1 00:00:00,680 --> 00:00:03,520 Speaker 1: Hi everybody. Chuck here, I just. 2 00:00:03,560 --> 00:00:07,480 Speaker 2: Realized I have almost cut my finger off while I 3 00:00:07,600 --> 00:00:11,720 Speaker 2: was playing with a pocket knife just now, and it's 4 00:00:11,760 --> 00:00:14,920 Speaker 2: bleeding quite a bit. So I'm gonna call nine one one, 5 00:00:15,680 --> 00:00:17,279 Speaker 2: and in the meantime, I'm going to listen to this 6 00:00:17,320 --> 00:00:20,360 Speaker 2: episode from April twelfth, twenty eighteen, how Paramedics Work. 7 00:00:20,760 --> 00:00:22,079 Speaker 1: Oh, thank god. 8 00:00:27,200 --> 00:00:35,040 Speaker 3: Welcome to Stuff You Should Know, a production of iHeartRadio. 9 00:00:37,120 --> 00:00:39,960 Speaker 4: Hey, and welcome to the podcast. I'm Josh Clark with 10 00:00:40,080 --> 00:00:44,680 Speaker 4: Charles W Chuck Bryant, and there's Jerry Jerome Roland and 11 00:00:44,760 --> 00:00:48,400 Speaker 4: this is Stuff you Should Know The Emergency. 12 00:00:48,360 --> 00:00:49,880 Speaker 1: Real Rear Rear. 13 00:00:50,280 --> 00:00:55,680 Speaker 4: War er er aw. 14 00:00:57,160 --> 00:01:01,280 Speaker 3: We should have a new podcast called Sirens Are the World. Yeah, 15 00:01:02,240 --> 00:01:03,360 Speaker 3: it's just annoying show. 16 00:01:03,400 --> 00:01:06,520 Speaker 4: Ever, it would be pretty annoying, but there'd be some 17 00:01:06,560 --> 00:01:09,600 Speaker 4: subset of people who like just really despise themselves that 18 00:01:09,640 --> 00:01:10,839 Speaker 4: it'd be popular. 19 00:01:10,440 --> 00:01:12,680 Speaker 1: Among so we would love it. 20 00:01:13,520 --> 00:01:16,520 Speaker 4: Uh, we don't hate ourselves, do we tell me? I 21 00:01:16,680 --> 00:01:17,120 Speaker 4: need to know? 22 00:01:17,560 --> 00:01:19,640 Speaker 1: No? Okay, So it depends on the day. 23 00:01:20,000 --> 00:01:21,160 Speaker 4: I didn't want to hate myself. 24 00:01:21,280 --> 00:01:23,400 Speaker 1: Sometimes I want to punch myself. Does that count? 25 00:01:23,600 --> 00:01:25,959 Speaker 4: No? I know exactly what you mean. Man. Sometimes I'm 26 00:01:26,000 --> 00:01:30,319 Speaker 4: just like I am so sick of myself? Is that 27 00:01:30,480 --> 00:01:31,520 Speaker 4: is that what you're talking about? 28 00:01:32,400 --> 00:01:34,960 Speaker 1: That was a good song. Remember that song? No sick 29 00:01:35,000 --> 00:01:38,480 Speaker 1: of myself? No, that was Matthew Sweet. 30 00:01:39,640 --> 00:01:42,680 Speaker 4: Oh yeah, wow, that's weird that this is going on 31 00:01:42,760 --> 00:01:46,800 Speaker 4: right now, because Matthew Sweet just popped up like randomly 32 00:01:46,840 --> 00:01:49,639 Speaker 4: in the last couple of days, and like an article 33 00:01:49,680 --> 00:01:51,400 Speaker 4: I was reading, I was like, I forgot about him, 34 00:01:51,480 --> 00:01:53,600 Speaker 4: haven't heard about him in twenty years, and then bam, 35 00:01:53,880 --> 00:01:55,600 Speaker 4: bottom mine hoff, here he is again. 36 00:01:55,800 --> 00:01:57,400 Speaker 1: Well he's still around, he's in Atlantic. Guy. 37 00:01:57,440 --> 00:02:01,360 Speaker 4: You know, I didn't know that. Yeah, well that's cool. Yeah, 38 00:02:01,360 --> 00:02:03,400 Speaker 4: I know. I think I think that's like the way 39 00:02:03,440 --> 00:02:06,080 Speaker 4: it goes. Just because you had one hit in the 40 00:02:06,080 --> 00:02:08,160 Speaker 4: world came and like listened to you and then moved 41 00:02:08,200 --> 00:02:10,000 Speaker 4: on doesn't mean like you're like, Okay, well I guess 42 00:02:10,040 --> 00:02:12,720 Speaker 4: I'll go bury myself alive now in my own backyard. 43 00:02:13,280 --> 00:02:16,200 Speaker 4: Usually usually the artist like keeps going. 44 00:02:16,240 --> 00:02:18,480 Speaker 1: Yeah, you know, yeah, he had two hits. 45 00:02:18,280 --> 00:02:21,240 Speaker 4: Stuff, I know, girlfriend, and then the other one you're 46 00:02:21,320 --> 00:02:21,920 Speaker 4: talking about. 47 00:02:21,840 --> 00:02:23,240 Speaker 1: Yeah girlfriend, that's a great song. 48 00:02:24,240 --> 00:02:29,079 Speaker 4: Yeah it's a good song. Okay. So obviously what we're 49 00:02:29,120 --> 00:02:34,880 Speaker 4: talking about today are paramedics, para medicine really is what 50 00:02:34,919 --> 00:02:39,440 Speaker 4: we're talking about, yeah, which is it's actually a pretty 51 00:02:39,480 --> 00:02:42,240 Speaker 4: interesting topic because you kind of look into it, You're like, oh, 52 00:02:42,320 --> 00:02:46,800 Speaker 4: these people save lives. That's great. Here's some of the 53 00:02:46,840 --> 00:02:50,760 Speaker 4: life saving techniques that they do. Fantastic, But there's like, 54 00:02:50,840 --> 00:02:53,840 Speaker 4: actually so much more too. It's got a really interesting history, 55 00:02:54,320 --> 00:02:57,519 Speaker 4: it's got a a a it's one of those things 56 00:02:57,520 --> 00:03:00,240 Speaker 4: where it's way worse off than it should be as 57 00:03:00,280 --> 00:03:04,880 Speaker 4: far as like funding and like logistics and stuff like 58 00:03:04,919 --> 00:03:07,800 Speaker 4: that goes. I just find it interesting. It's it's interesting 59 00:03:07,800 --> 00:03:11,959 Speaker 4: to kind of poke into a topic and then find that, oh, 60 00:03:12,000 --> 00:03:13,840 Speaker 4: this is even more interesting than I thought, and have 61 00:03:13,919 --> 00:03:17,280 Speaker 4: it poked back yep with forceps. 62 00:03:18,000 --> 00:03:20,480 Speaker 3: So I guess we should say right off the bat 63 00:03:20,480 --> 00:03:28,840 Speaker 3: that the word paramedic para means alongside, so alongside medicine, 64 00:03:28,880 --> 00:03:31,480 Speaker 3: I guess, which I'm not quite sure what that means. 65 00:03:33,040 --> 00:03:36,200 Speaker 4: So what I think it means is, as follows Charles, 66 00:03:37,840 --> 00:03:43,560 Speaker 4: these people paramedics. They are not doctors, correct, but they 67 00:03:43,640 --> 00:03:49,680 Speaker 4: work with and alongside and really honestly as an extension 68 00:03:50,200 --> 00:03:55,080 Speaker 4: of a doctor. An So that's what I think it means, 69 00:03:55,120 --> 00:03:57,280 Speaker 4: because it's not like what they're doing is a different 70 00:03:57,320 --> 00:04:00,760 Speaker 4: type of wacky medicine. Like they're actually doing the same 71 00:04:00,800 --> 00:04:03,920 Speaker 4: type of medicine that an er doctor, an er nurse 72 00:04:03,960 --> 00:04:07,520 Speaker 4: would be doing in an er they're just doing it 73 00:04:07,520 --> 00:04:08,200 Speaker 4: out in the field. 74 00:04:08,240 --> 00:04:10,440 Speaker 3: Could you imagine how disconcerting it would be to be 75 00:04:10,600 --> 00:04:13,240 Speaker 3: like on the ground and have a paramedic come up 76 00:04:13,240 --> 00:04:15,280 Speaker 3: and like blow green dust in your face. 77 00:04:16,400 --> 00:04:18,080 Speaker 4: You're like, what are the chicken bones for? 78 00:04:18,320 --> 00:04:18,520 Speaker 3: Man? 79 00:04:18,720 --> 00:04:23,159 Speaker 4: Oh man, blow green dusting. I don't know, it would 80 00:04:23,160 --> 00:04:25,280 Speaker 4: depend on what the effect of the green dust was. 81 00:04:25,440 --> 00:04:30,320 Speaker 4: It's true, so I think that's what paramedic means. Right, Okay, 82 00:04:30,720 --> 00:04:33,720 Speaker 4: we can go we can go further back actually and 83 00:04:33,800 --> 00:04:36,960 Speaker 4: describe what ambulance means. We know that one for certain. 84 00:04:37,560 --> 00:04:45,200 Speaker 3: Yes, that came around in fifteenth century Spain during the Inquisition. 85 00:04:45,560 --> 00:04:49,520 Speaker 3: They clearly had a lot of need for medical work yea. 86 00:04:50,000 --> 00:04:54,320 Speaker 3: And they actually had field hospitals that were called ambulancius right. 87 00:04:54,520 --> 00:04:56,919 Speaker 4: It was just basically like a mass unit out in 88 00:04:56,960 --> 00:05:04,000 Speaker 4: the field. And then eventu the French shortly after, I 89 00:05:04,000 --> 00:05:08,360 Speaker 4: think under Napoleon they innovated on the ambulance and said, well, 90 00:05:08,400 --> 00:05:10,640 Speaker 4: that's great, that's neat that we have these things out 91 00:05:10,640 --> 00:05:13,239 Speaker 4: in the field. But there's some guys way over there 92 00:05:13,680 --> 00:05:18,560 Speaker 4: who are injured, and they probably wouldn't die if we 93 00:05:18,640 --> 00:05:23,440 Speaker 4: could get them to these ambulances, these field hospitals, right, correct. 94 00:05:23,720 --> 00:05:28,560 Speaker 4: So they came up with basically mobile ambulances, which is 95 00:05:28,920 --> 00:05:31,360 Speaker 4: this idea of a flying or a moving ambulance, which 96 00:05:31,400 --> 00:05:34,800 Speaker 4: is like a little medical facility that they would put 97 00:05:34,839 --> 00:05:38,599 Speaker 4: the people into and move them away from battle to 98 00:05:38,640 --> 00:05:41,400 Speaker 4: go patch them up, rather than waiting for the battle 99 00:05:41,440 --> 00:05:41,880 Speaker 4: to end. 100 00:05:42,240 --> 00:05:42,360 Speaker 1: Well. 101 00:05:42,440 --> 00:05:46,080 Speaker 3: Yeah, and before that, even during the Crusades, and they 102 00:05:46,120 --> 00:05:49,520 Speaker 3: also had a great need for medical care, there were 103 00:05:49,520 --> 00:05:53,600 Speaker 3: the Knights Hospitaller Hospital. 104 00:05:53,160 --> 00:05:55,960 Speaker 4: Or I think Hospitalita. 105 00:05:56,839 --> 00:05:58,120 Speaker 1: Oh whoa, is. 106 00:05:58,120 --> 00:06:00,360 Speaker 4: There an extra I might be putting an extra bull 107 00:06:00,440 --> 00:06:02,280 Speaker 4: in there. Well, that's a right I'm known to do. 108 00:06:02,320 --> 00:06:05,400 Speaker 1: That's pastime time, Knight's Hospitaller. 109 00:06:05,720 --> 00:06:07,760 Speaker 3: That's what I'm gonna say of the Order of Saint 110 00:06:07,839 --> 00:06:11,760 Speaker 3: John of Jerusalem. And they were the first kind of 111 00:06:11,800 --> 00:06:16,160 Speaker 3: the first people to practice emergency medicine on the battlefield. 112 00:06:16,160 --> 00:06:18,920 Speaker 1: And they even invented the what we. 113 00:06:18,920 --> 00:06:23,239 Speaker 3: Now call the stretcher, although it's still called a litter 114 00:06:24,040 --> 00:06:24,919 Speaker 3: in some circles. 115 00:06:25,320 --> 00:06:29,480 Speaker 4: Yeah, it's a pretty intuitive thing, but it's it works. 