year

472
00:28:56,680 --> 00:29:01,880
Speaker 1: old viewer. Yeah, like they've really onto the hoo gin

473
00:29:02,080 --> 00:29:05,880
Speaker 1: joke too many times this episode. It is funny though that, like,

474
00:29:05,960 --> 00:29:07,959
Speaker 1: little twelve year old me thought, like the funniest thing

475
00:29:07,960 --> 00:29:11,880
Speaker 1: in the world was war surgeons. Drunk war surgeons, right,

476
00:29:12,120 --> 00:29:17,640
Speaker 1: drunk philandering war surgeons. Alright, I really got off track there. Yeah,

477
00:29:17,880 --> 00:29:20,120
Speaker 1: maybe we should take a third break. I don't think so.

478
00:29:20,360 --> 00:29:22,360
Speaker 1: I don't think we should either. So we're talking about

479
00:29:22,360 --> 00:29:26,240
Speaker 1: paramedics today, believe it or not. And um, one of

480
00:29:26,280 --> 00:29:30,520
Speaker 1: the things we talked about was the idea that that paramedics, well,

481
00:29:30,560 --> 00:29:32,880
Speaker 1: let's talk a little bit more about their job. Right.

482
00:29:33,480 --> 00:29:37,800
Speaker 1: One of the things that paramedics are sometimes criticized for is,

483
00:29:38,080 --> 00:29:41,480
Speaker 1: um that they don't run to the scene of an emergency.

484
00:29:41,600 --> 00:29:44,280
Speaker 1: I've never thought about that. Once you have it, I

485
00:29:44,480 --> 00:29:46,760
Speaker 1: I really hadn't either, But then I started thinking about

486
00:29:46,800 --> 00:29:49,880
Speaker 1: I'm like, yeah, I could totally see that. Um. Apparently,

487
00:29:49,920 --> 00:29:52,000
Speaker 1: for some people who are at an emergency scene and

488
00:29:52,000 --> 00:29:54,840
Speaker 1: see the paramedics kind of walk up, they appear a

489
00:29:54,840 --> 00:29:57,200
Speaker 1: little too casual, and they want to know, what are

490
00:29:57,240 --> 00:30:01,240
Speaker 1: you doing? Why aren't you rushing to this scene? And paramedics,

491
00:30:01,360 --> 00:30:04,800
Speaker 1: I think we saw a question answered on course Cora

492
00:30:04,960 --> 00:30:08,760
Speaker 1: or something like that, and um, a paramedic explains, there's

493
00:30:08,800 --> 00:30:11,880
Speaker 1: actually a number of really good reasons why paramedics why

494
00:30:11,920 --> 00:30:13,800
Speaker 1: you don't see them running to the scene. First of all,

495
00:30:13,840 --> 00:30:16,360
Speaker 1: they're gonna park as close as they can't, so that

496
00:30:16,480 --> 00:30:18,560
Speaker 1: running is only going to shave a couple of seconds off.

497
00:30:18,760 --> 00:30:20,920
Speaker 1: But really the number one reason, or one of the

498
00:30:20,960 --> 00:30:24,480
Speaker 1: top reasons, is that they are supposed to be they're

499
00:30:24,480 --> 00:30:28,400
Speaker 1: supposed to bring with them to this scene of catastrophe,

500
00:30:28,720 --> 00:30:37,440
Speaker 1: catastrophic panic, basically calm and professionalism and being in control. Yeah,

501
00:30:37,520 --> 00:30:38,920
Speaker 1: I get that, Like I think it would be a

502
00:30:38,920 --> 00:30:42,600
Speaker 1: little disconcerting if I was injured and I saw a

503
00:30:42,640 --> 00:30:46,080
Speaker 1: paramedic burst into the room like breathing heavy, like, oh

504
00:30:46,160 --> 00:30:50,040
Speaker 1: my god, what's going on? What's going on? Is everybody okay? Yeah?

505
00:30:50,040 --> 00:30:52,560
Speaker 1: Plus they might get hurt running, that's another one. And

506
00:30:52,600 --> 00:30:55,880
Speaker 1: they're usually you know, or not usually, but I would

507
00:30:55,880 --> 00:30:58,760
Speaker 1: say probably a lot of times. It's not like they're

508
00:30:58,760 --> 00:31:01,720
Speaker 1: walking through a you know, a perfectly laid pathway, like

509
00:31:02,000 --> 00:31:06,760
Speaker 1: they could be running upstairs or through a house of hoarders,

510
00:31:07,000 --> 00:31:09,760
Speaker 1: or you know, through the woods, like you don't know

511
00:31:09,800 --> 00:31:12,400
Speaker 1: what's going on. You gotta be careful on your way there. Yeah,

512
00:31:12,440 --> 00:31:14,840
Speaker 1: and you have to be going slow enough that you

