"Want, want, want, need, need, need", a co-worker in another life remarked as she hung up her phone. 

And, here is a story echoed in many places about the struggle to provide emergency medical services that the public has grown to expect with resources that are becoming more scarce.

In a Texas Tribune article Terri Langford explores the uncertainty of residents and the challenges to officials for providing appropriate emergency medical care in rural and suburban counties.

In case you missed it.

"What is the objective of this ride-out?", the Deputy Sheriff asked me.

"At the end of the shift... you and I are going home."

Sure, it's the law that you have to move over (and/or slow down) when emergency vehicles are stopped at the roadside. But lives are still being lost while we're trying to save others.

There ought to be a law. And there are. Plenty of them. But why is that not enough?

The sea Captain bites his tongue until it bleeds, when juniors are learning to handle the ship. And, I imagine there has been some serious commentary about fictional patient care on the TV show 9-1-1 Lone Star, over at the Office of Medical Director for Austin-Travis County EMS.

If you don't know, the Medical Director is a very important part of the delegated practice of Emergency Medicine in the field.  As in many EMS systems, providers must be familiar with and proficient with their scope of practice under clinical operating guidelines established by the OMD.

When I arrived on scene, I helped package the last patient who would be going by ambulance. 

I would tell you the details, right now. Except that somebody's father might read them.

I talked with one such father, in particular, and it was not my place at the time, to tell him what I knew. In a mile's travel, he would know. He would probably insist that he see, as I had seen.

There was someone else on scene, who caring and competent men had determined had no need for the services of an ambulance.

“We see this as an ongoing issue. It’s related to a lot of different factors – everything from the amount of runs and the types of situations that our folks encounter to fatigue and fatigue management,” Davis said. “External pressures that they have in their own lives. Folks that bring live experiences to us that might be stressful.” The issue affects all levels of firefighters from rookies to veterans. There will also be a focus on retirees and those preparing to retire – helping them plan a life away from firefighting.

An updated safety video that includes findings and recommendations from the CSB's investigation into the February 8, 2017, explosion at the Packaging Corporation of America's DeRidder, Louisiana, pulp and paper mill.

https://youtu.be/j4iv4HvrfSU

In order for one to become certified as a first medical responder such as a Paramedic, a student must be instructed through an institution, such as a college or fire department, and must learn objectives that meet the current standards of care. Those standards include care for someone having a heart attack, stroke, has been involved in an automobile accident and so on. During that training, there is a chapter labeled “Wellness of the EMT.” Within this chapter is a very small section that pertains to the Paramedic taking care of themselves when they are not taking care of patients.

A number of states and local jurisdictions have restricted the use of hand-held devices, while driving. And, while exceptions for operators of emergency vehicles may be incorporated, Ambulance crews are still being recruited from the human race and can still be distracted while driving.