116 00:06:29,520 --> 00:06:30,520 Speaker 1: Someone had to think of it. 117 00:06:30,600 --> 00:06:34,200 Speaker 4: A couple of sticks with some canvas stretch between them. 118 00:06:34,360 --> 00:06:36,520 Speaker 4: Throw a person on there, you can pick them up. 119 00:06:36,520 --> 00:06:38,440 Speaker 4: Two people can pick them up and get them off 120 00:06:38,440 --> 00:06:39,880 Speaker 4: of the battlefield, lickety split. 121 00:06:40,000 --> 00:06:40,360 Speaker 1: Hooray. 122 00:06:41,000 --> 00:06:44,640 Speaker 4: So yeah, so this is the idea of emergency medicine 123 00:06:45,040 --> 00:06:49,600 Speaker 4: grew basically exclusively out of warfare over the centuries. 124 00:06:49,839 --> 00:06:52,960 Speaker 3: Well yeah, but what's remarkable to me is that from 125 00:06:53,000 --> 00:06:55,680 Speaker 3: that time I had the right idea, let's get these 126 00:06:55,720 --> 00:06:59,000 Speaker 3: people out of here quickly. It took about one hundred 127 00:06:59,040 --> 00:07:02,760 Speaker 3: and thirty years all the way until the mid to 128 00:07:02,839 --> 00:07:08,040 Speaker 3: late nineteen sixties until they said, hey, wait a minute, 129 00:07:08,360 --> 00:07:12,040 Speaker 3: if we actually put trained medical people in these things 130 00:07:12,360 --> 00:07:16,040 Speaker 3: and weren't simply driving people to a hospital, we might 131 00:07:16,080 --> 00:07:16,960 Speaker 3: have even more luck. 132 00:07:17,320 --> 00:07:22,600 Speaker 4: Yeah, that was the late sixties and then amazing it is. 133 00:07:22,800 --> 00:07:25,400 Speaker 4: And at the time it was so a lot of 134 00:07:25,480 --> 00:07:30,160 Speaker 4: medicine was practiced through house calls, right, including emergencies Like 135 00:07:30,200 --> 00:07:31,920 Speaker 4: if there was an emergency and you could get a 136 00:07:31,920 --> 00:07:34,080 Speaker 4: hold of a doctor, the doctor was expected to go 137 00:07:34,160 --> 00:07:37,120 Speaker 4: out to that emergency and do what they could, but 138 00:07:37,400 --> 00:07:43,160 Speaker 4: more often than not, either the cops or local morticians 139 00:07:43,800 --> 00:07:47,120 Speaker 4: were tasked with basically was called like a scoop and 140 00:07:47,440 --> 00:07:50,360 Speaker 4: scoop and run or scoop and carry, where you just 141 00:07:50,400 --> 00:07:52,840 Speaker 4: basically get the person out of that car wreck or 142 00:07:53,720 --> 00:07:56,680 Speaker 4: from the bottom of that ladder or whatever just happened 143 00:07:56,680 --> 00:07:59,320 Speaker 4: to them, throw them in the back of a car, 144 00:07:59,520 --> 00:08:03,240 Speaker 4: a cop or a hearse. I would looked it up. 145 00:08:03,280 --> 00:08:10,240 Speaker 4: The ECDO one the Ghostbusters ambulance is a modified Cadillac Hearse. 146 00:08:10,320 --> 00:08:13,720 Speaker 3: Oh yeah, so they would dress the sinking feeling. It 147 00:08:13,800 --> 00:08:16,160 Speaker 3: really was for a mortician to show up in ahearse 148 00:08:16,200 --> 00:08:18,240 Speaker 3: and be like, I'm gonna take you to the hospital. 149 00:08:18,640 --> 00:08:20,680 Speaker 3: Depending on what happens, you may be back in the 150 00:08:20,680 --> 00:08:21,240 Speaker 3: same car. 151 00:08:21,560 --> 00:08:23,760 Speaker 4: Yeah, and talk about a conflict of interest, you know 152 00:08:23,760 --> 00:08:24,120 Speaker 4: what I mean. 153 00:08:24,280 --> 00:08:25,200 Speaker 1: Oh, that's a good point. 154 00:08:26,240 --> 00:08:30,720 Speaker 4: Hopefully not but yeah on paper, yeah right, Or they 155 00:08:30,840 --> 00:08:33,679 Speaker 4: just you know, casually put their hand on the person's 156 00:08:33,720 --> 00:08:38,240 Speaker 4: nose and mouth in the backseat. Dry. The thing is, though, 157 00:08:38,360 --> 00:08:41,120 Speaker 4: is whether the mortician or the cops were getting you 158 00:08:41,240 --> 00:08:44,920 Speaker 4: to the hospital. Even when you got to the hospital. 159 00:08:44,960 --> 00:08:46,480 Speaker 4: It's not like there was such a thing as an 160 00:08:46,800 --> 00:08:49,520 Speaker 4: er room. E Ers didn't come about really until like 161 00:08:49,600 --> 00:08:53,800 Speaker 4: the mid seventies, where you could find them in fair 162 00:08:53,840 --> 00:08:57,600 Speaker 4: abundance around the United states like ers just didn't exist. 163 00:08:57,600 --> 00:09:00,560 Speaker 4: It was here you go, doc. I know you delivered 164 00:09:00,559 --> 00:09:04,080 Speaker 4: a baby and you treated somebody else for angina, but 165 00:09:04,400 --> 00:09:06,880 Speaker 4: now you've got to put this person's head back together. 166 00:09:07,679 --> 00:09:08,040 Speaker 1: Wow. 167 00:09:08,520 --> 00:09:10,760 Speaker 4: Yeah. And it was all just medicine at the time. 168 00:09:11,000 --> 00:09:13,839 Speaker 4: So yeah, the idea of getting somebody to a hospital 169 00:09:14,480 --> 00:09:17,920 Speaker 4: and having a medical person, a professional in the car 170 00:09:17,960 --> 00:09:21,360 Speaker 4: that's transporting them. It came out of Ireland, I think, right. 171 00:09:21,760 --> 00:09:24,640 Speaker 3: Yeah, big shout out nineteen sixty seven to doctor J. 172 00:09:24,800 --> 00:09:29,720 Speaker 3: Frank Pantridge of Belfast. He had a study. He published 173 00:09:29,800 --> 00:09:32,760 Speaker 3: a study that said, hey, you know what, we have 174 00:09:32,840 --> 00:09:37,200 Speaker 3: more success saving people's lives when our mobile units have 175 00:09:37,440 --> 00:09:39,840 Speaker 3: a physician or a nurse inside. 176 00:09:40,280 --> 00:09:44,040 Speaker 5: Right, And everyone went, huh, never really thought about that, 177 00:09:44,360 --> 00:09:47,559 Speaker 5: but there it is, there's a study. Yeah, pretty cool. 178 00:09:48,360 --> 00:09:51,880 Speaker 5: So he definitely set the stage for this. 179 00:09:51,960 --> 00:09:56,320 Speaker 4: And then the year before there was a report I 180 00:09:56,320 --> 00:09:58,400 Speaker 4: think it was a year earlier, right, the one from 181 00:09:58,800 --> 00:09:59,959 Speaker 4: Congress in America. 182 00:10:00,200 --> 00:10:01,360 Speaker 1: A couple of years sixty five. 183 00:10:01,760 --> 00:10:04,079 Speaker 4: I think it was like the National Academy of Sciences 184 00:10:04,120 --> 00:10:07,520 Speaker 4: or somebody basically got together with another group and said, 185 00:10:08,160 --> 00:10:10,920 Speaker 4: let's study accidents. And what they came up with was 186 00:10:10,960 --> 00:10:19,480 Speaker 4: this idea that there was like this overlooked disaster that happened. 187 00:10:19,520 --> 00:10:22,960 Speaker 4: Like accidents were a huge, major leading cause of injury 188 00:10:22,960 --> 00:10:27,520 Speaker 4: and death in the United States, and this inquiry determined 189 00:10:27,520 --> 00:10:30,840 Speaker 4: that we weren't doing much about it, and specifically a 190 00:10:30,880 --> 00:10:34,600 Speaker 4: lot of people died who otherwise wouldn't have if there 191 00:10:34,600 --> 00:10:38,200 Speaker 4: had been something like an emergency medical service to attend 192 00:10:38,200 --> 00:10:41,280 Speaker 4: to them at the accident scene and on the way 193 00:10:41,360 --> 00:10:44,520 Speaker 4: to the hospital, and then having the hospital actually know 194 00:10:44,559 --> 00:10:47,160 Speaker 4: what they were doing as far as emergency medicine goes. 195 00:10:47,520 --> 00:10:49,280 Speaker 1: Yeah, it's just staggering to me. 196 00:10:49,320 --> 00:10:52,080 Speaker 3: It seems so intuitive and I can't believe it took 197 00:10:52,120 --> 00:10:56,439 Speaker 3: that long for this to happen, you know. And in fact, 198 00:10:57,040 --> 00:11:03,360 Speaker 3: the Emergency Medical Systems Act was signed in nineteen seventy three, 199 00:11:04,720 --> 00:11:06,040 Speaker 3: which basically said. 200 00:11:05,800 --> 00:11:08,079 Speaker 1: We need a standardized system here. 201 00:11:08,640 --> 00:11:11,520 Speaker 4: Yeah, a nationwide That was after that paper came out 202 00:11:11,600 --> 00:11:12,760 Speaker 4: in nineteen sixty six. 203 00:11:13,080 --> 00:11:16,120 Speaker 3: Yea many years later. I mean that's a speed of government, 204 00:11:16,160 --> 00:11:19,400 Speaker 3: I guess. And then in nineteen seventy seven the publication 205 00:11:19,480 --> 00:11:24,360 Speaker 3: of the first very first national standard Curriculum for EMTs 206 00:11:24,400 --> 00:11:26,079 Speaker 3: and Paramedics seventy seven. 207 00:11:26,400 --> 00:11:26,760 Speaker 1: Yeah. 208 00:11:26,800 --> 00:11:32,240 Speaker 4: And then so alongside this para, this they there were 209 00:11:32,280 --> 00:11:34,920 Speaker 4: people like around the country, at universities around the country 210 00:11:34,920 --> 00:11:39,160 Speaker 4: and around the world who were kind of all recognizing 211 00:11:39,200 --> 00:11:41,480 Speaker 4: all of this at the same time that there's a 212 00:11:41,520 --> 00:11:44,000 Speaker 4: lot more that could be done for people who were 213 00:11:44,000 --> 00:11:49,240 Speaker 4: injured in accidents. And so you had the people at 214 00:11:49,600 --> 00:11:52,600 Speaker 4: pitt University of Pittsburgh taking up the cause. 215 00:11:52,920 --> 00:11:53,319 Speaker 1: Panthers. 216 00:11:53,600 --> 00:11:58,400 Speaker 4: Yeah, they started is that the Panthers, Yeah, huh. They 217 00:11:58,440 --> 00:12:03,760 Speaker 4: started creating some of the first curriculum for paramedics, some 218 00:12:03,800 --> 00:12:07,720 Speaker 4: of the earliest tests for paramedics. The University of Cincinnati 219 00:12:08,120 --> 00:12:11,400 Speaker 4: came up with the first curriculum for training physicians in 220 00:12:11,720 --> 00:12:15,600 Speaker 4: er medicine. I think the University of California was an 221 00:12:15,600 --> 00:12:21,920 Speaker 4: early entrant into the world of teaching paramedicine. And then 222 00:12:21,920 --> 00:12:23,839 Speaker 4: I think they were the first one to be accredited 223 00:12:23,880 --> 00:12:27,079 Speaker 4: in nineteen eighty, Like they had their operation going for years, 224 00:12:27,120 --> 00:12:29,120 Speaker 4: but they were the first one to say, hey, somebody 225 00:12:29,160 --> 00:12:31,000 Speaker 4: take a look at this and make sure we're kosher, 226 00:12:31,280 --> 00:12:36,239 Speaker 4: and then we can say we're an accredited training facility 227 00:12:36,240 --> 00:12:37,120 Speaker 4: for paramedics. 