513
00:31:14,920 --> 00:31:18,320
Speaker 1: can assess what the risks you're walking into our as

514
00:31:18,320 --> 00:31:20,520
Speaker 1: you're walking into them. Sure, then running into it and

515
00:31:20,560 --> 00:31:22,760
Speaker 1: being like, oh, the guy who shot you still here

516
00:31:22,760 --> 00:31:26,480
Speaker 1: waiting for me. You know now that I've run into

517
00:31:26,480 --> 00:31:29,520
Speaker 1: the scene. I know that, but it's terrible. Um. It's

518
00:31:29,560 --> 00:31:32,520
Speaker 1: also kind of hard to run from place to place,

519
00:31:32,520 --> 00:31:35,160
Speaker 1: depending on the equipment that they're carrying with them. Those

520
00:31:35,160 --> 00:31:39,080
Speaker 1: stretchers get heavy. Um, the e k G machines get heavy,

521
00:31:39,400 --> 00:31:42,040
Speaker 1: the defibrillators get heavy. All that stuff gets heavy. So

522
00:31:42,360 --> 00:31:44,240
Speaker 1: there's a number of reasons why you won't see a

523
00:31:44,280 --> 00:31:47,360
Speaker 1: paramedic rushing to the scene. You will see him rushing

524
00:31:47,400 --> 00:31:50,120
Speaker 1: to the scene in the ambulance though, and from what

525
00:31:50,160 --> 00:31:54,240
Speaker 1: I understand that driving in the ambulance or riding in

526
00:31:54,280 --> 00:31:58,959
Speaker 1: the ambulance is the most dangerous part of the entire job. Yeah,

527
00:31:59,000 --> 00:32:02,560
Speaker 1: and here's another tip. Aside from being nice to your

528
00:32:02,600 --> 00:32:06,640
Speaker 1: e M. T Or paramedic is. Don't call them ambulance drivers, yeah,

529
00:32:06,720 --> 00:32:09,840
Speaker 1: because that's part of their job. Uh. And it's a

530
00:32:09,840 --> 00:32:13,120
Speaker 1: weird thing too that there. It's not like they hire

531
00:32:13,160 --> 00:32:16,640
Speaker 1: a driver who's super skilled at that and then they

532
00:32:16,640 --> 00:32:18,440
Speaker 1: have other people in there that do the work like

533
00:32:18,520 --> 00:32:21,600
Speaker 1: they do double duty. They have to learn to drive

534
00:32:21,680 --> 00:32:24,960
Speaker 1: like that. And I mean, while they're e m T

535
00:32:25,120 --> 00:32:28,080
Speaker 1: s are paramedics. Yeah, And so you know, if you've

536
00:32:28,080 --> 00:32:31,520
Speaker 1: ever seen an ambulance going through an intersection, they're gonna

537
00:32:31,680 --> 00:32:35,120
Speaker 1: slow and and maybe even stop and then proceed. They

538
00:32:35,120 --> 00:32:38,960
Speaker 1: still get broadsided very frequently by people going through the

539
00:32:39,000 --> 00:32:41,080
Speaker 1: intersection because they they have a green light and they're

540
00:32:41,080 --> 00:32:44,680
Speaker 1: not paying attention. They'll they'll hit an ambulance like t

541
00:32:44,840 --> 00:32:48,160
Speaker 1: bone an ambulance. And the drivers probably okay, or I

542
00:32:48,160 --> 00:32:51,880
Speaker 1: should say the paramedic driving is probably okay, But the

543
00:32:51,880 --> 00:32:56,360
Speaker 1: paramedics in the back they probably aren't um lashed down

544
00:32:56,440 --> 00:32:58,680
Speaker 1: in any way, shape or form because they're working on

545
00:32:58,720 --> 00:33:01,680
Speaker 1: the patient and they're getting thrown around and can get

546
00:33:01,680 --> 00:33:04,960
Speaker 1: injured and killed themselves that way. So that's the most

547
00:33:05,040 --> 00:33:09,080
Speaker 1: dangerous aspect of the job from what I've seen. Yeah,

548
00:33:09,120 --> 00:33:12,280
Speaker 1: another interesting thing that I saw from that list you

549
00:33:12,320 --> 00:33:14,880
Speaker 1: sent was that if you're in a big city, a

550
00:33:14,920 --> 00:33:19,360
Speaker 1: lot of times they even have divided up between e

551
00:33:19,480 --> 00:33:24,240
Speaker 1: MT and paramedic for different cases. So like if if

552
00:33:24,240 --> 00:33:27,040
Speaker 1: there's a scene of trauma going on, like a car accident,

553
00:33:27,440 --> 00:33:29,200
Speaker 1: then you're more likely to get an e m T.

