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Technisation and standardisation are good for the EMS sector.
The whole "it was better when we could do what we want and back then we had only real calls with sicker people and everything was good" is fucking aweful and hurting the profession.
Look, you fucking volunteer dick, I know you do this for 10 years longer than me (and I do it for 25 now),but unlike you I did it full-time and probably had more shifte in one year than you had in your life. Now my back is fucked because back then there was no "electrohydraulic stretcher", no stair chair, the ventilator was twice as heavy (and could basically nothing), the defibrillator weighted so much we often had to switch carrying it after two floors up.
And we had just as many shit calls,but got actually attacked worse because the shit 2kg radios were shit and had next to zero coverage indoors, and so had cellphones which led to you being unable to even call for backup.
And of course we had longer shifts,needed to work more hours and the whole job market was even more fucked.
"But we didn't need this and that,we looked at the patient". Yeah,go fuck yourself. MUCH more people died or took damage from that. So many things were not seen. And it was all accepted as "yeah, that's how life is".
So fuck everyone in this field and their nostalgia.
In the medical system here, there is a trend toward imaging and other tests but no actual examination of the patient.
I have a friend whose injury didn't look too bad on MRI. But a lesser scan (CT?) they don't value as much showed the actual problem and confirmed the complaint. Our greater trust for the new hotness, and discounting tools we needed to use before the new exam tools even when the patient begs, is not a perfect solution.
It seems we could be doing both and getting a better understanding.
I totally agree with everything you say about the heavy tools and bad radios - family was in rural EMS, and the bodily wear and tear seems to be prevalent among all the old peers.