228 00:12:37,320 --> 00:12:39,680 Speaker 1: Amazing, it is pretty amazing. 229 00:12:39,880 --> 00:12:45,400 Speaker 4: And then the problem is this, So the federal government 230 00:12:45,440 --> 00:12:48,800 Speaker 4: got into the act in nineteen seventy three, with the 231 00:12:48,800 --> 00:12:53,120 Speaker 4: Emergency Medical Services Act. But by nineteen eighty one there 232 00:12:53,160 --> 00:12:55,760 Speaker 4: was an omnibus budget that said we're out, We're done, 233 00:12:55,840 --> 00:12:59,680 Speaker 4: We're not funding emergency services anymore. And then from that 234 00:12:59,720 --> 00:13:03,800 Speaker 4: point forward, the emergency service system in the United States, 235 00:13:03,840 --> 00:13:07,880 Speaker 4: whatever had been developed to that point, broke into patchworks 236 00:13:08,200 --> 00:13:13,160 Speaker 4: of state, local county programs, sometimes multiple ones within a 237 00:13:13,160 --> 00:13:15,160 Speaker 4: single county. I think there's a county in Michigan that 238 00:13:15,160 --> 00:13:20,680 Speaker 4: has like eighteen different emergency services and that has kind 239 00:13:20,720 --> 00:13:24,720 Speaker 4: of created this where we are now, which is people 240 00:13:24,880 --> 00:13:28,600 Speaker 4: doing the absolute best they can in what amounts to 241 00:13:28,679 --> 00:13:30,280 Speaker 4: a broken system in a lot of ways. 242 00:13:30,559 --> 00:13:33,040 Speaker 3: Should we take a break, sure, all right, when we 243 00:13:33,120 --> 00:13:37,040 Speaker 3: come back, we will put the broken system behind us momentarily. 244 00:13:37,800 --> 00:14:33,680 Speaker 3: Talk about e mts and paramedics. 245 00:14:07,559 --> 00:14:08,040 Speaker 1: All right. 246 00:14:08,120 --> 00:14:11,840 Speaker 3: So if you want to ride in an ambulance or 247 00:14:11,960 --> 00:14:16,320 Speaker 3: drive an ambulance and get on the scene and help 248 00:14:16,360 --> 00:14:18,680 Speaker 3: someone out who's in need, there are a couple of 249 00:14:18,679 --> 00:14:22,040 Speaker 3: ways you can do it. You can be an EMT 250 00:14:22,360 --> 00:14:28,280 Speaker 3: emergency medical technician. And this is the person who has 251 00:14:28,480 --> 00:14:32,200 Speaker 3: undergone about between about one hundred and twenty and one hundred. 252 00:14:31,920 --> 00:14:34,600 Speaker 1: And fifty hours of course work there. 253 00:14:35,040 --> 00:14:38,240 Speaker 3: They are well trained and all kinds of life saving procedures. 254 00:14:38,760 --> 00:14:42,840 Speaker 3: If you need CPR, if you need oxygen administered, if 255 00:14:42,880 --> 00:14:46,240 Speaker 3: you were having some bad allergic reaction, that your life 256 00:14:46,320 --> 00:14:49,680 Speaker 3: is in jeopardy. But there are limits to what they 257 00:14:49,680 --> 00:14:52,600 Speaker 3: are allowed to do. So one thing they cannot do, 258 00:14:52,880 --> 00:14:56,440 Speaker 3: even in the case of giving shots is they can't 259 00:14:56,440 --> 00:14:59,480 Speaker 3: break the skin, right, which is super interesting. 260 00:14:59,520 --> 00:15:00,320 Speaker 1: I never knew that. 261 00:15:00,640 --> 00:15:03,560 Speaker 4: Yeah, I didn't know that either. But you can consider 262 00:15:03,600 --> 00:15:09,240 Speaker 4: an EMT like an entry level paramedicine professional, right, that's 263 00:15:09,280 --> 00:15:11,320 Speaker 4: where you would start. And in fact, I think you 264 00:15:11,440 --> 00:15:13,360 Speaker 4: have to start as an EMT to go on to 265 00:15:13,480 --> 00:15:15,720 Speaker 4: the next level, which would be paramedic. 266 00:15:15,240 --> 00:15:15,680 Speaker 1: Right for sure. 267 00:15:15,760 --> 00:15:18,840 Speaker 4: Yeah, so if you're a paramedic, you have about ten 268 00:15:18,880 --> 00:15:22,120 Speaker 4: times the amount of coursework in schooling under your belt 269 00:15:22,320 --> 00:15:24,440 Speaker 4: by the time you're a paramedic. And I think you 270 00:15:24,480 --> 00:15:27,400 Speaker 4: do have to have about six months at least of 271 00:15:28,240 --> 00:15:33,920 Speaker 4: immediately prior EMT experience to start becoming a paramedic as well, 272 00:15:34,080 --> 00:15:36,640 Speaker 4: which I'm sure is the way most people go. As 273 00:15:36,720 --> 00:15:39,400 Speaker 4: you start out as an EMT and then you move 274 00:15:39,440 --> 00:15:41,840 Speaker 4: on to the next level, which is paramedic. 275 00:15:41,520 --> 00:15:43,720 Speaker 3: Yeah, which, like you said, ten times, so that's about 276 00:15:44,000 --> 00:15:46,720 Speaker 3: anywhere from twelve hundred to eighteen hundred hours depending on 277 00:15:47,480 --> 00:15:51,240 Speaker 3: your state or your municipality to get certified. And this 278 00:15:51,400 --> 00:15:55,400 Speaker 3: is where the real action can happen. You can give 279 00:15:55,400 --> 00:15:58,560 Speaker 3: an IV, you can if someone's having a heart attack, 280 00:15:58,600 --> 00:15:59,320 Speaker 3: you can deal with that. 281 00:15:59,400 --> 00:16:04,160 Speaker 1: You can operate defibrillator, tibulator, fibrillator, fibrillator. 282 00:16:04,480 --> 00:16:07,160 Speaker 4: It's fun to say once you master it, they should 283 00:16:07,160 --> 00:16:07,520 Speaker 4: have just. 284 00:16:07,400 --> 00:16:09,520 Speaker 1: Called it the clear machine. 285 00:16:10,400 --> 00:16:16,200 Speaker 3: Yeah, the but it's a it's a lot of work 286 00:16:16,240 --> 00:16:18,160 Speaker 3: in a lot of hours. And one of the people 287 00:16:18,240 --> 00:16:21,520 Speaker 3: that they interviewed in this article said that, you know, 288 00:16:21,640 --> 00:16:25,240 Speaker 3: it's really grueling, and when you're in paramedic training and 289 00:16:25,360 --> 00:16:28,600 Speaker 3: school and doing your course work basically for a year 290 00:16:28,680 --> 00:16:30,680 Speaker 3: or two, you can just say goodbye to your friends 291 00:16:30,680 --> 00:16:31,120 Speaker 3: and family. 292 00:16:31,240 --> 00:16:31,440 Speaker 1: Yeah. 293 00:16:31,440 --> 00:16:32,120 Speaker 4: I saw that too. 294 00:16:32,280 --> 00:16:33,240 Speaker 1: Yeah, that's tough stuff. 295 00:16:33,640 --> 00:16:40,160 Speaker 4: So the paramedic is actually they operate under the license, 296 00:16:40,280 --> 00:16:43,200 Speaker 4: not just like like under the direction, but under the 297 00:16:43,240 --> 00:16:46,239 Speaker 4: license of a physician in their locale. 298 00:16:46,320 --> 00:16:46,440 Speaker 5: Right. 299 00:16:46,600 --> 00:16:48,560 Speaker 4: Yeah, there's a couple of ways that you can do it. 300 00:16:48,640 --> 00:16:51,200 Speaker 4: And as you'll start to see, like I saw a 301 00:16:51,280 --> 00:16:55,200 Speaker 4: quote that it said, if you've seen one emergency medical system, 302 00:16:55,440 --> 00:16:59,280 Speaker 4: you've seen one emergency medical system. They're all just so different. Yeah, 303 00:16:59,320 --> 00:17:02,400 Speaker 4: and the whole thing so patchwork. But there is a 304 00:17:02,480 --> 00:17:08,720 Speaker 4: national standard, which I think is the National Emergency Medical 305 00:17:08,840 --> 00:17:14,880 Speaker 4: Technician Registry Exam. That's like the national exam, and then 306 00:17:14,880 --> 00:17:16,879 Speaker 4: you may have to pass like a state and or 307 00:17:16,960 --> 00:17:20,000 Speaker 4: local exam too, depending on where you live. But there 308 00:17:20,040 --> 00:17:23,280 Speaker 4: is like a national accreditation and national coursework. But then 309 00:17:23,520 --> 00:17:26,680 Speaker 4: how the system functions and runs is what's the patchwork 310 00:17:26,760 --> 00:17:27,240 Speaker 4: part of it. 311 00:17:27,600 --> 00:17:29,879 Speaker 3: Yeah, and it'll cost you. I mean it depends on 312 00:17:29,920 --> 00:17:31,600 Speaker 3: where it is, of course, and what program. But the 313 00:17:31,920 --> 00:17:35,520 Speaker 3: example they used in art article is the UCLA Center 314 00:17:35,520 --> 00:17:38,720 Speaker 3: for Pre Hospital Care, and they quoted about ten grand 315 00:17:38,760 --> 00:17:41,280 Speaker 3: for just the tuition. And then, of course, like any 316 00:17:41,359 --> 00:17:44,960 Speaker 3: college or coursework, you're gonna have to pay for books 317 00:17:44,960 --> 00:17:47,680 Speaker 3: and equipment and uniforums and stuff like that. 318 00:17:47,680 --> 00:17:49,080 Speaker 1: That's exactly where they get. 319 00:17:49,040 --> 00:17:50,160 Speaker 4: You plaid skirt. 320 00:17:51,760 --> 00:17:55,359 Speaker 3: And then after that, though, the good news is is 321 00:17:55,400 --> 00:17:57,760 Speaker 3: that you have a really good chance of getting work. 322 00:17:57,840 --> 00:18:00,920 Speaker 3: I get the impression that if you have gone through 323 00:18:00,960 --> 00:18:04,240 Speaker 3: all of your paramedic training, you're not sitting around like 324 00:18:04,280 --> 00:18:06,240 Speaker 3: there's usually a job waiting for you somewhere. 325 00:18:06,400 --> 00:18:09,240 Speaker 4: Yeah. I saw that as well, And actually it doesn't 326 00:18:09,240 --> 00:18:12,800 Speaker 4: necessarily pay super well now people, So if you ever 327 00:18:12,800 --> 00:18:16,159 Speaker 4: see a paramedic, be extra nice to them for sure, 328 00:18:16,320 --> 00:18:18,760 Speaker 4: because not only are they running around saving people's lives, 329 00:18:18,760 --> 00:18:21,440 Speaker 4: they're not getting rich off of it at all. They're 330 00:18:21,480 --> 00:18:24,920 Speaker 4: doing it because it's something they care about. Yeah. But 331 00:18:25,440 --> 00:18:30,600 Speaker 4: despite that, despite the mediocre pay, I saw, it's going 332 00:18:30,680 --> 00:18:32,880 Speaker 4: to be one of the most in demand jobs over 333 00:18:32,920 --> 00:18:35,120 Speaker 4: the next like ten to fifteen years. I really wish 334 00:18:35,160 --> 00:18:38,800 Speaker 4: I could remember the statistic exactly, but I think they're 335 00:18:38,840 --> 00:18:43,560 Speaker 4: like expecting another like fifty three thousand EMT jobs or 336 00:18:43,560 --> 00:18:47,080 Speaker 4: paramedic jobs to be added to the American economy over 337 00:18:47,119 --> 00:18:52,600 Speaker 4: the next decade maybe. So it's definitely a growing career 338 00:18:52,680 --> 00:18:54,080 Speaker 4: for sure, growing profession. 