554
00:33:29,920 --> 00:33:32,360
Speaker 1: Whereas if you're at home and you're like my husband's

555
00:33:32,360 --> 00:33:35,120
Speaker 1: having a heart attack, where my child's having a seizure,

556
00:33:35,520 --> 00:33:38,280
Speaker 1: then you're more likely to get a paramedic. Yeah, which

557
00:33:38,320 --> 00:33:42,200
Speaker 1: is interesting. Yeah, And um, if in cities as well,

558
00:33:42,320 --> 00:33:44,960
Speaker 1: if you're a paramedic, you're probably once you get into

559
00:33:45,000 --> 00:33:48,760
Speaker 1: your ambulance, you're basically stationed at the ambulance for the

560
00:33:48,760 --> 00:33:52,040
Speaker 1: rest of your twelve hour shift. Um, you're you don't

561
00:33:52,080 --> 00:33:55,120
Speaker 1: go back to the firehouse or to the ambulance clubhouse

562
00:33:55,200 --> 00:33:59,920
Speaker 1: or anything like that. You're you're you're like on a desk,

563
00:34:00,080 --> 00:34:04,760
Speaker 1: neated street, corner, parked waiting for your next call. Um

564
00:34:04,800 --> 00:34:09,520
Speaker 1: probably killing time somehow, but you're you. There's there's not

565
00:34:09,719 --> 00:34:13,080
Speaker 1: very much downtime. And like in a in a city especially,

566
00:34:13,480 --> 00:34:16,960
Speaker 1: the opposite is true for more rural um e m

567
00:34:16,960 --> 00:34:19,319
Speaker 1: T s and paramedics, and that there's a lot of

568
00:34:19,360 --> 00:34:22,920
Speaker 1: downtime so much so that this guy who was actually

569
00:34:22,920 --> 00:34:26,239
Speaker 1: one of the consultants on that show Emergency years back, Uh,

570
00:34:26,320 --> 00:34:30,239
Speaker 1: he became a Minister of Health I think in Nova Scotia,

571
00:34:30,400 --> 00:34:36,120
Speaker 1: and he UM he created this program for rural e

572
00:34:36,280 --> 00:34:40,640
Speaker 1: m S workers UM to use their downtime in much

573
00:34:40,680 --> 00:34:42,719
Speaker 1: the same way that like a country doctor would have

574
00:34:42,719 --> 00:34:45,560
Speaker 1: made house calls. Yeah, so they're like, it wasn't the

575
00:34:45,600 --> 00:34:48,759
Speaker 1: idea that they would go to places and sort of

576
00:34:48,800 --> 00:34:53,800
Speaker 1: help train like regular citizens on how to avoid getting

577
00:34:53,840 --> 00:34:56,319
Speaker 1: hurt and stuff to begin with, right, Yeah, like like

578
00:34:56,400 --> 00:34:59,359
Speaker 1: doling out preventative medicine, like making sure that people are

579
00:34:59,400 --> 00:35:05,240
Speaker 1: taking their med since correctly, teaching CPR classes, UM, teaching

580
00:35:05,320 --> 00:35:08,560
Speaker 1: leading exercise classes for like seniors at a senior center,

581
00:35:08,840 --> 00:35:11,400
Speaker 1: like doing all the stuff to reduce the number of

582
00:35:11,440 --> 00:35:13,680
Speaker 1: calls that they have to go on anyway, so it

583
00:35:13,680 --> 00:35:16,760
Speaker 1: cuts down on their downtime, which I think is actually

584
00:35:16,880 --> 00:35:20,759
Speaker 1: very much appreciated by paramedics because there's really nothing more

585
00:35:20,800 --> 00:35:24,720
Speaker 1: boring than sitting around constantly, and then they're actually doing

586
00:35:24,800 --> 00:35:30,719
Speaker 1: something and and also UM making their community a healthier place. Yeah.

587
00:35:30,760 --> 00:35:32,400
Speaker 1: I thought it was funny when they were talking to

588
00:35:32,480 --> 00:35:36,960
Speaker 1: some real on the ground paramedics about the downtime, They're like, well,

589
00:35:37,239 --> 00:35:41,600
Speaker 1: HBO goes kind of awesome, right, yeah, Like, oh, well,

590
00:35:41,640 --> 00:35:43,200
Speaker 1: I guess you got a past of time. It's better

591
00:35:43,239 --> 00:35:47,799
Speaker 1: than Nicolas Cage and bringing out the dead. What did

592
00:35:47,800 --> 00:35:49,439
Speaker 1: he do? Because I remember that movie, but I don't

593
00:35:49,440 --> 00:35:53,080
Speaker 1: remember all the details of Well, it wasn't that great. Um,

594
00:35:53,200 --> 00:35:56,080
Speaker 1: I liked it. He did tons of drugs. Oh okay,

595
00:35:56,160 --> 00:35:59,480
Speaker 1: that's why or something I got you. Yeah, yeah, he

596
00:35:59,560 --> 00:36:03,080
Speaker 1: kept to be fired, right, I don't remember it very

597
00:36:03,160 --> 00:36:05,160
Speaker 1: very well at all. Actually, I think he did, like

598
00:36:05,200 --> 00:36:09,400
Speaker 1: that was his stick. He'd be he begged to be fired. Um.

