The First Law of EMS:
All emergency calls will wait until you begin to eat, regardless of the time.
Corollary 1 - Fewer accidents would occur if EMS personnel would never eat.
Corollary 2 - Always order food "to go".
The Paramedical Laws of Time:
1 - There is absolutely no relationship between the time at
which you are supposed to get off shift and the time at which you will get off shift.
2 - Given the following equation: T + 1 Minute = Relief Time,
"T" will always be the time of the last call of your shift.
E.g., If you are supposed to get off shift at 1900, your last run will come in at 1859.
The Paramedical Law of Gravity:
Any instrument, when dropped, will always come to
rest in the least accessible place possible.
The Paramedical Law of Time and Distance:
The distance of the call from the hospital
increases as the time to shift change decreases.
Corollary 1 - The shortest distance between the station
and the scene is under construction.
The Paramedical Rule of Random Simultaneity:
Emergency calls will randomly come in all at once.
The Rule of Respiratory Arrest:
All patients, for whom Mouth-to-Mouth Resuscitation must be provided,
will have just completed a large meal of barbecue and onions, garlic pizza,
and pickled herring, which was washed down with at least three cans of beer.
The Axiom of Late-Night Runs:
If you respond to any motor vehicle accident call after
midnight and do not find a drunk on the scene, keep looking - somebody is still missing.
The Law of Options:
Any patient, when given the option of either going to jail or going
to the hospital by a police officer, will always be inside the ambulance before you are.
Corollary 1 - Any patient who chooses to go to jail
instead of the hospital probably knows your driver.
The First Rule of Equipment:
Any piece of lifesaving equipment will never malfunction or fail until:
You need it to save a life.
The salesman leaves.
The Second Rule of Equipment:
Interchangeable parts don't, leak proof seals will, and self-starters won't.
The First Law of Ambulance Driving:
No matter how fast you drive the ambulance when responding to a call,
it will never be fast enough, unless you pass a police cruiser,
at which point it will be entirely too fast.
Paramedical Rules of the Bathroom:
If a call is received between 0500 and 0700,
the location of the call will always be in a bathroom.
If you have just gone to the bathroom, no call will be received.
If you have not just gone to the bathroom, you will soon regret it.
The probability of receiving a run increases proportionally
to the time elapsed since last going to the bathroom.
The Basic Principle for Dispatchers:
Assume that all field personnel are idiots until their actions prove your assumption.
Basic Assumption About Dispatchers:
Given the opportunity, any dispatcher will be only too happy to tell you where to go,
regardless of whether or not (s)he actually knows where that may be.
Corollary 1 - The existence or nonexistence of any given location
is of only minor importance to the dispatcher.
Corollary 2 - Any street designated as a "cross-street" by a dispatcher probably isn't.
Corollary 3 - If a street name CAN be mispronounced,
a dispatcher WILL mispronounce it.
Corollary 4 - If a street name CANNOT be mispronounced,
a dispatcher WILL mispronounce it.
Corollary 5 - A Dispatcher will always refer to a given location in the
most obscure manner as possible
(e.g., "Stumpy Brown's Cabbage Field" is now covered by a shopping center)
The First Principle of Triage:
In any accident, the degree of injury suffered
by a patient is inversely
proportional to the amount and volume of agonized
screaming produced by that patient.
The Gross Injury Rule:
Any injury, the sight of which makes you sick,
should immediately be covered by 4x4s and Kerlix.
The Rule of Funding and Donations:
All funding and donations are received in amounts
which are inversely proportional to need.
The First Law of EMS Supervisors:
Given the equation: X - Y = Quality of Care,
where "X" is the care that you render and
"Y" is the assistance supplied by any Supervisor. If you can eliminate
"Y" from the equation, the Quality of Care will improve by "X".
Corollary 1 - Generally, Field Supervisors have no business in the Field.
Corollary 2 - The level of technical competence is inversely
proportional to the level of management.
Corollary 3 - Technology is dominated by those who
manage what they do not understand.
The Law of Protocol Directives:
The simplest Protocol Directive will be worded in the most obscure
and complicated manner possible. Speeds, for example,
will be expressed as "furlongs per fortnight"
and flow rates as "hogsheads per hour".
Corollary 1 - If you don't understand it, it must be intuitively obvious.
Corollary 2 - If you can understand it, you probably don't.
The Law of EMS Educators:
Those who can't, teach.
The Law of EMS Evaluators:
Those who can neither do nor teach, evaluate.
The Paramedical Law of Light:
As the seriousness of any given injury increases,
the availability of light to examine that injury decreases.
The Paramedical Law of Space:
The amount of space which is needed to work on a patient
varies inversely with the amount of space
which is available to work on that patient.
The Paramedical Theory of Relativity:
The number of distraught and uncooperative relatives surrounding any
given patient varies exponentially
with the seriousness of the patient's illness or injury.
The Paramedical Theory of Weight:
The weight of the patient that you are about to transport increases
by the square of the sum of the number of floors which must be
ascended to reach the patient plus the number of floors which
must be descended while carrying the patient.
Corollary 1 - Very heavy patients tend to gravitate toward
locations which are furthest from mean sea level.
Corollary 2 - If the patient is heavy,
the elevator is broken, and the lights in the stairwell are out.
The Rules of No-Transport:
A Life-or-Death situation will immediately be created by driving
away from the home of patient whom you have just
advised to go to the hospital in a private vehicle.
The seriousness of this situation will increase as the date of your trial approaches.
By the time your ex-patient reaches the witness stand,
the Jury will wonder how a patient in such terrible condition
could have possibly walked to the door and
greeted you with such a large suitcase in each hand.
The First Rule of Bystanders:
Any bystander who offers you help will give you none.
The Second Rule of Bystanders:
Always assume that any Physician found at the scene
of an emergency is a Gynecologist, until proven otherwise.
Corollary 1 - NEVER turn your back on a Proctologist.
The Rule of Warning Devices:
Any ambulance, whether it is responding to a call or traveling to a hospital,
with lights and siren, will be totally ignored by all motorists,
pedestrians, and dogs which may be found in or near the roads along its route.
Corollary 1 - Ambulance sirens can cause acute and total, but transient, deafness.
Corollary 2 - Ambulance lights can cause acute and total, but transient, blindness.
Note: This rule does not apply in Massachusetts, where all pedestrians
and motorists are apparently oblivious to any and all traffic laws.
The Law of Show-and-Tell:
A virtually infinite number of wide-eyed and inquisitive
school-aged children can climb into the back of any ambulance,
and, given the opportunity, invariably will.
Corollary 1 - No emergency run will come in until they
are all inside the Ambulance and playing with the equipment.
Corollary 2 - It will take at least four times as long to
get them all out as it took to get them in.
Corollary 3 - A vital piece of equipment is missing.
The Rule of Rookies:
The true value of any rookie EMT, when expressed numerically,
will always be a negative number. The value of this number may be
found by simply having the rookie grade his or her ability on a scale from 1 to 10.
For rookie EMTs in the back of a vehicle:
1 = Certified Health Hazard, 10 = Member, ACEP,
and for rookie EMTs driving the vehicle:
1 = Obstruction to Navigation 10 = Mario Andretti.
The true value of the rookie is then found by simply
negating the rookie's self-assigned value.
Corollary 1 - Treat any rookie EMT assigned to your
Unit as you would a Bystander. (See The First Rule of Bystanders, above.)
The Rule of Rules:
As soon as an EMS Rule is accepted as absolute,
an exception to that Rule will immediately occur.