339 00:18:54,400 --> 00:18:55,560 Speaker 1: Yeah, and you mentioned the pay. 340 00:18:55,600 --> 00:18:59,120 Speaker 3: If you go to the US Bureau of Labor Statistics 341 00:18:59,160 --> 00:19:03,440 Speaker 3: to kind of a mean salary or something, they do it. 342 00:19:03,440 --> 00:19:05,560 Speaker 3: It's not really they should separate it out, but they 343 00:19:05,600 --> 00:19:10,399 Speaker 3: lump in EMTs and paramedics, when, of course EMTs don't 344 00:19:10,400 --> 00:19:13,159 Speaker 3: make the kind of money they're paramedic would. But they 345 00:19:13,160 --> 00:19:15,879 Speaker 3: had a mean annual wage of about thirty one thousand 346 00:19:15,960 --> 00:19:19,600 Speaker 3: dollars a few years ago. And if you're in the 347 00:19:19,640 --> 00:19:25,480 Speaker 3: top ten percent, it's about fifty four thousand, and apparently 348 00:19:25,520 --> 00:19:28,040 Speaker 3: the state of Washington is one on the higher side. 349 00:19:28,560 --> 00:19:32,280 Speaker 3: You can get as high as seventy one grand in 350 00:19:32,520 --> 00:19:35,639 Speaker 3: the state of Washington, right, But I mean, you know, 351 00:19:36,200 --> 00:19:39,080 Speaker 3: that's a good living and a decent living. But it's 352 00:19:39,119 --> 00:19:41,399 Speaker 3: not like like you said, they don't go into this 353 00:19:41,480 --> 00:19:44,560 Speaker 3: because like, oh man, you know that thirty one grand 354 00:19:44,560 --> 00:19:46,359 Speaker 3: a year. It's sort of like being a school teacher. 355 00:19:46,400 --> 00:19:48,000 Speaker 3: It's a I feel like it's a calling in a 356 00:19:48,040 --> 00:19:49,280 Speaker 3: lot of cases for sure. 357 00:19:49,920 --> 00:19:54,280 Speaker 4: For sure, as I was saying about the license that 358 00:19:54,320 --> 00:19:58,640 Speaker 4: they operate under. Right, So if you're a certified paramedic 359 00:19:59,200 --> 00:20:02,359 Speaker 4: when you are are depending on the state you're in, 360 00:20:02,480 --> 00:20:04,720 Speaker 4: you may be operating under the license of the state 361 00:20:04,760 --> 00:20:08,800 Speaker 4: medical director, like that's where you have your license, or 362 00:20:09,119 --> 00:20:11,520 Speaker 4: you could also be operating under the license of a 363 00:20:11,560 --> 00:20:15,320 Speaker 4: local physician, like that physician's license covers you, covers the 364 00:20:15,359 --> 00:20:19,000 Speaker 4: physician's assistant, basically everything working for everyone working for him 365 00:20:19,080 --> 00:20:22,320 Speaker 4: or her, So you might be operating under that physician's license. 366 00:20:23,240 --> 00:20:26,840 Speaker 4: Or I didn't know this man during an ambulance ride, 367 00:20:26,840 --> 00:20:30,600 Speaker 4: so remember how just adding like a trained medical professional 368 00:20:31,040 --> 00:20:34,520 Speaker 4: to the ride from an accident scene to the hospital 369 00:20:34,560 --> 00:20:37,160 Speaker 4: improves outcomes, and we've done that since nineteen sixty six 370 00:20:37,240 --> 00:20:40,879 Speaker 4: at least they figured out that if you can communicate 371 00:20:41,040 --> 00:20:46,560 Speaker 4: with a doctor an er physician en route, you could 372 00:20:46,560 --> 00:20:51,600 Speaker 4: also improve outcomes. Even more so. During this transportation from 373 00:20:51,640 --> 00:20:55,280 Speaker 4: an accident to the hospital, the paramedic is probably in 374 00:20:55,320 --> 00:20:59,920 Speaker 4: touch with an er doctor who is instructing and advising 375 00:21:00,160 --> 00:21:03,000 Speaker 4: and consulting with the paramedic to figure out the best 376 00:21:03,040 --> 00:21:05,280 Speaker 4: course of action, the best course of treatment, and then 377 00:21:05,359 --> 00:21:08,200 Speaker 4: how to carry that out. And from what I understand 378 00:21:08,200 --> 00:21:12,160 Speaker 4: at that time, the paramedic is operating under that physician's 379 00:21:12,280 --> 00:21:14,000 Speaker 4: license in that state. 380 00:21:14,480 --> 00:21:16,600 Speaker 1: Would that make you feel better or worse? 381 00:21:17,560 --> 00:21:20,720 Speaker 4: What that the paramedic was getting instruction from a physician? 382 00:21:20,880 --> 00:21:24,959 Speaker 1: Yeah, Like, if you hear this going on, I don't know. 383 00:21:25,359 --> 00:21:26,440 Speaker 4: I would say. 384 00:21:27,160 --> 00:21:29,000 Speaker 3: Part of me is like better because it's a doctor 385 00:21:29,240 --> 00:21:31,040 Speaker 3: telling you that, But the other part of me is like, 386 00:21:31,119 --> 00:21:33,480 Speaker 3: don't you know right? And you would hate to hear 387 00:21:33,760 --> 00:21:36,480 Speaker 3: the doctor say we'll get the something something and for 388 00:21:36,560 --> 00:21:37,920 Speaker 3: the paramedic to say the what. 389 00:21:39,080 --> 00:21:41,560 Speaker 4: You're right, I don't know what that is. I've never 390 00:21:41,600 --> 00:21:42,520 Speaker 4: seen this before ever. 391 00:21:42,720 --> 00:21:45,040 Speaker 1: Have you ever had to take an ambulance ride for yourself? 392 00:21:45,200 --> 00:21:47,280 Speaker 4: No, no, Thank goodness, I. 393 00:21:47,200 --> 00:21:49,160 Speaker 3: Didn't think I had either, but then I did. Remember 394 00:21:50,280 --> 00:21:54,000 Speaker 3: when I was thirteen or fourteen, my brother was sixteen 395 00:21:54,080 --> 00:21:57,800 Speaker 3: or seventeen, we were in a car wreck. There were 396 00:21:57,880 --> 00:22:01,960 Speaker 3: eight people in a g and my brother's jeep that 397 00:22:02,080 --> 00:22:05,639 Speaker 3: was once my dad's cheap and that was definitely not 398 00:22:05,800 --> 00:22:08,560 Speaker 3: safe to do to begin with. But we were going 399 00:22:08,600 --> 00:22:10,800 Speaker 3: to a movie after church on the Sunday night. 400 00:22:11,160 --> 00:22:11,960 Speaker 1: A bunch of kids in. 401 00:22:11,920 --> 00:22:16,399 Speaker 3: Youth group piled in my brother's jeep wasted, no just kidding, 402 00:22:17,359 --> 00:22:19,760 Speaker 3: completely sober wasted on the Lord. 403 00:22:21,119 --> 00:22:23,480 Speaker 1: We were and it was raining really hard. 404 00:22:23,720 --> 00:22:29,320 Speaker 3: And you know at Ponce de Leon Avenue here in Atlanta, 405 00:22:29,840 --> 00:22:32,040 Speaker 3: everyone that doesn't live Atlanta probably laughs. 406 00:22:31,760 --> 00:22:33,919 Speaker 1: That we pronounce it that way instead of. 407 00:22:35,840 --> 00:22:35,879 Speaker 4: H. 408 00:22:36,320 --> 00:22:40,080 Speaker 3: But on Ponce where it kind of if you're leaving 409 00:22:40,119 --> 00:22:42,360 Speaker 3: from Atlanta, it's that big curve where you go over 410 00:22:42,400 --> 00:22:47,600 Speaker 3: that large stone archway. Yes, kind of headed toward into Decatur. 411 00:22:48,560 --> 00:22:51,479 Speaker 3: We were coming down that way nowhere near North Lake 412 00:22:51,560 --> 00:22:54,120 Speaker 3: Mall where we were supposed to be headed. We were 413 00:22:54,119 --> 00:22:58,280 Speaker 3: lost and my brother we hydroplaned, hit a curb and 414 00:22:58,320 --> 00:23:01,720 Speaker 3: turned the jeep over on its side, and I ripped 415 00:23:01,720 --> 00:23:03,880 Speaker 3: through the canvas ceiling or whatever it's made. 416 00:23:03,960 --> 00:23:05,159 Speaker 4: Oh man, you got thrown. 417 00:23:05,520 --> 00:23:07,480 Speaker 1: Oh yeah, we were scattered all over the street. 418 00:23:07,640 --> 00:23:09,199 Speaker 4: You are lucky. I know. 419 00:23:09,280 --> 00:23:12,560 Speaker 3: It's the only time I think that I've been knocked unconscious, 420 00:23:13,119 --> 00:23:16,240 Speaker 3: and I just remember waking up, you know what would 421 00:23:16,240 --> 00:23:18,960 Speaker 3: have been probably seconds later in the pouring rain, and 422 00:23:19,000 --> 00:23:21,920 Speaker 3: looking around and seeing my friends like scattered within like 423 00:23:22,280 --> 00:23:24,199 Speaker 3: twenty feet of each other in various places. 424 00:23:24,119 --> 00:23:26,119 Speaker 4: Oh man, that is scary stuff. 425 00:23:26,280 --> 00:23:26,920 Speaker 1: It was scary. 426 00:23:27,000 --> 00:23:30,640 Speaker 3: So in the end, the good news is no one 427 00:23:30,680 --> 00:23:32,800 Speaker 3: had like I think the worst injury was like a 428 00:23:32,840 --> 00:23:37,800 Speaker 3: broken collar bone. I broke my finger. There were little 429 00:23:37,800 --> 00:23:40,040 Speaker 3: cuts and scrapes, but nobody was hurt bad. 430 00:23:41,240 --> 00:23:43,920 Speaker 1: But I do remember this, Oh my brother doesn't listen 431 00:23:43,960 --> 00:23:44,360 Speaker 1: to this one. 432 00:23:45,119 --> 00:23:48,320 Speaker 3: In the ambulance on the way, My brother was just 433 00:23:48,320 --> 00:23:51,359 Speaker 3: sort of catatonic, and they said they were trying to 434 00:23:51,359 --> 00:23:55,800 Speaker 3: get information, and they asked what his name was, and 435 00:23:55,880 --> 00:23:57,880 Speaker 3: he said Ahole. 436 00:24:00,560 --> 00:24:03,560 Speaker 1: He said Ahole. He said, the real world is so bad. Yeah. 437 00:24:03,600 --> 00:24:05,080 Speaker 3: I think he was just sort of out of it 438 00:24:05,160 --> 00:24:08,040 Speaker 3: and felt terrible. Of course, Scott and he didn't curse 439 00:24:08,080 --> 00:24:11,040 Speaker 3: at all at the time. It still doesn't even curse much. 440 00:24:11,080 --> 00:24:14,000 Speaker 3: But it was just it's weird that that is what 441 00:24:14,080 --> 00:24:15,000 Speaker 3: stands out of my mind. 442 00:24:15,000 --> 00:24:16,000 Speaker 1: I wonder if he remembers that. 443 00:24:16,040 --> 00:24:18,399 Speaker 4: Actually, well that's a big one, especially if you didn't curse, 444 00:24:18,440 --> 00:24:21,320 Speaker 4: you know, so funny man, that's a that's you were 445 00:24:21,640 --> 00:24:22,920 Speaker 4: a great storyteller. 446 00:24:23,320 --> 00:24:24,119 Speaker 1: Was that a good story? 447 00:24:24,320 --> 00:24:27,280 Speaker 4: Yeah? I was like, I was seriously, well, you kept 448 00:24:27,280 --> 00:24:29,720 Speaker 4: like going off on tangents. I'm like, no, we got 449 00:24:29,760 --> 00:24:31,640 Speaker 4: to get back to the story. What happened to the cheek? 450 00:24:32,160 --> 00:24:33,359 Speaker 1: I know you looked a little nervous. 451 00:24:33,560 --> 00:24:38,480 Speaker 4: Yeah, so wow, Okay, should we take a break. 452 00:24:39,080 --> 00:24:41,280 Speaker 1: Oh yeah? And also I forgot to mention the one 453 00:24:41,320 --> 00:24:42,560 Speaker 1: guy that was tragically killed. 