599
00:36:09,440 --> 00:36:12,480
Speaker 1: So one of the things about those that downtime the

600
00:36:12,560 --> 00:36:17,440
Speaker 1: community community preventative medicine initiatives that have kind of spread

601
00:36:17,440 --> 00:36:21,520
Speaker 1: from Nova Scotia out through around the country. Um, when

602
00:36:22,239 --> 00:36:25,880
Speaker 1: you see a paramedic doing that, they're they're not being

603
00:36:25,920 --> 00:36:29,279
Speaker 1: paid or at the very least their unit or their

604
00:36:29,400 --> 00:36:31,919
Speaker 1: county or their city is not being paid for that,

605
00:36:32,600 --> 00:36:35,880
Speaker 1: which is a huge problem. Yeah, this is where I

606
00:36:35,880 --> 00:36:38,200
Speaker 1: got a little confused. The way I was reading this

607
00:36:39,560 --> 00:36:44,160
Speaker 1: was Medicaid and medicare and stuff in insurance companies will

608
00:36:44,200 --> 00:36:49,400
Speaker 1: reimburse only if they have transported someone to a hospital. Yes.

609
00:36:49,680 --> 00:36:52,560
Speaker 1: So in other words, if you go as an ambulance

610
00:36:52,600 --> 00:36:54,480
Speaker 1: in a paramedic or e n T to a place

611
00:36:55,000 --> 00:36:57,279
Speaker 1: and you actually can just help and treat someone there

612
00:36:57,640 --> 00:36:59,839
Speaker 1: and they don't need to go to the hospital, then

613
00:37:00,000 --> 00:37:03,080
Speaker 1: it's a freebee. Or did they send a bill to

614
00:37:03,200 --> 00:37:06,560
Speaker 1: the people? As from what I understand it's a freebie.

615
00:37:07,080 --> 00:37:10,239
Speaker 1: I don't probably since it is such a patchwork of

616
00:37:10,280 --> 00:37:13,640
Speaker 1: systems all around the country. I'm sure that you could

617
00:37:13,640 --> 00:37:15,879
Speaker 1: live somewhere where you the person would get a bill

618
00:37:15,920 --> 00:37:18,239
Speaker 1: for that. I think as a matter of fact, you

619
00:37:18,280 --> 00:37:22,000
Speaker 1: do no matter where you live. But um Medicaid and

620
00:37:22,040 --> 00:37:27,719
Speaker 1: Medicare won't pay for it. Um, So there is there

621
00:37:27,840 --> 00:37:34,440
Speaker 1: is a substantial reason to say, keep working chest compressions

622
00:37:34,440 --> 00:37:37,440
Speaker 1: on a person who is obviously dead all the way

623
00:37:37,480 --> 00:37:41,680
Speaker 1: to the hospital so that you can like bill Medicaid

624
00:37:41,719 --> 00:37:45,040
Speaker 1: for that transport or getting somebody to go to the

625
00:37:45,080 --> 00:37:47,480
Speaker 1: hospital even though they don't need to, so that you

626
00:37:47,520 --> 00:37:50,480
Speaker 1: can build Medicaid for that that as well. And the

627
00:37:50,920 --> 00:37:53,280
Speaker 1: problem is that that leads to other problems as well,

628
00:37:53,680 --> 00:37:57,400
Speaker 1: like hospital e ers are very much overcrowded and understaffed

629
00:37:57,400 --> 00:38:01,320
Speaker 1: and overworked. Right, so when you show up with another person.

630
00:38:01,560 --> 00:38:03,960
Speaker 1: That's one more person they have to deal with, and

631
00:38:04,360 --> 00:38:09,439
Speaker 1: apparently it creates a bit of a conflict. Yeah, there's

632
00:38:09,440 --> 00:38:12,600
Speaker 1: a cultural conflict between the people the paramedics and the

633
00:38:12,760 --> 00:38:14,719
Speaker 1: e m t s bringing people to the e R

634
00:38:15,000 --> 00:38:16,879
Speaker 1: and the people who staff the e ER and are

635
00:38:16,920 --> 00:38:19,759
Speaker 1: accepting these people, and so much so that there's it's

636
00:38:19,800 --> 00:38:23,480
Speaker 1: become kind of common for e ER rooms to um

637
00:38:23,520 --> 00:38:28,960
Speaker 1: to issue ambulance diversions saying don't bring anybody to our

