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Why paramedics do not run to treat patients

Running makes it harder to keep your cool and operate at peak effectiveness

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Running doesn鈥檛 actually save much time.

Photo/City of Louisville

A user on , 鈥淲hy don鈥檛 paramedics run to emergency patients?鈥 A few answers stood out to us, especially one by EMT Ross Cohen. You can read his reply below:

I鈥檓 glad you asked, because I promise you it鈥檚 not due to a lack of concern. It鈥檚 actually perfectly logical when you see it from our point of view.

3 Main Reasons:

  1. Running is risky. If we trip, fall, get hurt 鈥 now there are two patients.
  2. Running to a patient prevents us from spotting hazards on the way in. Remember, we鈥檙e walking into an unknown. We must carefully observe and assess for danger. On the walk in, we鈥檒l notice the downed power lines, the room full of people passed out from a gas leak, the dog protecting its injured owner, the hoarder鈥檚 junk on the floor when we round the corner, the attacker who assaulted the victim, the weapon lying next to the bystander, etc.
  3. Running makes it harder to keep our cool and operate at peak effectiveness. We need to be the calmest person in the room. Everyone takes their cues from us. We need to think clearly and act deliberately, decisively, expeditiously, smoothly. It鈥檚 hard to do that if your own heart is beating out of your chest, you鈥檙e breathing heavily and visibly excited. It takes mental discipline to restrain our own excitement and concern to work professionally and unemotionally in scary situations and adding significant physical exertion to an already stressful situation is not helpful.

5 Lesser Reasons:

  1. If the patient sees us running toward them, then they may become even more distressed. Our demeanor can be either a calming or aggravating influence.
  2. We鈥檙e carrying equipment: stretchers, chairs, oversized bags, expensive EKG monitors, etc. Some of these things we can barely walk with, let alone run.
  3. It doesn鈥檛 actually save much time. If we parked far away, which is rare, we鈥檒l be quite out of breath running a long distance with our equipment and have that much more opportunity to get hurt. If we parked close by, as we usually do, we might shave at most a few seconds off our arrival time, which would not matter in 99.99% of cases.
  4. If you run on every call of every shift, across every street, down every driveway, up every flight of stairs, through every hallway 鈥 it鈥檚 just a matter of time before you twist an ankle, bang a knee, split a lip, fall down stairs, etc. I鈥檝e known many EMTs who have gotten hurt and/or split their pants or something and that鈥檚 without running. We鈥檙e not professional athletes, injuries happen enough as it is and running would only add to it.
  5. We work on highways and high-rises. We work in backyards and back woods. We鈥檙e in people鈥檚 messy bedrooms and cramped basements. We climb stairwells and traverse steep inclines. We work in the rain, the heat, the cold and everything in between. Running just makes all these things harder.

Those are some of the reasons we don鈥檛 run. The only real reason to run is that people would stop assuming a lack of urgency/concern when we merely walk briskly toward them. Trust us, it鈥檚 way better for all involved if we avoid running.

Read next: Never move faster than your ability to make good decisions

This article was originally posted Oct. 25, 2017. It has been updated.

The SA国际传媒 Community Q&A section features EMTs and paramedics answering questions from 鈥淲hy don鈥檛 paramedics run to patients?鈥, to 鈥淲hat medic habits can鈥檛 you shake?鈥 From the lighthearted, to the clinical, we鈥檝e asked and you鈥檝e answered.

Have a question you鈥檇 like to ask the SA国际传媒 audience? Email us at editor@ems1.com.

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