454 00:24:43,560 --> 00:24:46,240 Speaker 4: Right, You're like, but did I mention? I also broke 455 00:24:46,280 --> 00:24:46,720 Speaker 4: my finger? 456 00:24:47,280 --> 00:24:48,680 Speaker 1: No, nobody, nobody was hurt. 457 00:24:48,760 --> 00:24:50,320 Speaker 4: Everybody's too bad. Everybody's good. 458 00:24:50,359 --> 00:24:52,399 Speaker 1: Everybody's good. I think my brother broke his foot. 459 00:24:53,040 --> 00:24:53,320 Speaker 4: Man. 460 00:24:53,760 --> 00:24:55,040 Speaker 1: Yeah, it was just stuff like that. 461 00:24:55,200 --> 00:24:57,000 Speaker 4: Heck of a story, chuck, heck of a story. 462 00:24:57,000 --> 00:24:57,280 Speaker 1: Thank you? 463 00:24:57,960 --> 00:24:59,960 Speaker 4: Uh yeah, let's take a break and regroup, shall we. 464 00:25:00,080 --> 00:25:00,680 Speaker 1: Yeah, let's do. 465 00:25:00,880 --> 00:25:31,320 Speaker 4: Okay, Okay, we're back. I'm not reeling quite as much 466 00:25:31,359 --> 00:25:34,600 Speaker 4: as I was. But that was a good story. Again, 467 00:25:35,040 --> 00:25:35,480 Speaker 4: I feel like. 468 00:25:35,480 --> 00:25:38,000 Speaker 3: We should mention, even though it's kind of silly that 469 00:25:38,080 --> 00:25:41,879 Speaker 3: emergency TV show. Oh yeah, for sure from the seventies, 470 00:25:41,920 --> 00:25:45,680 Speaker 3: because it seems like it definitely, like actually played a 471 00:25:45,720 --> 00:25:49,680 Speaker 3: part in ramping up ambulance services. 472 00:25:50,880 --> 00:25:53,520 Speaker 4: Yeah, so this is I think nineteen seventy one or 473 00:25:53,560 --> 00:25:59,000 Speaker 4: seventy two when it premiered. And remember the Emergency Medical 474 00:25:59,000 --> 00:26:01,720 Speaker 4: Services Act wasn't past until nineteen seventy three. That white 475 00:26:01,760 --> 00:26:04,280 Speaker 4: paper had come out in nineteen sixty six. So this 476 00:26:04,400 --> 00:26:06,600 Speaker 4: idea of like this new type of medicine and this 477 00:26:06,720 --> 00:26:10,520 Speaker 4: new type of like healthcare worker was really on America's mind. 478 00:26:10,720 --> 00:26:12,400 Speaker 4: But one of the ways it got there was from 479 00:26:12,440 --> 00:26:15,800 Speaker 4: that TV show Emergency, in part because it was shot 480 00:26:15,880 --> 00:26:19,440 Speaker 4: like documentary style. People played themselves on it, like there 481 00:26:19,440 --> 00:26:24,520 Speaker 4: were real dispatchers on the show acting as dispatchers. It 482 00:26:24,680 --> 00:26:26,560 Speaker 4: just captured America's imagination. 483 00:26:26,960 --> 00:26:28,760 Speaker 1: Yeah, I remember watching it, do you. 484 00:26:29,080 --> 00:26:31,040 Speaker 4: I don't think I ever saw an episode of it. 485 00:26:31,200 --> 00:26:31,360 Speaker 1: Yeah. 486 00:26:31,400 --> 00:26:35,359 Speaker 3: It was Emergency with an exclamation point in Mantle seventy seven, 487 00:26:35,560 --> 00:26:40,919 Speaker 3: and it was mainly two dudes, two firefighter characters is 488 00:26:41,000 --> 00:26:43,320 Speaker 3: what the story centered on. And one of them was 489 00:26:43,400 --> 00:26:48,119 Speaker 3: a young Kevin tig Or Tigue. He was did you 490 00:26:48,119 --> 00:26:48,960 Speaker 3: ever see Roadhouse? 491 00:26:49,600 --> 00:26:50,199 Speaker 4: Yeah? 492 00:26:50,240 --> 00:26:53,200 Speaker 3: He was the owner. He's a character actor he's been in. Yeah, 493 00:26:53,240 --> 00:26:54,280 Speaker 3: he owned the Double Deuce. 494 00:26:54,960 --> 00:26:57,600 Speaker 4: Yeah, he's great. Yeah, I can't remember what else it's seen. 495 00:26:57,760 --> 00:27:00,399 Speaker 4: I've seen him young before. I wonder if it was 496 00:27:00,440 --> 00:27:01,879 Speaker 4: Emergency now that you mention it. 497 00:27:02,080 --> 00:27:05,239 Speaker 3: Maybe, huh, maybe I have, because I'm going to ran 498 00:27:05,280 --> 00:27:05,879 Speaker 3: every runs. 499 00:27:06,440 --> 00:27:08,639 Speaker 4: For sure it did. I'm a Jack Web fan and 500 00:27:08,680 --> 00:27:10,720 Speaker 4: I think he produced or created it. 501 00:27:11,119 --> 00:27:14,840 Speaker 1: You're a big Jack Web guy, are you not. I 502 00:27:14,920 --> 00:27:15,240 Speaker 1: don't know. 503 00:27:16,720 --> 00:27:18,840 Speaker 4: He's the dude from Dragnet. He's Sergeant Friday. 504 00:27:18,960 --> 00:27:20,399 Speaker 1: Yeah, I guess I need to think about that. 505 00:27:20,720 --> 00:27:23,560 Speaker 4: Yeah, he's awesome. I'll let you know, man, if you 506 00:27:23,600 --> 00:27:25,920 Speaker 4: go back and watch like old episodes of Dragnet. 507 00:27:25,960 --> 00:27:28,040 Speaker 1: Oh my god. Yeah that was a good show. 508 00:27:28,240 --> 00:27:31,879 Speaker 4: Yes it was. And I think Emergency maybe Adam twelve 509 00:27:32,000 --> 00:27:35,240 Speaker 4: is like the direct spinoff of Dragnet. Maybe That's what 510 00:27:35,280 --> 00:27:37,800 Speaker 4: I'm thinking of. But I swear I know exactly what 511 00:27:37,840 --> 00:27:42,399 Speaker 4: you're talking about with the tigue fella from Roadhouse. 512 00:27:42,040 --> 00:27:48,520 Speaker 3: And then wasn't Dragnet Colonel Potter, Yes, Harry Morgan, Right, 513 00:27:48,760 --> 00:27:51,520 Speaker 3: we had an Emmilina had a long conversation about match 514 00:27:51,960 --> 00:27:54,800 Speaker 3: the other day and how that was I was a 515 00:27:54,800 --> 00:27:57,800 Speaker 3: mash nut and how that show was one of the 516 00:27:57,840 --> 00:28:01,360 Speaker 3: few to survive like major cast changes. 517 00:28:01,840 --> 00:28:03,440 Speaker 1: Oh yeah, like like three of them. 518 00:28:03,800 --> 00:28:09,159 Speaker 4: Yeah. They certainly didn't like like big stars like co stars. 519 00:28:09,200 --> 00:28:10,760 Speaker 4: I think. One of the few people who made it 520 00:28:10,760 --> 00:28:12,840 Speaker 4: through was Alan Alda, Right, he was there the whole time. 521 00:28:13,400 --> 00:28:15,520 Speaker 3: Yeah, and like Hot Lips I think was the same, 522 00:28:16,680 --> 00:28:21,000 Speaker 3: and a few others. But they had like Radar and Clinger. Yeah, 523 00:28:21,000 --> 00:28:24,560 Speaker 3: they co existed I think, But eventually Radar left and 524 00:28:24,560 --> 00:28:28,360 Speaker 3: Clinger took his job. They Potter took over for what's 525 00:28:28,440 --> 00:28:30,200 Speaker 3: his face, the original guy. 526 00:28:31,240 --> 00:28:33,200 Speaker 4: I don't remember, but he wore the fishing hat. 527 00:28:33,520 --> 00:28:35,760 Speaker 1: Yeah. He was, Oh man, the saddest ending ever for 528 00:28:35,840 --> 00:28:36,200 Speaker 1: that one. 529 00:28:36,680 --> 00:28:38,080 Speaker 4: What when he left? 530 00:28:38,280 --> 00:28:40,400 Speaker 3: Yeah, I remember he got his papers to go home 531 00:28:41,360 --> 00:28:43,920 Speaker 3: and everyone's all excited, and then he was killed in 532 00:28:43,960 --> 00:28:47,000 Speaker 3: a helicopter crash or a plane crash. 533 00:28:47,200 --> 00:28:49,120 Speaker 1: I don't remember that on his way out. 534 00:28:49,480 --> 00:28:49,880 Speaker 4: Wow. 535 00:28:50,320 --> 00:28:52,680 Speaker 3: And then of course Frank Burns left and was replaced 536 00:28:52,680 --> 00:28:57,280 Speaker 3: by Winchester, and then Trapper left and was replaced by Honeycutt. Right, 537 00:28:57,480 --> 00:28:59,960 Speaker 3: but it just it was still great, well you got 538 00:29:00,120 --> 00:29:02,520 Speaker 3: it wasn't as great at the very end. 539 00:29:03,800 --> 00:29:06,400 Speaker 4: I don't know, man, goodbye, farewell and amen was one 540 00:29:06,400 --> 00:29:09,480 Speaker 4: of the all time best last episodes out, true for sure, 541 00:29:10,120 --> 00:29:12,080 Speaker 4: But you're saying they pulled it together at the at 542 00:29:12,120 --> 00:29:13,640 Speaker 4: the end of the last episode. 543 00:29:13,680 --> 00:29:15,920 Speaker 3: I think I remember the last couple of seasons. It 544 00:29:15,960 --> 00:29:18,640 Speaker 3: was a little bit like, you know this, maybe it 545 00:29:18,680 --> 00:29:21,760 Speaker 3: had run its course. But that was a very discerning 546 00:29:21,880 --> 00:29:22,760 Speaker 3: twelve year old viewer. 547 00:29:22,920 --> 00:29:26,000 Speaker 4: Yeah, I guess so. Yeah, like they've really gone to 548 00:29:26,080 --> 00:29:30,240 Speaker 4: the hoots gin joke too many times this episode. 549 00:29:30,680 --> 00:29:32,520 Speaker 3: It is funny though that, like, little twelve year old 550 00:29:32,560 --> 00:29:34,360 Speaker 3: me thought, like the funniest thing in the world. Would 551 00:29:34,840 --> 00:29:37,240 Speaker 3: war surgeons drunk war surgeons? 552 00:29:37,440 --> 00:29:40,120 Speaker 4: Right, drunk philandering war surgeons? 553 00:29:40,680 --> 00:29:42,640 Speaker 1: All right, I really got off track there. 554 00:29:43,160 --> 00:29:45,120 Speaker 4: Yeah, maybe we should take a third break. 555 00:29:45,240 --> 00:29:45,920 Speaker 1: No, I don't think so. 556 00:29:46,120 --> 00:29:48,120 Speaker 4: I don't think we should either. So we're talking about 557 00:29:48,120 --> 00:29:52,120 Speaker 4: paramedics today, believe it or not. And one of the 558 00:29:52,120 --> 00:29:56,280 Speaker 4: things we talked about was the idea that that paramedics, well, 559 00:29:56,320 --> 00:29:59,040 Speaker 4: let's talk a little bit more about their job, right, Okay. 560 00:29:59,200 --> 00:30:02,480 Speaker 4: One of the things that paramedics are sometimes criticized for 561 00:30:03,440 --> 00:30:07,240 Speaker 4: is that they don't run to the scene of an emergency. 562 00:30:07,320 --> 00:30:08,400 Speaker 1: I've never thought about that. 563 00:30:08,560 --> 00:30:11,680 Speaker 4: Once you have it, I really hadn't either, But then 564 00:30:11,680 --> 00:30:13,240 Speaker 4: I started thinking about it, I'm like, yeah, I could 565 00:30:13,320 --> 00:30:16,719 Speaker 4: totally see that. Apparently, for some people who are at 566 00:30:16,760 --> 00:30:19,680 Speaker 4: an emergency scene and see the paramedics kind of walk up, 567 00:30:20,000 --> 00:30:22,200 Speaker 4: they appear a little too casual, and they want to know, 568 00:30:22,640 --> 00:30:25,160 Speaker 4: what are you doing? Why aren't you rushing to this scene? 