638
00:38:29,040 --> 00:38:31,919
Speaker 1: e ER, go somewhere else. And on a really bad

639
00:38:32,040 --> 00:38:35,160
Speaker 1: night in a really populated city, you might find every

640
00:38:35,200 --> 00:38:40,120
Speaker 1: single uh e ER room like with that diversion alert

641
00:38:40,239 --> 00:38:42,440
Speaker 1: on and you've got to take somebody out to like

642
00:38:42,480 --> 00:38:45,880
Speaker 1: a country hospital that doesn't know anything about trauma, and

643
00:38:45,880 --> 00:38:48,719
Speaker 1: it takes forty five minutes to get there. Um, and

644
00:38:48,760 --> 00:38:50,319
Speaker 1: you're they're not going to get the care they could

645
00:38:50,320 --> 00:38:53,640
Speaker 1: receive at a good trauma center in the city. UM.

646
00:38:53,680 --> 00:38:56,680
Speaker 1: So that's a real problem. Yeah, and it isn't too

647
00:38:56,760 --> 00:39:00,000
Speaker 1: in terms of pay. And we need to hear from

648
00:39:00,040 --> 00:39:04,520
Speaker 1: people on the ground because this it's surprisingly confusing when

649
00:39:04,560 --> 00:39:07,720
Speaker 1: you research this on how it all works. Uh. And

650
00:39:07,920 --> 00:39:10,640
Speaker 1: maybe that's the point, but um, it seems like it's

651
00:39:10,640 --> 00:39:15,280
Speaker 1: also a fixed rate. There's no difference between I treated

652
00:39:15,440 --> 00:39:19,560
Speaker 1: a kid for an allergic beasting reaction to I brought

653
00:39:19,640 --> 00:39:21,360
Speaker 1: a guy back from the dead who had had a

654
00:39:21,400 --> 00:39:24,520
Speaker 1: heart attack or heart failure. Yeah, is that right? Yeah,

655
00:39:24,520 --> 00:39:27,200
Speaker 1: so long as you transport both of them to the hospital,

656
00:39:27,360 --> 00:39:29,200
Speaker 1: that you're gonna get. I think I saw as low

657
00:39:29,239 --> 00:39:31,960
Speaker 1: as twenty five bucks from medicaid in some places. I

658
00:39:32,000 --> 00:39:34,919
Speaker 1: don't understand this is the numbers just do not add up.

659
00:39:35,480 --> 00:39:38,120
Speaker 1: I don't get it at all. I know that some places,

660
00:39:38,200 --> 00:39:41,960
Speaker 1: some counties and cities fold their e M t R

661
00:39:42,080 --> 00:39:45,759
Speaker 1: E M S workers under their fire departments so that

662
00:39:45,840 --> 00:39:48,839
Speaker 1: they fall under the fire departments funding, which I think

663
00:39:48,840 --> 00:39:51,719
Speaker 1: fire departments tend to be way better funded than any

664
00:39:51,840 --> 00:39:55,120
Speaker 1: kind of E M S service. So I think that's how.

665
00:39:55,320 --> 00:39:57,719
Speaker 1: That's one way that it happens. But I just I

666
00:39:57,800 --> 00:40:01,680
Speaker 1: don't I don't get how this how this actually works

667
00:40:01,760 --> 00:40:05,200
Speaker 1: money wise, because it doesn't add up. It doesn't make sense. Yeah,

668
00:40:05,280 --> 00:40:09,000
Speaker 1: I mean, it's not often that we're a little stymied. UM,

669
00:40:09,040 --> 00:40:12,120
Speaker 1: So we're gonna follow up for sure with some emails.

670
00:40:12,800 --> 00:40:15,320
Speaker 1: But I think it's also going to vary from place

671
00:40:15,360 --> 00:40:17,719
Speaker 1: to place. Because the other thing that I got really

672
00:40:17,760 --> 00:40:23,600
Speaker 1: confused about was private the privatization of ambulance services. Uh.

673
00:40:23,640 --> 00:40:26,640
Speaker 1: And as best that as I can tell is in

674
00:40:26,680 --> 00:40:30,520
Speaker 1: the seventies and eighties there were a lot of small

675
00:40:30,719 --> 00:40:36,400
Speaker 1: private ambulance companies, but then they merged into more regional things,

676
00:40:36,480 --> 00:40:40,600
Speaker 1: and that these days there's just a few, like big

677
00:40:40,680 --> 00:40:45,560
Speaker 1: multinational companies that are the most dominant in the industry. Right.

