My Thoughts on Punitive
Medicine
Nothing in EMS angers me more than
punitive medicine, which can easily be defined as not properly
treating a patient based on their “station” in life. I have
recently heard fellow providers brag about using unnecessarily large
IV’s, with holding pain management, and perhaps worse of all
flipping a patient upside down on a back board. These acts, and
others like them, are without a doubt deplorable. I am ashamed to
call anyone who “practices” this type of medicine a colleague.
I know we have all responded to that
one address that calls at few times every week. What happens if this
time the chest pain is not a cry of the lonely but an MI? You know
the one that was missed because old Mrs. Jones calls for this very
same reason at least three times every week so we didn’t do an
assessment or talked her into refusing care because she’s just
lonely? Sign here ma’am. Call us back any time. Empty words. Or
how about the drug addict? Should we treat him any different because
he’s asking for his problem and should be able to control his
addiction? Then there is the inmate. 16-gauge IV just because we
can, right? Single mom with three kids who called for a child with
a runny nose? She should have taken him to the doctor Friday instead
of interrupting our nap time. I could easily list several more
examples.
As professionals, we need to remember
that every patient we meet is somebody to someone. Why is it we feel
superior in our dealings with such individuals that we feel the need
to pass judgement? How is that in any way our right? As
professionals, we should not judge simply because we have not walked
a mile in our patient’s moccasins. We cannot say “well I
wouldn’t” because we have no idea how we would handle those
experiences. Our actions, either appropriate or inappropriate, leave
a lasting impression on our patient. How do you want to be
remembered?
First do no harm. I know that
was part of my education in EMS, as well it should have been. It
should have been part of your education too. It is my opinion that
punitive medicine goes against the very core of this idea and is
morally and ethically wrong. In utilizing punitive medicine, we
lower ourselves to the least common dominator, making our profession
look heartless and uncaring. Is that how we want the public to see
us?
I would like to close with two Bible
verses. James 4:17 If you don’t do what you know is right, you
have sinned. Luke 6:31 Treat others just as you want to be treated.
Christian or not, good words to live by, not only as we take care of
the people entrusted to us but also as we deal in our day to day
lives.
When I started in EMS this was the norm. You had a beer, well there is your pain medication. Oh you called 4 times in the past 5 days, you get a 14 Ga, in the hand. We were wrong then. Doing it today makes you even more wrong. I wish I was willing to admit the wrongness of what I did then and recognize it. But I do take responsibility for my actions now.
ReplyDeleteLone Medic.