569 00:30:25,960 --> 00:30:29,320 Speaker 4: And paramedics I think we saw a question answered on 570 00:30:30,280 --> 00:30:34,520 Speaker 4: KORRA or something like that, and a paramedic explains, there's 571 00:30:34,520 --> 00:30:37,640 Speaker 4: actually a number of really good reasons why paramedics why 572 00:30:37,680 --> 00:30:39,560 Speaker 4: you don't see them running to the scene. First of all, 573 00:30:39,560 --> 00:30:41,560 Speaker 4: they're going to park as close as they can sure, 574 00:30:41,880 --> 00:30:43,640 Speaker 4: so that running is only going to save a couple 575 00:30:43,720 --> 00:30:46,480 Speaker 4: seconds off. But really the number one reason, or one 576 00:30:46,480 --> 00:30:49,600 Speaker 4: of the top reasons, is that they're supposed to be 577 00:30:50,040 --> 00:30:52,760 Speaker 4: they're supposed to bring with them to this scene of 578 00:30:54,480 --> 00:31:01,680 Speaker 4: catastrophic panic, basically calm and professionalism and being in control. 579 00:31:02,920 --> 00:31:03,760 Speaker 1: Yeah, I get that. 580 00:31:03,800 --> 00:31:06,480 Speaker 3: Like, I think it would be a little disconcerting if 581 00:31:06,520 --> 00:31:09,600 Speaker 3: I was injured and I saw a paramedic burst into 582 00:31:09,640 --> 00:31:11,760 Speaker 3: the room like breathing heavy. 583 00:31:11,680 --> 00:31:13,520 Speaker 1: Oh my god, what's going on? What's going on? 584 00:31:14,360 --> 00:31:15,280 Speaker 4: Is everybody okay? 585 00:31:15,560 --> 00:31:15,760 Speaker 1: Yeah? 586 00:31:15,800 --> 00:31:18,280 Speaker 3: Plus they might get hurt running that's another one, And 587 00:31:18,320 --> 00:31:21,600 Speaker 3: they're usually you know or not usually, but I would 588 00:31:21,640 --> 00:31:24,480 Speaker 3: say probably a lot of times. It's not like they're 589 00:31:24,520 --> 00:31:27,440 Speaker 3: walking through a you know, a perfectly laid pathway, like 590 00:31:27,720 --> 00:31:31,600 Speaker 3: they could be running upstairs or through a house of 591 00:31:31,960 --> 00:31:35,400 Speaker 3: hoarders or you know, through the woods, like you don't 592 00:31:35,440 --> 00:31:36,120 Speaker 3: know what's going on. 593 00:31:36,160 --> 00:31:37,640 Speaker 1: You got to be careful on your way there. 594 00:31:37,960 --> 00:31:40,320 Speaker 4: Yeah, and you have to be going slow enough that 595 00:31:40,400 --> 00:31:43,840 Speaker 4: you can assess what the risks you're walking into. Are 596 00:31:43,880 --> 00:31:46,160 Speaker 4: as you're walking into them, sure, then running into it 597 00:31:46,200 --> 00:31:48,200 Speaker 4: and being like, oh, the guy who shot you still 598 00:31:48,240 --> 00:31:51,960 Speaker 4: here waiting for me. You know now that I've run 599 00:31:52,000 --> 00:31:55,240 Speaker 4: into the scene. I know that, but it's terrible. It's 600 00:31:55,280 --> 00:31:58,240 Speaker 4: also kind of hard to run from place to place, 601 00:31:58,240 --> 00:32:01,959 Speaker 4: depending on the equipment that they're carrying. Those stretchers get heavy, 602 00:32:02,800 --> 00:32:06,600 Speaker 4: the EKG machines get heavy, the defibrillators get heavy. All 603 00:32:06,640 --> 00:32:09,120 Speaker 4: that stuff gets heavy. So there's a number of reasons 604 00:32:09,160 --> 00:32:11,840 Speaker 4: why you won't see a paramedic rushing to the scene. 605 00:32:12,160 --> 00:32:14,479 Speaker 4: You will see them rushing to the scene in the 606 00:32:14,560 --> 00:32:18,680 Speaker 4: ambulance though, and from what I understand that driving in 607 00:32:18,720 --> 00:32:21,880 Speaker 4: the ambulance or riding in the ambulance is the most 608 00:32:21,960 --> 00:32:23,560 Speaker 4: dangerous part of the entire job. 609 00:32:24,320 --> 00:32:24,720 Speaker 1: Yeah. 610 00:32:24,760 --> 00:32:28,320 Speaker 3: And here's another tip, aside from being nice to your 611 00:32:28,320 --> 00:32:32,200 Speaker 3: EMT or paramedic is, don't call them ambulance drivers. Yeah, 612 00:32:32,440 --> 00:32:35,920 Speaker 3: because that's part of their job. And it's a weird 613 00:32:35,960 --> 00:32:39,400 Speaker 3: thing too that it's not like they hire a driver 614 00:32:39,960 --> 00:32:42,760 Speaker 3: who's super skilled at that and then they have other 615 00:32:42,760 --> 00:32:45,280 Speaker 3: people in there that do the work like they do 616 00:32:45,280 --> 00:32:47,719 Speaker 3: double duty. They have to learn to drive like that, 617 00:32:48,880 --> 00:32:51,680 Speaker 3: I mean while they're EMTs are paramedics. 618 00:32:51,960 --> 00:32:54,360 Speaker 4: Yeah, and so you know, if you've ever seen an 619 00:32:54,360 --> 00:32:58,880 Speaker 4: ambulance going through an intersection, they're gonna slow and maybe 620 00:32:58,880 --> 00:33:02,840 Speaker 4: even stop and then seed they still get broadsided very 621 00:33:02,880 --> 00:33:05,960 Speaker 4: frequently by people going through the intersection because they have 622 00:33:06,000 --> 00:33:09,200 Speaker 4: a green light and they're not paying attention. They'll hit 623 00:33:09,360 --> 00:33:12,760 Speaker 4: an ambulance like t bone and ambulance and the driver's 624 00:33:12,840 --> 00:33:15,920 Speaker 4: probably okay, or I should say the paramedic driving is 625 00:33:16,320 --> 00:33:20,240 Speaker 4: probably okay, But the paramedics in the back, they probably 626 00:33:20,360 --> 00:33:23,640 Speaker 4: aren't lashed down in any way, shape or form because 627 00:33:23,680 --> 00:33:26,560 Speaker 4: they're working on the patient and so they're getting thrown 628 00:33:26,600 --> 00:33:29,120 Speaker 4: around and can get injured and killed themselves that way. 629 00:33:29,200 --> 00:33:33,040 Speaker 4: So that's the most dangerous aspect of the job from 630 00:33:33,040 --> 00:33:34,160 Speaker 4: what i've seen. 631 00:33:34,640 --> 00:33:37,880 Speaker 3: Yeah, another interesting thing that I saw from that list 632 00:33:37,920 --> 00:33:40,480 Speaker 3: you sent was that if you're in a big city, 633 00:33:40,560 --> 00:33:45,040 Speaker 3: a lot of times they even have divided up between 634 00:33:45,040 --> 00:33:50,160 Speaker 3: EMT and paramedic for different cases. So like if there's 635 00:33:50,200 --> 00:33:52,800 Speaker 3: a scene of trauma going on, like a car accident, 636 00:33:53,240 --> 00:33:56,400 Speaker 3: then you're more likely to get an EMT, whereas if 637 00:33:56,400 --> 00:33:58,360 Speaker 3: you're at home and you're like my husband's having a 638 00:33:58,360 --> 00:34:01,720 Speaker 3: heart attack or my child having a seizure, then you're 639 00:34:01,760 --> 00:34:04,560 Speaker 3: more likely to get a paramedic, Yeah, which is interesting. 640 00:34:04,920 --> 00:34:09,200 Speaker 4: Yeah, And if in cities as well, if you're a paramedic, 641 00:34:09,320 --> 00:34:13,040 Speaker 4: you probably once you get into your ambulance, you're basically 642 00:34:13,080 --> 00:34:15,400 Speaker 4: stationed at the ambulance for the rest of your twelve 643 00:34:15,440 --> 00:34:18,560 Speaker 4: hour shift. You're you don't go back to like the 644 00:34:18,600 --> 00:34:21,799 Speaker 4: firehouse or to the ambulance clubhouse or anything like that. 645 00:34:22,320 --> 00:34:27,440 Speaker 4: You're you're you're like on a designated street corner, parked, 646 00:34:27,680 --> 00:34:32,880 Speaker 4: waiting for your next call, probably killing time somehow, but 647 00:34:33,680 --> 00:34:37,120 Speaker 4: you're you. There's there's not very much downtime. And like 648 00:34:37,239 --> 00:34:40,360 Speaker 4: in a in a city especially, the opposite is true 649 00:34:40,400 --> 00:34:44,560 Speaker 4: for more rural e mts and paramedics, and that there's 650 00:34:44,600 --> 00:34:47,920 Speaker 4: a lot of downtime so much so that this guy 651 00:34:47,960 --> 00:34:50,080 Speaker 4: who was actually one of the consultants on that show 652 00:34:50,080 --> 00:34:53,920 Speaker 4: Emergency years back, Uh, he became a Minister of health 653 00:34:54,040 --> 00:34:58,719 Speaker 4: I think in Nova Scotia, and he he created this 654 00:34:58,840 --> 00:35:06,120 Speaker 4: program for rural ems workers to use their downtime in 655 00:35:06,200 --> 00:35:08,359 Speaker 4: much the same way that like a country doctor would 656 00:35:08,360 --> 00:35:09,360 Speaker 4: have made house calls. 657 00:35:10,120 --> 00:35:12,040 Speaker 3: Yeah, so they like, wasn't the idea that they would 658 00:35:12,080 --> 00:35:17,680 Speaker 3: go to places and sort of help train like regular 659 00:35:17,760 --> 00:35:20,319 Speaker 3: citizens on how to avoid getting hurt and stuff to 660 00:35:20,360 --> 00:35:21,400 Speaker 3: begin with, right. 661 00:35:21,320 --> 00:35:24,399 Speaker 4: Yeah, like like doling out preventative medicine, like making sure 662 00:35:24,440 --> 00:35:28,400 Speaker 4: that people are taking their medicines correctly, teaching CPR classes, 663 00:35:30,440 --> 00:35:33,520 Speaker 4: and teaching leading exercise classes for like seniors at a 664 00:35:33,560 --> 00:35:36,640 Speaker 4: senior center. Like doing all this stuff to reduce the 665 00:35:36,719 --> 00:35:39,000 Speaker 4: number of calls that they have to go on anyway, 666 00:35:39,160 --> 00:35:41,359 Speaker 4: so it cuts down on their downtime, which I think 667 00:35:41,800 --> 00:35:45,920 Speaker 4: is actually very much appreciated by paramedics because there's really 668 00:35:45,920 --> 00:35:49,799 Speaker 4: nothing more boring than sitting around constantly, and then they're 669 00:35:49,800 --> 00:35:55,960 Speaker 4: actually doing something and also making their community a healthier place. 670 00:35:56,280 --> 00:35:56,480 Speaker 1: Yeah. 671 00:35:56,520 --> 00:35:58,160 Speaker 3: I thought it was funny when they were talking to 672 00:35:58,200 --> 00:36:02,720 Speaker 3: some real on the ground paramedic about the downtime, They're like, well, 673 00:36:03,000 --> 00:36:07,320 Speaker 3: HBO goes kind of awesome, right, yeah, like, oh, well, 674 00:36:07,360 --> 00:36:08,959 Speaker 3: I guess you got a pass the time. It's better 675 00:36:09,000 --> 00:36:12,319 Speaker 3: than Nicholas Cage and bringing out the dead. 676 00:36:13,200 --> 00:36:14,920 Speaker 4: What did he do? Because I remember that movie, but 677 00:36:14,920 --> 00:36:16,600 Speaker 4: I don't remember all the details. 678 00:36:17,160 --> 00:36:18,160 Speaker 1: Well, it wasn't that great. 679 00:36:18,960 --> 00:36:19,480 Speaker 4: I liked it. 680 00:36:19,520 --> 00:36:20,680 Speaker 1: He did tons of drugs. 