09/24/2025
Remember: ALS is a tool, not a personality trait: https://ow.ly/VLuw50X1L4u
In EMS, we’ve all seen it: the “start a line, run a 12-lead, blast O₂” reflex...every patient, every time.
Protocol Overcompensatus, anyone?
But here’s the truth: more interventions aren’t always better. Doing everything for every patient can stretch scene times, burn supplies, inflate costs, and blur the line between necessary care and procedural habit.
Good prehospital care isn’t about checking boxes. It’s about judgment: assessing the patient, weighing risk, and acting based on clinical need—not fear or habit.
✅ Start that IV if it’s needed.
✅ Run a 12-lead if the story and vitals say yes.
✅ Give meds that actually improve outcomes.
❌ Don’t do it just because it’s “what paramedics do.”
Judgment is your most powerful tool. Use it. Respect it.