678
00:40:45,840 --> 00:40:49,080
Speaker 1: But I don't get how that works, Like if they're private,

679
00:40:49,600 --> 00:40:52,920
Speaker 1: are they like working with only private hospitals or can

680
00:40:52,960 --> 00:40:55,560
Speaker 1: they go to a state hospital. I think that they

681
00:40:55,600 --> 00:40:57,799
Speaker 1: can get a contract from the state, they can be

682
00:40:58,120 --> 00:41:00,000
Speaker 1: they can have a license to operate within a state

683
00:41:00,000 --> 00:41:02,560
Speaker 1: AID or a county or wherever. Um, And I think

684
00:41:02,600 --> 00:41:06,480
Speaker 1: they go wherever they're called to. I know that there

685
00:41:06,480 --> 00:41:09,719
Speaker 1: can be like competition among them, so like multiple ambulances

686
00:41:09,719 --> 00:41:13,080
Speaker 1: will show up at a scene. Sometimes it's just it's

687
00:41:13,080 --> 00:41:16,440
Speaker 1: it's it's kind of a bit of a cluster um

688
00:41:16,480 --> 00:41:21,239
Speaker 1: as far as competing with the local E M. S services,

689
00:41:21,280 --> 00:41:23,560
Speaker 1: And I think it's on the decline from what I've seen.

690
00:41:23,920 --> 00:41:27,000
Speaker 1: But when you call nine one one, do you have

691
00:41:27,040 --> 00:41:29,839
Speaker 1: a choice? So what you can do? I think it's

692
00:41:29,920 --> 00:41:33,920
Speaker 1: kind of like Uber, where like they the nine one

693
00:41:34,000 --> 00:41:38,359
Speaker 1: one dispatcher has a log of companies or services like

694
00:41:38,640 --> 00:41:43,200
Speaker 1: public funded or private services that that it can be

695
00:41:43,239 --> 00:41:45,600
Speaker 1: issued too, and they send out the alarm and whoever

696
00:41:45,719 --> 00:41:49,759
Speaker 1: takes the call goes and gets it. Interesting. So the

697
00:41:49,840 --> 00:41:52,760
Speaker 1: problem is I saw a Las Vegas Review Journal article

698
00:41:52,760 --> 00:41:55,360
Speaker 1: about this. Las Vegas was debating whether to just totally

699
00:41:55,360 --> 00:41:58,440
Speaker 1: privatize their e M S services, and their e M

700
00:41:58,520 --> 00:42:01,239
Speaker 1: S is like went berserk there like no, like this

701
00:42:01,320 --> 00:42:04,839
Speaker 1: is this doesn't work? Um, the private companies are late.

702
00:42:04,880 --> 00:42:07,800
Speaker 1: I think they were late like ten thousand plus times

703
00:42:07,800 --> 00:42:11,279
Speaker 1: in one year in Las Vegas. Um, their response time

704
00:42:11,320 --> 00:42:13,560
Speaker 1: tends to be less than the actual fire department e

705
00:42:13,680 --> 00:42:18,360
Speaker 1: M S is. Um, it's just not as it's just

706
00:42:18,440 --> 00:42:22,080
Speaker 1: not as preferable. And the reason why ambulance private ambulance

707
00:42:22,120 --> 00:42:25,680
Speaker 1: services came about or became widespread is this this idea

708
00:42:25,719 --> 00:42:28,400
Speaker 1: that you should just privatize everything and then that competition

709
00:42:28,440 --> 00:42:31,600
Speaker 1: will keep everything going. And that hasn't necessarily panned out

710
00:42:31,640 --> 00:42:33,560
Speaker 1: to be the case. And from what I see, New

711
00:42:33,640 --> 00:42:36,600
Speaker 1: York is actually scaling back on their's right. Yeah, I

712
00:42:36,600 --> 00:42:40,440
Speaker 1: think Juliani is one of the people that really tried

713
00:42:40,520 --> 00:42:42,920
Speaker 1: and of course, you know, no surprise given his politics

714
00:42:43,360 --> 00:42:48,839
Speaker 1: trying to privatize the industry. Uh, but apparently a lot

715
00:42:48,880 --> 00:42:52,880
Speaker 1: of those had gone out gone bankrupt basically. And and

716
00:42:52,920 --> 00:42:59,040
Speaker 1: then during the um, during the housing boom, the financial collapse, strangely,

717
00:42:59,239 --> 00:43:01,239
Speaker 1: or maybe not straight asually because I don't understand it,

718
00:43:01,520 --> 00:43:05,839
Speaker 1: a lot of private equity firms started buying up ambulance services. Yeah,

719
00:43:05,920 --> 00:43:09,280
Speaker 1: that's there, you go, there's the downfall. It's just so interesting.

720
00:43:09,320 --> 00:43:11,920
Speaker 1: I know that this is one of those where someone's

721
00:43:11,920 --> 00:43:14,719
Speaker 1: gonna knock our socks off with a great email. Yeah.