681 00:36:21,120 --> 00:36:24,279 Speaker 4: Oh okay, that's a speedreak or something. I got you. 682 00:36:24,440 --> 00:36:24,880 Speaker 1: Yeah. 683 00:36:24,960 --> 00:36:27,000 Speaker 4: Yeah, he kept begging to be fired, right. 684 00:36:27,920 --> 00:36:29,480 Speaker 1: I don't remember it very very well at all. 685 00:36:29,520 --> 00:36:31,840 Speaker 4: Actually, I think he did, like that was his stick. 686 00:36:31,960 --> 00:36:36,080 Speaker 4: He begged to be fired. So one of the things 687 00:36:36,120 --> 00:36:42,279 Speaker 4: about those that downtime, the community community preventative medicine initiatives 688 00:36:42,320 --> 00:36:44,920 Speaker 4: have kind of spread from Nova Scotia out through around 689 00:36:44,960 --> 00:36:50,359 Speaker 4: the country. When you see a paramedic doing that, they're 690 00:36:50,600 --> 00:36:53,520 Speaker 4: they're not being paid, or at the very least their 691 00:36:54,080 --> 00:36:56,919 Speaker 4: unit or their county or their city is not being 692 00:36:56,960 --> 00:36:59,800 Speaker 4: paid for that, which is a huge problem. 693 00:37:00,320 --> 00:37:02,719 Speaker 3: Yeah, this is where I got a little confused. 694 00:37:02,760 --> 00:37:05,480 Speaker 1: The way I was reading this was. 695 00:37:07,160 --> 00:37:10,560 Speaker 3: Medicaid and Medicare and stuff, and insurance companies will reimburse 696 00:37:11,480 --> 00:37:14,480 Speaker 3: only if they have transported someone to a hospital. 697 00:37:14,800 --> 00:37:17,160 Speaker 1: Yes, so in other words, if you. 698 00:37:17,200 --> 00:37:19,640 Speaker 3: Go as an ambulance and a paramedic or ant to 699 00:37:19,760 --> 00:37:22,359 Speaker 3: a place and you actually can just help and treat 700 00:37:22,440 --> 00:37:25,120 Speaker 3: someone there and they don't need to go to the hospital, 701 00:37:25,480 --> 00:37:29,960 Speaker 3: then that's a freebie, yes, Or do they send a 702 00:37:29,960 --> 00:37:33,240 Speaker 3: bill to the people, as from. 703 00:37:33,080 --> 00:37:37,440 Speaker 4: What I understand, it's a freebie. I probably since it 704 00:37:37,520 --> 00:37:40,040 Speaker 4: is such a patchwork of systems all around the country. 705 00:37:40,760 --> 00:37:43,120 Speaker 4: I'm sure that you could live somewhere where you the 706 00:37:43,160 --> 00:37:45,759 Speaker 4: person would get a bill for that. I think as 707 00:37:45,800 --> 00:37:47,839 Speaker 4: a matter of fact, you do no matter where you live. 708 00:37:48,360 --> 00:37:56,000 Speaker 4: But Medicaid and Medicare won't pay for it. So there 709 00:37:56,080 --> 00:38:02,719 Speaker 4: is a substantial reason to say, keep working chest compressions 710 00:38:02,719 --> 00:38:05,759 Speaker 4: on a person who is obviously dead all the way 711 00:38:05,760 --> 00:38:10,000 Speaker 4: to the hospital. Interesting, so that you can build Medicaid 712 00:38:10,000 --> 00:38:13,359 Speaker 4: for that transport, or getting somebody to go to the 713 00:38:13,360 --> 00:38:15,799 Speaker 4: hospital even though they don't need to, so that you 714 00:38:15,800 --> 00:38:19,600 Speaker 4: can build Medicaid for that as well. And the problem 715 00:38:19,680 --> 00:38:22,080 Speaker 4: is that that leads to other problems as well, like 716 00:38:22,200 --> 00:38:27,239 Speaker 4: hospital ers are very much overcrowded and understaffed and overworked. Right, Yeah, 717 00:38:27,920 --> 00:38:30,239 Speaker 4: so when you show up with another person, that's one 718 00:38:30,280 --> 00:38:33,319 Speaker 4: more person they have to deal with and apparently it 719 00:38:33,360 --> 00:38:34,319 Speaker 4: creates a bit of a. 720 00:38:36,320 --> 00:38:36,800 Speaker 1: Conflict. 721 00:38:37,120 --> 00:38:40,719 Speaker 4: Yeah, there's a cultural conflict between the people the paramedics 722 00:38:40,760 --> 00:38:43,480 Speaker 4: and this EMTs bringing people to the er and the 723 00:38:43,520 --> 00:38:46,280 Speaker 4: people who staff the er and are accepting these people, 724 00:38:46,520 --> 00:38:48,839 Speaker 4: and so much so that there's it's become kind of 725 00:38:48,880 --> 00:38:56,240 Speaker 4: common for er rooms to issue ambulance diversions saying don't 726 00:38:56,239 --> 00:38:59,480 Speaker 4: bring anybody to our er, go somewhere else. And on 727 00:38:59,560 --> 00:39:02,920 Speaker 4: a really night in a really populated city, you might 728 00:39:02,920 --> 00:39:08,600 Speaker 4: find every single er room like with that diversion alert on, 729 00:39:09,160 --> 00:39:10,880 Speaker 4: and you've got to take somebody out to like a 730 00:39:10,880 --> 00:39:14,279 Speaker 4: country hospital that doesn't know anything about trauma, and it 731 00:39:14,320 --> 00:39:17,520 Speaker 4: takes forty five minutes to get there, and they're not 732 00:39:17,560 --> 00:39:19,320 Speaker 4: going to get the care they could receive at a 733 00:39:19,400 --> 00:39:23,239 Speaker 4: good trauma center in the city. So that's a real problem. 734 00:39:23,719 --> 00:39:27,560 Speaker 3: Yeah, and it's too in terms of pay, And we 735 00:39:27,640 --> 00:39:29,880 Speaker 3: need to hear from people on the ground because this 736 00:39:30,480 --> 00:39:34,560 Speaker 3: it's surprisingly confusing when research this on how it all works. 737 00:39:35,719 --> 00:39:38,920 Speaker 3: And maybe that's the point, but it seems like it's 738 00:39:38,920 --> 00:39:43,600 Speaker 3: also a fixed rate. There's no difference between I treated 739 00:39:43,760 --> 00:39:47,879 Speaker 3: a kid for an allergic beasting reaction to I brought 740 00:39:47,920 --> 00:39:49,640 Speaker 3: a guy back from the dead who had had a 741 00:39:49,640 --> 00:39:51,120 Speaker 3: heart attack or heart failure. 742 00:39:51,400 --> 00:39:52,319 Speaker 1: Yeah, is that right? 743 00:39:52,560 --> 00:39:54,799 Speaker 4: Yeah, so long as you transport both of them to 744 00:39:54,880 --> 00:39:56,960 Speaker 4: the hospital that you're going to get I think I 745 00:39:57,000 --> 00:39:59,319 Speaker 4: saw as low as twenty five bucks from medicaid in 746 00:39:59,360 --> 00:40:02,359 Speaker 4: some places. I don't understand this. The numbers just do 747 00:40:02,480 --> 00:40:05,239 Speaker 4: not add up. I don't get it at all. I 748 00:40:05,280 --> 00:40:08,919 Speaker 4: know that some places, some counties and cities, fold their 749 00:40:09,080 --> 00:40:13,720 Speaker 4: EMT or EMS workers under their fire departments. Uh huh, 750 00:40:13,760 --> 00:40:16,879 Speaker 4: so that they fall under the fire departments funding, which 751 00:40:16,920 --> 00:40:19,280 Speaker 4: I think fire departments tend to be way better funded 752 00:40:19,320 --> 00:40:21,320 Speaker 4: than any kind of EMS service. 753 00:40:21,400 --> 00:40:22,080 Speaker 1: Uh huh. 754 00:40:22,280 --> 00:40:25,000 Speaker 4: So I think that's how. That's one way that it happens. 755 00:40:25,000 --> 00:40:28,920 Speaker 4: But I just don't I don't get how this how 756 00:40:28,920 --> 00:40:32,160 Speaker 4: this actually works money wise, because it doesn't add up. 757 00:40:32,200 --> 00:40:33,080 Speaker 4: It doesn't make sense. 758 00:40:33,239 --> 00:40:35,799 Speaker 3: Yeah, I mean, it's not often that we're a little stemied. 759 00:40:37,320 --> 00:40:40,359 Speaker 3: So we're going to follow up, for sure with some emails. 760 00:40:41,080 --> 00:40:43,600 Speaker 3: But I think that's also going to vary from place 761 00:40:43,640 --> 00:40:45,839 Speaker 3: to place. Right, Because the other thing that I got 762 00:40:45,880 --> 00:40:51,919 Speaker 3: really confused about was private the privatization of ambulance services. Yeah, 763 00:40:51,960 --> 00:40:55,120 Speaker 3: and as best as I can tell, is in the 764 00:40:55,160 --> 00:40:59,400 Speaker 3: seventies and eighties, there were a lot of small private 765 00:40:59,400 --> 00:41:04,200 Speaker 3: ambulance companies, but then they merged into more regional things 766 00:41:04,760 --> 00:41:08,800 Speaker 3: and that these days there's just a few, like big 767 00:41:09,000 --> 00:41:13,919 Speaker 3: multinational companies that are the most dominant in the industry right. 768 00:41:14,120 --> 00:41:17,360 Speaker 3: But I don't get how that works, Like if they're private, 769 00:41:17,920 --> 00:41:20,520 Speaker 3: are they like working with only private. 770 00:41:20,239 --> 00:41:22,840 Speaker 1: Hospitals or can they go to a state hospital. 771 00:41:23,160 --> 00:41:25,520 Speaker 4: I think that they can get a contract from the state, 772 00:41:25,600 --> 00:41:27,800 Speaker 4: they can be they can have a license to operate 773 00:41:27,800 --> 00:41:30,640 Speaker 4: within a state or a county or wherever, and I 774 00:41:30,680 --> 00:41:34,560 Speaker 4: think they go wherever they're called to. I know that 775 00:41:34,600 --> 00:41:37,400 Speaker 4: there can be like competition among them, so like multiple 776 00:41:37,440 --> 00:41:40,920 Speaker 4: ambulances will show up at a scene. Sometimes it's just 777 00:41:41,000 --> 00:41:43,760 Speaker 4: it's it's it's kind of a bit of a cluster 778 00:41:44,760 --> 00:41:49,680 Speaker 4: as far as competing with the local EMS services, and 779 00:41:49,719 --> 00:41:51,839 Speaker 4: I think it's on the decline from what I've seen. 780 00:41:52,000 --> 00:41:55,080 Speaker 1: Yeah, but when you call nine to one one, do 781 00:41:55,120 --> 00:41:55,960 Speaker 1: you have a choice? 782 00:41:56,400 --> 00:41:58,520 Speaker 4: So what you can do? I think it's kind of 783 00:41:58,560 --> 00:42:02,480 Speaker 4: like uber where like the nine to one to one 784 00:42:02,520 --> 00:42:07,320 Speaker 4: dispatcher has a log of companies or services, like public 785 00:42:07,360 --> 00:42:11,960 Speaker 4: funded or private services that it can be issued to 786 00:42:12,120 --> 00:42:14,360 Speaker 4: and they send out the alarm and whoever takes the 787 00:42:14,440 --> 00:42:18,799 Speaker 4: call goes and gets it interesting. So the problem is 788 00:42:18,800 --> 00:42:21,440 Speaker 4: is I saw a Las Vegas Review Journal article about this. 789 00:42:21,520 --> 00:42:24,520 Speaker 4: Las Vegas was debating whether to just totally privatize their 790 00:42:24,560 --> 00:42:28,640 Speaker 4: EMS services. Their EMS just like went berserk. They're like no, 791 00:42:29,160 --> 00:42:33,239 Speaker 4: like this doesn't work. The private companies are late. I 792 00:42:33,280 --> 00:42:36,200 Speaker 4: think they were late like ten thousand plus times in 793 00:42:36,239 --> 00:42:40,000 Speaker 4: one year in Las Vegas. Their response time tends to 794 00:42:40,000 --> 00:42:42,360 Speaker 4: be less than the actual fire department or EMS is. 795 00:42:43,600 --> 00:42:48,040 Speaker 4: It's just not as it's just not as preferable. And 796 00:42:48,080 --> 00:42:51,480 Speaker 4: the reason why ambulance private ambulance services came about or 797 00:42:51,520 --> 00:42:55,680 Speaker 4: became widespread, this idea that you should just privatize everything 798 00:42:55,719 --> 00:42:58,640 Speaker 4: and then that competition will keep everything going. And that 799 00:42:58,680 --> 00:43:00,719 Speaker 4: hasn't necessarily panned out to be the case. And from 800 00:43:00,760 --> 00:43:04,319 Speaker 4: what I see, New York is actually scaling back on theirs, right. 