722
00:43:14,840 --> 00:43:18,000
Speaker 1: I think Also, um, one more thing about the private

723
00:43:18,040 --> 00:43:21,000
Speaker 1: ambulance services, it's not like they're just a bad idea

724
00:43:21,080 --> 00:43:25,200
Speaker 1: all around. In a in a locale that is underserved,

725
00:43:25,520 --> 00:43:28,279
Speaker 1: if a company wants to come and set up ambulance services,

726
00:43:28,680 --> 00:43:31,239
Speaker 1: that would be great for that area because they have

727
00:43:31,360 --> 00:43:34,000
Speaker 1: a far you know they have. They can get places

728
00:43:34,040 --> 00:43:36,360
Speaker 1: faster in an ambulance than they could have before. In

729
00:43:36,400 --> 00:43:39,160
Speaker 1: a place where you've got your E m S overstretched

730
00:43:39,160 --> 00:43:41,480
Speaker 1: and the county's like, no, we're not hiring a single

731
00:43:42,040 --> 00:43:45,160
Speaker 1: additional E M S worker. The company that sets up

732
00:43:45,200 --> 00:43:48,680
Speaker 1: shop can actually take up the slack like there are

733
00:43:48,800 --> 00:43:52,960
Speaker 1: good aspects, so like, it's not just like some terrible idea,

734
00:43:53,400 --> 00:43:55,960
Speaker 1: but in practice that hasn't worked out as well as

735
00:43:56,080 --> 00:44:00,000
Speaker 1: as one would hope from what I understand. Yeah, em

736
00:44:00,040 --> 00:44:02,840
Speaker 1: mess workers like email us like explain this because I

737
00:44:03,040 --> 00:44:06,960
Speaker 1: really like you. I do not get who's footing the

738
00:44:07,000 --> 00:44:09,680
Speaker 1: bill has to be insurance companies, and then if you

739
00:44:09,719 --> 00:44:13,040
Speaker 1: don't have insurance, it has to be just the person

740
00:44:13,280 --> 00:44:17,000
Speaker 1: the individual. Yet, and I think we have. We waded

741
00:44:17,000 --> 00:44:20,440
Speaker 1: into the waters of doing a podcast once and didn't.

742
00:44:21,160 --> 00:44:23,160
Speaker 1: Didn't that correct because it was I mean, we'll do

743
00:44:23,160 --> 00:44:25,520
Speaker 1: it at some point, but I remember thinking, oh, that's

744
00:44:25,520 --> 00:44:27,839
Speaker 1: a good, easy ish one and it ended up like

745
00:44:28,120 --> 00:44:31,240
Speaker 1: being super convoluted. Yeah, I think I think we should

746
00:44:31,280 --> 00:44:33,600
Speaker 1: do that. We should also do um just e ers

747
00:44:33,640 --> 00:44:39,160
Speaker 1: in general too. So that's a bit about paramedics. Sounds

748
00:44:39,200 --> 00:44:42,759
Speaker 1: like there's way more to it, right, But you got

749
00:44:42,760 --> 00:44:46,560
Speaker 1: anything else for now? Okay, Well, since Chuck said no, sir,

750
00:44:46,880 --> 00:44:50,839
Speaker 1: it's time for listening to mail. All right, I'm gonna

751
00:44:50,880 --> 00:44:54,319
Speaker 1: call this we helped the dude win something. Yeah, I

752
00:44:54,320 --> 00:44:56,279
Speaker 1: love this one. Hey, guys, been listening to your show

753
00:44:56,320 --> 00:44:58,759
Speaker 1: for about four years and I always wanted to write

754
00:44:58,760 --> 00:45:01,000
Speaker 1: in but now I have a great reason. A local

755
00:45:01,040 --> 00:45:02,680
Speaker 1: store was doing a giveway a few days ago, and

756
00:45:02,719 --> 00:45:04,920
Speaker 1: they posted that the first people to show up and

757
00:45:04,960 --> 00:45:08,680
Speaker 1: answer correctly would win a prize. The question was bacon

758
00:45:08,719 --> 00:45:11,040
Speaker 1: and eggs was not always a breakfast food? And what

759
00:45:11,160 --> 00:45:12,759
Speaker 1: year did it become so? And who was the man

760
00:45:12,840 --> 00:45:17,800
Speaker 1: behind the marketing idea? So this guy sounded super excited

761
00:45:17,880 --> 00:45:20,359
Speaker 1: because he knew the answer. Immediately, I thought of your

762
00:45:20,360 --> 00:45:23,360
Speaker 1: show and the uncanny ability of Mr Edward Burney's to

763
00:45:23,400 --> 00:45:26,520
Speaker 1: pop up in seemingly strange histories. I remembered your pr

764
00:45:26,600 --> 00:45:29,319
Speaker 1: episode and knew it was sometime in the twenties. So

765
00:45:29,360 --> 00:45:31,800
Speaker 1: I hopped in my car and took off for the business.

766
00:45:32,440 --> 00:45:34,279
Speaker 1: When I got there, I told him to answer with

767
00:45:34,360 --> 00:45:37,720
Speaker 1: a startled look. They told me I'd want a huge

768
00:45:37,760 --> 00:45:43,239
Speaker 1: case of meat, and not just junkie stuff either. This

769
00:45:43,320 --> 00:45:45,880
Speaker 1: place sales to restaurants and businesses all across the country.

770
00:45:46,560 --> 00:45:49,560
Speaker 1: That I was super stoked. Good he's like I won

771
00:45:49,680 --> 00:45:54,359
Speaker 1: meat and not just like terrible meat, like good stuff too. Uh.

772
00:45:54,400 --> 00:45:56,120
Speaker 1: When they asked if I had to look it up,

773
00:45:56,160 --> 00:45:58,480
Speaker 1: I told them no, that I listened to stuff you

774
00:45:58,480 --> 00:46:00,080
Speaker 1: should know, and they retained it in the back of

775
00:46:00,160 --> 00:46:03,359
Speaker 1: my mind. They asked for the name of the show. Uh,

776
00:46:03,360 --> 00:46:04,960
Speaker 1: and they said they were going to play it for

777
00:46:05,000 --> 00:46:07,440
Speaker 1: all the workers there during the day, so now they

778
00:46:07,440 --> 00:46:10,719
Speaker 1: can get more difficult and random questions. That's awesome, and

779
00:46:10,760 --> 00:46:13,080
Speaker 1: he said it doesn't in there. I went back later

780
00:46:13,120 --> 00:46:14,719
Speaker 1: in the week and the same girl I've spoken to

781
00:46:14,800 --> 00:46:17,239
Speaker 1: recognized me. So they had two other people come in

782
00:46:17,719 --> 00:46:19,800
Speaker 1: that had known the answer from stuff you should know

783
00:46:19,840 --> 00:46:22,360
Speaker 1: as well. Al Right, even though we live in super

784
00:46:22,560 --> 00:46:26,560
Speaker 1: rural uh, Utah, you apparently have a large following. And

785
00:46:26,640 --> 00:46:30,640
Speaker 1: that is from John Robeson. Thanks John Robeson. I hope

786
00:46:30,640 --> 00:46:33,879
Speaker 1: you have a healthy E M S Service out there

787
00:46:34,200 --> 00:46:37,000
Speaker 1: to come find you after you eat that box of meat. Yeah,

788
00:46:37,080 --> 00:46:38,919
Speaker 1: and you know what, let's hear from Salt Lake City

789
00:46:38,920 --> 00:46:42,719
Speaker 1: because we have debated a live show there and just

790
00:46:42,840 --> 00:46:45,120
Speaker 1: didn't know if we had the support. So I want

791
00:46:45,120 --> 00:46:47,799
Speaker 1: to I want to hear it. Okay, well, come on here,

792
00:46:47,960 --> 00:46:52,160
Speaker 1: we want to hear from Utah in's and E M. S. Workers. Yeah.

793
00:46:52,200 --> 00:46:55,000
Speaker 1: If we get ten people that email us and say

794
00:46:55,000 --> 00:46:57,239
Speaker 1: to come to the Salt Lake City will come. I

795
00:46:57,280 --> 00:47:01,279
Speaker 1: think we should set the bar higher than that. Okay, Okay, Uh, Well,

796
00:47:01,360 --> 00:47:03,719
Speaker 1: if you want to let us know that you're from

797
00:47:03,800 --> 00:47:06,040
Speaker 1: Utah and you want us to come, or you're an

798
00:47:06,040 --> 00:47:08,080
Speaker 1: E M S worker and you've got some good stories

799
00:47:08,120 --> 00:47:10,479
Speaker 1: for us. You can tweet to us. I'm at josh

800
00:47:10,560 --> 00:47:13,880
Speaker 1: um Clark and at s Y s K podcast. Chuck's

801
00:47:13,920 --> 00:47:17,359
Speaker 1: at Charles W. Chuck Bryant on Facebook dot com and

802
00:47:17,480 --> 00:47:20,080
Speaker 1: at Stuff you Should Know on Facebook as well. You

803
00:47:20,120 --> 00:47:22,960
Speaker 1: can send us an email. It's probably easiest to stuff

804
00:47:23,000 --> 00:47:25,560
Speaker 1: podcasts at how stuff Works dot com is always joined

805
00:47:25,600 --> 00:47:27,439
Speaker 1: us at at Home on the web Stuff you Should

806
00:47:27,480 --> 00:47:34,640
Speaker 1: Know dot com. For more on this and thousands of

807
00:47:34,680 --> 00:47:47,399
Speaker 1: other topics, is it how stuff Works dot com