801 00:43:04,600 --> 00:43:07,400 Speaker 3: Yeah, I think Juliani is one of the people that 802 00:43:08,120 --> 00:43:10,479 Speaker 3: really tried, and of course, you know, no surprise given 803 00:43:10,520 --> 00:43:17,000 Speaker 3: his politics, trying to privatize the industry. But apparently a 804 00:43:17,000 --> 00:43:21,279 Speaker 3: lot of those had gone bankrupt basically, yeah, and that 805 00:43:21,400 --> 00:43:27,360 Speaker 3: during the during the housing boom, the financial collapse. Strangely, 806 00:43:27,520 --> 00:43:29,960 Speaker 3: or maybe not strangely, because I don't understand it, a 807 00:43:29,960 --> 00:43:33,600 Speaker 3: lot of private equity firms started buying up ambulance services. 808 00:43:33,920 --> 00:43:36,280 Speaker 4: Yeah, that's there, you go, there's the downfall. 809 00:43:36,560 --> 00:43:37,600 Speaker 1: It's just so interesting. 810 00:43:37,600 --> 00:43:40,200 Speaker 3: I know that this is one of those where someone's 811 00:43:40,239 --> 00:43:42,280 Speaker 3: gonna knock our socks off with a great email. 812 00:43:42,840 --> 00:43:46,320 Speaker 4: Yeah. I think Also one more thing about the private 813 00:43:46,320 --> 00:43:49,240 Speaker 4: ambulance services. It's not like they're just a bad idea 814 00:43:49,400 --> 00:43:54,000 Speaker 4: all around. Sure, in a locale that is underserved, if 815 00:43:54,000 --> 00:43:56,600 Speaker 4: a company wants to come and set up ambulance services, 816 00:43:56,960 --> 00:43:59,439 Speaker 4: that would be great for that area. Yeah, because they 817 00:43:59,440 --> 00:44:01,879 Speaker 4: have a far you know they have They can get 818 00:44:01,920 --> 00:44:04,280 Speaker 4: places faster in an ambulance than they could have before 819 00:44:04,600 --> 00:44:07,520 Speaker 4: in a place where you've got your EMS overstretched in 820 00:44:07,560 --> 00:44:10,880 Speaker 4: the counties, Like, no, we're not hiring a single additional 821 00:44:10,920 --> 00:44:14,680 Speaker 4: EMS worker. A company that sets up shop can actually 822 00:44:15,480 --> 00:44:18,080 Speaker 4: take up the slack Like there are good aspects to it. 823 00:44:18,120 --> 00:44:22,080 Speaker 4: Like it's not just like some terrible idea, but in 824 00:44:22,200 --> 00:44:24,759 Speaker 4: practice that hasn't worked out as well as as one 825 00:44:24,760 --> 00:44:29,000 Speaker 4: would hope from what I understand. Yeah, yeah, EMS workers 826 00:44:29,080 --> 00:44:32,400 Speaker 4: like email us like explain this because I really like you. 827 00:44:32,880 --> 00:44:35,960 Speaker 4: I do not get who's footing the bill. It has 828 00:44:36,000 --> 00:44:38,760 Speaker 4: to be insurance companies, and then if you don't have insurance, 829 00:44:38,760 --> 00:44:42,480 Speaker 4: it has to be just the person, the individual. 830 00:44:42,920 --> 00:44:45,640 Speaker 3: Yeah, and I think we have. We waded into the 831 00:44:45,680 --> 00:44:47,880 Speaker 3: waters of doing a nine to one to one podcast 832 00:44:47,960 --> 00:44:51,160 Speaker 3: once and didn't. Isn't that correct? Because it was. I mean, 833 00:44:51,200 --> 00:44:53,640 Speaker 3: we'll do it at some point, but I remember thinking, oh, 834 00:44:53,640 --> 00:44:55,960 Speaker 3: that's a good, easy ish one and it ended up 835 00:44:56,040 --> 00:44:58,040 Speaker 3: like being super convoluted. 836 00:44:58,280 --> 00:44:59,719 Speaker 4: Yeah. I think I think we should do that. We 837 00:44:59,760 --> 00:45:02,759 Speaker 4: shoul should also do just eers in general too. 838 00:45:02,920 --> 00:45:04,040 Speaker 1: Yeah. 839 00:45:04,640 --> 00:45:08,160 Speaker 4: So that's a bit about paramedics. Sounds like there's way 840 00:45:08,200 --> 00:45:11,560 Speaker 4: more to it, right, Yeah, but you got anything else 841 00:45:11,560 --> 00:45:14,919 Speaker 4: for now, no, sir? Okay, Well, since Chuck said no, sir, 842 00:45:15,160 --> 00:45:18,719 Speaker 4: it's time for listening to maw all right. 843 00:45:18,800 --> 00:45:21,400 Speaker 1: I'm gonna call this we helped the dude win something. 844 00:45:22,320 --> 00:45:22,520 Speaker 5: Yeah. 845 00:45:22,560 --> 00:45:23,120 Speaker 4: I love this one. 846 00:45:23,160 --> 00:45:25,080 Speaker 3: Hey, guys, been listening to your show for about four 847 00:45:25,160 --> 00:45:27,719 Speaker 3: years and always wanted to write in, But now I 848 00:45:27,719 --> 00:45:30,000 Speaker 3: have a great reason. A local store was doing a 849 00:45:30,000 --> 00:45:32,279 Speaker 3: giveaway a few days ago, and they posted that the 850 00:45:32,280 --> 00:45:34,239 Speaker 3: first people to show up and answer correctly would win 851 00:45:34,280 --> 00:45:37,640 Speaker 3: a prize. The question was bacon and eggs was not 852 00:45:37,680 --> 00:45:40,319 Speaker 3: always a breakfast food and what year did it become so, 853 00:45:40,400 --> 00:45:43,960 Speaker 3: and who was the man behind the marketing idea. So 854 00:45:44,480 --> 00:45:48,080 Speaker 3: this guy sounded super excited because he knew the answer. Immediately, 855 00:45:48,160 --> 00:45:50,200 Speaker 3: I thought of your show and the uncanny ability of 856 00:45:50,200 --> 00:45:53,520 Speaker 3: mister Edward Burne's to pop up in seemingly strange histories. 857 00:45:53,800 --> 00:45:56,960 Speaker 3: I remembered your pr episode and knew it was sometime 858 00:45:57,000 --> 00:45:58,880 Speaker 3: in the twenties. So I hopped in my car and 859 00:45:59,000 --> 00:46:01,400 Speaker 3: took off for the business. When I got there, I 860 00:46:01,440 --> 00:46:04,680 Speaker 3: told him the answer with a startled look. They told 861 00:46:04,719 --> 00:46:10,040 Speaker 3: me I'd want a huge case of meat, and not 862 00:46:10,080 --> 00:46:12,680 Speaker 3: just junkie stuff either. This play sales to restaurants and 863 00:46:12,760 --> 00:46:14,200 Speaker 3: businesses all across the country. 864 00:46:14,440 --> 00:46:15,000 Speaker 4: I love that. 865 00:46:15,120 --> 00:46:17,040 Speaker 1: I was super stoked. Good meat. 866 00:46:17,200 --> 00:46:19,839 Speaker 4: He's like I won meat, and not just like terrible meat, 867 00:46:19,880 --> 00:46:21,040 Speaker 4: like good stuff too. 868 00:46:22,680 --> 00:46:24,399 Speaker 3: When they asked if I had to look it up, 869 00:46:24,480 --> 00:46:26,799 Speaker 3: I told them no, that I listened to stuff you 870 00:46:26,800 --> 00:46:28,440 Speaker 3: should know, and they retained it in the back of 871 00:46:28,480 --> 00:46:30,680 Speaker 3: my mind. They asked for the name of the show, 872 00:46:31,680 --> 00:46:33,200 Speaker 3: and they said they were going to play it for 873 00:46:33,320 --> 00:46:35,719 Speaker 3: all the workers there during the day, so now they 874 00:46:35,760 --> 00:46:37,279 Speaker 3: can get more difficult. 875 00:46:36,800 --> 00:46:37,840 Speaker 1: And random questions. 876 00:46:38,200 --> 00:46:38,880 Speaker 4: That's awesome. 877 00:46:38,920 --> 00:46:40,080 Speaker 1: And he said it doesn't in there. 878 00:46:40,480 --> 00:46:42,160 Speaker 3: I went back later in the week and the same 879 00:46:42,200 --> 00:46:44,680 Speaker 3: girl i'd spoken to recognized me. So they had two 880 00:46:44,680 --> 00:46:47,399 Speaker 3: other people come in that had known the answer from 881 00:46:47,400 --> 00:46:49,879 Speaker 3: stuff you should know as well. All right, even though 882 00:46:49,880 --> 00:46:53,719 Speaker 3: we live in super rural Utah, you apparently have a 883 00:46:53,800 --> 00:46:57,000 Speaker 3: large following. And that is from John Robson. 884 00:46:57,520 --> 00:47:00,719 Speaker 4: Thanks John Robison. I hope you have a health the 885 00:47:00,760 --> 00:47:03,719 Speaker 4: EMS service out there to come find you after you 886 00:47:03,760 --> 00:47:04,840 Speaker 4: eat that box of meat. 887 00:47:05,120 --> 00:47:06,920 Speaker 3: Yeah, and you know what, let's hear from Salt Lake 888 00:47:07,000 --> 00:47:10,600 Speaker 3: City because we have debated a live show there and 889 00:47:10,920 --> 00:47:12,440 Speaker 3: just didn't know if we had the support. 890 00:47:12,520 --> 00:47:14,239 Speaker 1: So I want to hear it. 891 00:47:14,800 --> 00:47:16,839 Speaker 4: Okay, so we want to hear we want to hear 892 00:47:16,880 --> 00:47:20,160 Speaker 4: from Utah in's and EMS workers. 893 00:47:20,280 --> 00:47:23,120 Speaker 3: Yeah, if we get ten people that email us and 894 00:47:23,120 --> 00:47:24,680 Speaker 3: say to come to Salt Lake City will come. 895 00:47:25,440 --> 00:47:27,279 Speaker 4: I think we should set the bar higher than that. 896 00:47:27,680 --> 00:47:31,080 Speaker 4: Oh okay, okay, Well, if you want to let us 897 00:47:31,120 --> 00:47:33,319 Speaker 4: know that you're from Utah and you want us to come, 898 00:47:33,520 --> 00:47:35,879 Speaker 4: or you're an EMS worker and you've got some good 899 00:47:35,920 --> 00:47:38,359 Speaker 4: stories for us, you can send us an email. It's 900 00:47:38,400 --> 00:47:41,880 Speaker 4: probably easiest to stuff podcasts at house. Stuffworks dot Com 901 00:47:41,960 --> 00:47:43,560 Speaker 4: has always joined us at our home on the web, 902 00:47:43,800 --> 00:47:48,480 Speaker 4: Stuff Youshould Know dot Com. 903 00:47:48,640 --> 00:47:50,959 Speaker 1: Stuff you Should Know is a production of iHeartRadio. 904 00:47:51,440 --> 00:47:54,640 Speaker 2: For more podcasts my heart Radio, visit the iHeartRadio app, 905 00:47:54,840 --> 00:47:57,760 Speaker 2: Apple Podcasts, or wherever you listen to your favorite shows.